EDP 363-3 1st Edition Lecture 15Outline of Last Lecture I. Sex and EgoII. Birth Control (chapter 10)III. The Birth Control PillOutline of Current Lecture I. Birth Control Pill (Continued)II. Other Methods of BCIII. Permanent Methods of BCCurrent LectureI. Birth Control Pill (Continued) Sex and Egoa. Side Effects (listed in book)i. Circulation problems from estrogen (hence why older women don’t take the pill)1. Doctors won’t let women use BC pill after ~35 years ii. Weight gain due to water retentioniii. Breast tendernessb. Advantagesi. Reduces risk of 1. Ovarian cancer2. Endometrial cancer3. Benign breast tumors4. Ovarian cysts5. Pelvic Inflammatory Diseaseii. Often reduces or relieves PMS1. No peaks in hormones, so less endometrial lining builds upiii. Regulates periodsII. Other Methods of BCa. Nuevo Ringi. Permeable to timed release of estrogen/progesterone for three weeks then removes for one week (period)ii. Can take out to have intercourseb. BC Patchi. Hormone absorbed through the skinii. Replaced once every weekThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.c. Different Packagingi. 21 days pills then stopii. Take pill every day for 3 months, then off for 1 week for period (seasonale)iii. Take for a year straight (spot bleeding still occurs)d. Condomsi. Antibiotics lower BCP effectiveness so use condomii. Main failure is in course of use use or if there is a hole/deteriorationiii. BC Pill + condom use  pretty much better than sterilizationiv. Missed pill, or taking antibiotics  use condome. IUD (Intrauterine Device)i. Plunger goes through ozii. Greater risk of diseasesiii. Alter lining of uterus and makes it inhospitable for egg implantationiv. Does not prevent ovulationv. Can stay in for 4-5 yearsvi. Meant for women with 1 partner (filament can carry viruses)f. Diaphragmsi. Women puts them into vaginaii. Used only when having sexiii. Blocks most sperm from getting to cervix (but not all)iv. Always used in conjunction with spermicide (kills sperm with light acids)v. Leave in for 4-5 hours afterg. OTHER METHODS ARE IN TEXT BOOK!III. Permanent Methods of BCa. Vasectomies (male sterilization)i. Minor surgical procedure that involves cutting and closing each vas deferens (the sperm carrying duct)ii. Advantages: less expensive, less risk, less recovery time, less pain than tubuleligationsiii. Still viable (flushes out sperm above cut)b. Tubule Ligations (female sterilization)i. Cut fallopian tubes; there are 4 to 5 ways to cut but there is one that is especially popular ii. Laparoscopic Ligations1. Operate on 1st day of period so that there is not an egg in the tube (prevent ectopic pregnancy)2. Expensive because in hospital3. Procedure:a. 1. Numb lower half or completely knock outb. 2. incision below navel button, insert tube, insert CO2 to expand abdomen to separate organs (don’t want to cut the wrong thing!)c. 3. insert laparoscopic camera (has light source)d. 4. make another incision near pubic hair e. 5. Locate fallopian tube, insert another instrument to grab fallopian tube, then pull out tube and cut and cauterize (to block passage of sperm and eggs), then suture4. Recovery: women stays in room for 8 hours at rest, give time for CO2 to escape, 5 day recovery period, returns weeks later to check for infection5. Immediately sterile after surgery6. Hormones and ovaries not affected; ovulation still occurs7. There are more laparoscopic ligation than vasectomies becausea. Women have children on own/ligation aloneb. Sometimes they do it right after delivery of