Choice Of Contraceptive Methods

CONTRACEPTIVE METHODS---THEIR EFFECTIVENESS AND RIGHT CHOICE

Contraception kya he? Contraception ya waqfey se murad he pregnancy ko avoid karna mukhtalif tareeqey par amal kar ke sawaey iss ke keh intercourse na keya jaye ya female ke bachey dani ko niqal daina(uterus removal/hysterectomy)

waqfa key waisey tu bohat se tareeqey han aur har couple key leye har method suitable nai hota .the most important thing is choice of the method.

The most frequently asked question by the couples is k sab se safe method konsa he??

Sab se safe method depend karta he k couple ye janana chah ra he k  with respect to bodily effects ya physical effects se ha ya ye k pregnancy na ho n most of the couples are worried about unwanted pregnancy.

In this article I will try to explain little about contraceptive methods but mainly their effectiveness n the appropriate choice for the couples…

There are 2 types of methods broadly

1)TEMPORARY METHODS

A)    barrier method/mechanical method( tareeqey jin mai male penis aur female vagina key darmiyan rakawat rakhna ho takey sperms female body mai release nahi on)/condom etc…

B)     natural method   (qudrati tareeqey)

C)    hormonal method  ( female body mai produce honey waley hormones jaise hormones tablets ya injection  mai daina)

D)    intra uterine contraceptive devices( bachey dani key ander plastic aur copper se bani huwe cheez rakh daina take pregnancy na ho)

2)PERMANENT METHODS

    a)female sterilization/tubal ligation( females ke bachey dani ke wo tubes jo uterus aur ovary ko join karti han unko band karna)

    b)male sterilization/vasectomy ( male partner ke sperms ko semen mai nikalney na daine ka operation keya jata he)

NATURAL METHODS

Ye method sab se safe han iss lehaz se keh body par kissi tablet ya injection ka side effect nai hota magar inn mai pregnany ho janey ke chances bohat zada han

COITUS INTERRUPTUS/WITHDRAWL METHOD

Iss method mai male  partner is asked to remove his penis out of vagina just before discharge .

Disadvanges:

1)Self control ya mard ka khud par qaboo rakhna iss ke leye practice ke zaroorat he aur bohat se couple nai kar patey

2)agar few drops bhi semen ka female body mai chala gaya tu pregnancy ka chance increase ho jata he

3)bohat se couples shakayat kartey han k hum sex enjoy nahi kar patey ..

FAILURE RATE

25percent

RHYTHM METHOD/SAFE PERIOD SEX

Iss method mai couple is asked not to do intercourse from female menstrual cycle 8thday to18th day in females with regular cycle

Iss ka failure rate na honey ke barabar he.

Disadvantages

1)sirf wo females ye method kar sakte han jin ke menses bohat regular hon

2)calendar par menstrual cycle ka bilkul sahe record rakhna parta he

3)couples are nody ready ke wo itne zada din sex na karain

BASAL BODY TEMPERATURE METHOD

Females ke body ka temperature ovulation days mai  (ya wo din jab egg body mai banta he)zada hona shoro ho jata he 0.4 to 0.8 Fahrenheit degrees..isko record kya jaey aur temperature increase honey ke 48hours tak sex na keya jaye

Disadvantage:

1)      only educated couples can perform this method

2)      highly inaccurate

FAILURE RATE

Upto 36 percent

Billings method

Female partner ko kaha jata he k ap apne vagina mai se aney wali secretions ko note karo jab wo zada ho jain amount mai ya pani ke tarah ya patli ho jain tu phir 48hours tak sex na karain

Disadvantage

1)its difficult to keep record

2)failure rate is high..

BREAST FEEDING is not at all the most reliable method and not included medically into natural contraceptive method as it is normally thought…

BARRIER METHOD

There are both female barrier and male barrier method.

Male Condoms are mainly used

Female barriers are: female condoms, scervical cap, sponges and diaphragm.

In Pakistan mostly n almost wholly male condom are used.

MALE CONDOM: male partner apne organ ya penis par galaf  use karta he take sperm vagina mai enter nah on.

Most commonly used contraceptive method in Pakistan of all methods although hormonal pills r also v.widely used.

FAILURE RATE

3-5percent

DISADVANTAGE

1)      iss ke application ka  problem ha k iss ko full erection ke time par apply karna he aur sex excitement mai ye karna mushkil ho sakta he

2)      rupture ho sakta he condom ka

3)      male partners agree nai karte use karne ko as they feel ke sex mai decrease of pleasure ho jata he.

