Download Contraception, An Issue of Obstetrics and Gynecology Clinics by Eve Espey MD MPH PDF

By Eve Espey MD MPH

This factor of Clinics will specialize in techniques in birth control in addition to scientific and public overall healthiness boundaries to lowering accidental being pregnant. defined during this factor are a couple of contraceptive options built over the past few years, together with the contraceptive patch and ring in addition to the hormonal intrauterine approach and hormonal implants. The very powerful thoughts, together with the IUD and hormonal implants, have appealed to girls who formerly didn't use birth control or used much less powerful equipment. different contraceptive thoughts defined contain novel ways to birth control: Treating the necessity for birth control as an emergency, utilizing "quick start"methods of beginning contraceptives, increasing the profile of ladies thought of strong applicants for IUDs, and utilizing prolonged dosing regimens for hormonal contraceptives. on the structures point, this factor will study laws, laws and investment of birth control, elements that experience an immense effect on entry and use. the decade has obvious either advancements in contraceptive utilization and persisted obstacles to more desirable entry. we advise how one can enhance contraceptive use and entry through the years to return.

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Additional info for Contraception, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine)

Sample text

The ring releases 15 mg of EE and 120 mg of etonogestrel daily at constant rates. The hormones are absorbed readily through the vaginal epithelium, effectively suppressing ovulation. Maximum concentrations of EE and etonogestrel are reached within 1 week, and those concentrations remain constant throughout the 3 weeks of recommended use [18,19]. NuvaRing is small, light-weight, and transparent. It is made of evatane, which is a vinyl polymer matrix, and its use is not associated with an NOVEL METHODS OF COMBINED HORMONAL CONTRACEPTION 35 Fig.

17] Grimes D, Schulz K, van Vliet H, et al. Immediate post-partum insertion of intrauterine devices: a Cochrane review. Hum Reprod 2002;17(3):549–54. [18] O’Hanley K, Huber DH. Postpartum IUDS: keys for success. Contraception 1992;45: 351–61. [19] Ogburn JA, Espey E, Stonehocker J. Barriers to intrauterine device insertion in postpartum women. Contraception 2005;72:426–9. [20] RamaRao S, Lacuesta M, Costello M, et al. The link between quality of care and contraceptive use. Int Fam Plann Perspect 2003;29:76–83.

Several problems may occur with this approach. A woman can become pregnant before she starts contraception, she may forget the instructions for pill start, or she may lose her motivation to use the method. Several more rational approaches for pill starts may be used. The patch or the ring may be started on the first day of a woman’s menses if she has not been using a hormonal form of contraception in the preceding cycle. No back-up method is required. If the patch or ring is started during the second half of the cycle, a back-up method must be used during the first week of use.

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