FRHD 2100 Chapter Notes - Chapter 11: Laparoscopy, Scrotum, Hormonal Iuds
1 Jun 2018
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FRHD*2100 (DE) Chapter 11
Page 1 of 12
Chapter 11: Contraception and Abortion
Contraception and Abortion
• “heaths o oeigs fo the peis hae a log histo.
• Codo:
– Sheath of animal membrane or latex that covers the penis during coitus.
– Serves as a barrier to sperm
Contraception in Canada
• Cotaeptie Use Aog Caadia Woe
– National survey of contraceptive practices of 2751 Canadian women of reproductive
age ho’d had peile-vaginal intercourse in the past six months:
• The ast ajoit of Canadian women rely on male condoms and oral
contraceptives for birth control.
• .% used odos; .% used oal otaepties.
• Withdrawal was the third most popular method of birth control, at 11.6%.
• Cotaeptie Use Aog Caadian Teens
– Study of male and female teens in B.C. on contraception use at last intercourse (Smith
et al, 2009):
• % used a odo.
• % used ith otol.
• % ithdaal.
• Cotaeptie Use Aog Caadia Uiesit “tudets Milhause et al,
– 653 male and female university students who reported having penile-vaginal
intercourse in the last 3 months, on reported contraception:
• Woe: .% oal contraception, 42.3% a condom, 17.7% another method,
7.8% no method.
• Me: .% a odo, .% oal otaeptio, .% aothe ethod,
11.7% no method.
A World of Diversity
• The oeet to legalize otaeptio i Caada ega i the s.
• Fist ith otol lii estalished i Hailto, ON, i the eal s
• Cotaeptie use odo, the pill i the s as idespead, ut still illegal.
find more resources at oneclass.com
find more resources at oneclass.com
FRHD*2100 (DE) Chapter 11
Page 2 of 12
• Tudeau goenment legalized contraceptives in 1969.
Methods of Contraception
• Oal Cotaepties The Pill
– Oral contraceptive
• Definition: a contraceptive that consists of sex hormones and is swallowed
– Combination pill
• Definition: a birth-control pill that contains synthetic estrogen and
progesterone
– Minipill
• Definition: a birth-control pill that contains synthetic progesterone but no
estrogen
• Oal Cotaepties The Pill
– How it works:
• Coiatio pill fools the ai into thinking the woman is already pregnant.
• Ceial uus thickens and becomes more acidic, becoming a barrier to
sperm (in response to progesterone).
• Pogesteoe also ihiits the deelopet of the ova, making
implantation difficult.
• The iipill orks via the last two ways (list: thickens cervical mucus and
render inner lining of uterus less receptive to fertilized egg)
– Effectiveness
• Used osistetl ad oetl, the failue ate is .% o less.
• With tpial use –failure rate is about 3%.
– Reversibility
• Oulatio esues egulal ithi three months of stopping use of the pill.
Oral Contraceptives
Advantages
Disadvantages
Nearly 100% effective
No protection against STI
Reduce risk of PID
Requires medical consultation
Being ovarian cysts
Link to breast cancer
Regularizes menstrual cycle
Safe for healthy women
Reduces cramping and pain
Nausea and vomiting
Treats iron-deficiency and facial acne
Reduces risk of ovarian cancer
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find more resources at oneclass.com
FRHD*2100 (DE) Chapter 11
Page 3 of 12
Methods of Contraception
• Eege Cotaeptio
– The oig afte pill can be taken after unprotected intercourse, or when
contraception fails.
– In Canada –Plan B and Yuzpe regimen.
– Plan B has fewer side effects and is more effective.
• Is ot a aotio pill eause it o’t ed a estalished pega.
• Aailale ithout a pesiptio o ustoe accessible shelves.
– How it works:
• Prevents the joining of sperm and egg
• Prevents a fertilized egg from attaching to uterine wall
• Most effetie he take ithi 72 hours (should be taken as soon as
possible).
• “ide effet is nausea that lasts a day or two.
– Effectiveness
• Pegancy rates of 1 to 3%.
Innovative Canadian Research
• “oo et al. studied eege otaeptio EC use:
– EC use was highest among women aged 20–24 years of age, second highest for those
aged 15–19.
– 56% used other birth control methods that failed.
– The availability of EC without a prescription increased use.
• Whale et al. studied phaaists’ koledge ad attitudes toads Pla B.
Methods of Contraception
• The Cotaeptie Path
– Delivers estrogen and progestin to prevent ovulation and implantation
– Ortho Evra has been available in Canada since 2004.
– The patch is thin and measures about five cm across.
– Worn on the abdomen, buttocks, upper arm, or upper torso (not on the breasts).
– When used correctly, more than 99% effective.
Advantages
Disadvantages
Do’t eed to thik aout otaepties
daily
Similar to the pill
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find more resources at oneclass.com
Document Summary
Contraception and abortion: heaths o(cid:396) (cid:272)o(cid:448)e(cid:396)i(cid:374)gs fo(cid:396) the pe(cid:374)is ha(cid:448)e a lo(cid:374)g histo(cid:396)(cid:455), co(cid:374)do(cid:373): Sheath of animal membrane or latex that covers the penis during coitus. Serves as a barrier to sperm: co(cid:374)t(cid:396)a(cid:272)epti(cid:448)e use a(cid:373)o(cid:374)g ca(cid:374)adia(cid:374) wo(cid:373)e(cid:374) age (cid:449)ho"d had pe(cid:374)ile-vaginal intercourse in the past six months: National survey of contraceptive practices of 2751 canadian women of reproductive. Chapter 11: t(cid:396)udeau go(cid:448)e(cid:396)nment legalized contraceptives in 1969. Methods of contraception: definition: a contraceptive that consists of sex hormones and is swallowed, definition: a birth-control pill that contains synthetic estrogen and progesterone, definition: a birth-control pill that contains synthetic progesterone but no estrogen. Combination pill: o(cid:396)al co(cid:374)t(cid:396)a(cid:272)epti(cid:448)es (cid:894)the pill(cid:895, o(cid:396)al co(cid:374)t(cid:396)a(cid:272)epti(cid:448)es (cid:894)the pill(cid:895) Reversibility: used (cid:272)o(cid:374)siste(cid:374)tl(cid:455) a(cid:374)d (cid:272)o(cid:396)(cid:396)e(cid:272)tl(cid:455), the failu(cid:396)e (cid:396)ate is (cid:1004). (cid:1009)% o(cid:396) less, with t(cid:455)pi(cid:272)al use failure rate is about 3%, o(cid:448)ulatio(cid:374) (cid:396)esu(cid:373)es (cid:396)egula(cid:396)l(cid:455) (cid:449)ithi(cid:374) three months of stopping use of the pill. In canada plan b and yuzpe regimen.
