CONTRACEPTION
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Questions and Answers

castration is removal of testes. Explain how this affect body characteristics and sexual desire?

The testes are the main source of testosterone, a hormone responsible for male secondary sexual characteristics (such as facial hair, deep voice, and muscle mass) and sexual desire. Removal of the testes leads to a sharp decline in testosterone levels. A significant decrease in testosterone may cause loss of muscle mass, increased body fat, reduced body hair. Lower testosterone typically results in reduced libido and may also lead to erectile dysfunction.

oophorectomy is removal of ovaries, how does this affect body characteristics and sexual desire?

The ovaries produce estrogen and progesterone, which regulate the menstrual cycle, maintain bone health, and contribute to female secondary sexual characteristics (such as breast development, fat distribution, and skin texture). Removal of the ovaries causes a sudden drop in these hormones.

The decline in estrogen can lead to symptoms like vaginal dryness, loss of breast tissue, and potential bone loss

Lower levels of estrogen can result in reduced libido, though this varies between individuals. Vaginal dryness may also cause discomfort during intercourse, further impacting sexual desire.

adv of natural contraception

no side effects, no costs, acceptable to certain religious groups

adv of IUD

<p>effective, long lasting, easily reversed, once in place can be forgotten, may be effective as emergency contraception</p> Signup and view all the answers

disadv of IUD

<p>mus tbe inserted by doctor</p> <p>in some women cause pain and bleeding at menstruation</p> <p>no protection against STIs</p> Signup and view all the answers

disadv of diaphragm and cervical cap

<p>difficult to insert</p> <p>correct size must be prescribed by doctor</p> <p>spermicide must be used to improve reliability</p> Signup and view all the answers

the mini pill is suitable for women who cannot take _____

<p>oestrogen</p> Signup and view all the answers

adv of Depo-Provera and Depo-Ralovera

<p>verry effective, convenient, periods cease</p> Signup and view all the answers

disadv of depo provera and depo ralovera

<p>injection cant be reversed</p> <p>delay in return to fertility when injections cease</p> <p>possible side effects</p> Signup and view all the answers

disadv of mini pill

<p>must be taken same time each day</p> Signup and view all the answers

disadv of combined pill

<p>regular dr prescription needed, pill must be taken daily, possible side effects</p> Signup and view all the answers

disadv of morning-after pill

<p>needs to be used within 72 hours of sex to be effective</p> <p>no protection against STIs</p> Signup and view all the answers

what are ethical issues associated with birth control

<p>catholic church, christians: only acceptable method of family planning is abstinence from intercourse at times when fertilisation is most likely to occur</p> Signup and view all the answers

discuss the advantages of hormone implant over hormone pills

<p>hormone implant: last 3-5 years, once inserted, we do not need to worry about it. However, hormone pills must be taken daily, and if taken irregularly, it can affect the effectiveness. People with busier lifestyles should opt for hormone implants.</p> <p>furthermore, hormone implants secrete low doses of progestin over time compared to the higher doses of progestin released by hormone pills, which may lead to more side effects such as nausea and vomiting</p> Signup and view all the answers

describe the process of vasectomy

<p>a small cut is made on each side of the scrotum</p> <p>small segment is removed from each vas deferans</p> <p>cut ends are tied or sealed with heat</p> <p>cuts in scrotum are then closed</p> Signup and view all the answers

disadvantages of symptothermal method

<p>hard to have sex according to calendar, affects spontaneity</p> <p>time and effort required to determine ovulation</p> <p>not very reliable</p> Signup and view all the answers

benefits, limitations of condoms

<p>benefits: STI protection available without prescription affordable</p> <p>limitations: if stored in warm temperatures for too long, rubber can degrade and tear during sex</p> Signup and view all the answers

benefits, limitations and risks of chemical spermicides

<p>benefit: easy to use available over the counter no hormones or systemic effects</p> <p>limitations: must be applied before intercourse each time less effective when used alone (should be used with other methods such as condoms)</p> <p>risk: increases risk of UTI or vaginal infections with frequent use</p> Signup and view all the answers

sterilisation (tubal ligation, vasectomy) benefits, limitations and risks

<p>benefits: permanent no ongoing maintenance once prodedure complete nearly 100% effective</p> <p>limitations: irreversible (require careful consideration) surgical procedure required</p> <p>risks: vasectomy has small risk of chronic testicular pain</p> Signup and view all the answers

combined pill: benefits, limitations, risks

<p>benefits: very reliable regular periods reduced incidence of ovarian or cervical cancer unrelated to sexual activity</p> <p>limitations; require Dr. prescription must be taken daily</p> <p>risks: blood clots especially in smokers possible side effects: nausea</p> Signup and view all the answers

fertility awareness method (tracking ovulation, temperature, calendar methods) benefits, limitations and risks

<p>benefits: no hormones or chemicals involved low cost can be used to plan/prevent pregnancy</p> <p>limitations: requires consistent and accurate tracking less effective if cycles are irregular requires education and discipline can affect spntaneity sexual desire and calendar tracking may not align</p> <p>risks: higher failure rate compared to other methods</p> Signup and view all the answers

Study Notes

Castration and its Effects

  • Removal of testes leads to decreased testosterone production.
  • Results in reduced sexual desire and libido.
  • Impacts muscle mass, fat distribution, and bone density, potentially leading to osteoporosis.
  • May cause emotional changes, including depression or anxiety.

