Traditional Contraceptive Methods

Subject: Community Health Nursing I

Overview

Traditional contraceptive methods

Behavior method:

Coitus interruptus

Also known as a withdrawal technique. The withdrawal technique of contraception, commonly referred to as coitus interruptus, is the practice of removing the penis from the vagina and away from the external genitalia of a woman prior to ejaculation in order to avoid pregnancy. The withdrawal technique aims to stop sperm from entering the vagina. Self-discipline is necessary when using the withdrawal technique of birth control. Even then, the withdrawal method doesn't work particularly well as a birth control method. If withdrawal isn't timed correctly or if pre-ejaculation fluid contains sperm, sperm may enter the vagina. Sexually transmitted infections are not protected by the withdrawal method.

Benefits

  • The following advantages of the withdrawal method:
  • Is cost-free and easily accessible
  • No negative effects
  • Doesn't need a prescription or a fitting
  • Is a better option for some couples who prefer not to use other forms of contraception and can aid in the prevention of pregnancy.

Limitations

The drawbacks of withdrawal techniques are

  • The likelihood of failure is the biggest drawback.
  • Requires the male partner to exercise extreme restraint.
  • Could impede sexual pleasure
  • Sexually transmitted infections are not prevented by it.
  • Ejaculation timing affects the likelihood of conception.
  • Some people find the method uncomfortable because it requires the man to focus on something other than the actual enjoyment.

The withdrawal mechanism is as follows:

  • Appropriately withdrawing time. Man must remove his penis from the woman's vagina when he feels the need to ejaculate. Make sure that ejaculation occurs away from the woman's genitals.
  • Before having sex once more, take safety measures. Make sure the male urinates and cleans up the tip of his penis first if more intercourse is scheduled for a short time later. This will aid in getting rid of any leftover sperm from the previous ejaculation.

Safety

There is an 80% likelihood that the lady won't become pregnant within the first year if the procedure is used appropriately. There can be a small amount of fluid coming from the penis when the male is erected. The man does not always notice that this is merely a small amount of fluid and not an actual ejaculation. The fluid might have sperm in it, which would be introduced into the vagina before the man ejaculates. This is a contributing factor in the method's lack of safety. The fact that the man does not leave in time for the ejaculation is another factor.

Safe period

A safe period is thought to be one week prior to and one week following menstruation. Ovulation typically occurs 14 days before the start of the following menstrual cycle. It can be challenging to predict a woman's next period with precision. If the woman has regular periods, it is possible to determine when she ovulates by using the prior period as a starting point because this information is known. Only four days before and three days after ovulation can the ovum be fertilized, hence sexual activity should be avoided during those times. 11 to 18 days can be considered a hazardous time during a 28-day menstrual cycle.

Benefits

  • The process has no negative side effects.
  • Is accessible to everyone.

Limitations

  • Does not offer sexually transmitted diseases protection.
  • Couple is only allowed to have sex
  • Little safety

Safety

A woman has an 85% chance of not getting pregnant over the course of a year if the method is applied correctly, which means only having sex during the safe periods with women who have completely regular periods.

Basal body temperature

The basal body temperature approach is a sort of fertility awareness-based natural family planning. When a person is completely at rest, their body temperature is at its lowest. An ovulation-related increase in basal body temperature is possible. The two to three days prior to the temperature rise are when a lady becomes fertile. By assisting in determining the most advantageous times for having or avoiding unprotected intercourse, basal body temperature can be used to forecast fertility or as a component of a contraceptive strategy. The cervical mucus approach is frequently paired with the basal body temperature method when it comes to natural family planning. The symptothermal approach is another name for this combination.

Benefits

  • It is affordable and risk-free to monitor basal body temperature for either fertility or contraception.
  • Although there are no obvious hazards associated with utilizing the basal body temperature method for birth control, some women may do so out of religious conviction.

Limitations

  • Sexually transmitted infections are not prevented by it.
  • One of the least successful natural family planning techniques is this one. Pregnancy can be detected using the basal body temperature technique. A rise in basal body temperature that lasts for 18 days or longer after ovulation may be an early sign of pregnancy.