FEMALE BARRIER:

Female barrier mai diaphragm,cervical cap and condoms atey han jo keh foreign countries mai tu use hotey han but problem ye ha k in our society females ko itni know how nai ha n inn se vaginal infection ke chances bhi increase hotey han agar proper time par remove na keya jaey…

But inn ka advantage ye ha k ye sex se phley vagina ya cervix mai insert kar leitey hane even 3hours phley tak kar saktey han aur ye chance nai hota ke male condom ke tarah ye apply karne se reh jaye ga…

Mostly in family planning clinics the couple are advised to use male condoms with one  of the natural methods like safe period sex….or else only condoms…

Contraceptive Method for Females with regular cycles:

Couples ko kaha jata he k ap log jab 8^th to 18thday of female menses cycle mai sex karain tu condom use kar lain aur baqe din mai condom key bagair sex kar lain… but ye applicable to those females jin ka regular cycle ho.

advantage

1)      the  most biggest advantage ye ha k couples ko condom free sex karney ka mouqa bhe milta he aur ye shikayat nai hoti k sex enjoy nai kar sakte….

2)      Bohat lambey arsa sex avoid nai karna parta kunke 8^th to 18^th day mai condom use ho sakta he

3)      Failure rate decrease hota he

4)      Body par bad effects nai hotey

HORMONAL METHODS:

Inn mai basically

Pills

Injection

Depot(yani female ke arm ke skin ke neechey hormones ke capsule rakh daina)

Vaginal rings

Shamil hain

PILLS:

3 types ke pills use ke jati hain mainly

1)COCP(combined oral contraceptive pills/ pills jin mai 2 females hormones hotey han)FAILURE RATE:: 0.1percent

2)POP(progesterone only pills/pills jin mai aik female hormone ho)FAILURE RATE: 0.5percent

3)emergency pill/morning after pill/ya wo pill jo intercourse ke 48hours ke ander le jaye agar pregnancy avoid karney ka precaution intercourse se phley nai leya.FAILURE RATE: 1percent

INJECTIONS

Different combinations ke injection atey han aur injections either 2months baad ya 3months baad lagtey han so couples like it k rozana pill nai laine parti..

DEPOTS

Wo couples jo zada waqfa karna chahtey han 2years to 5years unke leye ye method effective ha. Hormones ke capsule female ke arm ke skin ke ander rakh daiey jatey han aur hormone ke mamoli quantity nikalti ha aur iss ke side effect bohat kam han

FAILURE RATE:0.01 percent

VAGINAL RINGS:

Ye vagina mai rakhney ke leye hotey han aur inn se bhi hormones ke slow release hoti ha . every three months inko change karte han..but failure rate : 3percent han

DISADVANTAGES:

Hormonal methods jitney bhe han body ko extra hormones supply karte han so side effects tu han

1)      small side effect tu  weight gain,vomiting,headache.mood changes and breast pain ha

2)      long term use se gall bladder(pitta) stones(pathari) ka chance hota he ya b.p zada ho sakta he..

3)      aur wo females jin ka cholesterol zada ho,liver(jigger) ke bamari ho, dil ka masla ho koi ya breast cancer unko ye nahe daitey

4)      pills hon tu rozana khani parti han aur doctor ke visit is important 6monthly

ADVANTAGES

1)      wo females jin ka menses cycle regular nai ha unn mai use kar saktey han

2)      wo females jin ke ovaries ka problem ho

3)      wo females jin ke husband baqe kissi tareeqey par aml karney ko tayar nah on.

INTRAUTERINE CONTRACEPTIVE DEVICE/copper-t/platic loops/hormonal devices

Maily 3 types ke devices use ke jati han

1)      jo copper ke bani hoti han plus plastic bhe hota he….copper-T

2)      wo devices jin par hormones hotey han(MYRINA)

3)      wo jo sirf plastic ke hoti han(LIPPE LOOP)

BASIC MECHANISM

Inn devices ka basic mechanism milta julta he basically ye ya tu 1)cervix yani uterus ke mouth ke secretions ko thick kar  daiti han aur sperm ko under nai janey daiti…2) ya hormones ke zareye females mai pregnancy ko rokti han….3) ya phir jab egg aur sperm uterus mai mil kar zygote(fetus ke initial stage) banate han tu ye device iss to uterus mai implant ya taherney nai daiti

SIDE EFFECTS

These devices although are used v.widely but ab inn ka trend decrease ho raha he due to side effects

1)      bohat zada heavy flow of blood of menses

2)      severe pain in menses due to this device as uterus try to remove it with blood

3)      this device may be pushed out during menses

4)      most important is that jab ye uterus mai pregnancy ko honey se rokti ha to pregnancy tubes mai ho sakti ha yani ectopic pregnancy aur wop hat kar bleeding kar sakti ha

