Classification of Contraceptive Methods Intrauterine device (IUD) Absolute contraindications current pregnan...
Classification of Contraceptive Methods
Intrauterine device (IUD)
Absolute contraindications
- current pregnancy
- undiagnosed vaginal bleeding
- acute or chronic PID
- suspected gynecologic malignancy
- prior ectopic pregnancy
- menorrhagia, dysmenorrhea
- congenital abnormalities of uterus or fibroids
- valvular heart disease
- pregnancy: ectopic or septic abortion
- increased blood loss and duration of menses
- increased risk of PID especially in nulliparous women
- dysmenorrhea
- expulsion (5% in the first year)
- uterine wall perforation (1/5000)
Absolute contraindications
- current pregnancy
- undiagnosed vaginal bleeding
- cardiovascular disorders
- thromboembolic events
- cerebrovascular disease
- coronary artery disease
- moderate-severe hypertension
- estrogen-dependent tumours
- breast
- uterus
- liver
- impaired liver function
- congenital hyperlipidemia
- age > 35 and smoking
- obstructive jaundice in pregnancy
- Wilson disease
- drug interactions can occur (can decrease efficacy, e.g. antibiotics necessitate backup method of birth control)
see CPS for individual drugs
Health benefits
- reduces dysmenorrhea, anemia, and helps regulate cycles
- reduces likelihood of developing benign breast disease and ovarian cysts
- combined estrogen and progesterone OCP substantially reduces risk of ovarian carcinoma
- increases cervical mucous which decreases the risk of STDs
Side Effects of the Oral Contraceptive Pill
