Type Women Failure Benefits Side effects Contraindications COCP Most popular 0.2 Good control, Nausea, headache, Migraines, IHD, CVA method for Well accepted, breakthrough HTN, Oestrogen under 30’s Women in bleeding, breast dep. Neoplasia, control, tenderness Liver disease, Reduction in Hirsuitism/acne, Smoking, Age menstrual blood weight gain, vaginal >35yrs, Breast loss and dryness, facial skin feeding, Obesity, dysmennorhoea pigmentation Type II diabetes (therapeutic) POP (mini-pill) Any COCP 1.0 Few CI, No Irregular bleeding interference with and amenorrhoea in breast feeding, up to 50%, Weight Good broad spectrum gain, breast motivation antibiotics tenderness, headache and acne Injectables Poor <2 IM injections can Amenorrhoea and Injectables are compliant last 8‐12 weeks, breakthrough irreversible Progesterone) Travel/ away SC implants can bleeding effects worn off, from last 3‐5 years, Normal cycle and pharmacy Reduced fertility may take 6 menstrual blood months after loss stopping, Protection again STDs is minimal IUD (Copper Older, 1‐ 1.5 High reliability, Pelvic infections, Pregnancy, Coil) Multips Easy insertion Perforation, Undiagnosed and removal, Menstrual irregular genial tract IUD Menorrhagia 0.2‐0.5 Changed 5 disturbances, bleeding, PID, (Hormone) Rx, woman with CI to the years out, Pain Previous ectopic OCP Condoms, Casual sex 5.0 Insertion before Only if used High user caps, sex, STD incorrectly motivation diaphragms protection, Non hormonal Sterilisation Finished 0.02/ Permanent Post OP Permanent families 0.13 complications Natural Religious? 20‐30 No treatments STD and Pregnancy Emergency Contraception Post coital Pill: of ethinyloestradiol and 500μg of levonorgestrel repeated after 12 hours Must be given within 72hrs of unprotected intercourse to delay ovulation and inhibit implantation Emergency IUCD: Inserted within 5 days of unprotected intercourse to prevent implantation Follow up is essential after EC to exclude ongoing pregnancy and give advice regarding future contraceptive methods. GYNAECOLOGY
Type Women Failure Benefits Side effects Contraindications COCP Most popular method for under 30’s 0.2 Good control, Well accepted, Women in control, Reduction in menstrual blood loss and dysmennorhoea (therapeutic) Nausea, headache, breakthrough bleeding, breast tenderness Hirsuitism/acne, weight gain, vaginal dryness, facial skin pigmentation Migraines, IHD, CVA HTN, Oestrogen dep. Neoplasia, Liver disease, Smoking, Age >35yrs, Breast feeding, Obesity, Type II diabetes POP (mini-pill) Any COCP Good motivation 1.0 Few CI, No interference with breast feeding, broad spectrum antibiotics Irregular bleeding and amenorrhoea in up to 50%, Weight gain, breast tenderness, headache and acne Injectables Progesterone) Poor compliant Travel/ away from pharmacy <2 IM injections can last 8‐12 weeks, SC implants can last 3‐5 years, Reduced menstrual blood loss Amenorrhoea and breakthrough bleeding Injectables are irreversible effects worn off, Normal cycle and fertility may take 6 months after stopping, Protection again STDs is minimal IUD (Copper Coil) Older, Multips 1‐ 1.5 High reliability, Easy insertion and removal, Changed 5 years Pelvic infections, Perforation, Menstrual disturbances, out, Pain Pregnancy, Undiagnosed irregular genial tract bleeding, PID, Previous ectopic IUD (Hormone) Menorrhagia Rx, woman with CI to the OCP 0.2‐0.5 Condoms, caps, diaphragms Casual sex 5.0 Insertion before sex, STD protection, Non hormonal Only if used incorrectly High user motivation Sterilisation Finished families 0.02/ 0.13 Permanent Post OP complications Permanent Natural Religious? 20‐30 No treatments STD and Pregnancy Emergency Contraception Post coital Pill: of ethinyloestradiol and 500μg of levonorgestrel repeated after 12 hours Must be given within 72hrs of unprotected intercourse to delay ovulation and inhibit implantation Emergency IUCD: Inserted within 5 days of unprotected intercourse to prevent implantation Follow up is essential after EC to exclude ongoing pregnancy and give advice regarding future contraceptive methods. GYNAECOLOGY