5)      uterus ke linning ko break kar sakti ha,infection

6)      aur infertility ke chances increased

7)      more visits to doctor r required

8)      failure rate: 1-2percent

all the couples who DO NOT want to practice condom or natural method are advised other methods  mostly hormonal and also there are special cases as follows:

CONTRACEPTIVE METHOD FOR FEMALES WITH IRREGULAR MENSES:

these are advised either pills that are COCP yani pills with 2 hormones or if they are poor at taking pills then hormonal injection or depot or if these require long waqfa or duration or spacing between children

these are advised HORMONES loaded INTRA uterine contraceptive devices…

CONTRACEPTIVE METHOD FOR LACTATIONAL MOTHERS

1)POP yani female pill with one hormone in it as if COCP are given these decreases milk production

2)Intra uterine device  is also recommended for these females(copper-T)

CONTRACEPTIVE METHOD FOR COUPLES WITH LONG SPACING

1)DEPOT method is advised as very less hormones are released from it and less side effect

2)Intra uterine contra captive device usually copper –t is advised

CONTRACEPTIVE METHOD TO AVOID UNWANTED PREGNANCY

1)For those couple where husbands are abroad and when they return unprotected intercourse is done usually Morning after pill to be taken within 48-72hours and then continue condom or COCPs…..

2)Also if unprotected sex is done and couple wants to avoid pregnancy and also want a long spacing of 1yr or so or even some months then  IUCD inserted within 5days of  unprotected sex avoids pregnancy …. Either lippe loop or mostly copper-T is used.

CONTRACEPTIVE METHOD AFTER ABORTION:

1)COCP have the advantage that after early pregnancy or late pregnancy abortion these can be started immediately .

2)IUCD can be inserted but after late trimester pregnancy 3week duration is required to be awaited before its insertion.

PERMANENT METHOD OF CONTRACEPTION

Its usually advised when

1)female ko koi aisi medical disease ha jo uske zindgi ke leye fatal he agar pregnancy ho tu…like heart diseases

2)family mai mourousi ya genetically severe disease han jo baby ko transfer hoti han

3)female mentally retarded ha

4) couple ne apni family complete kar lei ha…….problem iss reason ke sath ye ha k bohat se log iss ko gair islami samajtey hen ke without medical reason bachey band karwa leye gaey han…magar ye couples ka apna decision ha..

Females ke tubes band karne ka operation mostly keya jata he khas kar jab 4babies c-section se paida ho jain kunke medically tu 3babies c-section se hon tu thek ha but iss se zada nai….. magar bohat zaroori ha ke couple iss ke ijjazat daiey..

Male vasectomy aisa operation ha jo ke permanent method honey ke bawajood reverse keya ja sakta he aur reversal rate 95percent tak he…magar iss ko reverse karne ke baad pregnancy rate bohat kum ha kunke sperms ke against antibodies form ho chuke hoti han semen mai…

UTERUS removal ya bachey dani ko nikala sirf aur sirf contraception ke leye usually medically not recommended but uterus ke koi apni disease ho tu aisa kar daitey han..

OVERALL CONTRACEPTIVE METHOD CHOICE

It depends on

Particular need or demand of couple

Which method medically suits them

Which method they can practice easily

Most imp two method jo inn ko psychologically disturb na karey .. unki sex like ko disturb na karey…

Usually condoms n natural method are advised

......

no comments :(

Contraceptive Methods to stop pregnancy

app ko meri taraf se bhut bhut shabash... itna kaam kya hai thak gai hogi. meri taraf se sharbat pi len...\/ ..itna comprehensive artical abhi tak is forum per kissi ne nahee likha...  main abhi bhi adha hi read kya hai... you are a good help.. i will ask help from you if needed... phir tang nahee ajana hum se... Promise yaad rakho gi na.... is artical ki khobi yeah hai ke app ne apne lafzon main asan zuban use kerte howe bhut detail main likha hai... yeah sadqa e jarya hai... itna detail se likha hai ke mere jesa unperh bhi asani se her pehlo ko samajh jai....  and i think you have covered all types of method.. ab to khush ho jain janab...

