Term
|
Definition
Barrier- blocking (physical) and killing (chemical) sperm, used with spermacide
|
|
|
Term
|
Definition
Few serious complications
Irritation of skin/vagina- if this occurs use this method less frequently
Vaginal or Urinary infection
TSS
possible difficulty with removal
unintended prgnancy |
|
|
Term
|
Definition
Can be used for short and long term or intermittently
overall low medical risks
no systemic effects
Possible reduces STI risk
Female initiated
|
|
|
Term
Dose- How to use
When to insert?
Leave in for at least __ hrs following sex
Max hrs you can leave in?
More than one sex act? |
|
Definition
Needs to be in place before sex
leave in at least 6hrs after sex
Do not leave in more than 24hrs
If more than 1 sex act reapply spermacide before each act |
|
|
Term
Pt Edu
Go over how to use
When do you need to refit?
Where should it fit?
Oil based lubricants?
|
|
Definition
Needs refit after 10lb weight change and after pregnancy
Fits in posterior fornix and behind pubic arch
Oil based lubricants are risk for decreasing the integrity of a latex based produt |
|
|
Term
Trouble Shooting
Fitting- How to?
Back-up methods
Recurrent UTI or vaginal infections
|
|
Definition
Use index and middle finger to measure from posterior fornix to pubic arch- pick larger as opposed to smaller
Discuss male condom use and emergency contraception as diaphragm only works when in-if pt forgets/doesn't use she need back-up
Consider refitting with a smaller size or alternative rim style- or chaning method |
|
|
Term
Most Common Complaint
Not many reported but some possible: |
|
Definition
high pt compliance required- if this method does not work for pt discuss other options
difficulty inserting or removing- show her how, have her try in the office; possibly change methods
|
|
|
