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A healthy married couple in their early 40s sought advice on contraceptive…
A healthy married couple in their early 40s sought advice on contraceptive strategies. The wife is concerned about the long-term effects of birth control pills and wants to stop taking them. They do not want more children. What do you tell them?
Three best options
Sterilization
This option is permanent, very effective, and does not involve any chemicals or hormones.
IUD
lasts for a rather long time (3-5 years), is very effective, and only involves release of copper ions instead of hormones or chemicals
Diaphragm
Does not involve hormones or chemicals, BUT may not be suitable for the wife as it may not be suitable for women who have given birth
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What factors are important considerations for this couple that might not be in a
different couple or individual seeking birth control options?
How permanent the birth control options may be, considering the couple is not looking to have more children
If the birth control option involves chemicals or hormone manipulation that may include long-term effects
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Major contraceptive methods, how they work to prevent pregnancy, and their potential side
effects.
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IUD
A device is placed in the uterus; it releases copper ions to immobilize sperm and prevent blastocyst implantation
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Implants
An implant inserted in the skin of the upper arm constantly releases progrestin to prevent ovulation and thicken cervical mucus.
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May cause weight gain, breast pain, and abdominal pain.
Birth control pills
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May cuase mood swings, depression, etc
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Diaphragm
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If kept in place for longer than 24 hours, there is risk of toxic shock syndrome
Three worst options
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Implants
Because of the wife's concern about long-term effects, she may also be concerned about the hormone manipulation involved with this.
Contraceptive Patch
Because of the wife's concern about long-term effects, she may also be concerned about the hormone manipulation involved with this.