Individualization of the Contraceptive Methods

• The woman's paper in the family control.
• Perfect method doesn't exist.
• Actually 57% of the gestation in the United States are not programmed.

Methods

1. Table - Failure in 20% of the cases. It demands abstinence of 10a 20 days in the month. It demands menstrual cycle to regulate.

-It can be coupled to methods of mechanical impediment.
-The method is based on the fact that an ovum can be fecundated by 24 hs - but you cannot forget that a spermatozoid can survive from 3 to 7 days in the feminine organism.
-It should be avoided the sexual action completely without protection in the first half of the cycle.
-Other activities without coitus are possible.
-Method of evaluation of the cervical mucus.
-Mucus (white egg). Predicts ovulation - suffers feminine interference of spermicides, vaginal cream or lubricants.
2. Hormonal contraception - birth-control Pill.
3. Hormonal contraception-  By mechanical barrier, condom, diaphragms.
4. DIU
5. Pill of the following day
6. Sterilization
7. Abortion

Birth-control pill

• Advantages: Continuous contraceptive. Reversible
• Disadvantages:

It has to be taken daily.
It increases the risk of sanguine clots, infarct, AVC, especially in smokers, increases the risk of breast cancer (after 40 years).
Side effects: nauseas, weight increase, migraines.
Effectiveness: 99% or +.
Contraindication - paralyses of inferior members.

Injections of Depo

• Advantages

Continuous contraceptive .
Reversible
There is no need of daily administration.

• Disadvantages
  
  Consultations every 3 months for administration.
  It reduces the fertility after the suspension of the medication.
  Weight increase - irregular bleeding.
  Effectiveness - 99% or +.

Alone preservative

• Advantages
  
  Easy obtaining
  Cheaply
  Better method to prevent diseases sexually transmissible.
  Good results when used with spermicide.
  
• Disadvantages
  It can reduce pleasure.
  Reduce the sexual spontaneity.
  They can break.
  It needs agreement of the masculine partner's.
  Effectiveness - 88 - 98%

Diaphragm (with spermicide)

• Advantages
  It can be inserted up to 6 hours before the relationship.
  Not invasive
  Low cost
  
• Disadvantages
  It has to be maintained until at least 8 hours after the relationship.
  It is necessary to put back the spermicide for new relationship.
  
• Discomfort
  It demands solemnity-placement.
  It increases the risk of urinary infections.
  Effectiveness - 82 to 94%

Spermicide (Alone)

• Advantages
  Easy to obtain and use.
  Good results when associate to capsules, condom and diaphragms.
  Cheap
  
• Disadvantages
  It demands application, half hour before the sexual action.
  Reaplication for each sexual action.
  Spill.
  Allergy.
  It increases the risk of urinary infection mainly with the diaphragms.
  Effectiveness 79 to 97%.

Pill of the following day

• Disadvantages
  It needs to be used up to 72 after the coitus without protection.
  It is hormone.
  It is expensive.
  It demands socket of 2 tablets, each one with 12 hours of interval.
  Associated with estrogen
  Nauseas
  
• Advantages
  It is not abortive
  It can be used in the emergency

Sterilization

Bondage of trumpets

• Advantages
  Continuous contraceptive
  
• Desvantagens
  Permanent
  Surgical procedure
  He/she increases the risk of uterine myomas
  Emotional trauma
  Histerec emotional Trauma
  Hysterectomy -
  Effectiveness - 99% or more

Abortion

Old in the humanity's history.
High mortality
High cost
Emotional trauma