Long acting contraception to whom and why Øjvind Lidegaard Gynaecological Clinic Rigshospitalet Copenhagen University.

Slides:

Advertisements

Similar presentations

BIRTH CONTROL. Types of Birth Control Estrogen and Progesterone Combined Estrogen and Progesterone Combined –Birth Control Pill or Oral Contraceptive.

Advertisements

Dr Lisa Jayne Adams November 2007

Contraceptive Pills Lisa Coulter.

Contraception after treatment

CONTRACEPTION UPDATE OCTOBER 2011

Oral contraceptives Epidemiological aspects Øjvind Lidegaard Professor Gynaecological Clinic Rigshospitalet Copenhagen University.

What’s New in Adolescent Contraception? Rachel S-D Fortune, MD, FAAP Medical Director, Newport Academy.

Session II, Slide # 1 Combined Oral Contraceptive Pills (COCs) Session II: Who Can and Cannot Use COCs?

Contraception. What is it? Contraception is any method or technique used to prevent pregnancy Contraception can come in many different forms.

Contraception KIN 312.

Hormone therapy (HT) and breast cancer Øjvind Lidegaard Gynaecological Clinic Rigshospitalet Copenhagen University.

Contraceptive Options for Women and Couples with HIV Implants, POPs and Emergency Contraception.

Hormonal Contraception and EHC Trainer’s name XX Medicines Information Service for Health Information Advisors.

The Family Planning Clinic. For each of the cases Consider the factors raised by the case Advise about options, including alternatives.

UNDP/UNFPA/WHO/WORLD BANK HRPRHR Reproductive Health and Research Oral Contraceptives and CVD Epidemiologic Effects TMM Farley Department of Reproductive.

Update In Contraception 2014: New Options, New Controversies Women’s Health Initiative August 19, 2014 Cleve Ziegler, M.D.

ORAL CONTRACEPTION (OC) - OVER THE COUNTER (OTC)? Arie Yeshaya, M.D. Pediatric Adolescent Clinic Schneider Children’s Hospital and Department of Obstetrics.

Barbora kubešová. Contraception Techniques to prevent pregnancy - family planning - population control Pearl index … number of pregnancies x.

Hormonal and Surgical Contraception

Contraceptive Choices 8.ICR.3.2 Evaluate methods of FDA-approved contraceptives in terms of their safety and their effectiveness in preventing unintended.

Contraceptive Choices 8.ICR.3.2 Evaluate methods of FDA-approved contraceptives in terms of their safety and their effectiveness in preventing unintended.

Contraception Matthew Dowling 10/9/14.

Contraceptive Choices Analyze the safe and effective use of methods of FDA- approved contraceptives to prevent unintended pregnancy.

Contraception. Background Contraception and sexual health Office for National Statistics October ► Surveyed 4366 people (59%

Family Planning Or Odd PC for Contraception Dr Bruce Davies

39-year-old woman with ‘monthly’ headaches Presented by: Anne MacGregor Barts Sexual Health Centre, St. Bartholomew’s Hospital, London, UK CLINICAL CASE.

Midwest AIDS Training & Education Center Health Care Education & Training, Inc. HIV/AIDS Case-Finding In Family Planning Clinics.

Failure rates. Contraceptive use - USA Female sterilization27% OC 26% Male condom20% Male sterilization10% Withdrawal3% Injectable (MPA)3% Diaphragm2%

Oral contraceptive prescribing

Choosing the best COC and POP

Diane 35 safety concerns BY: MOHAMMED ALSAIDAN.

Contraception Today: What’s new? Carol E. Peterson, MS, RN Wyoming Health Council.

School of Clinical Medicine School of Clinical Medicine UNIVERSITY OF CAMBRIDGE Headache Jane Smith, a 23 year old woman, presents to her GP complaining.

Contraception Update Jo Swallow ST1s October 2011.

LIigo&list=PLGg3x5v82SZxEq8bdRRRigVj _4qlG3qtm.

Patterns of contraception in IDDM in the UK RA Lawrenson, GM Leydon, TJ Williams, RB Newson, MD Feher* Department of Epidemiology and Public Health, *Department.

The patch The pill The implant Injection They are made of estrogen or progestin Most contraceptives are made for women. The most popular hormonal contraceptive.

Pai JK et al. N Engl J Med 2004; 351: Relative CHD risk by increasing baseline CRP plasma levels,* relative to CRP

Family Planning Women’s Health Training Day 2014.

Contraception. Facts: 80% of American women have a child by age 45 80% of American women have a child by age 45 64% of women are on contraceptives.

Contraception © Robert J. Atkins, Ph.D.. What are my chances of getting pregnant without contraceptives? No method = 85% chance of pregnancy over a.

A 5-years experience of the Centre on Emergency Contraception P.R. Abakarova V. N. Prilepskaya T.N. Bebneva (Research Centre of Obstetrics, Gynecology.

Venous thromboembolic disease

Beginning of the chapter Thrombosis and genetics (Thrombo Sensor) 36.

