How can you prevent a future unwanted pregnancy?

About 85% of sexually active women who do not use contraceptives become pregnant within a year. A woman can become pregnant while breastfeeding, from about 10 days after childbirth, and even during her menstruation. Withdrawal of the penis prior to ejaculation and periodic abstinence does not prevent pregnancy or spread of sexually transmitted diseases. Here you can read more about several forms of contraceptives.

You can prevent an unwanted pregnancy with:
1- Total Abstinence
2- Use of contraceptives

If you are sexually active and do not want to get pregnant, always use contraception.

Methods of Contraception:
No method of contraception gives 100% protection.
The male latex condom is the only contraceptive method considered highly effective in reducing the risk of sexually transmitted diseases (STD's). Birth control pills, Implant and IUDs do not protect against STD infection.

For the Woman

DIAPHRAGM is a rubber disk with a flexible rim that covers the cervix and must be used together with spermicide. It is available by prescription only and must be fitted for size by a health professional. The diaphragm protects for six hours and should be left in place for at least six hours after intercourse but not for longer than a total of 24 hours.

ORAL CONTRACEPTIVES protect against pregnancy by the combined actions of the hormones estrogens and progestin. The hormones prevent ovulation. The pills have to be taken every day as directed and do not work after vomiting or diarrhea. Side effects of the pill can be nausea, headache, breast tenderness, weight gain, irregular bleeding, and depression.

DEPO-PROVERA is a hormonal contraceptive injected into a muscle on the arm or buttock every three months. The injection must be repeated every 3 months. The menstruation can become irregular and sometimes even absent.

IMPLANTS (such as Norplant or implanon) are made up of small rubber rods, which are surgically implanted under the skin of the upper arm, where they release the contraceptive steroid levonorgestrel. Their protection lasts from 3 to 5 years. Side effects include menstrual cycle changes, weight gain, breast tenderness and loss of bone mass.

Cupper-IUD is a T-shaped device inserted into the uterus by a health-care professional. The IUD can remain in place for 5- 10 years. IUD’s have one of the lowest failure rates of contraceptive method. Sometimes the IUD can be expelled and a woman has to check each month after her period with her finger if she can still feel the threads of the IUD. Other side effects can include abnormal bleeding and cramps, but this usually only occurs during and immediately after insertion. 

Hormonal-IUD is an IUD with a small hormonal (progestogen) sleeve. It is one of the most effective forms of birth control. Next to the above mentioned characteristics of an IUD, it can remain in place for 5 years, but has no heavy bleeding side effects. As most women experience only lighter periods and less bleeding (some stop completely having periods) it’s supposed to be a perfect therapy as well for women with heavy cycle bleedings.

FEMALE STERILIZATION is done surgically. The tubes are ligated, preventing the egg-cells from encountering the sperm cells and preventing any future pregnancies. It is a permanent form of contraception. 

FEMALE COMDOM is made of soft rubber and can be used only once. As a mechanical barrier method of contraception worn by women it’s inserted easily inside the vagina before sex and prevents direct vaginal contact with semen, infectious genital discharges, and genital lesions  It is shaped like a long tube or sheath, with one closed end and one open end, and at each end, there's a flexible ring, helping to keep the female condom in place once it's inserted. Condoms are the most effective method for reducing the risk of infection from the viruses that cause AIDS and other sexually transmitted diseases (STD’s). 

EMERGENCY CONTRACEPTION must be taken within 72 hours of unprotected sex, however, the sooner used, the more effective. iI prevents an unplanned pregnancy among others by delay of ovulation.

Most combination (estrogens and progesterone) birth control pills can also be used (called Yupze method). Take within 72 hours of unprotected sex. One dose 100 µg ethinylestradiol + 500 µg levonorgestrel (2-4 birth control pills), 12 hours later a second dose.

MORNING-AFTER cupper IUD must be inserted within 5 days of unprotected intercourse. The IUD can stay for 5 to 10 years.

