Title Dr Amr Omar - Contraception AKT- SCA 2024.pdf ✅

1 Contraception Advantages/ disadvantages UKMEC Criteria Emergency Contraception Hormonal Non-hormonal Non contraception benefits Missed Pill rules Menopause / Perimenopause and contraception
2 Methods of Contraception (Good summary from passmedicine) Barrier methods: condoms Daily methods: combined oral contraceptive pill progesterone only pill Long-acting methods of reversible contraception (LARCs): implantable contraceptives injectable contraceptives intrauterine system (IUS): progesterone releasing coil. intrauterine device (IUD): copper coil Contraceptive Method of action Notes Condoms Physical barrier Relatively low success rate, particularly when used by young people Help protects against STIs Combined oral contraceptive pill Inhibits ovulation Increases risk of venous thromboembolism Increases risk of breast and cervical cancer Progestogen-only pill (excluding desogestrel*) Thickens cervical mucus Irregular bleeding a common side-effect Injectable contraceptive (medroxyprogesterone acetate) Primary: Inhibits ovulation Also: thickens cervical mucus Lasts 12 weeks Implantable contraceptive (etonogestrel) Primary: Inhibits ovulation Also: thickens cervical mucus Irregular bleeding a common side-effect Last 3 years Intrauterine contraceptive device Decreases sperm motility and survival Intrauterine system (levonorgestrel) Primary: Prevents endometrial proliferation Also: Thickens cervical mucus Irregular bleeding a common side-effect *desogestrel is a type of progestogen-only pill which also inhibits ovulation ▪ How long it takes to rely on? IUD Immediately POP 2 days Other methods 7 days