Determine the Right Contraception Method for Yourself Age and Fertility vs Hormone injections such as Depo-Provera

Edited by Maria Quinney, mamta nagar, Eng, Doug Collins

The primary purpose of contraception is to prevent pregnancy. However most women who use a contraceptive pill use it to normalize irregular periods or help with other period difficulties.

There are a variety of methods, which are grouped into four categories, based on the mechanics used to prevent conception. The four categories in which contraceptive methods are group are:

  1. 1
    Barrier method: avoid the sperm from reaching the egg or the egg from implanting in the uterus.
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  2. 2
    Chemical formula: two types, which form a barrier against sperm and sperm and destroy that work by preventing the egg to mature and be expelled from the ovary (Ovulation) or prevent these implanted in the uterine wall.
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  3. 3
    Sterilization: surgical procedures that produce permanent sterility.
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  4. 4
    Natural methods: two types, which are base on calculations of the menstrual cycle, temperature basal body, mucus and consistency of the process that relies on avoiding ejaculation.
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Some methods are unique to women, others unique to man. The effectiveness of these methods (except surgical) depends heavily on the proper use the couple give them. Some methods have a safety close to 100%, while others may fail more regularly, causing a pregnancy. Finally, when we talk about contraceptives, it is important to note that some of these methods can produce side effects.

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Here are the details of the most commonly used methods: advantages, disadvantages, effectiveness in preventing pregnancy and how to use them.

Method 1: Age and Fertility

One in four couples of regenerative age have problems with fertility; this is related to many purposes, but one of the most important is the age of the woman. It has been found that female fertility declines with age, and after thirty-five years, the probability of becoming pregnant is only 15% spontaneously every month. This situation is worse after 40 years when this probability decreases to less than 10%. Before birth, a female has four million eggs, but at birth only has about 400 thousand. After puberty, the woman usually ovulates one egg every 28 days. Although the number of eggs a woman exceeds the number of eggs that need in her life, a woman of 35 years has eggs 35 years and the quality of the eggs will decrease progressively with age. This time is different in men since they produce new sperm throughout their lives. Fortunately, when the woman is under 40, between 20% and 60% of couples with fertility problems become conceive achieved by Reproduction Assisted the first try. With the change of the role of female in society, through the years, it has been observed that professional female postponed pregnancy but should not delay it beyond the 35 years age when egg quality begins to decay. Female 38 years or older, should given the opportunity to start over with Techniques Advanced ( fertilization in vitro, ICSI, blastocysts), which although more expensive, are more efficient than Addressed and Insemination Artificial.Además Relations age, other factors may be causing the problem. If, regardless of age, the couple have any of the following challenges must come sooner to a fertility specialist:

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  • Tubal obstruction
  • Low Sperm Concentration
  • Low sperm motility or morphology spermatic altered
  • Endometriosis
  • Ovulatory dysfunction
  • Immunological factor

Fertility specialists are in the centers accredited by the RED LATIN AMERICAN REPRODUCTION ASSISTED, which is a body set up to:

  • Monitor Fertility laboratories in the region.
  • Check the credentials of the professionals practicing the specialty
  • Recording data on the procedures of assisted reproduction
  • Ensure that pregnancy centers accredited by the network comply with the efficiency and standards of monitoring quality required for performing procedures of Assisted Reproduction.

The system inspects fertility centers in the region periodically to evaluate them and ensure that they meet international standards of quality control and efficiency, may decide not to renew the accreditation of an institution if it has failed to compare with international standards. The last inspection of the Network has held in March this year, and accredited units have a certificate that the patient can demand to see before starting treatment.

