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Which methods are recommended in the United States
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How effective are the Yuzpe method and Plan B at preventing pregnancy
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How effective is Plan B at preventing pregnancy if started: Within 24 hours of unprotected intercourse Within 72 hours of unprotected intercourse 95% effective 58% effective
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Section II: Topics in Gynecology
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Who should be prescribed EC
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Every sexually active woman at risk of pregnancy should be prescribed EC as a backup in the event of primary contraceptive failure Nausea and vomiting Both are seen more commonly with the Yuzpe method Antiemetics may be used prophylactically prior to EC use No Barrier or hormonal contraceptives should be used to prevent future pregnancy No There is no evidence that emergency contraceptive pills (ECPs) increase the risk of fetal anomalies or miscarriages Yes an IUD can also be used It is 92 98% effective in preventing pregnancy if placed within 120 hours of unprotected intercourse
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Are there any nonhormonal methods of emergency contraception
BARRIER METHODS OF CONTRACEPTION
What are the types of barrier methods available What are the advantages of barrier contraception over other methods What are the disadvantages of barrier contraception over other methods Which barrier method is the most effective at preventing STI transmission Male condom; female condom; diaphragm; cervical cap; Lea s shield; contraceptive sponge; spermicide Many prevent STI transmission and they have no hormonal side effects Coital dependence (less reliable); Risk of breakage Male condoms are the most effective The diaphragm, cervical cap, and sponge have more limited protection against STIs because they do not cover the entire genital tract 1 Latex the most common type of condom; Disadvantages: risk of latex sensitivity, breaks with oilbased lubricants 2 Synthetic such as polyurethane; Disadvantages: less effective, more likely to break Male condoms have a typical use failure rate of 15% in the first year
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What are the two types of male condoms and what are the disadvantages of each
4: General Gynecology
Do spermicidal condoms offer more protection compared to non-spermicidal condoms
No They have no added protection against STIs or pregnancy Many manufacturers have stopped producing spermicidal condoms The female condom is a lubricated polyurethane sheath with a flexible ring on each end One ring covers the cervix and the other remains external, partly covering the labia It should be left in place for 6 8 hours after intercourse *Female condoms have a typical use failure rate of 21% in the first year
What is the female condom and how it is used
What is a diaphragm, what is a cervical cap, and how are they used How are the diaphragm and cervical cap used
Cup-shaped rubber barriers that, when used with spermicide, are effective contraceptive modalities Both require initial fitting by a clinician and are inserted to cover the cervix They should be inserted no more than 6 hours before coitus Both must be left in the vagina 6 8 hours after intercourse The diaphragm can be left in place for up to 24 hours and the cervical cap can be left in place for up to 48 hours Increased risk of UTI (with diaphragm) Possible increased risk of toxic shock syndrome Increased risk of vaginal irritation/ discharge
What are the side effects of the diaphragm and cervical cap
For which women are diaphragms and caps not recommended and why
Women who are at risk for HIV or who are infected with HIV The nanoxynol-9 placed on the device may induce vaginal irritation and destroy normal vaginal flora thereby increasing the risk for HIV infection A dome-shaped silicone bowl placed over the cervix It has a one-way valve that allows egress of secretions but keeps sperm out It does not protect against STDs It does not need to be fitted by a physician It is inserted before sexual intercourse and must be taken out 8 48 hours after intercourse
What is Lea s shield
How is Lea s shield used
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Section II: Topics in Gynecology
What is the contraceptive sponge
A circular polyurethane foam sponge containing nonoxynol-9 attached to a loop for removal It is moistened and placed intravaginally up to 24 hours before coitus The sponge can be left in place for up to 24 hours after intercourse Increased risk of toxic shock syndrome Nonoxynol-9 It is available as a vaginal cream, film, foam, and gel It is placed intravaginally at least 15 minutes prior to intercourse and remains effective for up to 1 hour Relative high failure rate (29% typical use failure rate in first year) It is not an effective vaginal microbicide and does not protect against HIV, gonococcus, or chlamydia transmission
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