CONTRACEPTION

Contraception is a method or device used to prevent pregnancy due to coital act. The ideal contraceptive methods should filful the following criteria , 
             - widely accepted 
             - Inexpensive 
             - simple to use 
             - safe to use 
             - highly effective 

The most effective method of birth control is sterilization by means of vasectomy in males and tubal ligation in females , IUD's . 
             
Types of Contraceptive methods : 
              
  
 1) Temporary 
    
- Natural method 

-   Periodic abstinence : means avoid sexual intercourse around ovulation when women is more fertile.
- Coitus interrupts : withdrawal of penis shortly before ejaculation. It requires sufficient self control by man so that withdrawal of penis precedes ejaculation. 

Barrier method 

-physical  - Condoms, Diaphragm, Cervical caps
 -Chemical - creams , jelly , foam tablets 
-Combined - use of both 
-Hormone method - combined hormone , injectable , implants.
Intrauterine device( IUD ) - copper & hormonal device. 
-Emergency contraception 
 
 2) Permanent  

      - Tubectomy in female 
      - vasectomy in male 
Emergency Contraceptives ; 

   It can be used to prevent pregnancy if ;

 * unprotected sex 
 * Normal contraception fails 
 * missed more than one contraceptive pills 
 * vomit or had diarrhea while on the pills
 * forced to have sex without contraception
 
    Their are two options : 
   1. Emergency contraception pills 
   2. Copper IUD 

ECP is approved to be taken up 3 days after unprotected sex. it is 98% effective. 
The copper IUD can be inserted up to five days after unprotected sex ,and is more than 99 % effective at preventing pregnancy. 

- Levonorgestrel 
- Conjugated oestrogen 
- Ethinyl oestradiol 
- Mifepristone 
These are some drugs which use to avoid  pregnancy during emergency condition. 
 
 Side effects of pills : 
 
    - Nausea and vomiting 
    - Breast soreness 
    - Tiredness 
    - Lower abdominal pain or cramps 
    - Breast cancer 

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