Contraceptive choices for behaviorally disordered women

Article Abstract:

Practitioners should consider a variety of contraceptive options when treating women who are mentally ill or those who are substance abusers. The contraceptive needs of institutionalized patients are different from those of women who are not institutionalized. Oral contraceptives may be a good choice for institutionalized patients where compliance with drug regimens may lead to compliance with daily pill taking. Progestin implants might be appropriate for non-institutionalized women when consistent use of birth control might be difficult to ensure. Progestin implants have been linked to depression in some patients, so patients should be monitored carefully. Drug interactions must be taken into account for all patients on regular drug regimens. The effects of psychotropic drugs on the reproductive system should also be considered if applicable. IUDs should also be considered for women who are able to give informed consent. Condoms should also be provided to protect against sexually transmitted diseases.

Health aspects, Social aspects, Mental illness, Mental disorders

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Seventeen-year review of sexual and contraceptive behavior on a college campus

Article Abstract:

College students' awareness of AIDS and other sexually transmitted diseases does not seem to have had a strong impact on their sexual behavior. Sexual behavior has changed at the University of Hawaii as measured by questionnaires distributed in 1974, 1979 and 1991. In the most recent survey, 464 women and 308 men returned questionnaires. Women were slightly overrepresented in the sample when compared with the general population of the university. More than half of the women and 45.1% of the men indicated that they had asked their sexual partner about his or her HIV status. Nonetheless, during their first sexual experiences 34.2% of the men and 30% of the women used no contraceptives. Condom use occurred during first sexual experiences for 35.6% of the women and 35.4% of the men. More than 80% of the respondents indicated that they were sexually active. When asked about being forced to have sex, 33.9% of the women reported being forced by an acquaintance and 32.2% reported being forced by a partner.

Sexual behavior, Analysis, Usage, College students, Sexual behavior surveys

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The mechanism of action of hormonal contraceptives and intrauterine contraceptive devices

Article Abstract:

Most hormonal contraceptives either inhibit ovulation or change the lining of the uterus so the fertilized egg does not attach to the uterus. Some also inhibit sperm from penetrating the egg. It is not clear exactly how intrauterine devices prevent pregnancy.

Physiological aspects

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