Contraception

We use our knowledge of reproductive physiology to promote or avoid pregnancy.

15 April 2013 Contraception.ppt 1

Contraception
Three general strategies:
Prevent ovulation; Prevent fertilization;
Keep sperm & oocyte away from each other.

Prevent implantation.

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Contraception.ppt

Contraception
Prevent ovulation.
The Pill
Synthetic progestins mimic effect of progesterone. Inhibits FSH & LH, and their effects on follicle development

Norplant Depo-provera NuvaRing, etc.

15 April 2013 Contraception.ppt 3

Contraception
Prevent fertilization.
Celibacy
(Is this contraception, or non-participation?)

Condom Spermicidal foam, etc. Diaphragm Sterilization

Vasectomy Tubal ligation

15 April 2013

Contraception.ppt

Contraception
Prevent fertilization.
Coitus interruptus Rhythm
Avoid intercourse during womans likely fertile period ~ 1 week before ovulation to ~ 4 days after ovulation

15 April 2013

Contraception.ppt

Contraception
Prevent implantation.
Intrauterine Device (IUD) Morning-after pill
High dose progestins

Immunize woman against embryo

15 April 2013

Contraception.ppt

Contraception
Male contraception
Vasectomy Condom male pill
Under development & limited testing, ~ 20 years.

Why so few methods?

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Contraception.ppt

& if contraception fails

RU-486
Blocks progesterone receptors Uterus & anterior pituitary behave as if no progesterone present Endometrium sloughs.

15 April 2013

Contraception.ppt

Contraception

15 April 2013

Contraception.ppt