Family Planning Methods

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Different methods of family planning:

Barrier method:
1. Physical method
 Male condom
 Female condom

2. Chemical methods
 Foam, Cream, Jellies, paste

MBOI(method based on information):


1. Withdrawal method
2. Natural family planning and fertility awareness
3. Rhythm method
4. Abstinence
Terminal method:
1. Male sterilization
2. Female sterilization
Condom
Condoms are thin pouches that keep sperm from getting into the vagina.
Made up with latex, polyurethane or animal membrane.

Male condom:
It is a thin film cover that is placed over the penis.
Effectiveness: 82%-98%

Female condom:
It is a soft loose pouch that is inserted into the vagina. Male Condom
Flexible ring at each end hold it in place.
Effectiveness: 79-95%

Female condom
 Advantage of condoms:
 Easily available, safe and inexpensive.
 Use does not required medical supervision.
 Provide protection against STD.

 Disadvantage of condoms:
 May slip off or tear off.
 Decrease sexual sensation.
Diaphragm:
• It is a soft silicone dome or cap that cover the cervix and
prevent sperm passing through cervix.
• It is used with spermicide gel.
• Protection last for 2 hours and need to be left in for 6
hours after sex.
• Effectiveness: 82%-92% Diaphragm

Cervical Cap:
• A soft silicone cup holding spermicide designed to fit over Diaphragm
the cervix and prevent sperm passing through cervix.
• It is used with spermicide gel.
• Effectiveness: 77%
• It protects for 62 hours and need to stay in at least 6
hours after sex. Cervical Cap
• It is a reusable device.
Contraceptic Sponge
• It is a small round sponge made from soft,
squishy plastic.
• It covers cervix and block uterus so sperm
can’t go to egg.
• It is used with spermicide.
• It protects 42 hours and need to stay in at
least 6 hour after sex. Contraceptic sponge
• Effectiveness: 94%
Chemical Methods: (Spermicide)
• It’s a chemical that destroys sperm, inserted vaginal prior to
intercourse to prevent pregnancy.
• Key ingredient is Nonoxynol 9, Octoxynol 3 and Ricinolic acid.
• Available in different from like foam, cream, gel or paste.
• Effectiveness: 72%-91%

Advantage: inexpensive, well tolerated, provide


good protection.
Disadvantage: messiness, local irritation and burning
sensation. Spermicide Cream
Methods based on Information:
Withdrawal method
Natural family planning and fertility awareness
Rhythm method
Abstinence
Withdrawal/ Pullout method/ Coitus interruption:

It is method to prevent pregnancy by keeping semen away from the


vagina.
Notes: Depends on male’s self knowledge and control.
Failure rate: high
• As precoital secretion may contain sperm
• Wrong timing of Withdrawal
Effectiveness: 78-96%
Rhythm Methods:
Calendar method/ Safe period method/ Natural method.
Depends on time period of ovulation.
Dangerous period: ovulation occurs on 14 days and ovum viable for
48-72 hours so pregnancy occurs if coitus occurs in this period.
Safe period: rest of cycle i.e. 5-6 days after menstruation and 5-6 days
before next cycle.
Advantage: most natural
Disadvantage: most unreliable when cycles are irregular and
ovulation time is variable.
Terminal methods
Permanent method
Indication:
• When family is complete:
• Medical purpose
Types:
• Male sterilization
• Female sterilization
Female Sterilization

Surgical method
Tubectomy:
• Fallopian tubes identified, cut, cut end
ligated and buried.

Laparoscopic Occlusion:
• Tubes occluded using silicon rubber
bands, rings or clips.
• Method: quicker, simple and no need to
hospitalization.
Male Sterilization
Vasectomy
One cm. vas deference removed after
clamping.
Both end ligated and sutured.
M/A: Entry of sperm into semen
prevented.
• Sperm production and hormones not effected.
Thank You

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