Menopausal Hormone Replacement Professor Gordana Prelevic, MD, DSc, FRCP Consultant Endocrinologist Royal Free Hampstead NHS Trust Whittington Health.

Contraception, sexual health & your responsibility to yourself

Contraception KIN 312. The Female Condom  The Female Condom - Worn by the woman, this barrier method keeps sperm from getting into her body. It is made.

SEXUAL BEHAVIOR HIV AND OTHER STD PREVENTION Family Life and Sexuality: Methods of Birth Control Erika Frank.

Contraception Case Study Interprofessional version

Obs & Gynae Pearl Index: measures the number of pregnancies that occur for each contraceptive method if used by 100 women for one year.  Perfect.

Contraception in the over 40s Ruth Adams Clinical Educator Leicester Sexual Health.

Reproductive Health- part 2 © 2009 McGraw-Hill Higher Education. All rights reserved.

Oral contraceptives.

If patient suffers from acne, consider desogestrel-containing COCs Co-cyprindiol (Dianette ® ) is licensed for the treatment of severe acne and hirsutism,

Contraception Facilitating choice. GLOBAL CONTEXT  Approximately 250 million pregnancies occur world wide each year  > 1/3 are unintended  23 million.

1 Are there too many abortions? Ann Furedi chief executive bpas British Pregnancy Advisory Service.

Progestogen-only contraception

The right contraceptive for the right woman

Jo Swallow ST2’s December 2011.

Contraception Update.

Contraception Update.

Year 8 Health Contraception.

Contraception Update.

Contraceptives Part 1.

Patterns of contraception in IDDM in the UK

Sleep Duration and Blood Pressure

Health Bell Work 1)How long is 1st degree CSC punishable for?

Chapter 62 Birth Control 1.

CONTRACEPTION POST ABORTION

Time trends in the use of various combined oral contraceptives (COCs).

Presentation transcript:

Long acting contraception to whom and why Øjvind Lidegaard Gynaecological Clinic Rigshospitalet Copenhagen University

Long acting contracpetion Long acting contraceptive methods Use pattern today To whom and why Li/10

Long acting contracpetion Long acting contraceptive methods Use pattern today To whom and why Li/10

Length of effect of different contraceptive methods after application Li/10 Hours 5 years 3 years 3 months 1-2 days 1 day <1 hour Life long 4 weeks

Long acting contracpetion Long acting contraceptive methods Use pattern today To whom and why Li/10

Depo-provera and implanone Li/ DDD

Implanone in Denmark 2009 Li/10 DDD per 1,000 per day

Depo-provera in Denmark 2009 Li/10 DDD per 1,000 per day

Sale hormone-IUD in Denmark 2009 Li/10 Number

Use of oral contraceptives according to age DDD/100 women/day at different ages Li/10

Hormonal contraception according to estrogen dose and progestagen type Li/10 Progestogen type EE NETA Norgestimate Gestodene CPA Dose Levonor Desogestrel Drospire- In ug gestrel Etonogestrel none 50 ug 30-40ug 15-20ug POP Injection Stick 1 st gen 2 nd gen Cerazette 3 rd gen NuvaRing 4 th gen EVRA Implanone MPA

Per cent age distribution of different combined contraceptive pills 2009 Li/10 %

Per cent age distribution of different combined contraceptive pills 2009 Li/10 %

Per cent age distribution of different combined contraceptive pills 2009 Li/10 %

Per cent age distribution of different combined contraceptive pills 2009 Li/10 %

Per cent age distribution of different combined contraceptive pills 2009 Li/10 %

Hormonal contraception DK 2009 Li/08 Low-dose OC Middle dose OC CPA Sale statistics. DDD/day

Hormonal contraception DK 2009 Li/08 Low-dose OC Middle dose HC Impla- none Sale statistics. POP

Conditions to take into account when deciding type of contraception Risk of venous thrombosis - family disposition - previous thrombosis - adiposity Risk of arterial thrombosis - smoking, diabetes, hypertension - migraine, with or without aura Contraceptive compliance Sexual practice / social situation

OC and VTE: Progestagen type adjusted for duration of use ug EE Neta Levo Norg Deso Gest Dros Cypr na na na na na Ref na na na na na POP na Mirena na Li/09 Lidegaard et al. BMJ 2009; 339; b2890

OCs and thrombosis Current status June 2010 CTA AMI VTE Non use nd gen: rd gen: th gen: na na 4.0 5th gen: ? ? ? Li/10

Adiposity in Danish women and men in 1994 and 2005 Li/07 Adiposity: BMI >25

Severe adiposity in Danish women in 1994, 2000 and 2005 Li/07 Adiposity: BMI  30

Induced abortions in DK Li/ Number per 1,

Leiden V mutations, prevalence Larsen et al. Thrombosis Res 1998; 89:

Long acting contraception could be considered in women with Difficulty in remembering to take a daily pill Wish of high degree of protection against pregnancy Women who due to thrombotic predisposition could not take combined OC Women concerned about the risk of VTE Adipose women

Thank you for your attention Presentation at