Table of Contraception Options
Estrogen-progestin
 ...
437
Description

Table of Contraception Options

Estrogen-progestin

 • Pill, Ring (Nuva-Ring), Patch (Xulane)

 • Pros: ↓menses, PMS, cramps, acne, endometrial/ovarian CA

 • Cons: N/V, breast tenderness, ↓ libido, spotting, require patient adherence

 • Contraindications: VTE, thrombogenic mutation, Active breast or liver CA, Migraine w/ aura, >35 yo + any migraine, Uncontrolled HTN, DM w/ vasc complications, CVD, valvular dz, >35 yo + >15 cig/day, ESLD

Progestin-only

 • IUD (hormone content Mirena > Kyleena > Skyla), Implant (Nexplanon) 

    - Pros: effective, long-acting

    - Cons: irregular bleeding, physical complications (rare)

 • Injection (DepotProvera)

    - Pros: long-acting

    - Cons: irregular bleeding, weight gain (<5 lb), ↓BMD, prolonged return to fertility (1 yr)

 • Pill (Micronor)

    - Pros: few contraindications

    - Cons: irregular bleeding, must take at same time daily

Hormone-free:

 • Copper IUD (Paraguard) 

    - Pros: effective, long-acting, safe in ESLD, emergency contraceptive

    - Cons: heavier bleeding, cramping

 • Male condom

    - Pros: STI prevention

    - Cons: require patient adherence

 • Sterilization

    - Pros: effective, long-acting

    - Cons: irreversible



#Contraception #Options #contraceptives #gynecology #table #comparison #management #selection
Contributed by

MGH White Book Manual
@MGHWhiteBook
Account created for the MGH Internal Medicine Housestaff Manual "White Book" - https://stk10.github.io/MGH-Docs/WhiteBook-2019-2020.pdf
Medical jobs
view all

0 Comments

Related content