Contraceptive Update

Table of contents

Contraceptive Update

Objectives

Contraceptive Counseling

New Choices

Old but still Important Choices

For each BCM

Withdrawal

Abstinence, always a choice

Fertility Awareness Method

Lactational Amenorrhea Method

Spermicide

Reality…The Female Condom

Gold Standard…Male Condom

Female Barriers

High Dose Levonorgestrel ECP

Female Sterilization

Female Sterilization

Key Sterilization Counseling

Male Sterilization

Vasectomy Counseling

Sterilization Common in the US

Intrauterine Contraception

Copper IUD

Levonorgestrel “IUS”

Mirena, more than a BCM

LNG IUS: Mechanism of Action

Who Cannot Have an IUD?

IUDs, as good as a tubal

Copper IUD= No Hormones

Number of Bleeding Days

Absolute Contraindications? …Not true

IUD Potential Complications

Implant Contraception

Norplant gone…Jadelle soon?

Sub Dermal Implant Implanon

Injectable Contraception

DMPA

DMPA Cautions

Combination Injection=Lunelle

Lunelle Cautions

Pills, still popular

Contraceptive Patch- Evra

Contraceptive Vaginal Ring

Vaginal Administration

OCP Withdrawal Bleeding Manipulation

Is it more “natural” to have periods?

Slide 47

The “diseases” of nulliparity

Is Menstruation Necessary?

Slide 50

Withdrawal bleeding… less than a period, but still a period

The 28-day OC Cycle Flawed

Eliminate the pill free interval

Women ahead of the Industry

Author: Dr. Leslie Miller - Assistant Professor, OBGYN Women’s Health

E-mail: leslie@noperiod.com

Homepage: http://www.noperiod.com