Contraceptives

Methods of Birth Control (Contraceptives)

The wide range of contraceptive methods presently available which could be broadly grouped into the following categories:

1. Natural/traditional methods

2. Barrier methods

3. Intra uterine devices (IUDs)

4. Oral contraceptives

5. Injections and implants

6. Surgical methods

Natural/traditional methods

These are natural methods that work on the principle of avoiding the meeting of ovum and sperm.

1. Periodic abstinence: is a method in which a couple avoids or abstains from coitus from day 10-17 of the menstrual cycle, when ovulation is expected to

   occur. As

   a chance of fertilization are very high during this period, it is called the fertile period.

2. Coitus interruptus: or withdrawal is a method in which male partner withdraws his penis from the vagina just before ejaculation so as to avoid insemination.

3. Lactational amenorrhea: (Absence of menstruation) is based on the principle that during the period of lactation after parturition, ovulation does not occur.

Barrier methods

These methods prevent the contact of sperm and ovum with the help of barriers. such methods are available for both males and females.

1. Condoms: are barriers made of thin rubber/latex sheath used to cover the penis in the male or vagina and cervix in females, it prevents the deposition of ejaculated semen into the vagina of the female.

2. Diaphragms, cervical caps and vaults: are the barriers made of rubber that are inserted into the female reproductive tract to cover the cervix during coitus. They prevent the entry of sperms through cervix.

3. Spermicidal creams, jellies and foams: are used along with these barriers to increase their contraceptive efficiency.

Intra uterine devices (IUDs)

These devices are inserted by doctors or expert nurses in the uterus through vagina. There are three types of IUDs available:

1. Non-medicated IUDs: These increase phagocytosis of sperms within the uterus, e.g., Lippes loop.

2. Copper releasing IUDs: Along with phagocytosis of sperms, the Copper (Cu) ions released suppress sperm motility and fertilising capacity of sperms, e.g., CuT, Cu7, Multiload 375.

3. Hormone releasing IUDs: These make the uterus unsuitable for implantation and the cervix hostile to sperms, e.g., Progestasert, LNG-20 (Levonorgestraol – is a hormonal medication is used in number of birth control methods).

Oral contraceptive

1. This involves uptake of hormonal preparations of either progestogens or progestogenestrogen combinations in the form of pills by females.

2. They inhibit ovulation and implantation as well as alter the quality of cervical mucus to prevent entry of sperms.

3. 'Saheli', an oral contraceptive for females containing a non-steroidal preparation was developed by scientists at Central Drug Research Institute (CDRI) in Lucknow.

4. Pills have high contraceptive value and few side effects.

Injections and implants

1. Progestogens or progestogen-estrogen combination can also be used by females as injections or implants under the skin.

2. Their mode of action is similar to that of pills but their effective periods are longer.

3. Administration of progestogens or progestogens-estrogen combinations or IUDs within 72 hours of coitus have been found to very effective.

Surgical methods (Sterilization)

These are terminal and permanent methods which block the transport of gametes, thereby preventing conception (pregnancy).

1. In males, a small part of the vas deferens is removed and tied up through a small incision on the scrotum. This is called vasectomy.

2. In females, a small part of the fallopian tube is removed and tied up through a small incision in the abdomen or vagina. This is called tubectomy.