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    Contraception: DR Husni Samarah

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    This presentation by one the leading professors on the topic of Contraception will provide good insight about the topic

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    Contraception: DR Husni Samarah

    Uploaded by

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    130 views15 pages
    This presentation by one the leading professors on the topic of Contraception will provide good insight about the topic

    Original Title

    Contraception (1)

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    This presentation by one the leading professors on the topic of Contraception will provide good insight about the topic

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    130 views15 pages

    Contraception: DR Husni Samarah

    Uploaded by

    pal_pal_pal
    This presentation by one the leading professors on the topic of Contraception will provide good insight about the topic

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 15

    contraception

    Dr Husni Samarah
    Birth control
    To have babies by choice not chance
    Birth control
    Permenant
    Temporary
    Birth control
    Pearl index = number of failures/
    total months of exposure *1200


    Life Table Analysis= calculates failure to each
    month of use
    Birth control
    Method effectiveness Best results


    Use effectiveness typical results

    Oral Contraceptive Pills

    Combined oral pills


    Mini pills
    Oral contraceptive pills
    OCP Estrogen Progestins

    Mechanism of Action
    Ovulation : estrogen inhibits FSH
    progestin inhibits LH
    Estrogen :potentiates progestin
    controls irregular shedding

    Containdications : Absolute
    Relative

    Noncontraceptive Benefits

    Use of Minipills

    Transdermal and Vaginal Steroid
    contraception
    Advantages
    Avoids first pass through the liver
    Safe ?? Awaiting further assesment
    Improve compliance
    More options provides better family planning

    Use
    Skin patch once weekly for 3 weeks and 1 week free
    Same as OCP concerning all considerations
    It delivers E2 20 mcg daily
    Norelgestromin 150 mcg daily

    Vaginal Steroid contraception
    NuvaRing delivers E2 15mcg daily
    etonogestil 120 mcg daily

    Long-Acting Methods of
    Contraception

    Implants :Norplant or Implanon

    Depot Provera
    Indications
    Women who desire effective long term
    methods
    Women in whom estrogen is not accepted
    Poor Compliance
    Anemia or heavy vaginal bleeding
    Breast feeding wanted
    Cotraindications
    Absolute

    ACTIVE Thrombophlebitis
    Undiagnosed bleeding
    Active liver disease
    Liver tumors
    Breast cancer
    Relative

    Smoking heavily
    Ectopic pregnancy
    Diabetes
    Hypercholesterolemia
    Hypertension
    Stroke
    Gallbladder disease
    Sever Acne
    Migraine headache
    Sever Depression
    Drugs : hepatic inducers
    Intrauterine Device
    Historical Background
    Types : Unmedicated
    Copper IUD
    The Hormone-releasing IUD
    Mechanism of Action
    Mainly uterine cavity
    Spermicidal uterine environment
    Inflammatory response
    Copper effect localy
    effect of Progestins
    Side Effects
    Increased uterine bleeding by 55%
    Pain
    Amenorhea like Mirena IUD
    Patient Selection
    IUD Insertion vs removal
    Special Situations
    Barrier Methods Of Contraception
    Historical Background
    Risks and Benefits of Barrier Methods
    Types
    Diaphragm
    Cervical Cap
    Cotraceptive Sponge
    Spermicides
    Condoms
    Female Condom
    contraception

    Permenent contraception
    Laparatomy
    Laprascopy
    Hysterscopy

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