Question

A 36-year-old woman comes to the clinic stating she has used emergency contraception after intercourse six times in the past year. She smokes one pack per day and has a negative medical history for hypertension, cancer, and DM. What teaching does she need about emergency contraception use and what would you tell her about the advantages and disadvantages of oral contraceptives and IUDs.

Answer 1

Emergency contraception use be used to prevent unwanted pregnancy when there is unprotected intercourse or chance failure of contraceptives.It is 95% effective and can be used within 5 days after intercourse.

Some contraception pills raise blood pressure so the patient should be carefully in using the pills.

ADVANTAGES

Can be immediately reversible.

Causes less menstrual cramps and decrease pain.

Long term use is safe.

Cause light bleeding in menstrual cycle who severed from severe bleeding.

Menstrual cycle can be controlled.

Prevent cancer risk of ovaries.

DISADVANTAGES

Should be taken daily.

Hormonal side effects.

Gives no protection against STD.

Contains estrogen.

IUD

Intrauterine device.

Advantages

No hormonal side effecrs.

Can be used for long periods of time such as 5 to 10 years.

Works straight away after placing it.

Cannot react with other medicines.

Pregnancy can be seen after removing it in less time than other contraceptives.

DISADVANTAGES

No protection against STD

Infection may lead to pelvic infection if nonot checked.

Periods is thick and may be painfull.