1. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 1 Contraception

2. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 2 Abstinence

3. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 3 Abstinence The preferred method 100% effective Abstinence is not having sex. A person who decides to practice abstinence has decided not to have sex. If two people don't have sex, then sperm can't fertilize an egg and there's no possibility of a pregnancy. Only 100% way to avoid STD’s and pregnancy

4. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 4 Abstinence Is it considered to be a contraceptive? YES!!!!!

5. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 5 Condom 98% effective Protects against some STDs

6. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 6

7. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 7 Female Condom 95% effective Protects against some STDs Noisy Use extra lubrication

8. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 8

9. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 9 Diaphragm 95% effective Requires fitting, manual dexterity Leave in place 6 hours after intercourse Use with contraceptive jelly/cream

10. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 10

11. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 11 Foam 80-85% effective Works immediately Effective for an hour Over the counter No douching for 6 hours after intercourse 20% have burning (reaction)

12. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 12

13. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 13 Film 80-85% effective Works 10 min after insertion Effective for an hour Over the counter No douching for 6 hours after intercourse 20% have burning (reaction)

14. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 14 Suppository 80-85% effective Works 10 min after insertion Effective for an hour Over the counter No douching for 6 hours after intercourse 20% have burning (reaction)

15. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 15 BCPs 99.5% effective Lighter, predictable periods Milder cramps Protects against uterine, ovarian cancer Protects against benign breast disease Low risk of side-effects Must take a pill each day

16. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 16

17. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 17 Intrauterine Device 98-99% effective Lasts 10 years Heavier, crampier periods Risk of infection/PID Risk of ectopic pregnancy Good candidate: –multiparous –monogamous

18. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 18

19. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 19 Injectables 99% effective Lasts 3 months IM injection Amenorrhea, spotting Weight gain Ovulation returns in 4.5 months Average 10 months to conception

20. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 20

21. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 21 Rhythm Avoid unprotected IC day #9-19 70-80% effective Assumes ovulation about day #14

22. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 22

23. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 23 Withdrawal 80-90% effective Always available Requires motivation, sense of timing Some sperm present in pre- ejaculatory fluid Psychological issues

24. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 24 Tubal Ligation & Vasectomy Surgical sterilization Permanent, irreversible >99% effective

25. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 25 Emergency Contraception

26. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 26 So, What is the most effective method? Abstinence! Only 100 % effective form of contraception against STD’s & pregnancy!