Job well Don......   The Best Artical

waterr

System

masha Allah

bahoot khoob likha hai.... doctors bil.amoom iss tarah k articles nahi likhtay /nahi likh paatay.... woh zeyadah tar apni qaabliat baghaRtay haiN aur mushkil mushkil termonology maiN baat kartay hain takay readers par sirf roab paray, onkay pallay kuch nah paray... lol

but Dr Waterr! i salute ur efforts k apki tamaam tahreeraiN aik common person tak ko samajh main aa jati haiN... very simple language... har mushkil term /istelaah ka mafhoom bhi saath saath bayaan hota hai... sab say aham baat yeh k aap yeh sab kuch apni /readers ki zobaan mai likhti haiN, lehaza copy-paste wali khamiyaaN bhi nahi hoteeN.

jazak Allah kahiraaN... ayandah bhi issi tarah likhtee rahaiN... no replies ki parwaah kiyeh beghair :) k kaam k articles maiN khamosh viewers zeyadah hotaya haiN......

thanx again

Myrizvi...

hmmmmm

i know it's very difficult 4 doctors to write in urdu.  lekin ap ki urdu to masha Allah bahoot rawaaN hai... chouNkay urdu maiN medical topic par ap ko abhi likhnay ki adat nahi, iss liyeh zaraa ajeeb ajeeb saa lagta hogaa... lekin yaqeen maaniyeh urdu maiN likhnay say ap ki baat zeyadah logouN tak aur asaani say pahonch sakti hai... wernah ap bhi yeh jaanti hain k yeh net world hai yahaan medical issues par matter ki kami nahi. lekin ohhaiN samajhnay k liyeh banday ka doctor honaa zaroori hota hai :) doosri baat yeh k jab aap yaa koi aur urdu maiN likhtaa hai to issues k "digested matter" ko awaam ki language maiN likhtaa hai bilkhasoos medical  termanology ko bhi define kartay howay aagay chalta hai.... english maiN likhnay maiN yeh "khoobi" nahi hoti...... bandah sab kuch ossi tarah likhta hai jaisaa woh apnay text book main parh chuka hota hai...... n u know k medical text book wali language ko samajhnay k liyeh teacers k saath saath medical school ka mahaul bhi darkaar hota hai. 

mujhay omeed hai k aap isi tarah likhti rahengi... aur agar aap nay apnay urdu maiN likhay howay matter ko save bhi rakha to yeh articles aam urdu magz k readers k liyeh bhi mustaqbil maiN kaam aasaktay hain... if u decided to go there as well.

read kiye beghair wah wah achchi baat nahi

mera khayal hai keh mohtarma waterr original article ko achchi tarah read kerti aur phir mukhtasa andaz mai ose khood se likhti tu ziadah behtar hota, lekin onho ne iss ka lafzi translation kia hai jis ki wajah se article bahut hi lamba, mushkil aur difficult tu read hai. etna lamba article koi read nahi kerta, yaha per jo log wah wah ker rahe hai woh qasam kha ker kahe keh onho ne wah wah kerne se qabal read kia hai keh nahi.

mera zaati mashwara hai keh iss article ko 3-4 parts mai hona chahiye, aur har part ko separately publish kerni chahiye, takeh har koi ise na sirf read ker sake aur balke har point per comments aur discuss bhi ker sake.

mai waterr ke tamam post ko tanqeedi andaz mai read kerta hoo, lekin mojooda post etna lamba hai keh meri read kerne ki himmat nahi, aur yaqeen hai keh kisi ke paas bhi etni lambi post read kerne ki na tu himmat ho gi aur na hi kisi ke paas faltoo time.

lehaza aisa post jo ke read na ki jaaye ya read kerna mushkil ho os per wah wah kerna aqalmandi nahi

Re

Water Sister

Jazakallah, Allah app ko iss ka ajar dega, app jo sab ki itni help karti hain aur jo confusions mind mein hote hain woh app ka article parh kar door ho jaate hain, aur haan yahan kuch log aise bhi hain jo app ki post aur article per tanqeeb karte hain aur apni hoshiyaari dikhate hian, yeh nahi dekhte k kisi ne kitni mehnat se poora article ko asaani se samjha diya, magar app tension mat lena app bauhat acha kaam kar rahi hain, best of luck Sister.

Bewakoof bhai: agar app kisi ko encourage nahi kar sakte to bara-e-meherbani use discourage bhi na karen, abb yeh mat kehna k mein ne aisa kuch nahi kia, app ne jis andaaz se reply kiya hai uss ko parh kar yehi zaahir hota hai.

