Overview Snapshot A 24-year-old, G0P0, woman presesnts to her gynecologist for a scheduled routine visit. She denies any acute complaints and reports to be in excellent health. She is sexually active with only one male partner and uses condoms consistently, which is her only method of contraception. Both her and her partner were recently tested for sexually transmitted infections and results were negative. She reports concern because approximately 2 days ago, she had intercourse and the condom broke. She feels that she is not prepared to care for a child and inquires about the "morning after pill." After a discussion, she requests the copper intrauterine device as emergency contraception and as a contraceptive method to decrease the risk of future pregnancy. Barrier Contraceptives Male condom creates a barrier that prevents contact with genital lesions, penile, vaginal, and anal discharges login to view 1 more bullet effectiveness login to view 1 more bullet advantages login to view 4 more bullets disadvantages login to view 2 more bullets Female condom another barrier mode of contraception that may reduce the risk of pregnancy and STIs effectivness login to view 1 more bullet Contraceptive Pills Estrogen-progestin contraceptive can also be a ring and patch mechanism of action login to view 2 more bullets effectiveness login to view 1 more bullet side effects include login to view 10 more bullets contraindications login to view 7 more bullets non-contraceptive benefits login to view 3 more bullets Progestin-only contraceptive can also be injected and implanted subcutaneously mechanism of action login to view 5 more bullets effectiveness login to view 1 more bullet benefits login to view 3 more bullets side effects login to view 10 more bullets Etonogestrel implant A small progestin rod that is a reversible mode of contraception placed subdermally in the upper arm to provide long-acting (three years) contraception Efficacy with typical use, there is a <1% pregnancy rate Intrauterine Device (IUD) Types of IUDs copper IUD login to view 10 more bullets levonorgestrel IUD login to view 8 more bullets Contraindications uterine cavity distortions login to view 1 more bullet pelvic infection of acute onset login to view 1 more bullet pregnancy Wilson's disease login to view 2 more bullets unexplained uterine bleeding current breast cancer login to view 1 more bullet Emergency Contraception (EC) EC involves the use of drugs or a device to prevent pregnancy EC is also known as "postcoital contraception" and "morning-after pill" Indications recent unprotected intercourse recent possible failure of a different mode of contraception (e.g., condom breakage) Options copper IUD login to view 3 more bullets ulipristal login to view 6 more bullets levonorgestrel login to view 6 more bullets Efficacy trend copper IUD > ulipristal > levonorgestrel