Birth Control Overview Slides - Dr. Amy Gowan 7.7.23 IUD Training.pptx

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University of California, Los Angeles *

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M72A

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Medicine

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Oct 30, 2023

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()irth )*ontrol 2ptions '(my .owan° 0*+ ±"²"²³±³´

7ypes of ()irth )*ontrol ҄ )JemFalJe FanId mFalJe stJerNilNizFatNion ҄ female tubal ligation or occlusion° male vasectomy ҄ /TSL/FHYNSL rJevJersNiGblJe HcontrFaHcJeptNivJes or ±1(7&± mJetMhoIds ҄ intrauterine devices° hormonal implants ҄ 6MTWY/FHYNSL MhormonFal mJetMhoIds ҄ pill° mini pills° patch° shot° vaginal ring ҄ %FarrNiJer mJetMhoIds ҄ condoms° diaphragms° sponge° cervical cap ҄ 3FaturFal rMhytMhm mJetMhoIds

6terilization ҄ 7ubal ligation° salpingectomy or 9asectomy ҄ +,fficacy% ! /ess than µ pregnancy per µ±± women within first year of typical use ҄ 6ide effects% ! ҄ 3ost¶operative pain ҄ )*omplications from surgery ҄ 5are risk of ectopic pregnancy after ()7/ ҄ *+uration% ! 3ermanent ҄ -ollow¶up% ! 1o follow up needed after recovery

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1explanon ҄ 6ubdermal progesterone only based implant device ҄ 3laced in outpatient office setting ҄ +,fficacy% ! /ess than µ pregnancy per µ±± women within first year of typical use ҄ 6ide effects% ! /eadache° 0rregular periods° :eight gain° 6ore breasts° )*omplications from insertion or removal ҄ *+uration% ! ´ years ҄ -ollow up% ! 1o follow up needed after placement until time for removal

0ntrauterine *+evice¶)*opper ҄ 6mall copper device placed inside the uterus ҄ 3laced in outpatient office setting ҄ +,fficacy% ! /ess than µ pregnancy per µ±± women within first year of typical use ҄ 6ide effects% ! )*ramps for a few days after insertion° 0issed periods° heavier periods with increased cramping° bleeding between periods° expulsion° perforation ҄ *+uration% ! µ± years ҄ -ollow up% ! 5ecommended · wks after placement for a string check and then annually° but no real follow up required until time for removal

0ntrauterine *+evice¶/ormonal ҄ 6mall device placed inside the uterus° releases small amount of progesterone over time ¸/iletta° 0irena° .ilena¹ ҄ 3laced in outpatient office setting ҄ +,fficacy% ! /ess than µ pregnancy per µ±± women within first year of typical use ҄ 6ide effects% ! 0rregular periods° lighter or missed periods° ovarian cysts° pelvic inflammatory disease° expulsion° perforation ҄ *+uration% ! ´¶# years ҄ -ollow up% ! 5ecommended · wks after placement for a string check and then annually° but no real follow up required until time for removal

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0njection¶*+epo 3rovera ҄ 00 injection of progesterone only based hormone ҄ +,fficacy% ! ! pregnancies per µ±± women within first year of typical use ҄ 6ide effects% ! ()leeding between periods° missed periods° weight gain° changes in mood° sore breasts° headaches° bone loss with long¶term use ҄ -ollow¶up% ! +,very ´ months

2ral )*ontraceptives ҄ )*ombined ¸progesterone and estrogen¹ or progesterone only ҄ +,fficacy% ! $ pregnancies per µ±± women within first year of typical use ҄ 6ide effects% ! ҄ )*ombined% ! /eadache° 8pset stomach° 6ore breasts° )*hanges in your period° )*hanges in mood° :eight gain° /igh blood pressure° ()lood clots° 6troke heart attack ¸serious risks greater in smokers° age $%´ ¹ ҄ 3rogesterone only% ! 6potting or bleeding between periods° :eight gain° 6ore breasts° /eadache° 1ausea ҄ 0ust be taken at same time everyday

6kin patch ҄ )*ombined estrogen and progesterone topical patch ҄ +,fficacy% ! $ pregnancies per µ±± women within first year of typical use ¸may be less effective in women $%µ$# lbs¹ ҄ 6ide effects% ! 6kin irritation° 8pset stomach° )*hanges in your period° )*hanges in mood° 6ore breasts° /eadache° :eight gain° /igh blood pressure° /igh blood pressure° ()lood clots° 6troke heart attack ¸serious risks greater in smokers° age $%´ ¹ ҄ :orn for ³µ days then removed for "° must be replaced monthly

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9aginal 5ing ҄ )*ombined estrogen and progesterone vaginal ring ҄ +,fficacy% ! $ pregnancies per µ±± women within first year of typical use ҄ 6ide effects% ! /eadache° 8pset stomach° 6ore breasts° 9aginal irritation and discharge° )*hanges in your period° /igh blood pressure° ()lood clots° 6troke heart attack ¸serious risks greater in smokers° age $%´ ¹ ҄ :orn for ³µ days then removed for "° must be replaced monthly

()arrier methods ҄ 9arious methods% ! condoms° diaphragms° sponge° cervical cap with or without spermicide ҄ +,fficacy% ! µ³¶³· pregnancies per µ±± women within first year of typical use ҄ 6ide effects% ! 9aginal irritation° device may slip or break ҄ 0ust be used with each instance of intercourse

+,mergency )*ontraception ҄ +,lla ¸ulipristal acetate¹ ҄ 6uppresses or inhibits ovulation ҄ )*an be taken up to days after unprotected intercourse ҄ 3lan () ¸levonorgestrel¹ ҄ *+elays ovulation ҄ 1ot recommended for those that weight more than µ! lbs ҄ )*an be taken up to ´ days after unprotected intercourse ҄ 08*+ insertion ҄ 3araguard° /iletta° 0irena ҄ )*an be placed up to days after unprotected intercourse

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5esources ҄ https% !²²wwwºbedsiderºorg² ҄ https% !²²wwwºcdcºgov²reproductivehealth²contraception²pdf²summary¶chart¶ us¶medical¶eligibility¶criteriaB ±#taggedºpdf