Smoking Cessation Flow Sheet Source: CTI (2008). Smoking Progress Notes Annual Patient Profile. t – Cessation_Guideline_Flow_Sheet_updated_Jan2008.pdf) Family Planning Contraception Options Method Advantages Disadvantages Irregular bleeding/spotting Combined OCP Effectiveness (99.7% - perfect use, Breast tenderness, nausea, headache 92% - typical use) (Daily) Cycle control VTE risk ↑ dysmenorrhea, ↓ Slight risk of breast cancer ↑ menstrual flow ↓ perimenopausal and PMS symptoms ↓ risk of ovarian, endometrial, ↓ possibly colorectal cancer ovarian cysts ↓ acne and hirsutism ↓ bone density ↑ Transdermal Effectiveness (99.7% perfect use, Same as OCP Skin irritation – Contraceptive 92% - typical use) Patch detachment (uncommon) Patch (Weekly) Same as OCP Less effective if >90kg 48-hour of forgiveness” “window Vaginal Effectiveness (99.7% - perfect use, Same as OCP Contraceptive 92% - typical use) Vaginitis Ring Same as OCP Vaginal (Monthly) 1-week of forgiveness discomfort “window Expulsion (uncommon) Irregular bleeding Progestin Only Effectiveness (99.7% - perfect use, Headache, bloating, acne, breast Pill 92% - typical use) (Daily) Can be used post-partum tenderness Must take at same time everyday No pill-free interval
Smoking Cessation Flow Sheet Source: CTI (2008). Smoking Progress Notes – Annual Patient Profile. t Cessation_Guideline_Flow_Sheet_updated_Jan2008.pdf) Family Planning Contraception Options Method Advantages Disadvantages Combined OCP (Daily) Effectiveness (99.7% - perfect use, 92% - typical use) Cycle control ↓ dysmenorrhea, ↓ menstrual flow ↓ perimenopausal and PMS symptoms ↓ risk of ovarian, endometrial, possibly colorectal cancer ↓ ovarian cysts ↓ acne and hirsutism ↑ bone density Irregular bleeding/spotting Breast tenderness, nausea, headache ↑ VTE risk Slight ↑ risk of breast cancer Transdermal Contraceptive Patch (Weekly) Effectiveness (99.7% – perfect use, 92% - typical use) Same as OCP 48-hour “window of forgiveness” Same as OCP Skin irritation Patch detachment (uncommon) Less effective if >90kg Vaginal Contraceptive Ring (Monthly) Effectiveness (99.7% - perfect use, 92% - typical use) Same as OCP 1-week “window of forgiveness Same as OCP Vaginitis Vaginal discomfort Expulsion (uncommon) Progestin Only Pill (Daily) Effectiveness (99.7% - perfect use, 92% - typical use) Can be used post-partum Irregular bleeding Headache, bloating, acne, breast tenderness Must take at same time everyday No pill-free interval