To use the basal body temperature method:

Before getting out of bed every morning, take your basal body temperature. Use an oral thermometer that is digital or one that is made to assess basal body temperature. To ensure an accurate reading, make sure to get at least three hours of uninterrupted sleep every night.

Calendar method or calendar rhythm method

  • The approach is predicated on the observation that ovulation happens 12 to 16 days before the start of menstruation.
  • The first day of the fertile period is determined by the shortest cycle less 18.
  • The final day of the fertile period is calculated as the longest cycle minus 10 days.
  • if a woman's cycle lasts between 26 and 31 days. The eight to twenty-first day of the menstrual cycle would be considered the fertile period.
  • The fertile days of a woman's menstrual cycle can be avoided by her using calendar-based pregnancy prevention methods. Applying this strategy requires a woman to keep track of the length of her menstrual cycle as well as how each cycle develops.
  • By keeping track of the fertile times during the menstrual cycle, it prevents pregnancy. In order to apply this method, a woman must track the length of her menstrual cycle over a six-month period in order to determine how many days it typically lasts. She then monitors the development throughout each subsequent cycle beginning with the first day of menstrual bleeding. By doing this, a woman can determine whether she is fertile on a specific day of her menstrual cycle and can choose not to engage in sexual activity on those days.

Methods of monitoring fertile and infertile periods

  • The duration of each woman's menstrual cycle serves as the foundation for the calendar rhythm approach. The lady must determine her menstrual cycle length to determine when she is fertile and infertile. Before beginning the method, women should measure the length of each menstrual cycle for a period of six months.
  • Continue keeping an eye on how long each
  • Period and almost usually make the most
  • The fertile days were determined using the most recent six menstrual cycles, as detailed below;
    • The lady should deduct 18 from the number of days in her shortest menstrual cycle during the preceding six months in order to determine the first day of the cycle in which she is fertile. As a result, she will become fertile for the first time throughout her menstrual cycle on this day. For instance, a woman would first become fertile 6 days after the first day of monthly blood if her shortest cycle was 24 days long;
    • The lady should deduct 11 from the length of her longest menstrual cycle to determine the point in the cycle at which she stops being fertile. The outcome reveals the day in her cycle that she is no longer fertile. For instance, starting on day 26 of the cycle if the longest cycle was 35 days, the woman would not be able to conceive.

Lactational  Amnerrhoea Method  (LAM)

This temporary contraceptive strategy depends solely on breastfeeding. From the time of birth until six months later, it can be used.

Method

This method of birth control is known as lactational amenorrhea because not having a period is known as amenorrhea and producing milk is known as lactating.

Mechanism of action

For the first six months after the baby is born, if a woman exclusively breastfeeds her child for six months, the prolactin hormones that produce the breast milk will also work to prevent the ovaries from releasing an ovum (there won't be any ovulation because the release of gonatotrophic releasing hormone (GNR) will be disrupted, and its irregular secretion will interfere with the release of follicle stimulating hormone (FSH) and le During this time, a woman doesn't have her period,

The following three requirements must be satisfied for this method to function.

  • The infant must be younger than six months old.
  • There was no way the woman had a period.
  • The infant must only be nursed (no formula feeding with breast feeds at least every four hours during the day and at least every six hours at night).

Benefits

  • There is no charge.
  • Simple to use
  • There is no need for outside medications or clinic appointments.
  • LAM enables the woman to regain her normal weight and her pre-pregnancy body state.
  • Does not stop a sexual encounter
  • No hormones that could be disruptive to breastfeeding

Limitations

  • Only six months after the baby is delivered does it last.
  • If a newborn is fed any formula, the test is not accurate.
  • If ovaries are prepared to begin releasing an egg, it can be difficult to predict (ovulating). But if they haven't already, a couple should start using another type of birth control as soon as menstruation starts.
  • Requires regular breastfeeding, which some women may find challenging
  • Does not offer STI protection Between 98% and 99.5% of the time, lactational amenorrhea works to prevent pregnancy.
Things to remember

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