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Contraception

Contraception. CAPT Mike Hughey, MC, USNR. Condom. 98% effective Protects against some STDs. Female Condom. 95% effective Protects against some STDs Noisy Use extra lubrication. Diaphragm. 95% effective Requires fitting, manual dexterity Leave in place 6 hours after intercourse

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Contraception

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  1. Contraception CAPT Mike Hughey, MC, USNR

  2. Condom • 98% effective • Protects against some STDs

  3. Female Condom • 95% effective • Protects against some STDs • Noisy • Use extra lubrication

  4. Diaphragm • 95% effective • Requires fitting, manual dexterity • Leave in place 6 hours after intercourse • Use with contraceptive jelly/cream

  5. Foam • 80-85% effective • Works immediately • Effective for an hour • Over the counter • No douching for 6 hours after intercourse • 20% have burning (reaction)

  6. 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)

  7. 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)

  8. 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

  9. IUD • 98-99% effective • Lasts 10 years • Heavier, crampier periods • Risk of infection/PID • Risk of ectopic pregnancy • Good candidate: • multiparous • monogamous

  10. DMPA • 99% effective • Lasts 3 months • IM injection • Amenorrhea, spotting • Weight gain • Ovulation returns in 4.5 months • Average 10 months to conception

  11. Rhythm • Avoid unprotected IC day #9-19 • 70-80% effective • Assumes ovulation about day #14

  12. Withdrawal • 80-90% effective • Always available • Requires motivation, sense of timing • Some sperm present in pre-ejaculatory fluid • Psychological issues

  13. Tubal Ligation & Vasectomy • Surgical sterilization • Permanent, irreversible • >99% effective

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