Contraceptive Options

Question 1

Male Condoms summary

Answer 1

CI: allergies to materials

Pros:
ease of use
barrier to STI

Cons:
break
not put on correctly

Question 2

Transdermal Patch summary

Answer 2

Effective: 99.7%

MOA: deliver estrodial/norelgestromin like OCP

CI: similar to OCP

Pros:
apply weeks for 3 weeks, then break week
no change ADL

Cons:
adhesive sensitive
mastalgia
break through bleeding

Question 3

Vaginal Ring summary

Answer 3

Effective:

MOA: estrodial/etonorgestrel deliver locally

CI:
vag obstruction
can’t touch self

Pros:
leave in 3 weeks, then break week

Cons: 
FB sensitive
coital problems
expulsion
vaginal discomfort

Question 4

Injectable DMPA summary

Answer 4

Effective: 99.7%

MOA: deliver medroxyprogesterone over 90 days

CI:
breast CA
vag bleed
preg in next year
fracture fragility

Pros:
amenorrhea
used with seizure disorder

Cons:
Clinic visit every 90 days
irregular bleed
decreased bone density
weight gain

Question 5

Subdermal Implant summary

Answer 5

Effective: 99.95%

MOA: deliver progesterone daily

CI:
liver
clots
breast CA

Pros:
lasts 3 years
new rod inserted immediately

Cons:
irregular bleed
weight gain

Question 6

IUD summary

Answer 6

Effective: 99.8 %

MOA: promote hostile environment for egg/sperm

CI:
Uterine distortions
acute pelvic infection
preg
Wilson's disease
breast cancer

Pros:
last 3 - 10 years
discreet
cost-effective

Cons:
require office visit

Question 7

Female Condoms summary

Answer 7

Pros:
controlled by woman

Cons:
cost
bulky
noisy

Question 8

Diaphragm summary

Answer 8

Pros:
discrete
reversible
cost-effective

Cons:
fitted to individual
must put in before sex with lub
vaginal irritation

Question 9

Spermicide summary

Answer 9

Pros:
OTC
inexpensive
reversible

Cons:
vag irritation
yeast infection
BV
UTI
HIV