For the Man

CONDOMS are usually made from latex rubber and can be used only once. Some have spermicide added to kill sperm. They act as a mechanical barrier, preventing direct vaginal contact with semen, infectious genital discharges, and genital lesions. Condoms are the most effective method for reducing the risk of infection from the viruses that cause AIDS and other sexually transmitted diseases (STD’s). It is important to put a condom on properly before intercourse

MALE STERILIZATION also known as vasectomy, is a quick operation performed under local anaesthesia with possible minor postsurgical complications, such as bleeding or infection. The ability to get an erection and an ejaculation does not disappear. The sperm cells are just a very small part (1%) of the fluid and a man will not notice any difference in ejaculation. The body will absorb the sperm cells.

Rates of Effectiveness of Different Contraceptives:

 Estimated Effectiveness
Male Latex Condom86%
Female Condom79%
Diaphragm with Spermicide80%
Oral ContraceptivesOver 95%
Injection (Depo-Provera)Over 99%
Implant (Norplant, Implanon)Over 99%
IUD (Intrauterine Device)98-99%
Surgical SterilisationOver 99%
Emergency Contraceptives75%

 

http://www.who.int/reproductivehealth/publications/family_planning/mec-wheel-5th/en/

http://www.who.int/reproductivehealth/publications/family_planning/Ex-Summ-MEC-5/en/

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کمک کنید، من دچار حاملگی ناخواسته شدم، چیکار باید بکنم؟

اگر شما در کشوری زندگی‌ می‌کنید که سقط جنین از راه مطمئن و قانونی امکان پذیر…

What is a medical abortion?

A medical abortion uses a medicine or a combination of tablets to cause the non

Is it difficult to use Misoprostol by yourself?

No. You can take Misoprostol on your own. Using Misoprostol is no more…

How to use misoprostol (cytotec) to cause an abortion?

You will need 12 pills of misoprostol, 200 micrograms (mcg) each. To cause an…

How can I get Misoprostol?

Instead of using Misoprostol alone it is much more effective (99%) to do a…

چه مارکی‌ از misoprostol را استفاده کنم و آیا مارک‌های مختلف را با هم می‌تونم استفاده کنم؟

‏Oxaprost و Arthotec حاوی یک مسکن میباشند. ممکن است که برای خیلی از خانوم‌ها…

کدام قرص حاوی misoprostol از همه موثر تر می‌باشد؟

همه مارک‌ها موثر میباشند. مهمترین مساله این است که قرص حاوی ۲۰۰میکروگرم…

I cannot get Misoprostol. Could you please send them to me?

If you live in a country where there is no access to safe and legal abortion…

I am more than 12 weeks pregnant and can travel; where can I find clinics that can help?

Late abortions are available in the following countries: England Abortions up…

آیا خانوم‌هایی‌ که دچار به کلامیدیا بوده میتوانند از misoprostol استفاده کنند؟

عفونت کلامیدیا یکی‌ از علل ناباروری می‌باشد و باید قبل یا هنگام استفاده از…

آیا دارویی که تزریق بشود برای پایان دادن به حاملگی وجود دارد؟

تنها داروی تزریقی که حاملگی را با موفقیت پایان دهد Methotrexate می‌باشد. این…

‏Methotrexate چیست؟

‏Methotrexate همراه با Misoprostol (بد از گذشت ۳ تا ۷ روز ۴ عدد قرص ۲۰۰…

آیا آنتی بییوتیک‌ها در کار آیی قرص سقط جنین یا misoprostol اثری میگذارند؟

ممکن است در کار آیی قرص ضاد حاملگی در صورت بروز اسهال تاثیر بذارند ولی‌ در کار…

آیا Provera (یک پروژسترون) میتواند باعث القا سقط جنین شود؟

خیر، نمی‌تواند. Provera حاوی ماده فعالی‌ که باعث انقباض رحم یا عاملی دیگر برای…

How do you know if you are pregnant and how long you have been pregnant for?

Most women determine that they are pregnant if they are sexually active and…

How many weeks into your pregnancy can you do a medical abortion?

