Contraception

Contraception

The right choice of contraception can be an important part of your happy sexual relationship. To find the method that is right for you, you should talk to your partner and your doctor about what you need. When you see your doctor, discuss the effectiveness of the chosen method, how easy it is to obtain and use and any possible side effects.

  • Hormone Birth Control Method
  • Barrier Contraception
  • Alternative Contraception

Hormone Birth Control Method

Contraceptive pills allow more effective family planning and spontaneous sex with minimal risk of becoming pregnant. Modern formulations offer high percentage protection against pregnancy. The pill rarely causes side effects, although these may occur in some women. When considering your suitability for hormonal contraception, your gynaecologist will conduct a thorough assessment for your risk factors.

Barrier Contraception

Birth control methods which prevent sperm from entering a woman's uterus are known as barrier contraception. Condom. The best known types - male & female condoms - are essential for people starting new relationships and when practising safe sex. They help prevent HIV and other sexually transmitted disease (STDs) from being passed from one person to another. The condom can come off or break during sexual activity, leaving you at risk of pregnancy and STDs.

Alternative Contraception

Alternative methods of contraceptions are for a woman who does not want to or cannot use the pill or barrier methods-

  • IUD (Intra Uterine Devices-Multiloads)
  • MIRENA
  • 1. IUD (Intra Uterine Devices-Multiloads): The IUD prevents implantation of the fertilized egg by disrupting the lining of the uterus. It has a very low failure rate. Once it has been fitted, after each period you must check that the thread is still there. In rare cases, IUD may migrate to a different part of the body and simple surgery may be necessary to remove it. It does not stop the transfer of STDs.
  • 2. MIRENA: This is a hormone releasing IUD. As well as acting as an IUD, it releases low doses of the hormone, thickening the cervical mucus to stop sperm reaching the uterus and thinning the uterine lining to prevent egg implantation. It is especially useful as a contraception for perimenopausal women. It is also often used to remedy heavy periods, which typically become lighter and sometimes painless after insertion. However, there is a low risk of ectopic pregnancy. More than 1 in 5 women in their 30s and 40s suffer from heavy periods. Heavy periods can be very frustrating. There are various causes for heavy bleeding. In good 20% patients with heavy bleeding uterus is of normal size, but bleeding is very heavy, A gynaecologist makes an internal examination and also runs a sonography to confirm the absence of tumors like fibroids, ovarian cysts, which could be possible causes of heavy bleeding. If patients has big - big fibroids, cancer or big ovarian mass, uterus removal i.e. hysterectomy is done (major surgery). Over the years, women who have normal size uterus have been treated with prolonged hormonal treatment, repeated curetting or removal of the uterus, all of which have significant risk and complications. Experts feel that 40% hysterectomy can be avoided all together. It is high time is a major surgery to remove the whole womb and should not be taken lightly. If ovaries are removal as well, the menopause starts at once women may need to go onto hormone for life. In India, Hysterectomy is done at slightest pretext that too at younger are and this is cause of worry. MIRENA is the only savior for them. It should be tried so 90% women will not need major surgery with normal size uterus.