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Research and discuss the argument : Contraception (Prevention of Pregnancy)

Research and discuss the argument : Contraception (Prevention of Pregnancy)

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The term contraception refers to prevention of pregnancy. The contraceptive method can be chemical, physical, or mechanical. The combined pills (oral or injectable) include the reproductive hormones estrogens and progesterone. When we artificially supply these hormones to the body, the increased hormone concentration inhibit the release of gonadotropin-releasing hormone (GnRH from the hypothalamus by negative feedback regulation. This inhibits the release of follicle stimulating hormone (FSH) and the luteinizing hormone (LH) from the anterior pituitary. Thus, the maturation of ovum and release of ovum is inhibited. They also increase the thickness of the cervical mucus and thus, inhibit the sperm movement towards the cervix. The combined pills act by, Preventing the fertilization Preventing the release of an ovum Preventing the implantation of the fertilized egg Thus, the combination pills act effectively as preventive contraceptives. If the embryo is already established and implanted, these contraceptives cannot work. Mechanical barriers are a type of contraceptives that prevent the meeting of ovum and sperm by means of a physical barrier. Examples of mechanical barriers include the condom and diaphragm. The male condom is in the shape of a penis, which is placed over the penis during the intercourse. During ejaculation, the semen does not enter into the vagina, thus, preventing the conception. The female condom is similar to a plastic bag, which is inserted into the vagina, before intercourse. Thus, the entry of sperm into the cervix is prevented The diaphragm is another cup-like structure with a flexible rim. It is inserted into the vagina before intercourse. It prevents the entry of sperm into the cervix as it covers the cervix. The surgical method of contraception in males is vasectomy. In females, tubular ligation is the surgical method of contraception. Vasectomy is the permanent method of contraception (sterility) in males. In this method, a part of the vas deferens is dissected and clamped. Thus, the sperm cannot enter from the vas deferens into the ejaculatory duct.

Different means of birth control and their relative effectiveness is given below:

Method

Effectiveness

Natural methods

1). Abstinence

100%

2). Douching

< 70%

3). Family planning (rhythm method)

80 to 97%

4). Withdrawal method

75%

Nonprescription methods

5). Condom (males and females)

85% (males), 79% (females)

6). Spermicides

50 to 80%

7). Contraceptive sponges

72 to 86%

Prescription hormonal methods

8). Combined pill

92%

9). Progesterone only injection

97%

10). Progesterone only implant

99%

Prescription control methods

11). Progestin only mini pill

92%

12). Combined hormone patch

98%

Prescription barrier methods

13). Diaphragm with spermicide

84%

14). Copper T (intrauterine device)

99%

15). Cervical cap with spermicide

84%

16). Progesterone releasing intrauterine device

99%

17). Cervical shield with spermicide

84%

Surgical sterilization

18). Vasectomy

Approximately 100%

19). Sterilization implant

Approximately 100%

20). Tubal ligation

Approximately 100%

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