You can do a medical abortion at home until the 12th week of your pregnancy.

I've been pregnant for more than 12 weeks. Can I still use Misoprostol?

Misoprostol still works after 12 weeks of pregnancy but the chance of…

I am 20 weeks pregnant; can I use Misoprostol?

Misoprostol should never be used after 20 weeks pregnancy. The fetus is able to…

What if you are not pregnant but take the medicines anyway?

Your health will not be harmed if you are not pregnant but take the medicines…

What are hCG levels during pregnancy?

hCG levels in weeks from Last Menstrual Period : 3 weeks LMP: 5 - 50 mIU/ml 4…

What if you have a RH - bloodtype?

Usually doctors advice women who have an (surgical) abortion or miscariage or…

When you should not do a medical abortion?

You should not use the medicines if: someone is forcing you to end your…

What is a contraindication and how do you know if you have one?

Contraindications are conditions or situations might keep you from being able…

What is an ectopic pregnancy and how do you know you have one?

An ectopic pregnancy is a pregnancy that grows outside the womb, usually in a…

Can I have an abortion if I have an IUD?

An IUD is a contraceptive, a small coil of about 3 cm inserted by a doctor into…

Why shouldn't you be alone when you do a medical abortion and what if you do it alone anyway?

You are strongly advised to use the medicines in the presence of someone you…

Why should you be within 60 minutes of a hospital or first aid centre when you do the abortion?

It is absolutely necessary to be within one hour of help, in case you lose too…

What painkillers can you use?

NSAID's like Ibuprofen, Diclofenac and Naproxen are the most effective…

آیا از داروهای هومیوپاتی که دل‌ درد عادت ماهانه(رگل) را کم میکنند را همراه با misoprostol استفاده کرد؟

به دلیل اینکه بعضی‌ از این داروها ممکن است که جلوی انقباض رحم را بگیرند، توصیه…

How should you use Misoprostol (cytotec)?

You will need 12 pills of misoprostol, 200 micrograms (mcg) each. To cause an…

Are there other ways to use the Misoprostol?

We strongly advise you to use Misoprostol under your tongue. This way, no…

Can you use Misoprostol if you are still breastfeeding?

It is better not to breastfeed during the first 5 hours after taking…

Is it safe to have a medical abortion if you've already had one in the past?

Women are fertile for about 40 years. Some women need more than one abortion…

آیا می‌توانم قسمتی‌ از misoprostol, cytotec را از طریق دهان و قسمتی‌ را از طریق واژن مصرف کنم؟

به خانوم‌ها توصیه می‌کنیم که یا قرص‌ها را از طریق واژن یا به صورت زیر زبانی…

Can you eat or drink while you are taking the medicines?

You should not drink any alcohol or use drugs, as it can affect your judgment.

When will you start bleeding and how long will it last?

After using Misoprostol you should expect bleeding and cramps. Bleeding usually…

آیا هنگام سقط با misoprostol به محل کار می‌شه رفت؟ چه مقدار استراحت لازم است؟

بهتر است که آخر هفته یا هنگامی که امکان استراحت داریم از misoprostol استفاده…

بد از خوردن دور اول قرص ها، خونریزی شروع شده است، آیا دور دوم و سوم از قرص‌ها را لازم دارم؟

بله، با وجود خونریزی هنوز باید از دور دوم و سوم استفاده کرد. تحقیقات علمی‌ نشان…

رنگ و مقدار خون از دست رفته چه می‌باشد؟

به طور کلی‌ خون تازه قرمز و خون قدیمی‌ قهوه‌ای می‌باشد. هنگام سقط جنین شما خون…

Can you see the products of the abortion (placenta, embryo, blood) and what should you do with them?

Most of the time women can see blood and tissue in their sanitary napkin or in…

What are the side effects of Misoprostol?

