Contraception, and it’s various methods

Posted by on Aug.06, 2010, under Gynecology

Why you use the method contraception, answer is very easy, to avoid unavoidable pregnancy. Contraception as a process used for all measures temporary or permanent designed to prevent pregnancy. There are two method of contraception used. One is temporary and another is permanent. The risk associated with contraception is much less than risk of pregnancy.M.T.P and child birth for high risk woman, therefore it is better avoiding pregnancy by use of contraceptives. There are so many methods for contraception. Like as follows;
Period of breast-feeding
Customary separation of abstinence of marital partners after birth of baby
Sex with out penile vaginal intercourse
Withdrawal method
Fertility awareness methods.
Breast feeding: – if you practice breast feeding 6 hourly and menstrual period has not returned. Breast feeding can be used as an effective methods of contraception for six months provided she practice exclusive breast feeding , take care that no substitute of breast milk. Frequent sucking causes high level of prolactin secretion in the mother. High level of prolactine is associated with suppression of ovulation. After 6 months many women will begin to ovulate even if their menses have not returned. Hence breast feeding can no longer be effective after 6 months post-partum.
Customary separation of abstinence of marital partners after birth of baby: – in some communities by observing social customs, the separation of spouses after birth of baby for varying periods, conception is avoided.
Sex with out penile vaginal intercourse: – expression of caring and fondness of partners with out penis in or near the vagina e.g. touching, hugging, masturbating. In this system sperms never reach the vagina. No possibility of pregnancy if ejaculation does not occur in or near the vagina. But in this system sometime one or both partners may make objection.
Withdrawal method: – in this method, during sexual intercourse, erect penis is withdrawn just before ejaculation. Semen is discharged out side the vagina. It is widely practiced method all over the world, in all cultures and by people of all religious. In this system sperms dropping out side the vagina. Responsibility for contraception is shared by the male partner.no physical side effect is caused.
Fertility awareness methods:- every women learn recognize the fertile days of the menstrual cycle over several months and avoid intercourses or use the barriers methods on those days. There are many fertility methods as follows,
Calendar method
Cervical Mucus Method
Basal body temperature
Symptom-thermal method
Calendar method:-keeps record of 6 menstrual cycles and then calculates the fertile days. From the record, the longest and shortest cycles are chosen. Substract 20 from the shortest cycle and 10 from the longest cycle, e.g. shortest cycle is 26 days and longest cycle is 34 days (26-20=6 and 34-10=24). So abstinence or barrier method has to be practiced from day 6 to day 24 of the cycle.
Basal body temperature:- basal body temperature method identifies the day of ovulation but not the beginning of fertile period. In this method, intercourse is to be avoided during first half of cycle until 3 days after the temperatures has risen, or use backup barrier methods. Record the temperature every morning before getting up from bed as soon as the woman is awake. The special BBT thermometer is useful. Record the temperature on BBT chart as a dot and connect the dots with a line. When BBT has risen 0.2 to 0.5 degree F and remains elevated for 3 days, the fertile phase is over.
Cervical Mucus Method: – In Cervical Mucus Method fertile period is indicated by a sensation of wetness at vulva or when mucus is observed. To observe mucus, one can wipe vulva with a tissue paper when one feels or sees mucus unless the partner uses condom till 4 days after peak symptom day. Peak symptom day is the day of maximum mucus. During period, sex is to be avoided as blood may mask mucus. If unsure of presence of mucus, use of condom by male partner is essential. Spermicidal, vaginal infection, drugs and intercourse can affect normal pattern of woman’s cervical mucus. Mucus can be recorded on a daily basis in a chart.
Symptom-thermal method: – Symptom-thermal method combines cervical mucus method and BBT. Beginning of fertile period is indicated by cervical mucus or even by calendar method and the end of fertile period by BBT. Fertile period ends 4 days after peak mucus or 3 days after sustained rise of BBT which ever is later.
Another some systems are available for contraception like as use of condom both male and female condoms. Uses of spermicidal, spermicidal are available in the form of creams and foaming tablets or suppositories. Women can use oral contraceptive pill to avoid unwanted pregnancy. These pills are available in chemist stores and uses also very easy, using direction is written on the tablets. Some women using copper T to avoid unwanted pregnancy. Copper T 200 B is a ‘T’ shaped plastic device made of polyethylene and impregnated with Barium sulphate to make it radio-opaque. It is 3.6 cm in length and 3.2 cm in width. Copper is wound round its vertical stem. Its surface area is 200 mm and the thread is attached to the lower end of the vertical stem.
However the latest discovery and modified contraceptive for emergency use is emergency tablet. This tablet is use to avoid unwanted pregnancy within 72 hours of last intercourse. It is available in chemist stores. Bur it is not for a permanent contraception.

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