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Hormonal
IUD
Barrier
Methods based on
information
Permanent sterilization
IDEAL CONTRACEPTIVE
Inexpensive
Easy and simple to use
Minimum side effects
Rapidly reversible
Readily available
Highly effective?
Can be administered by non-healthcare
personnel?
Hormonal contraception
Combination Oral
Contraceptive
Pills can be taken to prevent
pregnancy
Pills are safe and effective
when taken properly
How to Use the contraceptive
Pill
How does a woman take the
pill?
She takes a pill by mouth
around the same time
every day. There are 21
hormone pills and 7
hormone free pills in this
package.
She will have her period
while the 7 hormone free
pills are taken.
Taking the Pill
Once a day at the same time
everyday
Suggest : Use condoms for first
month
Use condoms when on antibiotics
Use condoms for 1 week if you
miss a pill or take one late
The pill offers no protection from
STDs
Positive Benefits of contraceptive Pills
Kerugian :
- Kebutuhan untuk terus menggunakan.
- Diperlukan kontrasepsi lain sebagai backup
dalam waktu 48 jam bila terlambat
mengkonsumsi pil (3jam dari waktu yang
ditentukan).
COC
7 pill free days are safe
Not for the forgetful!!
Mini pill
Not for the forgetful!!!!!
Missed COC Pill/s
Missed COC pill
Continue COC Continue COC to end of pack Continue COC and use
use extra precautions for 7 extra precautions for 7
days days. GO straight on to
next pack without a break
Missed Mini Pill/s
Cerazette?
Take the missed pill and
continue as normal
NO YES
Contoh :
a. Depomedroxyprogesteron asetat (DPMA)
Cara kerja :
Menghambat ovulasi dengan cara menekan
sekresi hormon FSH dan LH
Dosis :
Dosis tunggal : 150 mg umumnya bertahan selama
minggu.
Konsentrasi ini diulang tiap 3 bulan
KEUNTUNGAN
Komposisi :
Medroxyprogesteron acetat 50 mg ,dan
Estradiol cypionat 10 mg/ml/vial
Dosis :
Dosis tunggal untuk jangka 1 bulan ;
satu vial diberikan
dalam setiap 30 hari
Keuntungan:
-Siklus haid menjadi teratur, sekitar 28 hari
persiklus
- - Dismenore dan perdarahan abnormal
berkurang.
Kerugian:
- Terdapat spotting yang irregular.
- Menambah berat badan.
- Penurunan libido.
Nama dagang :
- Cyclofem ( Injeksi MPA + Estradiol cypionate )
- Cyclogeston (Injeksi MPA + Estradiol cypionate )
Cara pemakaian :
Kapsul yang panjangnya 34 mm , diameter 2,4 mm
disusukkan dibawah kulit
Nama dagang :
- Implanon
Isi tiap kapsul : Etornogestrel 68 mg
- Indoplant
Isi tiap kapsul : Levonorgestrel 75 mg
Cara kerja :
Menekan lonjakan LH juga menekan
ovulasi.
Perlindungan kontrasepsi mulai saat 24 jam
setelah insersi dimana obat dilepaskan kedalam
darah secara difusi melalui dinding kapsul.
Kapsul diinsersikan secara sub cutan, biasanya
pada lengan atas, sehingga tidak terlihat namun
dapat dipalpasi.
Keuntungan :
- Efektif
- Tidak menggunakan estrogen eksogen
- Reversibel
- Tidak ada efek samping yang berkaitan dengan
produksi ASI.
- Tidak menaikkan tekanan darah.
- Dapat digunakan jangka panjang. (5 tahun)
Kerugian :
- Melalui bedah minor saat insersi
- Kesukaran dalam pengangkatan implant
Efek samping :
- Gangguan siklus haid
- Peningkatan berat badan
- Pusing
- Mual, anoreksia
Indikasi :
- Wanita post partum
- Wanita menyusui.
- Wanita dengan kontra indikasi
penggunaan estrogen
Norplant I vs. Norplant II
Six capsules Two capsules
Five years Three years
Skin Patch
Kerugian :
- Sama dengan kontrasepsi oral
kombinasi
- Tidak efektif pada wanita dengan
berat badan lebih dari 70 kg.
- Kontrasepsi Skin Patch tidak
beredar di Indonesia
Setiap patch mengandung 1 minggu
suplai hormone yang melepaskan
hormone steroid dosis rendah yang
setara dengan dosis terendah
kontrasepsi oral kombinasi.
Kontrasepsi ini melepaskan etinil
estradiol (hormone estrogen)
20mcg dan norelgertromin
(hormone progestin) 150mcg
setiap hari secara langsung melalui
kulit ke dalam aliran darah
INTRAUTERINE DEVICES (IUD)
Copper T Progestasert
5 years 1 year
99.2 % effective 98% effective
Copper on IUD acts as T shaped plastic that
spermicide, IUD blocks releases hormones over
a one year time frame
egg from implanting
Thickens mucus, blocking
Must check string before egg
sex and after shedding of Check string before sex &
uterine lining. after shedding of uterine
lining.
IUD
Copper T
Nuva T (+ Progesterone)
Emergency Contraception
Emergency contraception
pills can reduce the chance
of a pregnancy by 75% if
taken max within 72 hours
of unprotected sex!
EMERGENCY
CONTRACEPTION (ECP)
After intercourse and before implantation
Indication: failure of condoms
Unprotected intercourse
Max Within 24 - 72 hours after unprotected
intercourse
Levonorgestrel or Combined Prescription
(high dose)
Single dose, the earlier the better
Prevented 75% of unplanned pregnancies
Must be prescribed by doctor
ECP Mechanism
Floods the ovaries with high
amount of hormone and prevents
ovulation
Alters the environment of the uterus,
making it disruptive to the egg and
sperm
Two sets of pills taken exactly 12
hours apart
Non hormonal
contraceptives
Barrier methods of
contraception
Two types :
Spermicides
Male Condom
Female Condom
Diaphragm
Cervical Cap
1. SPERMICIDES
Chemicals kill sperm in the vagina
Different forms:
-Jelly -Film
-Foam -Suppository
Some work instantly, others require
pre-insertion
Only 76% effective (used alone),
should be used in combination with
another method i.e., condoms
Spermicides