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PH 353 Contraceptive Methods Presentation

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SDSU Health Promotion

on 20 July 2017

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Transcript of PH 353 Contraceptive Methods Presentation

Health Promotion:
What do you already know?
How many of you have seen a contraceptive methods presentation before?
Birth control myths
Hormonal Birth Control
Estrogen & Progestin
Purpose
Provide information and teach skills necessary to prevent unplanned pregnancies and sexually transmitted diseases
Encourage you to take responsibility your own sexual health!
We are not here to discourage or encourage sexual activity
PHE Contraceptive Methods Presentation

Healthpromotion.sdsu.edu
(619) 594-4133
For those of you who have, what was discussed in the presentation?
What kinds of issues do you think are important related to birth control?
Three Lines of Defense
1. Inhibits Ovulation
side effects of hormonal birth control
Watch out for ACHES
A
bdominal Pain
C
hest Pain
H
eadaches
E
ye Problems - Blurred Vision
S
evere Leg Cramps - Including Numbness & Tingling
Larcs - long-acting reversible contraceptives
Very high satisfaction rate
Need a provider to insert
Very effective! 99.9%
Virtually no user error!
Last for a long period of time
intrauterine device (IUD): Copper T (Paragard)
No Hormones!
Made of Copper
Possibly - Confuses Sperm and Irritates Uterine Lining
Very effective! 99.9%
Lasts 10 Years
Pros of intrauterine device (IUD): Copper T (Paragard)
Lasts a long time
High satisfaction rate
Very effective
No hormones!
Cons of intrauterine device (IUd): Copper t (paragard)
Can be expensive
Need a provider to insert
Can cause very serious cramping and heavy periods
Can have some pain upon insertion
intrauterine device (IUD) - mirena and Kyleena
Progestin Only (No Estrogen)
Made of plastic
Very effective! 99.9%
Lasts 5 years
Confuses Sperm + all the ways hormonal BC works
pros of intrauterine device (IUD) - Mirena
Lasts a long time
High satisfaction rate
Very effective
No estrogen
Can lead to no periods
cons of intrauterine device (IUD) - Mirena
Can be expensive
Need a provider to insert
Can lead to no periods
Can have some pain upon insertion & removal
Can have breakthrough bleeding
Intrauterine Device (IUD) - Skyla and Liletta
Progestin Only (No Estrogen)
Lower levels of hormones than Mirena
Made of plastic
Very effective! 99%
Lasts 3 years
Confuses Sperm + all the ways hormonal BC works
Smaller and better for women who have no had children or those with a small uterus
Pros of intrauterine device (IUD) - Skyla
Lasts a long time
High satisfaction rate
Very effective
No estrogen
Easier periods
Less chance of no period
Smaller
Cons of intrauterine device (IUD) - Skyla
Can be expensive
Need a provider to insert
Can have some pain upon insertion & removal
Less chance of no period
Can have breakthrough bleeding
Nexplanon
Matchstick-Sized Rod (in arm)
Progestin Only (no estrogen)
Provider must insert and remove
Very effective! 99.9%
Last 3 Years
All the ways hormonal BC works
May prevent period from coming after 1 year
No estrogen
Can lead to no periods
Can lead to no periods
Can have breakthrough bleeding
Oral Contraceptives
(the pill!)
Prescription
Effectiveness: 91 - 99%
Every, single day at the same time
3 weeks hormone pills, 1 week placebo
*Use a backup method for the first week
Pros of oral contraceptives (the pill!)
Less Cramping
Regular Periods
Less Menstrual Flow
Less Risk of PID, Ovarian Cysts, & Ovarian Cancer
Less Chance of Pregnancy!
Cons of oral contraceptives (the pill!)
Smoker? Cancer risk 30x higher
Headaches
Eye problems
Breast Tenderness
High Blood Pressure
Monophasic, Triphasic,Mini-Pill
ECPS
(Emergency contraception)
Over the Counter!
Or Prescription
Where can you get ECPS on campus?
Effectiveness: 99.9% (when used within 72 hours)
Not an abortion pill!
Taken within 72 hours post unprotected sex
Can be used up to 120 hours later
The sooner, the more effective!
*Weight issues are coming into play
Pros/Cons of ECPS (emergency contraception)
Pros
Relatively inexpensive
Very few side effects
Can be very effective
Cons
Some religions do not support the use
Some people have trouble accessing it
Ortho evra (the patch)
Prescription
Effectiveness: 91 - 99%
New patch each week (3 weeks), last week no patch
*Use a back up method for the first week
Pros and cons of ortho evra (the patch)
Pros
Only have to remember once a week
Less user error
Cons
Can have breakthrough bleeding
Higher level of Estrogen
Increased risk of blood clotting
nuva ring
Prescription
Effectiveness: 91 - 99%
Insert ring for 3 weeks, remove for 1 week
*Use a back up method for first week
Pros and cons of nuva ring
Pros
Only have to remember once a month
Less user error
Can take out for 3 hours of intercourse
Cons
Normal Hormonal
Need to be comfortable with your body!
Can have an increased risk of bacterial infection
Depo proverA (the shot)
Prescription
Effectiveness: 94 - 99%
1 shot every 12 weeks
*Effective immediately, but should use a back up method for the first week
pros and cons of depo provera (The Shot)
Pros
Very low user error!
Can stop having periods for a while
Cons
Normal Hormonal
Doctor has to inject
Can stop period
Need to get it consistently for 3 months
Barrier methods - diaphragm
Need to be fitted by a provider
88-94% Effective
Insert 1 tablespoon spermicide
Insert over cervix
Can be put in 20 hours before
Must leave in 6 hours post intercourse
Blocks sperm from entering cervix
Pros and cons of diaphragm
Pros
Relatively inexpensive
Very few side effects
Great for those who can't have hormones
Can be placed in way before sex - female agency with barrier methods!
Cons
Can be messy
Older version of birth control
Need to reapply spermacide
Don't protect against STIs
Barrier methods - female condom
Polyurethane
79-95% Effective
TONS OF USER ERROR
Blocks sperm from entering cervix
Extra STI protection
Use once - do not reuse
Pros and Cons of female condoms
Pros
Relatively inexpensive
Very few side effects
Great for those who can't have hormones!
Extra STI protection
Female agency with barrier methods
No latex allergy issues
Cons
Not popular
Lots of user error
Condom train
History of heart disease in family may not be a good candidate
Barrier methods - male condom
Latex or non-Latex
82-98% Effective
USER ERROR!
Blocks sperm from entering vaginal canal
STI-protection - but not all!
*Using lubricant with condoms can reduce tearing and thus reduce the risk of transmitting infection
pros and cons of male condom
Pros
Very few side effects
Very socially acceptable
STI protection
Relatively inexpensive
Cons
Can break
Lots of user error
summary
If you are heterosexual and have vaginal sex, you could get pregnant if you don't use a reliable method of birth control.
The only 100% way to avoid pregnancy is to avoid sexual intercourse.
We are not here to tell you whether or not to have sex or to make your choices for you.
For those who
choose
to have sex and want to avoid pregnancy, contraception is extremely important.
Questions?
2. Thicken Cervial Mucus
3. Thins Walls of the Uterus
Pros of Nexplanon
Lasts a long time
High satisfaction rate
Very effective
No hormones!
Cons of Nexplanon
Can be expensive
Need a provider to insert & remove
Can have some pain upon insertion
Full transcript