Birth control is very important aspect mainly for the following cases:
- In case a woman is in poor health. She should try to control until she is healthy enough to face pregnancy and childbirth.
- Couples have a desire for children but want to space them out.
- There have been previous cesarean section deliveries a couple of times.
BIRTH CONTROL TECHNIQUES:
Abstinence – A truly safe method of birth control. The semen is ejaculated near the entrance of vagina without having had actual intercourse. In certain cases the ejaculated semen may come into contact with a virginal hymen and gain access to the vagina until it reaches to the uterus. Some marriages were able to survive with this method.
Rhythm method – There is certain time each month when a woman is not likely to become pregnant. Usually a woman in childbearing age sheds an egg from her ovary every month on about fourteen day after the onset of her menstruation with a regular 28 day interval between the menstrual periods. She might ovulate between 12th to 16th days. The sperm can live for at least two days within the fallopian tubes, the place at which fertilization takes place. Thus a woman is more likely to become pregnant in case of sexual contact during this period. This method is about 85-90% effective.
Coitus interruptus – This is one of the oldest techniques for birth control if the male partner has proper control over the withdrawal of his organ and the other partner has no objection to this practice, as some women reach a climax when their male partner ejaculates. It is not a 100% safe method of birth control, as in few cases part of the semen ejaculated from male partner may remain deposited on the female organ. Males who suffer from premature ejaculation usually have poor control over ejaculation. This method of birth control is not recommended as a regular practice as a man has great need for completing the sexual act once he has started.
Condom – A thin latex sheath placed on the male organ to accommodate ejaculation of the semen. This is a frequently used safe method for birth control. The condom is discarded and thrown after single use. Most of the couples complain of lack of enjoyment during sex act when a condom is used and is less preferred due to the following reasons:
- Decreased sensation when used.
- Interrupt lovemaking when put on.
- It may break while in use.
- It may leak due to manufacturing defect.
- Sometimes, it may burst when in use or slip off after orgasm before removing. In case of leakage, the women should immediately place one or two contraceptive suppositories or contraceptive jelly or foam deep into her vaginal canal. Avoid douching.
Douches – It is cleansing of vaginal canal by use of a syringe and stream of water. It is one of the poorest methods because it is not possible to flush out completely by douching and some of the sperms in the folds of the vagina may penetrate into the cervix.
Diaphragm – Diaphragm is a circular rubber device that lifts tightly in the vagina and completely covers the cervix. A gynecologist may suggest the correct size of diaphragm after examination. The diaphragm can be inserted while standing or while lying on the back or in sitting position as one sits for toilet by inserting fingers. The font end of the diaphragm is removed will be tucked in back of the pubic bone. The diaphragm is removed the next morning or about five hours after termination of relations.
Contraceptive jellies, foams and creams – They are commercial, highly effective products in destroying sperm within the vagina, which are inserted into the vagina an hour before the intercourse. You may follow the instructions mentioned on the wrapper before use.
Intrauterine devices (IUDs) – A plastic or plastic-metal object inserted by the gynecologist into the uterine cavity. It is 98% effective device. The cervix is dilated, usually during a menstrual period and the device is pushed into the uterine cavity. However, women feel mild discomfort. The device blocks the entrance of the sperm into the fallopian tube, where fertilization usually takes place. The device is usually changed after three years. The IUD should not be inserted or removed if inserted in case of the following conditions:
- If the woman has heavy menstrual periods or bleeding in between the periods.
- The woman has fibroid tumors.
- In case of extremely painful menstruation.
- If the woman suffers from lower abdominal cramps.
- There is cervical infection.
- However, a woman who has not borne any children should avoid wearing an IUD as an infection may result in future fertility. In case of a uterine infection, it should be treated with antibiotics. The device should be removed promptly in case the woman is pregnant.
Oral contraceptives (Birth control pills) – The pills are taken orally. They inhibit ovulation or formation of egg as without ovulation pregnancy is not possible regardless of how many sperm reach the fallopian tubes. Each tablet contains two female hormones-one estrogens and progesterone. These pills are 100% effective and should be taken strictly according to the advice of your doctor. It eliminates any disagreeable contraceptive odor. Sometimes, complications as below may arise while taking the birth control pills:
- A feeling of headaches and nausea.
- A bloated feeling with some weight gain due to fluid retention. Prolonged use of pills is not advised.
- Swelling and tenderness in the breasts may develop in some women.
- Inflammation of the veins in the legs (phlebitis).
Avoid using oral contraceptives in the following cases:
- Obese women.
- Woman having chronically high blood pressure.
- If suffering from liver disorder.
- In case of heavy smokers and old women.
- In suffering from varicose veins or phlebitis.
- In case of heavy smokers.
- In older women.
- Women suffering from fibroids of the uterus.
- Women having breast tumor or have cystic disease of the breasts and family history of breast disorders.
Surgical birth control – An incision is made in the lower abdomen, the tubes are grasped with a forceps and tied or cut in their middle portion or are cauterized with an electric cautery. A laparoscope is inserted through an incision in the navel through which the gynecologist looks in the abdomen and applies the cautery to the fallopian tubes. It is a 100% effective method for birth control.
Vasectomy – It is technique for cutting the vas deferens, thereby making the male infertile. In case the couple has many children and the husband wishes to spare the wife the discomfort of surgery. However, cutting the vas in no way interferes with a man’s potency or ability to have or enjoy sex.