Gynecology Book

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ContraceptionAka: Birth Control

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  1. Five Year Cost of Contraception
    1. Cost Calculation
      1. Adverse effects
      2. Unwanted pregnancy
    2. Baseline Cost for comparison
      1. No method of contraception: $14663
    3. Highly Efficacious Methods
      1. Copper-T (Paragard) IUD: $540 ($54/year for 10 years)
      2. Vasectomy $764
      3. Implantable device (Norplant): $850
      4. Depo Provera Injection $1290
      5. Oral Contraceptive: $1784
      6. Progesterone T (Progestasert) IUD: $2042
      7. Tubal Ligation: $2584
    4. Less Efficacious Methods (higher risk of pregnancy)
      1. Male Condom: $2424
      2. Withdrawal Method: $3278
      3. Periodic abstinence: (Rhythm Method) $3450
      4. Contraceptive Diaphragm: $3666
      5. Vaginal Spermicide: $4102
      6. Female Condom: $4872
      7. Contraceptive Sponge: $5700
      8. Cervical Cap: $5730
    5. References
      1. Trussell (1995) Am J Public Health 85(4):494
  2. Non-Hormonal Options
    1. Male Condom
    2. Female Condom
    3. Contraceptive Diaphragm
    4. Contraceptive Sponge (no longer available in U.S.)
    5. Cervical Cap
    6. Vaginal Spermicide
    7. Natural Family Planning and Fertility awareness
    8. Contraceptive Sponge (returns to U.S. market in 2005)
  3. Hormonal Contraception
    1. Oral Contraceptive
    2. Depo Provera Injectable (repeated every 3 months)
    3. Intrauterine Device
      1. Copper T-380A (Paragard) IUD: 10 years
      2. Progesterone-T (Progestasert) IUD: 1 year
      3. Mirena (5 year device)
    4. Vaginal Contraceptive Ring (NuvaRing)
    5. Contraceptive Patch (Ortho Evra)
    6. Norplant (5 year implantable device)
      1. No longer manufactured
  4. New Contraceptive Methods (soon to be available in U.S.)
    1. Monthly injectable
    2. Implanon (1 rod 40 mm long, lasts 2 years)
      1. Not available in United States

Contraception Management (C0281812)

ConceptsTherapeutic or Preventive Procedure (T061)
EnglishContraception Management
SourcesCOSTAR
Derived from the NIH UMLS (Unified Medical Language System)


Contraceptive methods (C0700589)

Definition (MSH)Prevention of CONCEPTION by blocking fertility temporarily, or permanently (STERILIZATION, REPRODUCTIVE). Common means of reversible contraception include NATURAL FAMILY PLANNING METHODS; CONTRACEPTIVE AGENTS; or CONTRACEPTIVE DEVICES.
Definition (NCI)The prevention of conception or impregnation by the use of devices or drugs or surgery.
ConceptsTherapeutic or Preventive Procedure (T061)
MSHD003267
EnglishBirth Control, Contraception, Contraceptive Method, Contraceptive methods, Fertility Control, Fertilization Inhibition, INHIB OF FERTILIZATION, Inhibition of Fertilization
Spanishanticoncepcion, control de la natalidad
Parent ConceptsReproductive Techniques (C0035151), Personal Behavior (C1519022), Sex Behavior (C0036864), Contraception status (C0420837), Clinical history and observation findings (C0427350), Ambiguous concept (C1274012), Duplicate concept (C1274013)
SourcesAOD, COSTAR, CSP, LCH, MEDLINEPLUS, MSH, MTH, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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