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Contraception
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2
3
Contraception
• Three general strategies:
– Prevent ovulation;
– Prevent fertilization;
• Keep sperm & oocyte away from each
other.
– Prevent implantation.
4
Types of Birth Control
• BarrierBarrier
• HormonalHormonal
• IUDIUD
• Natural MethodsNatural Methods
• Chirurgical (Permanent sterilization)Chirurgical (Permanent sterilization)
5
BarrierBarrier
»Condom
»Female condom
»Diaphragm
barrier
6
Condom
• 98% effective
• Protects against
some STDs
7
Female Condom
• 95% effective
• Protects against some STDs
• Noisy
• Use extra lubrication
8
Diaphragm
• 95% effective
• Requires fitting, manual
dexterity
• Leave in place 6 hours
after intercourse
• Use with contraceptive
jelly/cream
9
Diaphragm + spermicides
10
HormonalHormonal
11
Hormonal Methods
• Oral Contraceptives
(Birth Control Pill)
12
The Pill
• 99.5% effective
• Lighter, predictable periods
• Milder cramps
• Protects against uterine,
ovarian cancer
• Protects against benign
breast disease
• Low risk of side-effects
• Must take a pill each day
13
“Morning-after pill”
• High dose progestins.
• Prevents implantation
14
IUDIUD
15
INTRAUTERINE DEVICES
16
IUD
• 98-99% effective
• Prevents implantation
• Lasts 10 years
• Heavier, crampier periods
• Risk of infection/PID
• Risk of ectopic pregnancy
• Good candidate:
– monogamous
17
ChirurgicalChirurgical
–Sterilization
»Vasectomy
»Tubal ligation
18
STERILIZATION
• Procedure performed on a man or a
woman permanently sterilizes
• Female = Tubal Ligation
• Male = Vasectomy
19
Tubal Ligation & Vasectomy
• Surgical sterilization
• Permanent, irreversible
• >99% effective
20
Vasectomy special offer
21
22
23
NaturalNatural
24
Rhythm
• Avoid unprotected IC day #9-19
• 70-80% effective
• Assumes ovulation about day
#14
Fertility awareness birth control methods are based on the fact that:
•sperm may live in the female reproductive tract for up to 7 days
•the female egg lives for only a day
•fertilization may occur even days after intercourse
•"safe days" occur 2 days after ovulation and continue until your
next period
25
Withdrawal
• Removal of penis from the vagina before ejaculation
occurs
• Some sperm present in pre-ejaculatory fluid.
• NOT a sufficient method of birth control by itself
• Effectiveness rate is 80% (very unpredictable in
teens, wide variation)
• 1 of 5 women practicing withdrawal become
pregnant
• Very difficult for a male to ‘control’
26
Abstinence / Celibacy
100% effective
Is this contraception,
or non-participation?
27
28
29
Based on a presentation by:
CAPT Mike Hughey, MC, USNR

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