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Video #1: Contraception & Infertility

Diaphragms: client must be refitted for a diaphragm for the following conditions:

1. It's been 2 years since she has been fitted

2. Gained more than 15 pounds (7kg)

3. Had a full-term pregnancy

4. Had a second term abortion

When you use a diaphragm, you need to use spermicide with every act of coitus (withdrawal of penis from vagina prior to ejaculation). Every time you withdrawal, instill more spermicide.

Diaphragm must stay inserted for 6hrs after act of coitus.

Hormonal Contraceptives (Oral)

Side effects: Chest pain, SOB, Leg pain (from a possible clot), headache or eye problems (from a stroke or hypertension)

G Contraindications: Women with a history of blood clots, stroke, cardiac problems, smoker, breast or estrogen related cancers (pill contains estrogen)

➤ Depo-Provera/Medroxyprogesterone

G

Injectable progestin

Can cause decreased bone mineral density or loss of calcium

Nursing action: Ensure patient has adequate intake of calcium and vitamin D

IUD

G Increase risk for PID

G

Can cause uterine perforation or ectopic pregnancy (increases risk for ectopic pregnancy)

Look out for/Notify PCP:

Change in string length IUD is moving and not in the right place

Foul smelling vaginal discharge

Pain with intercourse

Fever/Chills (infection)

Infertility is defined as an inability to conceive desire engaging in unprotected sexual intercourse for a prolonged period of time or at least 12 months.

Common factors associated with infertility include:

• Decreased sperm production (Sperm analysis)

Endometriosis

G Ovulation disorders

Tubal occlusions →→If you test and use DYE (used in the fallopian tubes), make sure the woman is not allergic to iodine or shellfish/seafood