Contraception (Barrier and IUCD) Flashcards
(24 cards)
What should guide a healthcare provider’s approach to contraceptive counselling?
Sensitivity, empathy, maturity, and non-judgmental behaviour; avoid imposing personal values.
What percentage of pregnancies are unplanned?
Up to 50%.
What are the usual indications for contraception?
Spacing children, limiting family size, avoiding pregnancy due to comorbidities.
Name five general types of contraceptive methods.
Traditional, barrier, hormonal, IUCD, sterilisation.
What material are male condoms typically made of?
Latex, polyurethane, or lamb caecum.
What is the failure rate of male condoms with typical use?
10–30 per 100 woman-years.
What are the characteristics of female condoms?
Polyurethane with two flexible rings, female-controlled, protects against STIs, relatively expensive.
What is the failure rate of female condoms with perfect use?
2.6 in 6 months.
Describe how a vaginal diaphragm works.
Mechanical barrier placed between vaginal and cervical canal; requires spermicide.
When should a vaginal diaphragm be applied and removed?
6 hours before intercourse, left in place for 6–24 hours afterward.
What is the failure rate of vaginal diaphragms with typical use?
15–20 per 100 woman-years.
What are cervical caps and how do they work?
Cap-like devices covering the cervix held by suction.
What challenges are associated with using cervical caps?
Hard to fit due to variable cervical sizes, may be dislodged easily.
Name different types of spermicidal preparations.
Jellies, creams, gels, suppositories, sponges, foams.
What is the main active ingredient in most spermicides?
Nonoxynol-9.
Do spermicides protect against STIs?
No; they may increase STI risk.
What are common side effects of spermicides?
Vaginal and external genital irritation.
Name two commonly used types of IUCDs.
Copper T 380A, Levonorgestrel-releasing IUCD.
What is the shape and dimension of the Copper T 380A?
T-shaped, 36 mm by 32 mm.
How long can the Copper T 380A be used?
10 years.
What is the perfect-use failure rate of the Copper T 380A?
0.6%.
What is the hormone released by the LNG IUCD?
Levonorgestrel (LNG).
What is the release rate and lifespan of the LNG IUCD?
20 mcg/day, 5-year lifespan.
What is the cumulative 5-year failure rate of the LNG IUCD?
0.7