Saahilbhai

Bewaqoof (meray nahi) Bhai

ap say request hai k oss original article ko with reference yahaaN post karain... jiska lufzi tarjuma mohtarmah waterr nay kia hai.... takay hum bhi ap ki tarah tanqeed kar sakaiN... agar ap aisaa nah kar sakain to ... aik ghalat ilzaam laganay par pahlay Allah say phir waterr say saray aam maafi maangain, jaisaa k ap nay saray aam onn par ilzaam lagayaa hai.... i donno k ap ka ilzaam ghalat hai yaa sahi....... now issay prove karna apki zimmah daari hai k qanooni etbaar say ilzaam laganay walay ki yeh zimmah daari hai k woh apnay ilzaam ka saboot day....... warnah ap to jaantay hi hain k islam maiN bilaa saboot ilzaam laganaa ketna baRa jurm hai.

we are waiting dat article, jiska above thread lufz bah lufz tarjuma hai

wah wah ker ke misguide nahi kerni chahiye

Waterr: agar aap samajhti hai keh iss forum per sirf 4-5 members hai jo aap ke article ko read ker ke wah wah ker rahe ho ge tu yeh aap ki shadeed ghalat fahmi hai. iss foru per more than aik laakh member per month aate hai, read Statistics of Noor Clinic May 2007 yaha per beshtar member silent reader hai jo keh aap ke article per koi comments nahi kare ge.

aap article likhte waqt sirf my rizvi aur 3-4 members ko zehan mai na rakhe balkeh on laakho members ko bhi zehan mai rakhe jo keh iss forum ke registered member bhi nahi hai. oopar jo top per likha aata hai keh: Online:52   Registered Members:13732 tu iss mai silent member shaamil nahi hai. sirf woh member shaamil hai jo keh registered hai, aur online ka bhi matlab woh log jo is waqt login hai, jo log beghair login ke iss waqt mojood hai woh bhi online mai shamil nahi hai.

mere tanqeed ki wajah se aap next article behtar andaz mai likh sake gi, behtar andaz se article likhne ka tareeqa yeh hai keh:

1. aap article ka length etna rakhe jetna aasani se read kia jaa sake
2. agar article bahut lamba hai tu ose 2-3 parts mai likhe aur os ki heading iss tarah lagai Choice of Contraceptive Method - I aur Choice of Contraceptive Method - II waghaira. aur har part ko separetely post kare.
3. mai manta hoo keh aap ne kai article aur lecture ki madad se yeh article likha ho ga, lekin mai ne ju thora bahut (poora nahi) read kia tu woh user friendly nahi laga, aisa laga jaise aap ne jis jis article ya lecture se madad li hai os ka translation ker dia hai. kio keh aap ke article ke alfaz humanly nahi lag rahe balke mechanical (like robot) lag rahe hai, iss qisim ke alfaz translation mai lagte hai. agar yeh translation nahi tu phir aap ko chahiye keh iss tarah likhe ke yeh translation na lage.
4. agar translation hai tu bhi koi ghalat baat nahi, kio keh iss forum per kisi bhi article ko translation kerne ki ijazat hai. aur transalation kerna especially medical article ka koi aasan kaam nahi, lehaza agar aap kisi medical article ka translation kerti hai tu woh bhi bari baat hai.
5. aap ki artile likhne ki salahiat tab hi behtar ho gi jab aap wah wah kerne wale logo ki jhooti tareef ko ignore kare gi, yeh log aap ki reply per wah wah ker ker aap ko misguide ker rahe hai, aur aap ki tawajjo aap ki khamio se hata rahe hai.

re...bewaqoof

ans 1,2......

thats what is a positive criticism.......n thats what i wantd n ye tu mai shoro se keh rai hon....

ans3,

its so difficult for me to convert medical terminologies to simple english n that english to urdu nearly impossible but i am trying my level best thats why i asked for positive guidance

ans4

i know its hard to accept k final year ke students ko bhe kuch ata jata he....but its a fact that i joined this website to be helpful to pakistani ppl ,the country whch has all the role in makng me doctor...AND THIS ARTICLE OR MY PREVIOUS 3 ARTICLES R NOT A COPY NEITHER TRANSLATIONS....u may not believe but when i wrote this article i had no book,journal or net page infront of me...after writing this i verfied with literatures n journal that nothng is wrong...

ans 5

mai dr.qasim n madam kalizuban se issey leye puchte hon k kiya galtian han if they read plz comment... n mai tu iss article ke start se keh rai hon tell how to improve.......plus maine kab kaha wah wah ke jaiye??i said tell how to improve or appreciate...plus ye chahey robotic ho but aik aam admi understand kar sakta he..

ap waisey meri qabliyat ko zero consider kartey han magar jab aisey baat aye tu mujko full xperienced daikhna chahtey han.... its a totally new thing for me to write in this manner

re: medical article

re: "u may not believe but when i wrote this article i had no book,journal or net page infront of me..."

medical article khood se kabhi nahi likhni chahiye. standard book, journal ki madad se na sirf likhna chahiye balkeh os ka references bhi dena chahiye.

Re; Choice Of Contraceptive Methods

thanks doctor k k...

nice water