The medical abortion normally causes side effects such as pain and cramping, as…

از misoprostol استفاده کرده و همچنان درد شدید دارم، آیا این طبیعی می‌باشد؟

اگر که درمان موفق بوده در این صورت دردی نباید داشته باشید، فقط خونریزی. درد…

‏Misoprostol مصرف کرده‌ام اما تست حاملگی هنوز مثبت می‌باشد، چه کار کنم؟

گهی اوقات تست حاملگی بد از گذشته ۳ یا ۴ هفته همچنان مثبت می‌باشد، چون هورمون…

What is a complete, successful abortion and how do you know you've had one?

A complete abortion means that the body has expelled all the products of…

How do you know if you have complications and what should you do?

If performed in the first 10 weeks, a medical abortion carries a very small…

How do you know if you have a post-abortion infection?

Infections following medical abortions are very rare. If you feel weakness

How do you know if you have an incomplete abortion?

An incomplete abortion is an abortion that has only been partially successful.

What is a curettage/vacuum aspiration and is it necessary after medical abortion?

Vacuum aspiration (MVA)is a surgical intervention to remove the contents of the…

آیا misoprostol در آزمایش خون تشخیص داده میشود؟

بله، امکان تشخیص آن وجود دارد ولی‌ فقط در صورتی‌ که آزمایش مخصوص تشخیص این دارو…

How do you know if you have a continuing pregnancy?

Continuing pregnancy is a pregnancy that continues to develop even after the…

What are the chances that the fetus will be malformed if you have an ongoing pregnancy?

If you have an ongoing pregnancy after using Misoprostol, the risk of having a…

Do you need to have an ultrasound after doing a medical abortion?

If you do not have symptoms of a complication, it is not necessary to have an…

Do you require psychological counseling after you have had an abortion?

Most women do not need any psychological help after an abortion. Feelings of…

خطرات چیست؟

بسیاری از سقط جنین‌های غیر قانونی‌، خطرناک بوده و بدون داشتن آگاهی‌‌های لازم…

چقرد طول خواهد کشید تا Misoprostol شروع به کار کند و عوارض جانبی چقدر همراه خواهند بود؟

در بیشتر مورد میسپرستل بد از 4 ساعت شروع به کار کردن خواهد کرد با شروع دل درد و…

از Misoprostol استفاده کردم، مقدار خیلی کمی‌ خونریزی داشته ام، آیا سقط کارساز بوده؟

به سختی می‌توان تشخیص داد که سقط جنین اتفاق افتاده است. تنها راهی‌ که بی‌ شک…

آیا امکان حاملگی مجدد بد از مصرف misoprostol وجود دارد؟

بله، فورا باید احتیاطات لازمه را کرد، برای راهای پیشگیری از بارداری به این…

Does medical abortion increase the risk of breast cancer?

No, having an induced abortion does not increase a woman’s chance of developing…

بعد از سقط جنین برای ارتباط جنسی‌ دوباره چقدر باید صبر کرد؟

شما میتوانید هر موقع که دوباره احساس راحتی‌ کردید رابطه جنسی‌ داشته باشید. فورا…

Is a medical abortion dangerous?

Medical abortions performed in the first 12 weeks of pregnancy have a very low…

Will you be able to get pregnant and have children after a medical abortion?

A medical abortion does not affect your ability to conceive or bear a child in…

When can you get pregnant again after having a medical abortion?

Although it may be several weeks after your abortion before you get your…

Where can I buy the abortion pill (RU 486, mifepristone, mifeprex, mifegyne, Zacafemyl)?

RU 486 (the abortion pill, Mifepristone, Mifegyne, Mifeprex, Zacafemyl)) is…

آیا دچار عفونت شده ام؟

آیا دچار عفونت شده ام؟ بالا بودن دمای بدن میتواند به این معنی باشد که عفونت…

من از Misoprostol استفاده کرده‌ام ولی‌ خونریزی خیلی کمی‌ داشتم یا اصلا خونریزی نداشته، آیا درمان کارساز بوده؟

من از Misoprostol استفاده کرده‌ام ولی‌ خونریزی خیلی کمی‌ داشتم یا اصلا خونریزی…