Gynecology Book

http://www.fpnotebook.com/

Contraception

Aka: Contraception, Birth Control
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  1. See Also
    1. Contraceptive Selection in Diabetes Mellitus
    2. Contraceptive Selection in Underlying Cardiovascular Disease
    3. Contraceptive Selection in Seizure Disorder
  2. Efficacy: Five Year Cost of Contraception
    1. Cost Calculation
      1. Adverse effects
      2. Unwanted pregnancy
    2. Baseline Cost for comparison
      1. No method of Contraception: $14663
    3. Highly Efficacious Methods
      1. Copper-T (Paragard) IUD: $540 ($54/year for 10 years)
      2. Vasectomy $764
      3. Implantable device (Norplant): $850
      4. Depo Provera Injection $1290
      5. Oral Contraceptive: $1784
      6. Progesterone T (Progestasert) IUD: $2042
      7. Tubal Ligation: $2584
    4. Less Efficacious Methods (higher risk of pregnancy)
      1. Male Condom: $2424
      2. Withdrawal Method: $3278
      3. Periodic abstinence: (Rhythm Method) $3450
      4. Contraceptive Diaphragm: $3666
      5. Vaginal Spermicide: $4102
      6. Female Condom: $4872
      7. Contraceptive Sponge: $5700
      8. Cervical Cap: $5730
    5. References
      1. Trussell (1995) Am J Public Health 85(4):494-503
  3. Preparations: Non-Hormonal Options
    1. Male Condom
    2. Female Condom
    3. Contraceptive Diaphragm
    4. Contraceptive Sponge (no longer available in U.S.)
    5. Cervical Cap
    6. Vaginal Spermicide
    7. Natural Family Planning and Fertility awareness
    8. Contraceptive Sponge (returns to U.S. market in 2005)
  4. Preparations: Hormonal Contraception
    1. Oral Contraceptive
    2. Depo Provera Injectable (repeated every 3 months)
    3. Intrauterine Device
      1. Copper T-380A (Paragard) IUD: 10 years
      2. Progesterone-T (Progestasert) IUD: 1 year
      3. Mirena (5 year device)
    4. Vaginal Contraceptive Ring (NuvaRing)
    5. Contraceptive Patch (Ortho Evra)
    6. Norplant (5 year implantable device)
      1. No longer manufactured
  5. Preparations: New Contraceptive Methods (soon to be available in U.S.)
    1. Monthly injectable
    2. Implanon (1 rod 40 mm long, lasts 2 years)
  6. Management: Contraceptive Selection in comorbid conditions
    1. See Contraceptive Selection in Diabetes Mellitus
    2. See Contraceptive Selection in Underlying Cardiovascular Disease
    3. See Contraceptive Selection in Seizure Disorder
    4. History of Bariatric Surgery (only roux-en-Y affected due to malabsorption)
      1. Avoid Oral Contraceptives
    5. History of Venous Thromboembolism
      1. Avoid all Estrogen products (Oral Contraceptives, NuvaRing, Ortho Evra)
    6. Migraine Headache with aura
      1. Avoid all Estrogen products (Oral Contraceptives, NuvaRing, Ortho Evra)
    7. Poorly controlled Hypertension
      1. Avoid all Estrogen products (Oral Contraceptives, NuvaRing, Ortho Evra)
    8. Corticosteroids chronically
      1. Avoid Depo Provera (risk of Osteoporosis)
    9. Tobacco abuse over age 35 years
      1. Avoid all Estrogen products (Oral Contraceptives, NuvaRing, Ortho Evra)
    10. Cerebrovascular Accident
      1. Avoid all Estrogen products (Oral Contraceptives, NuvaRing, Ortho Evra)
    11. Systemic Lupus Erythematosus, Antiphospholipid Antibodies
      1. Avoid all Estrogen products (Oral Contraceptives, NuvaRing, Ortho Evra)
    12. References
      1. (2006) Obstet Gynecol 107(6): 1453-72
  7. Resources
    1. WHO Medical Eligibility Criteria for Contraceptive Use
      1. http://www.who.int/reproductivehealth/publications/family_planning/9241562668index/en/

