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22.5.10

CONTRACEPTIVE : Methods of Birth Control



Birth control methods can be classified in:

1.Methods of Mass Application-commonly used by wives(or women)according to medical prescription and under supervision.This methods are:oral contraceptive pill and intrauterine device.
2.Local Methods:diaphragm,cervical cap and local contraceptive chemicals(foams,jellies,creams).They can be used by nonacceptors of pill or intrauterine device,and is not so reliable,specially when is not properly used.
3.Natural Methods(Physiological Methods):
-Breast-feeding associated with "lactation amenorrhea".To be effective for contraception,breast-feeding must be regular,troughout the 24 hours.This method is impractical and not reliable.
-Rhythm method:based on using the safe period,calculated according to menstrual period

THE SAFE PERIOD CALCULATOR:the duration of the menstrual cycle last from first day of the last menstrual bleeding to the first day of the present menstrual bleeding.Ovulation approximately occurs in the middle of the cycle,or you can calculate the ovulation as the period of the menstruation minus 14 days.A week before and a week after the approximate day of ovulation is considered to be Fertile Period.The day apart from this is called the Safe Periods,where the fertilization does not take place.

-Coitus interruptus(male methode):is the technique in which the man withdraws his penis from a woman prior to ejaculation during intercorse,the semen being ejaculated away from the vagina.
4.Sterilization:the surgical method that can only by occasionally used,in the cases when the wife or husband accepts it.
5.Male Methods of Contraception:
-Condom:is a barrier device most commonly used during sexual intercorse to avoid a pregnancy and the spread of a sexual disease.It is put on man's erect penis and physically blocks ejaculated semen from entering the body of the sexual partner.It's safe and reliable when is properly used.It is not generally accepted,specially of those people which belive that it interferes with enjoyment of sex,but the use is absolutlly necesary in case you change sexual partners.
-Sterilization
-Coitus interruptus(we discussed it up)
-male contraceptive pill(is under preparation)
Any female can make benefit of the service of family planing when is indicated.
A doctor will explain you the role of family planing and motivate the reason to practise birth control when is necessary.
In case of postpartum birth control(the practice of birth control after termination of pregnancy),whether by delivery of liveborn or unfavourable outcome.Objective is proper spacing before the next pregnancy,and avoiding early pregnancy,and its potential risk to the mother,the baby and outcome pregnancy.
As method of postpartum contraception is recommendeded the intrauterin device not the use of the pill to avoid the interference of the pill with milk flow and lactation.It is inserted in a suitable time after delivery,meanwhile a method of temporary contraception can be used.
The oral contraceptive pill can be used after abortion or stillbirth and when breast feeding is not practised.