World Contraception Day (WCD) takes place on September 26th every year. Launched in 2007, WCD's mission is to improve awareness of contraception and to enable young people to make informed choices on their sexual and reproductive health. If statistics are anything to go by, the maternal mortality ratio in India is 174/100,000 live births.
About 45,000 Indian women die of pregnancy and related complications every year. According to statistics, a large percentage of people in the country have had unsafe sex at some point, which is also one of the major causes of deaths due to unwanted pregnancy and unsafe abortion. Research suggests that it is possible to reduce maternal mortality by a third by way of healthy timing and spacing of births.
This can be achieved through access to effective and safe birth control and contraception options. While the term birth control is used in a broader sense to prevent unwanted pregnancies, contraception refers to the methods and devices that are adopted for birth control. Using these can also reduce the risk of acquiring many sexually transmitted diseases (STDs). Dr Nandita Palshetkar, Medical Director, Bloom IVFGroup, gives some safe birth control and contraception options one can adopt.
Progesterone injection: This is a reversible contraception method which is effective for about 13 weeks. This injection can also be used by breastfeeding mothers. This injection is also said to offer protection from pelvic inflammatory disease and womb cancer in women.
Intrauterine device (IUD): This is a small plastic and copper device inserted into the uterus and a long-acting reversible contraception. While it can stay for about 10 years, it can also be removed when needed by a health care professional. Once an IUD has been inserted, there is no need to take any other form of contraceptive. However, one must be careful in the first few days and follow the doctor's instructions to avoid the chances of an infection.
Contraceptive patch: This is a more recent form of contraception wherea small patch is stuck to the skin, which releases estrogen and progesterone. This helps in stopping ovulation. However, it can cause some temporary side effects such as headache and nausea and is not advised for women who smoke or for those above the age of 35.
Progestogen-only pill: This pill contains the hormone progesterone and is an oral contraceptive.The advantage of this method is that it can also be used by those women who are older than 35 or smoke. However, as it is a daily contraceptive, missing even one dose can make it less effective. There can also be temporary side effects such as nausea and headache.
Natural family planning/; Natural family planning is done through an understanding of the fertile and infertile times of during a menstrual cycle. It can be effective if the calculation is done accurately. The best part about this method is that it is devoid of any hormones and does not require any device. However, it is important to keep a daily record.
Female sterilization/; This is a permanent method. It is usually adopted by those who do not wish to have any more children. In this method, the fallopian tubes of a woman are cut or sealed through an operation. There may be a slight discomfort after the operation which tends to go away after some days.
Vasectomy: Vasectomy or male sterilization is a permanent contraception method for men. In this method, a surgery is done to cut, seal or ties the tubes that carry sperm from the testicles to the man's penis. There may be slight discomfort which will go away in few days. Therefore, it is imperative to follow safe and effective contraceptive advice to avoid unwanted pregnancy and enjoy a sex life devoid of worries.
While there is no one-size-fits-all when it comes to choosing a contraceptive method, there are some parameters such as the number of existing children, the desire to have more children, health of the couple, age, frequency of intercourse, and chances of infection which should be considered. With so many available options, it is a good idea to talk to a doctor and understand what will work best for you depending on these associated factors. This way, the information will come from a reliable source and help you in making an informed decision. When it comes to health, only facts will work.