2019 03 15 Bioethics InClassPresentation
2019 03 15 Bioethics InClassPresentation
I. Withdrawal
II. Standard Days Method
1.1. Definition and
2.1. Definition
How it works
2.2. How it works
1.2. Risk factors
2.3. Risk factors
WITHDRAWAL
DEFINITION & HOW IT WORKS
● The practice of withdrawing the penis from the vagina and away from a
woman's external genitals before ejaculation to prevent pregnancy.
● The goal of the withdrawal method is to prevent sperm from entering the
vagina.
WITHDRAWAL
RISK FACTORS
● Sexually
transmitted
infections
● Interrupts sex,
high failure rate,
sperm can be
released before
ejaculation.
STANDARD DAYS METHOD
DEFINITION
Identifies a fixed fertile window for women with cycles that are between 26 and 32
days long.
For women with cycles in this range, the method identifies days 8 through 19 as
potentially fertile days. A user simply tracks the start date of her period and the
days of her cycle to know if she is on a day when pregnancy is possible or not.
STANDARD DAYS METHOD
WORKING PRINCIPLE
RISK FACTORS
of the calculations.
Team 8: Sympto-thermal method
What is the Sympto-Thermal Method?
The Sympto- Thermal Method (STM) makes use of a woman’s observations of her cervical fluid, basal
body temperature (waking temperature) and other biological signs (e.g., changes in the cervix) in order
to identify the fertile and infertile times of her cycle.
“Sympto” stands for the symptom of cervical fluid, which changes under the influence of the woman’s
reproductive hormone, estrogen.
“Thermal” stands for the basal body temperature (BBT), which rises after a woman ovulates (when the
ovary releases an egg). Research shows that both are reliable signs of fertility.
How does the Sympto-Thermal Method work?
With STM, women learn to observe cervical fluid secretions and record the characteristics of their
secretions on a daily basis.
Cervical fluid is produced in the woman’s cervix. After menstruation, if a woman does not feel or see
cervical fluid in the vaginal area, she is probably not fertile.
The start of the fertile period: the fluid becomes clear, stretchy and slippery as ovulation approaches.
The end of a woman’s fertile period: after ovulation, the fluid dries
Basal body temperature is your temperature when you first wake from sleep. BBT is lower in the first part
of the cycle, and rises right after ovulation under the influence of the woman’s reproductive hormone,
progesterone. It stays high for the rest of the cycle.
Team 8
How effective is the Sympto-Thermal Method in helping couples avoid pregnancy?
If a couple uses the Sympto-Thermal Method perfectly, it is 99.4-99.6% effective in avoiding pregnancy
(98-99% effective with typical use) .
With typical use of the method over one year, less than 2 pregnancies occur per 100 women. To use STM
correctly, couples need to learn from trained instructors and be sure to follow all of the simple
instructions.
What are some benefits of the Sympto-Thermal Method?
There are no devices or drugs to use that harm the body or a couple’s fertility.
STM is safe, healthy (“organic”), and inexpensive. It teaches couples to understand their bodies and their
combined fertility. The STM is “reversible”—a couple can change their family planning goals whenever
they wish. And, research shows that couples who switch to a natural method of family planning improve
their relationships, and feel more respected by their partners and more in control of their fertility. 5
TEAM 4: CONDOM
A sheath-shaped barrier used during sexual intercourse
⇒ Reduce the probability of pregnancy or a sexually transmitted infection (STI) by keeping semen
(the fluid that contains sperm) from entering the vagina.
COMPARE MALE & FEMALE CONDOM
Similarities:
● Immediately effective
● Protection from sexually transmitted infections
● Available without a prescription or special fitting
● Uasually nonallergic reactions and has minimal risk of side effects
COMPARE MALE & FEMALE CONDOM
COMPARE MALE & FEMALE CONDOM
MALE FEMALE
- Reduce sensation
- Loss of erection
- Side effects: Can cause allergy or irritation from spermicides or lubricants
- Not 100% safe: Break, leak, or slip -> increase the risk of pregnancy or an STI.
BENEFITS:
- Convenient
- Cheap
- Easy to use
TEAM 6: IMPLANT
OUTLINE
1. What is implant method?
2. How it work?
3. Effectiveness
4. Advantages and
disadvantages
5. Side effects
6. Notice
What is implants?
- Flexible plastic rod which is 40 mm long called Nexplanon
- Placed just under the skin of the upper inner arm or in the vagina
- Each implant contains ~80 mg buprenorphine
How it work?
Releases hormone etonogestrel (similar to
progestogen) to:
- Prevent ovaries from releasing eggs
- Thickens your cervical mucus → Block sperm
Effectiveness
- Last for 3 years
- Flexible and not easily visible
- Provide the lowest pregnancy rate (1/100
women get pregnancy in 1st year used)
Side effects
- Nausea
- Weight gain
- Ovarian cysts
- Pain or bruising where the
implant was inserted
- An infection where the implant
was inserted
- Irregular menstrual bleeding
Notice
Who should not use this method?
Team 7: Emergency contraception pills (ECPs)
preventing ovulation
making cervical mucus thicker
Only effective if you get a new shot every 12-13 weeks (every
3 months, or 4 times a year).
Team 1: Injectable contraception
NOTE:
No protection from from
sexually transmitted infections.
Outline
1. What it is
2. How it works
3. Its effectivemess
4. Side effect
1. What it is
● Intrauterine devices (IUDs) are small, flexible, T-shaped plastic devices inserted into the uterus. An IUD is left in place for 3, 5, or 10
years, depending on the type
These IUDs are divided into 2 types: copper IUDs and hormonal IUDs
The copper IUD doesn’t have hormones. It’s wrapped in a tiny bit of copper, and it protects you from pregnancy for up to 12 years.
The hormonal IUDs use the hormone progestin to prevent pregnancy. Progestin is very similar to the hormone progesterone that our
bodies make naturally.
2. How it works
Both copper IUDs and hormonal IUDs prevent pregnancy by changing the way
sperm cells move so they can't get to an egg. If sperm can’t make it to an egg,
pregnancy can’t happen
● The copper IUD uses copper to prevent pregnancy. Sperm doesn’t like copper, so
the ParaGard IUD makes it almost impossible for sperm to get to that egg..
● The IUDs prevent pregnancy in two ways: 1) they thicken the mucus that lives on
the cervix, which blocks and traps the sperm, and 2) the hormones also sometimes
stop eggs from leaving your ovaries (called ovulation), which means there’s no egg
for a sperm to fertilize. No egg, no pregnancy.
3. Its effectivemess
● IUDs are very effective: The advantages of the IUD include the fact that it is
highly effective in preventing conception, is reversible, and starts working almost
immediately. Once the IUD is removed, there is a quick return to fertility.
● IUDs have no general, bodywide (systemic) effects.
● Women need to make only one contraceptive decision every 3, 5, or 10 years.
4. Side effect