Family Planning Methods

Contraception (birth control) prevents pregnancy by interfering with the normal process of ovulation, fertilization, and implantation. There are different kinds of birth control that act at different points in the process.NO SINGLE METHOD IS APPLICABLE TO ALL.

What are Contraceptive implants and injections?
Hormonal contraception for women is available as implants and injections. These methods, particularly the implant, are more effective than contraceptive pills and rings, but like other contraceptive methods, may cause side effects and do not give protection from Sexually transmitted infections.

Implants

The contraceptive implant . is a hormonal, rod-shaped device that is inserted under the skin at the inner side of the upper arm. .it has a hormone that stops ovulation and makes the fluid at the opening to the uterus (womb) thicker, stopping sperm from getting through.
The contraceptive implant lasts for three years, is close to 100 per cent effective and suits most women who cannot take synthetic oestrogens. The implant is put in by a doctor under local anaesthetic.

Injections (Depo)

The contraceptive injection . is a hormonal injection.this method stops ovulation and makes the fluid at the opening to the uterus thicker, stopping sperm from getting through. The contraceptive injection is a very effective . .INJECTION IS GIVEN AT the interval of 2 or 3 months.

Give me an information about Contraceptive intrauterine devices (IUDs)?
The IUD is a small plastic device with added copper or hormones that is put into the uterus by a doctor. It can stay in place for up to 10 years, depending on the type used. Women who want to get pregnant or are having problems can easily have the IUD taken out earlier.

Both types of IUD (copper and hormonal) are more than 99 per cent effective and work by changing the lining and environment of the uterus so sperm cannot survive. If any sperm do survive and fertilise an egg, the egg cannot stick to the wall of the uterus, which means a pregnancy cannot happen.

The hormonal IUD (Mirena0) makes periods lighter or stop altogether. It may need to be taken out because of hormonal symptoms such as headaches, breast tenderness, acne and increased appetite, but this is rare. The copper IUD tends to make periods heavier, but does not cause hormonal side effects.

The hormonal IUD slowly and continuously releases a small amount of hormones, which may make the fluid at the opening to the uterus thicker, stopping sperm from getting through. This may also prevent pregnancy by slightly change the hormones that control the menstrual cycle

what is Emergency contraception?
Emergency contraception, also known as 'the morning after pill', is a hormonal method of contraception that may stop ovulation. It can be taken to avoid getting pregnant in an emergency situation, such as after having unprotected sex, if a condom slips off or breaks during sex, or if the contraceptive pill is missed. It prevents 85 per cent of. pregnancies that would otherwise have happened

what about Contraceptive pills and vaginal rings?
Hormonal contraception for women is also available with a doctor's prescription as a pill (oral contraception) or a vaginal ring .. These methods are very effective (99.7 per cent) .Pills and vaginal rings may cause side effects and do not give protection from STIs.

Combined pill

The combined pill contains synthetic forms of the hormones oestrogen and progesterone. It stops ovulation and makes the fluid at the opening to the uterus thicker, stopping sperm from getting through.

There are many types of combined pills with different doses and hormones. This method is generally not recommended for women who are at risk of heart disease, such as smokers who are over 35 years of age.

Mini pill

The mini pill contains a synthetic form of only one hormone, progesterone. It makes the fluid at the opening to the uterus thicker, stopping sperm from getting through.

Vaginal ring

The vaginal ring has similar hormones to the combined pill and works in the same way. .

The vaginal ring releases a low dose of hormones and saves having to remember to take a pill every day. It is also as easy to put in as a tampon and, like the combined pill, is 99.7 per cent effective if used the right way.

Male and female condoms also lessen the risk of STIs. Barrier methods can be very effective if used the right way every time you have sex.

Male condom

The male condom is a latex . covering that is put over the erect penis, stopping sperm from getting into the vagina. The method is 98 per cent effective if used the right way. This means using a condom every time you have sex and putting it on before there is any contact between the penis and vagina.

Male condoms are not as expensive as other methods and are available from pharmacies without a doctor's prescription.

