FamilyPlanning医学院妇科的学习资料.pptxVIP

FamilyPlanning医学院妇科的学习资料第1页/共54页 Family Planning DI WEN M.D., Ph.D. Professor Chairman Department Of Obstetrics Gynecology Renji Hospital Affiliated to SJTU School of Medicine第2页/共54页 Birth Control, Pregnancy, and Childbirth:Managing Your Fertility第3页/共54页 Hormonal methodsOral contraceptivesPillsDepo-ProveraOrtho-EvraNuva ringLunelle and Norplant (currently off the market) Methods of Fertility Management第4页/共54页 Surgical methods of sterilizationFemaleTubal ligationMaleVasectomy Methods of Fertility Management第5页/共54页 Other methods of contraceptionIUDsProgestasertParaGuardWithdrawalEmergency contraceptive pillsEmergency minipillsAbstinence and “Outercourse” Methods of Fertility Management第6页/共54页 EffectivenessCompliance and desire to avoid pregnancyFrequency of intercoursePatient’s ageCost of methodSide effectsPatient’s perceptions and misperceptionsPatient’s concomitant drug usePatient’s health status and habits Contraceptive Variables第7页/共54页 第8页/共54页 第9页/共54页 Prevents ovulation.FSH secretion is depressed LH peak is abolished.Urinary androgen excretion is much increased.Changes in cervical mucus make sperm penetration less likely. Oral Contraception第10页/共54页 FormulationsMonophasicsBiphasicsTriphasicsMechanism of actionSuppress ovulationAlter cervical mucus and endometrium OC Formulations Mechanism of Action第11页/共54页 No significant increased risk among current or former usersSmall increased risk of breast cancer diagnosisLink to earlier diagnosis of breast cancer OC Health Risks-breast Cancer第12页/共54页 Numerous studies have linked OC use and cervical neoplasiaFindings are difficult to interpret OC Health Risks-cervical Cancer第13页/共54页 Nonfatal venous thromboembolismSimilar low risk of VTE associated with all low-dose OCsMyocardial infarctionNo increase in riskFurther studies may prove OCs protectiveStrokeNo incre