1. HORMONAL CONTRACEPTION
Dr Sathisha Nayak
Department of OBG
MMMC

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

3. TYPES

4. TYPES-2

5. TYPE-3-INJECTABLE DEPOT- PROVERA

6. TYPE-4-NORPLANT

7. 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.

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

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

10. 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.

11. 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.

12. 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

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

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

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

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

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

18. 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?

19. 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.?