Question
Describe the various methods of birth control to avoid pregnancy.

Answer

Birth control/Contraceptive methods are of two main types, viz. temporary and permanent.
A. Temporary methods:
(1) Natural method/Safe period/Rhythm method : A week before and a week after menstrual bleeding is considered the safe period for sexual intercourse. It is based on the fact that ovulation occurs on the 14th day of menstrual cycle.

(2) Coitus Interruptus or withdrawal : In this method, the male partner withdraws his penis from the vagina before ejaculation, so as to avoid insemination. This method also has some drawbacks, as the pre-ejaculation fluid may contain sperms and this can cause fertilization.

(3) Lactational amenorrhoea (absence of menstruation) : This method is based on the fact that ovulation does not occur during the period of intense lactation following parturition so chances of conception are almost negligible. However, this method also has high chances of failure.

(4) Chemical means (spermicides) : In this method chemicals like foam, tablets, jellies and creams are introduced into the vagina before sexual intercourse, they adhere to the mucous membrane, immobilize and kill the sperms.

(5) Mechanical means/Barrier methods:
(i) Condom : It is a thin rubber sheath that is used to cover the penis of the male. Condom should be used before starting coital activity. It also prevents STDs and AIDS.

(ii) Diaphragm, cervical caps and vaults : These devices made of rubber are inserted into the female reproductive tract to cover the cervix diming copulation. They prevent conception by blocking the entry of sperms through the cervix.

(iii) Intra-uterine devices (IUDs) : These are plastic or metal objects placed in the uterus by a doctor. These include Lippes loop, copper releasing IUDs (Cu-T, Cu 7, multiload 375) and hormone releasing IUDs (LNG-20, progestasert). They prevent fertilization of the egg or implantation of the embryo.

(6) Physiological (Oral) Devices : Birth control pills (oral contraceptive pills) check ovulation as they inhibit the secretion of follicle stimulating hormone (FSH) and luteinizing hormone (LH) that are necessary for ovulation. The pill ‘Saheli’ is taken weekly.

(7) Other contraceptives : The birth control implant is similar to that of pills in their mode of action. It is implanted under the skin of the upper arm of the female.

B. Permanent methods surgical operations : In men surgical operation is called vasectomy and in women it is called tubectomy. This method blocks gamete transport and prevent pregnancy.

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