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Method 2: Hormone injections such as Depo-Provera

Here are few points to consider:

  1. 1
    What are hormonal injections of Depo-Provera? How does it work? Depo-Provera hormone contains synthetic progesterone (made by the laboratory ) and is similar to that secreted by the ovary women. With an infusion, every three months (13 weeks) have the best protection against pregnancy. If you have a medical consultation in the last three months, you should not inject this hormone.
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  2. 2
    When the hormone injection Depo-Provera start working? You must inject the first Depo-Provera during the first five days of a normal menstrual period. You will be protected from a possible pregnancy, immediately after you have applied the injection.
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  3. 3
    How Depo-Provera prevent pregnancy? Synthetic progesterone injection suppresses pituitary braking start ovulating ovary. Without these eggs, pregnancy can not occur. The injection also changes the endometrium of the uterus and cervical mucus.
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  4. 4
    How effective are Depo-Provera? If a woman Depo-Provera is injected at the proper time every three months, it is 99% efficient. That means about 100 women medicated with Depo-Provera at the time right; one woman becomes pregnant each year.
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  5. 5
    Depo-Provera does not protect against the diseases of sexual transmission. So you need to use a condom to protect against sexually transmitted infections.
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  6. 6
    Do you have other benefits Depo-Provera to prevent pregnancy? If Depo-Provera may cause a decrease in menstrual cramps, lighter periods or no periods, many young people think it is something real and less chance of anemia.
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  7. 7
    Where can I buy an injection of Depo-Provera? Your physician can prescribe Depo-Provera. He or she must first perform a physical exam and ask about the history of your contraception needs and overall health. In this way, they will diagnose whether the injection of Depo-Provera is the type of contraception suitable for you. The first injection of Depo-Provera should give during the first five days of a normal menstrual cycle. Each injection costs between 30 and 75 pesos.
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  8. 8
    Does the injectable contraceptive side effects? There are possible side effects of the injection. They may be different in each woman. The most common symptoms are:  
    1. Irregular menstrual periods: short or extended periods of time, scarce or abundant.
    2. Loss of menstrual cycles. The longer the time in the use of injectable contraceptive greater the probability of losing the menstrual cycle.
    3. Weight gain. Each woman gains about 5 pounds every year during the first three years. You can maintain your weight by eating balanced diet and exercising regularly on this contraception.
    4. Headaches.
    5. Depression.
    6. Bone mineral loss.
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  9. 9
    If you have any of these side symptoms, you should inform whoever is responsible for your health care. It is necessary to know that most women have irregular cycles, especially during the first six months.
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  10. 10
    Should I worry about the density bone while I am on Depo-Provera? Latest articles refer that adolescents may have lower bone density when under treatment with Depo-Provera. Gain bone density is of particular importance at puberty (between 11 and 15 years). So until the investigation progresses, the best advice is not to use Depo-Provera the first two years after menarche. Prescribe 1300 grams of calcium in the diet, supplemented with multivitamins, maintain a healthy weight and exercise not be too thin.
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  11. 11
    Should I worry if I stop menstruating while I apply the injection of Depo-Provera? No. Many women stop menstruating after 6 to 12 months after starting injections. It is not a reason to worry. It is not a medical problem. That means your ovaries are resting and not removing an egg each month. When your ovaries do not eliminate the eggs, the endometrium does not grow inside your uterus. Therefore no menstrual bleeding. You will get your menstrual cycle between 6 and 18 months after stopping the injectable Depo-Provera. Are you have any confusion or questions? You should consult your doctor.
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  12. 12
    Can any woman use Depo-Provera? Not to be used in females who have the following tables:  
    1. Who become pregnant.
    2. Presenting without cause vaginal bleeding.
    3. Who have severe liver disease.
    4. Suffering from breast cancer or have a family history of breast cancer.
    5. The good news is that the woman who can not use estrogen can use Depo-Provera. Depo-Provera may benefit patients with sickle cell anemia. You can also decrease the intensity of it.
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  13. 13
    What if I want to get pregnant? Can I use Depo-Provera? If you want to get pregnant this year, then you should not use Depo-Provera, because this medication inhibits pregnancy until 6 to 10 months after the last injection. This period is not strict. IF you do not want to get pregnant for a couple of years, and then this contraceptive might be suitable.
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  14. 14
    When should I start taking another contraceptive if I decide to suspend the injections of Depo-Provera? If you want to delay the injection of Depo-Provera, you can. Progesterone in Depo-Provera protects against pregnancy for more than three months, and it is crucial to avoid risks, initiating other contraception, three months after the last menstrual period.
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Categories : Marriage

Recent edits by: Eng, mamta nagar, Maria Quinney

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