Oophorectomy and its Effects

  • Removal of ovaries eliminates estrogen and progesterone production.
  • Can lead to menopause symptoms like hot flashes and mood swings.
  • Affects sexual desire due to hormonal changes.
  • Increases risk of cardiovascular diseases and bone health issues.

Advantages of Natural Contraception

  • No side effects or health risks associated with hormonal methods.
  • Increases awareness of the body’s natural cycles.
  • Promotes shared responsibility between partners in family planning.

Advantages of IUD

  • Long-lasting, effective contraception (3-10 years depending on type).
  • Low maintenance once inserted.
  • Can reduce menstrual bleeding and cramping in some users.

Disadvantages of IUD

  • Possible discomfort or pain during insertion.
  • Risk of expulsion or perforation of the uterus.
  • May cause irregular bleeding, especially in the first few months.

Disadvantages of Diaphragm and Cervical Cap

  • Requires proper fitting and may need regular replacement.
  • Must be used with spermicide, which can cause irritation.
  • Less effective for women who have not given birth.

Mini Pill Suitability

  • The mini pill is suitable for women who cannot take estrogen.

Advantages of Depo-Provera and Depo-Ralovera

  • Highly effective with an injection every 3 months.
  • Can reduce menstrual cramps and regulate periods.
  • No need for daily adherence like pills.

Disadvantages of Depo-Provera and Depo-Ralovera

  • Potential side effects include weight gain and mood changes.
  • May cause delayed fertility after discontinuation.
  • Bone density loss with long-term use.

Disadvantages of Mini Pill

  • Requires strict daily adherence at the same time.
  • May lead to irregular periods or spotting.
  • Less effective if taken more than three hours late.

Disadvantages of Combined Pill

  • Risk of blood clots, especially in smokers and older women.
  • Can cause nausea, headaches, or mood changes.
  • Requires prescription and regular usage to ensure effectiveness.

Disadvantages of Morning-After Pill

  • Less effective than regular contraceptive methods.
  • Can cause temporary side effects like nausea or fatigue.
  • Not intended for regular use, leading to potential misuse.

Ethical Issues Associated with Birth Control

  • Access disparities based on socio-economic status.
  • Moral and religious objections to certain methods.
  • Concerns over informed consent and autonomy.

Advantages of Hormone Implant Over Hormone Pills

  • Long-lasting effectiveness (up to 3 years).
  • Simplified use with no daily routine.
  • Fewer hormonal fluctuations compared to pills.

Process of Vasectomy

  • Surgical procedure that involves cutting and sealing the vas deferens.
  • Performed under local anesthesia, usually on an outpatient basis.
  • Effectiveness is immediate but requires confirmation after a period of time.

Disadvantages of Symptothermal Method

  • Requires diligent monitoring and record-keeping.
  • May not be reliable for irregular cycles.
  • Relies heavily on partner compliance and commitment.

Benefits and Limitations of Condoms

  • Benefits include STIs protection and no hormonal side effects.
  • Limitations include potential for breakage and reduced sensitivity.
  • Need for correct application and storage to ensure effectiveness.

Benefits, Limitations, and Risks of Chemical Spermicides

  • Benefits include easy accessibility and no prescription needed.
  • Limitations include potential irritation or allergic reactions.
  • Risks include decreased effectiveness with incorrect use.

Sterilization (Tubal Ligation, Vasectomy) Benefits, Limitations, and Risks

  • Benefits include permanent contraception with high effectiveness.
  • Limitations include the irreversibility of the procedure for most.
  • Risks include surgical complications and post-operative pain.

Combined Pill: Benefits, Limitations, Risks

  • Benefits include regular menstrual cycles and reduced PMS symptoms.
  • Limitations include the need for daily adherence and prescription.
  • Risks include potential side effects like blood clots and headaches.

Fertility Awareness Method Benefits, Limitations, and Risks

  • Benefits include increased body awareness and non-invasiveness.
  • Limitations involve learning curve and potential for cycle irregularities.
  • Risks include unintended pregnancy if not monitored accurately.

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