Contraception; Long Acting Reversible Contraceptives
Definition: Not user dependant, consists of coils, implants and injections.
Implant; Nexplanon
- Silicone rod with estradiol releasing polymer matrix
- 68mg estragesterol (30-60mcg daily)
- >99% effective, prevents ovulation and thickens cervical mucus
- Licensed for 3 years
- Fitted first 5 days of cycle
- Can be located on x-ray as radio-opaque
- Adv; used for breastfeeding, no intercoure interruption
- Disadv; irregular bleeding, no STI protection
- Risks; bleeding, hematoma, infection, site reaction, pain
Coil; Intrauterine Device
- Copper coil
- Inhibits fertilization and implantation
- 1st line for emergency contraception
- Licensed for 10 years
- Adv; no interference with intercourse, immediate fertility return
- Disadv; heavier periods, insertion discomfort, no STI protection
- Risks; pain, bleeding, uterine perforation, ectopic pregnancy
Injection; Depo Povera
- Injection
- 150mg medroxyprogesterone acetate
- Inhibits ovulation, thickens cervical mucus and inhibits implantation
- Given every 12 weeks intramuscular
- Adv; less prone to user failure, no intercourse interruption, no periods
- Disadv;bleeding, weight gain, delay fertility, no STI protection
- Risks; bloating, nausea, appetite affected, cancer
Definition: Not user dependant, consists of coils, implants and injections.
Implant; Nexplanon
- Silicone rod with estradiol releasing polymer matrix
- 68mg estragesterol (30-60mcg daily)
- >99% effective, prevents ovulation and thickens cervical mucus
- Licensed for 3 years
- Fitted first 5 days of cycle
- Can be located on x-ray as radio-opaque
- Adv; used for breastfeeding, no intercoure interruption
- Disadv; irregular bleeding, no STI protection
- Risks; bleeding, hematoma, infection, site reaction, pain
Coil; Intrauterine Device
- Copper coil
- Inhibits fertilization and implantation
- 1st line for emergency contraception
- Licensed for 10 years
- Adv; no interference with intercourse, immediate fertility return
- Disadv; heavier periods, insertion discomfort, no STI protection
- Risks; pain, bleeding, uterine perforation, ectopic pregnancy
Injection; Depo Povera
- Injection
- 150mg medroxyprogesterone acetate
- Inhibits ovulation, thickens cervical mucus and inhibits implantation
- Given every 12 weeks intramuscular
- Adv; less prone to user failure, no intercourse interruption, no periods
- Disadv;bleeding, weight gain, delay fertility, no STI protection
- Risks; bloating, nausea, appetite affected, cancer
