HORMONAL CONTRACEPTION

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Presentation transcript:

HORMONAL CONTRACEPTION Dr Sathisha Nayak Department of OBG MMMC

OBJECTIVES - INTRODUCTION - CLASSIFICATION - PRACTCAL US SIDE EFFECTS /COMPLICATIONS ADVANTAGES/DISADVANTAGES CHOICE OF CONTRACEPTION

TYPES

TYPES-2

TYPE-3-INJECTABLE DEPOT- PROVERA

TYPE-4-NORPLANT

TYPE-1-OC PILL ETHINYL ESTRADIOL-30-50MICRO NORGESTREL/LNG D5-D26-PILL FREE 1WEEK- NEXT PACK AFTER 1 WEEK BLEEDING OCCURS-48 HRS AFTER STOPPING LAST PILL.

TYPE 2-MINIPILL PROGESTERONE ONLY LEVONORGETREL 300-500MICRO DAILY,SAME TIME,CONTINOUS NO PILLFREE TIME NO WITHDRAWAL BLEED

TYPE 3 -INJECTABLE DEPOT- PROVERA INJECTION -OH-PROGETERONE ACETATE -ONCE IN 3 MONTHS –150 MG –1M NET- EN INJECTION -NORETHISTERONE ENANTHATE -MONTHLY INJECTION-IM

TYPE-4-IMPLANTS NORPLANT -LNG IMPLANTS (6 CAPSULES) -IMPLANTED SUB CUTANEOUS -ARM,3 INCH ABOVE ELBOW,MEDIAL -LIFE SPAN-5 YEARS -TO BE REMOVED AT 5 YEARS.

ADVANTAGE &DIS-ADVANTAGES OC PILL -VERY EFFECTIVE -NON INVASIVE -LESS BLOOD LOSS -PROTECIVE EFFECT ----------------------------- POOR COMPLIANCE SYSTEMIC SIDE EFFECT COST,LACTATION -MINIPILL -NO EFFECT ON LACTATION -NO ESTROG. EFFECT ----------------------------- -HIGH FAILURE -IRREGULAR BLLED.

ADV.&DISADVANTAGES IMPLANT ONCE IN 5 YR NO ESTROGEN INJECTABLE -NO EFFECT ON LACATION -VISIT ONCE 3 MONTH NO ESTROGEN --------------------------- IRREGULAR BLEEDING AMENORRHOEA IMPLANT ONCE IN 5 YR NO ESTROGEN -------------------------- -IRREGULAR BLEED -AMENORRHOEA -SKILLED PERSON

SIDE EFFECTS(OC PILL) NAUSEAS,VOMITTING WEIGHT GAIN HYPERPIGMENTATION BREAST TENDERNESS MOOD CHANGES

COMPLICATIONS(OC PILL) STROKE- THROMBO-EMBOLISM EFFECT ON LDL/HDL CHOLESTEROL ?CA BREAST

CONTRAINDICATIONS (OC PILL) UNDIGNOSED ABNORNAL BLLED. SUSPECTED BREAST CA SEVERE MIGRAINE ACTIVE HEPATITIS THROMBO EBOLIC DISEASE

BENEFITS(OC-PILL) DECREASED RISK OF- CARCINOMA ENDOMETRIUM CARCINOMA OVARY ENDOMETRIOSIS, DYSMENORRHOEA MENSES-REGULARISATION -REDUCTION FO BLOOD LOSS

SCENARIO-1 23 YRS NEWLY MARRIED LADY WANTS CONTRACEPTION. GIVE THE CHOICE 2 ADVANTAGES HOW WILL SHE TAKE IT?

SCENARIO -2 30 ysr lacating mother of 3 months old baby comes for councelling on contraception. -what methdo do you recommend? -how would she take it?

Scenario-3 27 yrs uneducated woman attends to post natal clinic (P3L3).She says she cant come for regular checks ups or cant afford costly drugs. What is your advice.?