Injectable contraceptives

INJECTABLE CONTRACEPTIVES www.freelivedoctor.com

Introduction ,[object Object],www.freelivedoctor.com

Two types of injectable contraceptives : ,[object Object],[object Object],www.freelivedoctor.com

Progestogen -only formulations ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Combined formulations ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Combined formulations ,[object Object],www.freelivedoctor.com

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www.freelivedoctor.com Common trade names Duration of effect Active ingredients Name Depo-Provera, Depo-Clinovir, others 90 days 150 mg medroxyprogesterone acetate in an aqueous microcrystalline suspension DMPA (progestogen-only) Noristerat, Norigest, Doryxas, and others 60 days 200 mg norethisterone enanthate in an oily preparation NET-EN (progestogen-only ) Mesigyna, Norigynon 30 days 50 mg norethisterone enanthate and 5 mg estradiol valerate Mesigyna (combined)

PROGESTOGEN ONLY INJECTABLES www.freelivedoctor.com

Mode of Action ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Efficacy ,[object Object],[object Object],www.freelivedoctor.com

Beneficial Effects ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Non-contraceptive health benefits ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Non-contraceptive health benefits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

PROGESTOGEN ONLY INJECTABLES ,[object Object],www.freelivedoctor.com

Menstrual irregularities ,[object Object],[object Object],www.freelivedoctor.com

Menstrual irregularities ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Other Side-Effects ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Possible Carcinogenicity ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Bone density ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Effect on fetal exposure ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Effect on Metabolism ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Cardiovascular Effect ,[object Object],[object Object],www.freelivedoctor.com

RETURN OF FERTILITY ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

World Health Organization (WHO) developed eligibility criteria for the use of various contraceptive methods . ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Contra-indications (category 4): ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Conditions requiring careful consideration (category 3): ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Other Conditions (category 2) ,[object Object],[object Object],www.freelivedoctor.com

COMBINED INJECTABLE CONTRACEPTIVES www.freelivedoctor.com

Beneficial Effects ,[object Object],[object Object],www.freelivedoctor.com

Side-Effects ,[object Object],[object Object],www.freelivedoctor.com

Return of Fertility ,[object Object],[object Object],www.freelivedoctor.com

Eligibility Criteria ,[object Object],www.freelivedoctor.com

Adolescents ,[object Object],www.freelivedoctor.com

Women Over 35 ,[object Object],[object Object],www.freelivedoctor.com

Postpartum (in Breast feeding Women) ,[object Object],[object Object],www.freelivedoctor.com

Postpartum (in Breastfeeding Women) ,[object Object],[object Object],www.freelivedoctor.com

Postpartum (in Non-Breast feeding Women) ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Drug Interaction ,[object Object],[object Object],www.freelivedoctor.com

Prevention of STD/HIV Transmission ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Elective Surgery ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Sickle Cell Disease ,[object Object],[object Object],www.freelivedoctor.com

Counselling ,[object Object],[object Object],[object Object],www.freelivedoctor.com

some misconceptions about injectables www.freelivedoctor.com

Do injectable contraceptives cause infertility ? ,[object Object],[object Object],www.freelivedoctor.com

Do injectable contraceptives increase cancer risks ? ,[object Object],[object Object],www.freelivedoctor.com

When amenorrhea occurs, does menstrual blood build up in the body, leading to disease ? ,[object Object],[object Object],[object Object],www.freelivedoctor.com

Can injectable contraceptives transmit disease ? ,[object Object],[object Object],[object Object],www.freelivedoctor.com

special injection techniques www.freelivedoctor.com

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When can the initial injection be given ? www.freelivedoctor.com

Progestogen -Only Injectables ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Combined Injectables Mesigyna ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Margin for the follow-up re-injection www.freelivedoctor.com

Breast feeding ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Thank you www.freelivedoctor.com

Injectable contraceptives

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Injectable contraceptives