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Contraception (Moderate = Ingestion (Low (Useless (Family Planning …

- - - - Non IUD
        
        IUD form
        
        Hormonal
        
        Good for 5y
        
        hormones may incr. DVT risk
        
        lowers bleeding risk (no menses :+1::skin-tone-2:)
        
        Copper
        
        Longest: 10y
        
        no hormones
        :warning: may increase bleeding
        
        Explanon
        
        Implanon
        
        SubQ injection
        
        Good for 3y
      - Non-reversible contraception
        
        :male_sign:Vasectomy
        
        :female_sign:Bilat. Tubal Ligation (BTL)
        :pencil2: TAH (hysterectomy) is :stars:best way for contraception,
        
        but not recommended
        
        BTL performed during C-section
        
        ties down tubes (stenosis)
        
        not 100% effective, ectopic pregnancy risk
        
        LARC is better
  - - - Condoms :male_sign:
        
        Diaphragms :female_sign:
        
        :woman::skin-tone-4: controlled ( :+1::skin-tone-4:)
        
        needs to be used ahead of time. Else a long Pause before sex can happen.
        
        Female Condom
        
        Spermicide
        
        Sponges
        
        Caps
        
        problematic: :man::skin-tone-2: has to wear it right, else it worn't work
        
        you have to Pause sex
        
        useful because its used at time of intercourse, and not a long pause
    - - Family Planning :calendar:
        
        Timing ovulation: Used to achieve pregnancy, but bad to avoiding pregnancy.
        
        Withdrawal (Pulling out) :hotdog:
        
        Absolute worst way
        
        :male_sign: controlled, therefore "iffy"
        
        preejaculate exists to fertilize, even if maneuver performed correctly
        
        Abstinence :pray::skin-tone-2::angel::skin-tone-3:
        
        poor compliance :smiling_imp:
        
        if done correctly, no risk of STI...duh
      - Emergency Contraception
        
        Morning after pill
        
        Levonorgestrel
        
        72 hr after sex = prevents pregnancy
        
        won't harm a current pregnancy (not abortifactant)
  - - - Patches
        
        Rings
        
        OCPs (E+P)
        
        Mini-pill
        
        Non estrogen, low DVT risk
        
        requires most compliance (daily & hourly)
        
        ~~Always a good option~~
        
        require daily compliance
        
        LARC is better (no compliance prob)
        
        Indication: Pathologic states (ie its therapy, not sterility)
        
        Dysfunctional uterine bleeding
        
        (Pretest FM): NSAIDs are 1st line, however
        
        Chorio/gestional tuboblastic disease (GTB)/ molar pregnancy
        
        (UVA FM): OCP help to prevent Ovarian Cancer :crab:
        
        Nuva-ring (E+P)
        
        Good for 1 mo
        
        Vaginal insertion:
        
        :warning: can fall out
        
        interrupts intercourse
        
        Ortho-Evra
        
        Good for 1 mo
        
        :warning:Highest risk of DVT/PE
        
        any form of E can cause clots
        look for:
        
        Contraception w/ E
        
        smoking :smoking:
        
        ≥ 35yo
      - Depo-pravera
        
        Good for 3 mo
        
        :pencil2:Consider if :woman: doesn't wants long term sterilization but doesnt want to worry about compliance. (eg lack mental cap)