Adult-Gerontology Practice Guidelines by Cash Jill C. Glass Cheryl A

Author:Cash, Jill C.,Glass, Cheryl A.
Language: eng
Format: epub
Publisher: Springer Publishing Company, Inc.
Published: 2016-03-17T05:20:52+00:00

ii.

Cerebral vascular or coronary artery disease, MI, or stroke

iii.

History of or active thrombophlebitis or thromboembolic disorders

iv.

History of uterine or ovarian cancer

v.

Known or suspected cancer of the breast

vi.

Known or suspected estrogen-dependent neoplasm

vii.

Pregnancy

viii.

Undiagnosed, abnormal vaginal bleeding

f.Relative contraindications to ET

i.

Active gallbladder disease

ii.

Familial hyperlipidemia

5.Spermicide (foam, film, gel, tablets, and suppositories)

a.Advantages: Spermicide is a nonhormonal OTC preparation and contains nonoxynol-9. It is inexpensive and easily accessible.

b.Disadvantages: Spermicide is user controlled and if not used consistently will lead to contraception failure. Some may experience sensitivity or allergy to spermicide. Spermicide has a high failure rate.

c.Efficacy with perfect use of spermicide: 18 in 100 women will become pregnant each year. With typical use of spermicide, 29 of 100 women will become pregnant each year.

F.Natural family planning (NFP)

1.Advantages: NFP is nonhormonal. It is inexpensive and easily accessible.

2.Disadvantages: NFP is user controlled and depends on regularity of cycle and avoidance of intercourse. Can be complex for user and has a high failure rate. Does not protect against STIs.

3.Efficacy with use: With typical use of the fertility awareness method, 25 in 100 women will become pregnant each year.

Additional information, training, and patient teaching may be found at the following websites: Association of Reproductive Health Professionals: www.arhp.org/Publications-and-Resources/Quick-Reference-Guide-for-Clinicians/-choosing/Fertility-awareness; Institute for Reproductive Health: www.irh.org; Planned Parenthood: www.plannedparenthood.org

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