Symptom Finder - Contraception
Contraception
1. Oral: Ethinyl estradiol + levonorgestrel (Seasonale): 1 tab daily × 91 days—beginning first Sunday after onset of menses and repeat same process after 91 days. Other cyclical hormones are still available.
2. Patch: Ethinyl estradiol + norelgestromin (Ortho Evra): Apply patch to abdomen, buttocks, etc. weekly at onset of menses for 3 weeks and 4th week is patch free; repeat same cycle every 4 weeks.
3. Levonorgestrel (Mirena): Intrauterine system. Insert into uterus and lasts up to 5 years at a time.
4. Etonogestrel implant (Implanon): A tiny plastic rod implanted into the subcutaneous tissue of the upper arm provides constant contraception up to 3 years. Unfortunately, there have been significant side effects including unwanted pregnancy. You must be trained and certified to provide this form of contraception.
5. IUD—ParaGard (Copper+) is inserted into the uterus and provides contraception up to 10 years.
6. Medroxyprogesterone (Depo-Provera): 150 mg IM can provide contraception for 3 months at a time and also stops the menses during that time.
All of the hormonal contraceptives may increase thromboembolic phenomena and incidence of endometrial carcinoma, although the risk is slight. They are also contraindicated in women with any history of breast cancer, migraine, and thromboembolic phenomena whether arterial or venous in origin.
1. Oral: Ethinyl estradiol + levonorgestrel (Seasonale): 1 tab daily × 91 days—beginning first Sunday after onset of menses and repeat same process after 91 days. Other cyclical hormones are still available.
2. Patch: Ethinyl estradiol + norelgestromin (Ortho Evra): Apply patch to abdomen, buttocks, etc. weekly at onset of menses for 3 weeks and 4th week is patch free; repeat same cycle every 4 weeks.
3. Levonorgestrel (Mirena): Intrauterine system. Insert into uterus and lasts up to 5 years at a time.
4. Etonogestrel implant (Implanon): A tiny plastic rod implanted into the subcutaneous tissue of the upper arm provides constant contraception up to 3 years. Unfortunately, there have been significant side effects including unwanted pregnancy. You must be trained and certified to provide this form of contraception.
5. IUD—ParaGard (Copper+) is inserted into the uterus and provides contraception up to 10 years.
6. Medroxyprogesterone (Depo-Provera): 150 mg IM can provide contraception for 3 months at a time and also stops the menses during that time.
All of the hormonal contraceptives may increase thromboembolic phenomena and incidence of endometrial carcinoma, although the risk is slight. They are also contraindicated in women with any history of breast cancer, migraine, and thromboembolic phenomena whether arterial or venous in origin.