Effectiveness (Nulliparous: Can be difficult to insert and remove 91% - perfect use, 84% - typical use; Must be left in 6 hours after intercourse Sponge (one-time use) Parous: 80% - perfect use, 68% - Possible spermicide sensitivity typical use) Should not be used during menstruation One size fits all Less effective in multiparous women No prescription required High probability of failure if not used Effectiveness (91-99% - perfect use, consistently and correctly Fertility Awareness 80% - typical use) and Symptothermal Greater awareness of gynaecological Method health Menses must have not returned Lactational Effectiveness 98% Must be fully breastfeeding Amenorrhea Method Baby must be < 6 months of age Abstinence May be too restrictive for some couples Effectiveness 100% Can frustration No STI risk if no exchange of body Does not encourage use of other methods fluids of contraception, if behaviour changes Source: Fisher, W.A., Black, A (March 27, 2007). . CMAJ. 176(7), 953-961.(http:// www.cmaj.ca/content/176/7/953.full.pdf)
Sponge (one-time use) Effectiveness (Nulliparous: 91% - perfect use, 84% - typical use; Parous: 80% - perfect use, 68% - typical use) One size fits all No prescription required Can be difficult to insert and remove Must be left in 6 hours after intercourse Possible spermicide sensitivity Should not be used during menstruation Less effective in multiparous women Fertility Awareness and Symptothermal Method Effectiveness (91-99% - perfect use, 80% - typical use) Greater awareness of gynaecological health High probability of failure if not used consistently and correctly Lactational Amenorrhea Method Effectiveness 98% Menses must have not returned Must be fully breastfeeding Baby must be < 6 months of age Abstinence Effectiveness 100% No STI risk if no exchange of body fluids May be too restrictive for some couples Can frustration Does not encourage use of other methods of contraception, if behaviour changes Source: Fisher, W.A., Black, A (March 27, 2007). . CMAJ. 176(7), 953-961.(http:// www.cmaj.ca/content/176/7/953.full.pdf)
170328_clerkship_handbook.docx