Irregular bleeding Delayed return of fertility Depot medroxy- Effectiveness (99.7% - perfect use, Headache, libido, nausea, breast ↓ progesterone 97% - typical use) tenderness, weight gain, mood effects acetate (DMPA) menstrual flow or ↓ Amenorrhea Weight gain (IM progesterone risk of endometrial cancer ↓ Bone mineral density ↓ injection every endometriosis symptoms ↓ 12-13 weeks) PMS and chronic pelvic pain ↓ symptoms Seizures ↓ Possible risk of PID and sickle-cell ↓ crises 6-day of forgiveness” “window Irregular bleeding Copper Effectiveness (99.4% - perfect use, flow ↑Menstrual Intrauterine 99.2% - typical use) Possible risk of endometrial cancer Device (5 years) ↓ Dysmenorrhea Can be used as emergency Perforation contraception Expulsion Increased risk of PID for first 20 days Irregular bleeding Hormonal Effectiveness (99.9% - perfect use, Systemic hormonal side effects Intrauterine 99.9% - typical use) Device (5 years) Menstrual flow/ Amenorrhea ↓ Functional cysts dysmenorrhea ↓ Perforation May protect against endometrial Expulsion hyperplasia Increased risk of PID for first 20 days Male Condom Effectiveness (98%- perfect use, use) 85% - typical use) Protects against STIs No prescription required Female Condon Effectiveness (95%- perfect use, Can be during intercourse use) 79% - typical use) Can be difficult to insert Same as male condom Can cause discomfort during Female controlled intercourse Can be difficult to insert Effectiveness (94%- perfect use, Must be left in for 6 after Diaphragm (one-time 84% - typical use) intercourse use) Some protection against STIs Must be used with spermicide Can be used during menses Does not protect against HIV or spermicide allergy Must be fitted by health care provider May risk of UTI, ↑
Depot medroxy- progesterone acetate (DMPA) (IM progesterone injection every 12-13 weeks) Effectiveness (99.7% - perfect use, 97% - typical use) ↓ menstrual flow or Amenorrhea ↓ risk of endometrial cancer ↓ endometriosis symptoms ↓ PMS and chronic pelvic pain symptoms ↓ Seizures Possible ↓ risk of PID and sickle-cell crises 6-day “window of forgiveness” Irregular bleeding Delayed return of fertility Headache, ↓ libido, nausea, breast tenderness, weight gain, mood effects Weight gain ↓ Bone mineral density Copper Intrauterine Device (5 years) Effectiveness (99.4% - perfect use, 99.2% - typical use) Possible ↓ risk of endometrial cancer Can be used as emergency contraception Irregular bleeding ↑Menstrual flow Dysmenorrhea Perforation Expulsion Increased risk of PID for first 20 days Hormonal Intrauterine Device (5 years) Effectiveness (99.9% - perfect use, 99.9% - typical use) ↓ Menstrual flow/ Amenorrhea ↓ dysmenorrhea May protect against endometrial hyperplasia Irregular bleeding Systemic hormonal side effects Functional cysts Perforation Expulsion Increased risk of PID for first 20 days Male Condom use) Effectiveness (98%- perfect use, 85% - typical use) Protects against STIs No prescription required Female Condon use) Effectiveness (95%- perfect use, 79% - typical use) Same as male condom Female controlled Can be during intercourse Can be difficult to insert Can cause discomfort during intercourse Diaphragm (one-time use) Effectiveness (94%- perfect use, 84% - typical use) Some protection against STIs Can be used during menses Can be difficult to insert Must be left in for 6 after intercourse Must be used with spermicide Does not protect against HIV or spermicide allergy Must be fitted by health care provider May ↑ risk of UTI,
170328_clerkship_handbook.docx