When newly married don't want children, how to arrange:
a- Arrange contraception.
b- Send the wife to the family doctor.***
c- Send the wife to her mother.
----------------------------
What is contraception?
Contraception is the prevention of pregnancy using methods temporarily and recovering fertility when you stop using them. On the contrary, sterilization is a definitive method to prevent pregnancy.
There are different contraceptive methods and each woman, after knowing them, has to choose the one that best suits her under the medical direction.
Types of contraception: natural and artificial:
Artificial contraceptive methods are those that prevent, through a physical method or a barrier, that the sperm fertilizes the ovum. Natural contraceptive methods are based on abstention from sexual intercourse during the fertile days of each cycle. According to the natural technique used, we can distinguish four methods: rhythm, basal temperature, cervical mucus or Billings and the syntothermic.
METHODS OF ARTIFICIAL ANTI-CONCEPTION:
- Barrier methods:
They prevent the passage of sperm to the uterus. In this group are both male and female condoms, diaphragm, spermicidal creams, etc.
- Hormonal methods: pill, patch and vaginal ring:
They are medicines composed of two different hormones, estrogens and gestagens, which they do is modify the normal functioning of the ovary preventing ovulation apart from other modifications of the female reproductive system.
Since its discovery, the drugs used have been modified, the dosage of them being reduced, the forms of presentation, the guidelines and routes of administration with the purpose of reducing the harmful side effects.
- The contraceptive pill are tablets that come in packs of 21 (sometimes 28) that are each marked with a day of the week, which will serve as a reminder that it is being taken well. As you have to take a daily pill, at about the same time, for three weeks, this should be the one that corresponds to the day of the week, then rest for a week and resume taking again with a new container and during the week of rest the rule will come. When the pack is 28 tablets, you should not stop taking the tablets and during the fourth week, which is the placebo, the rule will come.
- The contraceptive patch, similar to a square band aid, is applied to the skin that has to be clean, dry and hairless, except the chest. The administration of the medication is through the skin. There are three patches that will be put on a weekly basis, after removing the third one it will rest for a week and it will resume again with the next container. During the week of rest you will have the rule. It must be monitored every day that it is well attached.
- The vaginal ring is a transparent and flexible plastic ring that is easily placed in the vagina. The route of administration of the medication is through the vaginal mucosa, is placed once a month, removed at three weeks and the fourth rests, which is when the rule will come. It does not bother during sex.
All these methods are safe as long as the standards are met. Before the beginning of the same, a complete medical examination must be made, in which it will be used to give more explanations (advantages and disadvantages) about the chosen method.
Intrauterine methods: Copper IUD and hormonal IUD:
The intrauterine device (IUD) is a small plastic or copper device that the gynecologist places inside the uterus. It prevents the progression of sperm and / or produces an aseptic endometrial inflammation that would prevent a settlement of the ovular sac.
Some IUDs release small amounts of progestogen. IUDs can be left in place for 5 to 10 years, depending on the type of device used. IUDs can be placed almost at any time although it is preferable to do so during menstruation.
a- Arrange contraception.
b- Send the wife to the family doctor.***
c- Send the wife to her mother.
----------------------------
What is contraception?
Contraception is the prevention of pregnancy using methods temporarily and recovering fertility when you stop using them. On the contrary, sterilization is a definitive method to prevent pregnancy.
There are different contraceptive methods and each woman, after knowing them, has to choose the one that best suits her under the medical direction.
Types of contraception: natural and artificial:
Artificial contraceptive methods are those that prevent, through a physical method or a barrier, that the sperm fertilizes the ovum. Natural contraceptive methods are based on abstention from sexual intercourse during the fertile days of each cycle. According to the natural technique used, we can distinguish four methods: rhythm, basal temperature, cervical mucus or Billings and the syntothermic.
METHODS OF ARTIFICIAL ANTI-CONCEPTION:
- Barrier methods:
They prevent the passage of sperm to the uterus. In this group are both male and female condoms, diaphragm, spermicidal creams, etc.
- Hormonal methods: pill, patch and vaginal ring:
They are medicines composed of two different hormones, estrogens and gestagens, which they do is modify the normal functioning of the ovary preventing ovulation apart from other modifications of the female reproductive system.
Since its discovery, the drugs used have been modified, the dosage of them being reduced, the forms of presentation, the guidelines and routes of administration with the purpose of reducing the harmful side effects.
- The contraceptive pill are tablets that come in packs of 21 (sometimes 28) that are each marked with a day of the week, which will serve as a reminder that it is being taken well. As you have to take a daily pill, at about the same time, for three weeks, this should be the one that corresponds to the day of the week, then rest for a week and resume taking again with a new container and during the week of rest the rule will come. When the pack is 28 tablets, you should not stop taking the tablets and during the fourth week, which is the placebo, the rule will come.
- The contraceptive patch, similar to a square band aid, is applied to the skin that has to be clean, dry and hairless, except the chest. The administration of the medication is through the skin. There are three patches that will be put on a weekly basis, after removing the third one it will rest for a week and it will resume again with the next container. During the week of rest you will have the rule. It must be monitored every day that it is well attached.
- The vaginal ring is a transparent and flexible plastic ring that is easily placed in the vagina. The route of administration of the medication is through the vaginal mucosa, is placed once a month, removed at three weeks and the fourth rests, which is when the rule will come. It does not bother during sex.
All these methods are safe as long as the standards are met. Before the beginning of the same, a complete medical examination must be made, in which it will be used to give more explanations (advantages and disadvantages) about the chosen method.
Intrauterine methods: Copper IUD and hormonal IUD:
The intrauterine device (IUD) is a small plastic or copper device that the gynecologist places inside the uterus. It prevents the progression of sperm and / or produces an aseptic endometrial inflammation that would prevent a settlement of the ovular sac.
Some IUDs release small amounts of progestogen. IUDs can be left in place for 5 to 10 years, depending on the type of device used. IUDs can be placed almost at any time although it is preferable to do so during menstruation.
Sterilization: Essure, tubal ligation and vasectomy:
- Essure:
Essure is an implant 40 mm long by 8 mm in diameter that is placed in the proximal part of the fallopian tubes through hysteroscopy. It is formed by a nitinol spring (nickel and titanium alloy) and some polyethylene fibers that will produce fibrosis and occlusion of the tubes after 3 months, preventing fertilization.
Currently its placement helped by hysteroscopy is performed without the need for any type of anesthesia and in a completely outpatient manner.
To confirm the occlusion of the tubes, a simple x-ray of the pelvis, hysterosalpingography, hysterosonography or bi-dimensional ultrasound can be used.
It is a safe method, well tolerated by the patient, effective over time, irreversible, more cost-efficient than tubal ligation and compatible with an in vitro fertilization treatment if necessary.
- Tubal ligation:
It is the electrocoagulation and / or section of both fallopian tubes with which we impede the passage of the egg through the tubes and thus prevent it from being found with the sperm. It is done by laparoscopy, you need general anesthesia and a few hours of hospitalization. Sometimes the use of a C-section is used to make tubal ligation.
- Vasectomy:
It consists of sectioning the vas deferens that are what allow sperm out of the testicles. It is performed with local anesthesia on an outpatient basis and lasts 15 to 30 minutes. The effectiveness is not immediate, it is necessary to verify after several ejaculations that there is no sperm in the seminogram.
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pharmacology