Contraceptions (Disadvantages) Flashcards
(20 cards)
must be consistently practiced or it is not effective
abstinence
must have a regular mens cycle and have knowledge/willingness to frequently monitor body functions
natural family planning
disrupts sexual intercourse
withdrawal
requires exclusive breastfeeding/infant suckling; using a barrier method w/ this method increases effectiveness
lactational amenorrhea method (LAM)
allergic reactions may occur; have higher rate of protection w/ spermicides; must be applied at time of coitus and may be disruptive
condoms (male and female)
must be left in place for at least 6 hrs postintercourse; irritation, discomfort, and allergic reaction may occur; may increase risk for infections including STI
vaginal sponges
must be left in place for 6 hrs after coitus
cervical caps
need additional doses of spermicide for repeated intercourse; leave in place for 6 hrs after intercourse; may increase risk of yeast infection, cystitis, toxic shock syndrome for prolonged use
diaphragms
allergic reaction irritation; frequent use contraindicated for individuals at risk for HIV
spermicidal gels, cream suppository, or foam
contraindicated to hx of DVT, PE, HTN, and heart disease; women age 35 and up, smoking, active cancer, genetic clotting disorders, liver disease; SE of nausea, headache, spotting, weight gain, chloasma)
combination estrogen and progesterone oral contraception
SE are HA, n/v, abdominal pain, heavier/lighter mens bleeding, fatigue, diarrhea
emergency contraceptive (not for regular use)
weight gain, irregular bleeding, may have minor SE: nausea, mood changes
progestin only
weight gain, decreased bone density, delayed fertility, bleeding abnormalities, HA, mood changes, breast tenderness
depo-provera
risk similar to those of oral contraceptives like increased risk of thrombotic event; possible less effective for larger women; possible skin irritation
contraceptive patch
vaginal irritation and discharge may occur
vaginal ring
low risk of uterine perforation; contraindicated in women dx and tx for PID within the prior 3 mos; increase of cramping and bleeding in the first few cycles
IUC, copper material or hormone releasing (levonorgestrel)
irregular bleeding, skin irritation at site; must be removed
hormone implants
discomfort for 2 to 3 days; difficult to reverse; need to use alternative contraceptive method until 2 postsurgery sperm tests indicate procedure is effective
vasectomy
bleeding or pain at incision site; difficult to reverse
tubal ligation
needs to be used until blockage is confirmed, usually 3 mos
sterilization implant
