Often times I have had to address the concerns most women have about the side effects of different birth control methods and most Nigerian women will prefer using the Emergency Contraceptive method(morning after pills). In a family planning unit in any hospital the nurses will take the medical history of the patient , questions about the number of sexual partners, number of children, if the woman had aborted before, if she smokes, if she had done caesarean surgery and the date of last menstrual period. These questions are necessary to advise the woman about the best method to use.
Combination pill
example include combination 3
What it does: This birth control mainstay is still 99% effective against pregnancy when taken around the same time every day. It's also known for easing hot flashes and restoring regular periods.
Who should avoid it: Smokers and those 35 or older. The estrogen may cause dangerous blood clots. If you suffer from migraines, you should also pass because it may trigger the painful headaches.
Progestin-only pill
What it's called: Micronor, Nora-BE, Nor-QD, Ovrette
What it does: Known as the mini pill, progestin-only meds don't contain estrogen. They're safer for smokers, diabetics, and heart disease patients, as well as those at risk for blood clots. They also won't reduce the milk supply for women who are breast-feeding.
Who should avoid it: If you have trouble remembering to take your pill at the same time every day, progestin-only pills might not be your best bet. They need to be taken at exactly the same time every day; if you're more than three hours late, plan on using a backup method.
Vaginal ring
What it's called: NuvaRing
What it does: The ring is made of flexible plastic and delivers estrogen and progestin, just like the combination pill. You place the ring in your vagina for three weeks, and then remove it for one week so that you have a regular period.
Who should avoid it: Women who smoke, or have blood clots or certain cancers, should not use the NuvaRing
Diaphragm
What it does: Made of rubber and shaped like a dome, a diaphragm prevents sperm from fertilizing an egg. It covers the cervix and must always be used with a spermicide. Women must be fitted for a diaphragm in their doctor's office.
Who should avoid it: If your weight tends to fluctuate by more than 10 pounds at a time, the diaphragm may not work. If you gain or lose weight, you'll need to be refitted. Prone to bladder infections? You might want to consider another option. If you've had toxic shock syndrome, you shouldn't use a diaphragm
IUD
What it's called: Mirena, ParaGard
What it does: ParaGard is a surgically implanted copper device that prevents sperm from reaching the egg. Mirena, also surgically implanted, works by releasing hormones. Intrauterine devices (IUDs) are more than 99% effective and good for 10 years.
Who should avoid it: Some doctors recommend the device only for women who have given birth. When the device is implanted, your uterus is expanded, and this might cause pain in women who have not had children. If you're planning on having children in a year or two, look at other options. The IUD can be removed, but the high cost might not be worth it for short-term use.
Female condom
What it's called: Femy, Protectiv,
What it does: The female condom is made of polyurethane, or soft plastic, and protects against STDs. It is inserted deep into the vagina, over the cervix, much like a diaphragm. Unlike the male condom, the female condom can be put into place up to eight hours before sex.
Who should avoid it: Male condoms offer more protection—both against STDs and pregnancy—than female condoms, so if you and your male partner aren't in a long-term, monogamous relationship, female condoms are not a perfect substitute.
Patch
What it's called: Ortho EvraWhat it does: You can place the hormone-releasing patch on your arm, buttock, or abdomen, and rest easy for one week.
Who should avoid it: If you're particularly at risk for blood clots, you might want to find a different method. The patch delivers 60% more estrogen than a low-dose pill, so you're at an increased risk for dangerous blood clots.
Implant
What it's called: Implanon, Norplant
What it does: About the size of a matchstick, the implant is placed under the skin on your upper arm. Implants last for three years. They are nearly 100% effective.
Who should avoid it: Implanon may not work as well for women taking St. John's wort, or women who are overweight
EMERGENCY CONTRACEPTION
What its called? prostinor 2
what it does? prostinor 2 contains a higher dose of the same synthetic hormones found in the combination pill. It works best if taken within 72 hours of unprotected sex. Bleeding may occur within 7 days after the drug is taken and women are advised not to take it twice in a 21-day cycle
REFRENCES
12 types of birth control, www.health.com,
Birth control methods, www.plannedparenthood.org
www.nlm.nih..gov, Birth Control
A 40 yr old woman who her husband is away and comes home occasionally, can't use iucd and postinor 2 for so long , and her husband won't use a condom. What can she use?
ReplyDeleteThere are other factors to be considered, her weight,if she had cancer before and so on. There are other methods available she could go for OCP or implant
ReplyDelete