answers Graded A+
Contraceptive Methods: Withdrawal MOA/Hormone
Withdrawal of penis before ejaculation
Contraceptive Methods: Withdrawal Notes
Aka "pulling out" or "coitus interruptus"
Contraceptive Methods: Periodic Abstinence/Ovulation Tracking MOA/Hormone
- Avoiding sex during time when ovum & sperm could meet
(i.e. 2-3d before to 2-3d after ovulation)
- Tracks either basal body temp OR LH surge daily
Contraceptive Methods: Periodic Abstinence/Ovulation Tracking Notes
- No hormones/ devices
- No SEs
- 18-40% FAILURE RATE
- Requires daily tracking
- Won't help menstrual sxs
- Must use another form of contraception on fertile days
Contraceptive Methods: Examples of Barrier/Physical Methods
- Condoms
- Spermicide
- Diaphragm
- Cervical cap
Contraceptive Methods: Condoms MOA/Hormone
Safe for patients w CI or opposed to hormones
Contraceptive Methods: Condoms Notes
- STI protection
- 20% failure rate
, Contraceptive Methods: Spermicide MOA/Hormone
- Destroys sperm w active chemical (nonoxynol-9)
- inserted into vag 10-30min before sex
Contraceptive Methods: Spermicide Notes
- 27% failure rate
- Increased risk for HIV
- Often used w diaphragm or condoms
Contraceptive Methods: Diaphragm MOA/Hormones
diaphragm= small, latex covered
Contraceptive Methods: Diaphragm Notes
15% failure rate + displacement
Contraceptive Methods: Cervical Cap MOA/Hormones
- dome-shaped cap
- Cervical cap= smaller version of diaphragm applied to cervix only
Contraceptive Methods: Cervical Cap Notes
- Must remain in place 6-24h after intercourse
- Requires pelvic exam & fitting
- 2x more likely to have STI than condoms
Examples of IUDs
- Hormonal (Kyleena, Mirena)
- Non-Hormonal (Paragard)
Hormonal IUDs (Kyleena, Mirena) MOA/Hormone
Progestin-only
Hormonal IUDs (Kyleena, Mirena) Notes
- Lighter periods
- Lasts 3-5 years (up to 8 years)