Contraception

• Natural Birth Control

  • body temperature

  • cervical secretions

  • length of cycle

• Spermicides

• Male condoms

• Female condoms

• Diaphragm

• Cervical cap

• Contraceptive sponge

• Intra-uterine device

• Combined oral contraceptive

  • Adverse effects

    • Venous thromboembolism, DVT, PE

    • Arterial thrombosis

    • increased risk cervical / breast cancer ?

    • x20 risk hepatic adenoma

• Progesterone only pill

  • failure rate 1-13%

• Depo provera

• Norplant / Implanon

  • norplant - 6 silastic rods

  • implanon - 1 rod

• Mirena

• Emergency contraception

• Female sterilisation

• Male sterilisation (vasectomy)