Female condom

The female condom is a loose polyurethane pouch with a flexible ring at each end that sits in the vagina, stopping sperm from getting into the uterus. It can be put in several hours before having sex and is stronger than the male latex condom but needs some practise. If the female condom is used the right way every time you have sex, it is 95 per cent effective.

Diaphragm

The diaphragm is a soft, shallow, silicone dome that fits in the vagina. It covers the opening to the uterus, stopping sperm from getting through. The diaphragm needs to stay in place for at least six hours after having sex. If it is used, fitted and positioned the right way, the method is 94 per cent effective. Diaphragms need to be fitted by a trained doctor . The method may not give protection from STIs.

What are the Permanent methods of contraception?
Sterilisation is a permanent method of contraception that involves having a surgical procedure. Female and male sterilisation are very effective, but these methods do not give protection from STIs.

Female sterilisation

Female sterilisation blocks the fallopian tubes, stopping an egg from moving down the tube and being fertilised. The two commonly used methods are:

=> tubal ligation, known as 'having your tubes tied', where a clip is put on each tube .
=> tubal occlusion, where a small coil .

Vasectomy (male sterilisation)

Vasectomy involves cutting the tubes that carry sperm to stop sperm from moving from the testes to the penis

What are Natural methods of contraception?
Natural methods, known as natural family planning, are based on monitoring body changes during the menstrual cycle to know when a woman is most fertile. These changes are used as a guide to know when to have sex and when to avoid having sex. Methods include monitoring changes to the body's temperature and the fluid at the opening to the uterus.

The effectiveness of natural family planning varies, depending on which method or combination of methods is used. Natural family planning does not give protection from STIs. Very unpredictable and not recommended

Does a Contraceptive offers protection from STIs?
It is important to practise safer sex, as well as to prevent an unintended pregnancy. Not all methods of contraception give protection from STIs. The best way to lessen the risk of STIs is to use barriers such as male and female condoms .

If I plan to have a baby, how soon after stopping the birth control pill can I conceive?
Most women ovulate again about two weeks after stopping the pill. As soon as you ovulate again, you can get pregnant. If this happens during your first cycle off the pill, you may not have a period at all. Check a pregnancy test if you've had unprotected intercourse and your period hasn't returned.

What happens if I stop taking the birth control pill and my period doesn't come back?
If you don't have a period for several months, you may have what's known as post-pill amenorrhea. The pill prevents your body from making hormones involved in ovulation and menstruation. When you stop taking the pill, it can take some time for your body to return to normal production of these hormones.

Your period typically resumes within three months after you stop taking the pill. But some women, especially those who took the pill to regulate their menstrual cycles, may not have a period for several months.

If you don't have a period within three months, take a pregnancy test to make sure you're not pregnant and then see your doctor.

What happens if I take birth control pills while pregnant?
Don't worry if you kept taking your birth control pill because you didn't know you were pregnant. .. Once you learn that you're pregnant, stop taking the birth control pill and consult doctor

I have taken birth control pills for years and want to stop. Can I stop at any time or should I finish my current pill packet?
When you finally do stop the pill, you can expect some bleeding, which may change the rhythm of your menstrual cycle. But you can stop at any time.

Do birth control pills cause weight gain?
Many women think so. But studies have shown that the effect of the birth control pill on weight is small - if it exists at all.

Instead, you may be retaining more fluid, which can make you feel as if you've put on weight, particularly in your breasts, hips and thighs. The estrogen in birth control pills does affect fat (adipose) cells, making them larger but not more numerous.

How do birth control pills affect cancer risk?
Scientific evidence suggests using birth control pills for longer periods of time increases your risk of some cancers, such as cervical cancer and liver cancer, but the results aren't consistent.

On the flip side, the birth control pill may decrease your risk of other types of cancer, including ovarian cancer and endometrial cancer.

But, today's pills have a much lower estrogen dose, and more recent studies show no increase in breast cancer risk if you take birth control pills. Studies also have found no link between breast cancer risk and use of birth control pills in women who have a family history of breast cancer.

Do birth control pills affect cholesterol levels?
Birth control pills can affect your cholesterol levels. .. Birth control pills with more estrogen can have a slightly beneficial overall effect on your blood lipid levels. In general, though, the changes aren't significant and don't affect your overall health.

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Comments


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