Contraception Management (C0281812)

Concepts Therapeutic or Preventive Procedure (T061)
English Contraception Management
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Contraceptive methods (C0700589)

Definition (MEDLINEPLUS)

Birth control, also known as contraception, is designed to prevent pregnancy. Birth control methods may work in a number of different ways. These include

  • Preventing sperm from getting to the eggs - condoms, diaphragms and intrauterine devices (IUDs) work this way
  • Keeping the woman's ovaries from releasing eggs that could be fertilized - birth control pills work this way
  • Sterilization, which permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant

Your choice of birth control should depend on several factors. These include your health, frequency of sexual activity, number of sexual partners and desire to have children in the future. Your health care provider can help you select the best form of birth control for you.

NIH: National Institute of Child Health and Human Development
Definition (NCI) The prevention of conception or impregnation by the use of devices or drugs or surgery.
Definition (MSH) Prevention of CONCEPTION by blocking fertility temporarily, or permanently (STERILIZATION, REPRODUCTIVE). Common means of reversible contraception include NATURAL FAMILY PLANNING METHODS; CONTRACEPTIVE AGENTS; or CONTRACEPTIVE DEVICES.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D003267
SnomedCT 146788008, 146680009, 169558006, 13197004, 73285008
English Contraception, Contraceptive Method, Contraceptive Methods, Fertility Control, Fertilization Inhibition, Inhibition of Fertilization, BIRTH CONTROL, Contraception, NOS, birth control, contraception, fertility control, Birth control, NOS, Contraception NOS, INHIB OF FERTILIZATION, Contraception NOS (finding), CONTRACEPTION, birth control method, Birth control method, method birth control, contraceptive method, control fertility, contraceptives methods, birth controls, birth control methods, contraceptions, contraceptive methods, Birth Control, Birth control, Contraception (finding), Contraceptive methods
Dutch geboorteregeling, contraceptie NAO, contraceptie, Anticonceptie, Contraceptie, Geboortebeperking
French Contraception SAI, Contrôle de la fécondité, Contrôle des naissances, Méthodes contraceptives, Contraception
German Geburtenkontrolle, Kontrazeption NNB, Verhuetung, Kontrazeption, Empfängnisverhütung, Schwangerschaftsverhütung
Italian Contraccezione NAS, Controllo della fertilità, Inibizione della fertilità, Controllo delle nascite, Metodi contraccettivi, Contraccezione
Portuguese Controlo dos nascimentos, Contracepção NE, Anticoncepção, Contracepção, Controle da Natalidade, Métodos Anticoncepcionais, Métodos Contraceptivos, Controle da Fecundidade, Controle de Natalidade, Limitação da Fecundidade
Spanish Control de la natalidad, Anticoncepción NEOM, Contraception, Contraception NOS, anticoncepción (hallazgo), anticoncepción, SAI (hallazgo), anticoncepción, SAI, anticoncepción, control de la natalidad, Anticoncepcion, Control de la Natalidad, Anticoncepción, Control de Natalidad, Metodos de Control de la Natalidad, Métodos de Control de la Natalidad, Regulacion de la Fecundidad, Regulación de la Fecundidad
Japanese 避妊ＮＯＳ, ﾋﾆﾝ, ｼﾞｭﾀｲﾁｮｳｾﾂ, ﾋﾆﾝNOS, 避妊法, 避妊, 受胎調節
Swedish Födelsekontroll
Czech antikoncepce, Antikoncepce NOS, Prevence početí, Antikoncepce
Finnish Raskauden ehkäisy
Russian KONTRATSEPTSIIA, КОНТРАЦЕПЦИЯ
Croatian KONTRACEPCIJA
Polish Antykoncepcja
Hungarian Fogamzásgátlás, Fogamzásgátlás k.m.n.
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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