Understanding the Self THE SEXUAL SELF THE SEXUAL SELF
METHODS OF CONTRACEPTIONS Contraception is the deliberate use of certain methods to prevent pregnancy. It has a range of health benefits including delaying pregnancies in young girls, reducing unwanted pregnancies, spacing pregnancies, limiting number of children and securing maternal and child health (World Health Organization, 2019) Contraception may use either natural or artificial methods. The most appropriate method for contraception depends on the woman’s overall health, age, frequency of sexual activity, number of sexual partners, future plans of having a child or children and history of particular diseases in the family (Eunice Kennedy Shriver National Institute of Child Health and Human Development, 2017) NATURAL and ARTIFICIAL
METHODS OF CONTRACEPTIONS
NATURAL METHOD It is also known as periodic abstinence and fertility awareness methods . Fertility awareness means that the woman must be able to tell her fertility time or when she can become pregnant. This is done through calendar-based or symptoms-based methods that can be used alone but most effective when use in combination. Natural Family Planning
CALENDAR-BASED METHOD Standard Days Method In which a woman has 26 to 32 days menstrual cycle, days 8 through 19 are fertile days. Days 1 to 7 and Days 20 through start of next menstruation are safe days
CALENDAR-BASED METHOD Calendar Rhythm Method The woman starts by monitoring her menstrual cycle for 6 cycles. Then she estimates her first day and the last day of fertile time. The first day of her fertile time is computed by subtracting 18 from the length of her shortest recorded cycle. Her last day of fertile time is computed by subtracting 11 from the length of her longest recorded cycle.
Symptoms-based Method Requiring monitoring the woman’s fertility signs. Among the signs are the cervical secretions, the basal body temperature and other fertility signs. A woman has to observe her bodily reactions for 3-6 menstrual (monthly) cycles to get a good picture of her fertility signals
Withdrawal Method A natural contraception method. It is known as coitus interrupt us and “pulling out”. The man withdraws his penis from the partner’s vagina before ejaculation to keep the semen away from the partner’s genitalia.
ARTIFICIAL METHOD The main types of artificial contraception include long-acting reversible contraception (LARC), hormonal methods , barrier methods , emergency contraception and sterilization . (Eunice Kennedy Shriver National Institute of Child Health and Human Development, 2017)
ARTIFICIAL METHOD LARC is a contraceptive that lasts for a long time. There are two types of LARC in Aotearoa New Zealand: The intra uterine device (IUD) that lasts for five to ten years The implant that lasts three or five years. They are sometimes called “fit and forget” contraception because you don’t need to remember it every day or every month LARCs are the most effective types of contraception. They are more than 99% effective at preventing pregnancy. Long-Acting Reversible Contraception (LARC)
LONG-ACTING REVERSIBLE CONTRACEPTION (LARCs)
ARTIFICIAL METHOD These are contraceptives that uses hormones to prevent pregnancy. Hormonal contraceptives include the pill and the Depo Provera injection. There are two types of pill: Combined oral contraceptive pill Progestogen-only contraceptive pill Hormonal Contraceptives
ARTIFICIAL METHOD For women: You take one pill each day. The pill is more than 99% effective at preventing pregnancy if you take it correctly. The Depo Provera injection is another type of hormonal contraception. You get an injection every three month. If you get your injections on time, Depo Provera is more than 99% effective. Hormonal Contraceptives
ARTIFICIAL METHOD Barrier methods stop sperm from entering the vagina. The two barriers methods are: Condoms Internal condoms Barrier Method
ARTIFICIAL METHOD Condoms protect against sexually transmissible infections (STIs) as well as unintended pregnancy You can buy internal condoms from the groceries and supermarkets, and from some pharmacies You can get prescription for male condoms from Family Planning Clinic or your doctor. Barrier Method
ARTIFICIAL METHOD There are two options for emergency contraception: the emergency contraceptive pill (ECP) or a copper IUD The ECP is approved to be taken up three days after unprotected sex. For women of an average weight , the ECP is 98% effective. For women who weigh more than 70kg, the ECP is less effective and a copper IUD is recommended. Women who weigh more than 70kg and choose to take ECP, should ask if taking a double dose is the right option for them. The copper IUD can be inserted up to five days after unprotected sex, and is more than 99% effective at preventing pregnancy. Emergency Contraception
ARTIFICIAL METHOD Emergency contraception can be used to prevent pregnancy if: You haven’t used protection Your normal contraception fails e.g. condom splits You have missed more than one contraceptive pill You have been vomiting or had diarrhea while on the pill You have missed your injection You have been forced to have sex withouht contraception Emergency Contraception
ARTIFICIAL METHOD Permanent contraception, sometimes called sterilization, prevents all future pregnancies. It is very difficult or impossible to reverse. For males it is vasectomy and for females it is tubal ligation. Permanent Contraception
ARTIFICIAL METHOD Permanent contraception, sometimes called sterilization, prevents all future pregnancies. It is very difficult or impossible to reverse. For males it is vasectomy and for females it is tubal ligation. Permanent Contraception
ACTIVITY How do you prevent sexually transmitted diseases? If you had to choose between two methods of contraception, which would you select and why? Is it important? Explain. Direction: Answer the following questions. Explain briefly.