scholarly journals Current issues in contraception

2005 ◽  
Vol 58 (5-6) ◽  
pp. 253-257
Author(s):  
Petar Draca ◽  
Branislava Jakovljevic

Introduction. The authors analyze contemporary methods of contraception. Regarding oral contraception, they point to agents which decrease the efficacy of oral contraception. They also deal with agents which increase the level of estrogen, thus increasing side effects (paracetamol, vitamin C). Oral contraceptives Oral contraceptives may also have an impact on the efficacy of some medications (anticonvulsants, antidepressants). Health risks of oral contraceptives are also mentioned, as well as WHO's, guidelines for women using contraceptives based on risks and benefits. Other methods of contraception The authors also offer criteria for use of bioactive intrauterine devices (IUD), with recommendations of WHO. Besides men's, there are women's condoms, which are very reliable protection against infections, but their negative side is that they are rather expensive. Bad sides of vaginal wash are also emphasized, although this method is rather widespread in the world. Conclusion. At the end, the authors quote the International Family Planning Fund (IFPF) which considers IUD to be the most reliable method of contraception nowadays. .

2016 ◽  
pp. 10-13
Author(s):  
G. B. Dikke

The frequency and severity of side effects induced by the use of combined oral contraceptives (COCs) are the most common causes of withdrawal (64.4%). Better adherence can be achieved through adequate counselling on the choice of contraception and use of extended-regimen low-dose COCs with estrogen component and natural hormones containing novel selective progestins (dienogest, drospirenone) with minimum side effects. The choice of vitamin and mineral supplements based on the relevant micronutrient disbalance in women using COCs and "quick starting" could also contribute to compliance with the chosen method of oral contraception.


Author(s):  
Laura Patterson

The combined oral contraceptive pill (COCP) has been a popular choice of contraception since it was first introduced in 1961. There are numerous varieties of COCP and tailored regimes allow patients more choice and opportunities to adapt contraception to suit individual needs. The pandemic has made it more difficult for patients to access long-acting reversible contraception support and many have been using interim methods of contraception, including the COCP. In this article we explore which pill to prescribe, developments in tailored regimes, guidance about changing pills when side effects arise, health risks and benefits, as well as best practice for remote assessments and prescribing.


2019 ◽  
Vol 10 ◽  
pp. 204201881983484 ◽  
Author(s):  
Giulia Gava ◽  
Maria Cristina Meriggiola

Despite increases in female contraceptive options, 40–45% of pregnancies across the world are still unplanned. While several effective female contraceptive methods have been developed, contraceptive choices for men are still limited to the male condom with its high failure rates and to vasectomies, which are invasive and not reliably reversible. Several studies have demonstrated a great interest among men and women for effective, reversible, and safe male contraceptive methods. Over the years, numerous studies have been performed to develop male hormonal and nonhormonal safe and effective contraceptives. A variety of new molecules are under development as oral or transdermal hormonal contraceptives for men demonstrating few side effects. In our overpopulated world, the development and commercialization of a male contraceptive method that will allow both men and women to take an active role in family planning is mandatory and further research on this topic is required.


2017 ◽  
Vol 11 (3) ◽  
pp. 742-747 ◽  
Author(s):  
Hira Imad Cheema ◽  
Ashutosh Gupta

Oral contraceptives have long been associated with liver injury. However, very little attention is paid to the metabolic side effects of hormone-releasing intrauterine devices (IUDs). These devices are generally considered safe and commonly used. We report for the first time acute liver injury associated with a levonorgestrel-releasing IUD. Our patient did not have any comorbidities that could have caused or exacerbated liver injury. A detailed workup and liver biopsy remained negative for any other potential cause of liver injury. The patient’s symptoms resolved with removal of the device. She remained symptom free on subsequent outpatient follow-ups.


2021 ◽  
Vol 8 (3) ◽  
pp. 401-403
Author(s):  
M. P Kinker ◽  
Abhilasha Kinker

The intra uterine device (IUD) is a popular family planning method worldwide. Some of the complications associated with the insertion of an IUD are well described in the literature. The frequency of IUD perforation is estimated to be between 0.05 & 1B per 1000 insertions. There are many reports of migrated intrauterine devices, but for fewer reports of IUDs which have penetrated into the rectum. Among the options available the multi-year cost of the copper T380A. IUD makes it one of the most cost-effective contraceptive options available. According to the World Health Organization Medical Eligibility Criteria, an IUCD can be inserted in the 48 hours postpartum, referred to here as Postpartum IUCD (PPIUCD), or after four weeks following a birth. With increased use of intra-uterine devices (IUDs) for contraception, an increase in the number of related problems are reported. A frequent clinical problem is the loss of filament at the external cervical os, the ‘lost tail’. The disappearance of the string or marker heralds potential problems such as retracted or turn off tail, misplacement within the cavity, intra-mural penetration or extra-uterine location.


1988 ◽  
Vol 20 (4) ◽  
pp. 435-444 ◽  
Author(s):  
F. E. Riphagen ◽  
O. S. de la Cueva ◽  
S. Koelb

SummaryIn a multi-centre survey in 1986, 400 married Filipino women aged 15–40 were interviewed about their use of contraceptive methods, and specifically about their perceptions of the effects on health of oral contraceptives and their attitudes to contraceptive methods. The sample was randomly selected in the urban and rural areas surveyed and cannot be considered representative for the country as a whole. The results showed that women hold definitive views on the health risks posed by oral contraceptives and point to the importance of family planning clinics as a source of contraceptive counselling. The overall rate of contraceptive use must be regarded as insufficient to meet contraceptive needs.


2020 ◽  
Vol 4 (2) ◽  
pp. 87
Author(s):  
Venny Rismawanti

Countries Indonesia in 2015 is the country with the number of residents of the largest fourth in the world after China, India and the United States with the number of people reaching 255 461 686 inhabitants. In the year 2018, the number of population of Indonesia is growing rapidly to reach the number 365 015 313 inhabitants and the explosion of the population have led to burden the country is getting increased.Objective: To determine the relationship between knowledge of family planning acceptors and side effects of 3-month family planning injection in the Kambesko Community Health Center 2017.Method: This was analytic study with consecutive sampling technique.Results: The results of this study conducted at the Kambesko Health Center were obtained from 85 sample stating that the knowledge of family planning acceptors about the side effects of 3-month family planning injections divided into 2 categories, which are : good 21 people (25%), limited 64 people (75%), and those who experienced side effects of 60 people (71%), and who did not experience side effects of 25 people (29%).Conclusion: It can be concluded that there is a relationship between the knowledge of family planning acceptors and the side effects of 3-month family planning injection at the Kambesko Health Center in 2017 with a p value (0.04).


1978 ◽  
Vol 10 (2) ◽  
pp. 159-167 ◽  
Author(s):  
John McEwan

SummaryThe use of the diaphragm and other vaginal caps has declined in the last decade with the rise of oral contraceptives and intrauterine devices. This is particularly clearly shown in the group of women attending family planning clinics. These changes have been accompanied by a shift in predominance from male methods to those initiated and managed by women.Various characteristics of diaphragm acceptors at the King's group of hospital clinics have been studied from January 1972 to May 1976 and compared with those of women accepting other methods such as the pill and intrauterine device. There are marked differences in age at first attendance, and at various stages of family building; there are also differences in marital status and whether working outside the home or not. In the group of housewives accepting the diaphragm, there is an increased proportion whose partners are in non-manual occupations.These differences are discussed in relation to the acceptability of vaginal barriers, the duration of their use and their effectiveness in the long term. If immediate acceptability could be improved by a new design, they might play a more useful part as a women's method of fertility control.


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