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Contraception Choices

Contraception Choices. Adolescent Clinic NNMC. Objective. Discuss the different options Important counseling points Review by playing a game. Options. Abstinence Timing schemes Barrier methods Hormonal preparations.

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Contraception Choices

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  1. Contraception Choices Adolescent Clinic NNMC

  2. Objective • Discuss the different options • Important counseling points • Review by playing a game

  3. Options • Abstinence • Timing schemes • Barrier methods • Hormonal preparations

  4. While some groups encourage “The rhythm method” as a form of birth control we do not recommend it Temperature, cervical mucus and record keeping are needed to do it right. Abstinence/Timing

  5. Barrier • 2nd most popular • STD protection • Inexpensive • Failure rate: 3-18% • Proper wear important

  6. Hormonal • Combination OCPs • Monophasic • Biphasic • Triphasic • Failure rate 0.1% (2-6%) • Progestin only • Failure rate 0.5% (3-10%)

  7. Depo-Provera, DMPA • Depo medroxyprogesterone acetate • Prevents egg release • Failure rate: 0.3% • Shot every 3 months

  8. The Patch • Ortho Evra • Combination preparation • 20% bleeding in first cycle • Change patch once per week • May not be as effective if >90kg

  9. Vaginal Ring • NuvaRing • Combination preparation • Worn for 3 weeks at a time • Low breakthrough bleeding rate

  10. Vaginal Ring • NuvaRing • Low failure rate • Can wear during menses • Can wear during intercourse • Can remove for intercourse • Does not have to be fitted • Vaginal position does not matter • No increased risk of infection

  11. Choosing a Method What myths have you heard? What side effects have you heard about?

  12. Common Myths • 2/3 women believe OCPs unsafe • Causes cancer • Causes heart disease • Leads to infertility • Body needs break from OCPs • ALL FALSE

  13. Advantages • Less dysmenorrhea • Shorter, lighter menses • Less Mittelschmerz • Acne & hirsutism improved • Prevents ovarian & endometrial cancer • Reduction in PID

  14. Nausea/vomiting Edema/leg cramps Bloating Vascular headaches Clear vaginal d/c Cystic breast changes Chloasma Androgenic Oily skin Hirsutism Acne Increased appetite Mastalgia Inreased breast size Bloating Depression Possible side effects ESTROGEN PROGESTERONE

  15. You have had a blood clot You have had cancer You have liver disease You have high blood pressure You are on seizure medicine You have bad migraines Do not use if:

  16. If you miss a pill • Missed pills • 2 per day until caught up • Condoms if miss >2 pills per month

  17. Headaches • Contact us if you get frequent headaches or headaches during the reminder pills

  18. Some things that can Interact • Seizure medicine • St. John’s Wort • Rifampin, griseofulvin • Vitamin C • Irregular bleeding

  19. Time to Play……

  20. Who Wants Pregnant To Be

  21. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $100 Which is not sexual activity Oral Sex Intercourse Adultery Coveting

  22. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $100 Which is not sexual activity Oral Sex Intercourse Adultery Coveting

  23. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500 What is the best way to prevent pregnancy Monogamy Abstinence Withdrawal Rhythm Method

  24. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500 What is the best way to prevent pregnancy Monogamy Abstinence Withdrawal Rhythm Method

  25. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $1,000 Most OCP side effects resolve by 1 month 3 months 1 year Never

  26. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $1,000 Most OCP side effect resolve by 1 month 3 months 1 year Never

  27. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $5000 Depo causes this side effect, and thus a 2 year use recommendation Weight gain No period Thin bones Acne

  28. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $5000 Depo causes this side effect, and thus a 2 year use recommendation Weight gain No period Thin bones Acne

  29. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $10,000 The easiest method of birth control to keep private The Pill The Patch The Shot The Ring

  30. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $10,000 The easiest method of birth control to keep private The Pill The Patch The Shot The Ring

  31. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $25,000 How often does a patient need Depo Provera Monthly 6 months 3 months Annually

  32. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $25,000 How often does a patient need Depo Provera Monthly 6 months 3 months Annually

  33. Rashes Falling off Pregnancies Clots 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $50,000 What side effect of the Patch is in the news

  34. Rashes Falling off Pregnancies Clots 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $50,000 What side effect of the Patch is in the news

  35. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $100,000 What percent of teens 15-19 get pregnant each year 5% 25% 1% 10%

  36. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $100,000 What percent of teens 15-19 get pregnant each year 5% 25% 1% 10%

  37. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $250,000 Which item does not decrease STIs? Dental dam Female condom Condom Diaphragm

  38. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $250,000 Which item does not decrease STIs? Dental dam Female condom Condom Diaphragm

  39. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500,000 What percent of teens not using birth control become pregnant in a year 50% 99% 15% 85%

  40. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500,000 What percent of teens not using birth control become pregnant in a year 50% 99% 15% 85%

  41. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $1,000,000 What percentage of 10th grade girls have had sex 20 50 35 67

  42. 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $1,000,000 What percentage of 10th grade girls have had sex 20 50 35 67

  43. Conclusion • We are here to help you in any way we can • Please feel free to contact us with any questions or concerns you have

  44. Questions?

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