Oral Contraceptives Quiz
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Questions and Answers

Which of the following are types of oral contraceptive pills mentioned in the text?

  • Hormone Injections
  • Hormone Implants
  • Saheli (correct)
  • Mala-N and Mala-D (correct)
  • The daily oral contraceptive pills, Mala-N and Mala-D, are started on the first day of the menstrual cycle.

    False (B)

    What is the main mechanism by which oral contraceptive pills prevent ovulation?

    Blocking the pituitary secretion of gonadotropins (FSH and LH)

    The chemical composition of Saheli is ______ or ______

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

    Match the following oral contraceptive pills with their respective hormonal compositions:

    <p>Mala-N and Mala-D = Norethisterone acetate (Synthetic progesterone) and Ethynyl estradiol (Synthetic Estrogen) Saheli = Centchromen or Ormeloxifen (non-steroidal)</p> Signup and view all the answers

    Saheli is a steroidal contraceptive pill.

    <p>False (B)</p> Signup and view all the answers

    What is the failure rate of Saheli contraceptive pills?

    <p>1.83%</p> Signup and view all the answers

    Which of the following is NOT a way oral contraceptive pills prevent pregnancy?

    <p>Preventing sperm production (C)</p> Signup and view all the answers

    Which of the following is the primary mechanism by which estrogen is used as a contraceptive?

    <p>Prevents ovulation and implantation (A)</p> Signup and view all the answers

    Estrogen-based contraceptives directly affect sperm motility.

    <p>False (B)</p> Signup and view all the answers

    What is the contraceptive 'SAHELI' designed to do?

    <p>SAHELI blocks estrogen receptors in the uterus, preventing eggs from getting implanted.</p> Signup and view all the answers

    In cases of low sperm count, a technique called ______ can be used to facilitate fertilization.

    <p>intrauterine insemination (IUI)</p> Signup and view all the answers

    Which of the following is NOT a mechanism by which estrogen contraceptives work?

    <p>Inhibits sperm motility (A)</p> Signup and view all the answers

    SAHELI is an intrauterine device (IUD).

    <p>False (B)</p> Signup and view all the answers

    Match the contraceptive methods with their primary mechanisms of action:

    <p>Estrogen-based contraceptives = Preventing ovulation and implantation SAHELI = Blocking estrogen receptors in the uterus IUD = Preventing implantation or sperm movement Condoms = Physical barrier against sperm Spermicides = Killing or immobilizing sperm</p> Signup and view all the answers

    Medical Termination of Pregnancy (MTP) is generally safer during the second trimester than the first trimester.

    <p>False (B)</p> Signup and view all the answers

    What is the primary motivation behind the legalization of MTP in India?

    <p>To address unwanted pregnancies (B)</p> Signup and view all the answers

    The Government of India legalized MTP in ______ with strict conditions to prevent misuse.

    <p>1971</p> Signup and view all the answers

    What is the meaning of Artificial insemination?

    <p>Artificial introduction of sperms of a healthy donor into the vagina (D)</p> Signup and view all the answers

    What are some of the ethical and social concerns surrounding MTP?

    <p>Ethical and social concerns surrounding MTP include moral and religious beliefs regarding abortion, potential psychological impact on women, and the possibility of misuse such as female foeticide.</p> Signup and view all the answers

    Breastfeeding is a recognized method of contraception.

    <p>True (A)</p> Signup and view all the answers

    Match the following terms to their definitions:

    <p>MTP = Intentional termination of pregnancy before full term Foeticide = The killing of a fetus in the womb Contraceptive = A method used to prevent pregnancy Intercourse = Sexual activity between a man and a woman Trimester = A period of three months in a pregnancy Conception = The fertilization of an egg by a sperm Coitus = Sexual intercourse</p> Signup and view all the answers

    What is the full form of GIFT?

    <p>Gamete Intra Fallopian Transfer</p> Signup and view all the answers

    Which of these factors contribute to the need for MTP?

    <p>All of the above (D)</p> Signup and view all the answers

    How many MTPs are estimated to be performed globally each year?

    <p>45 to 50 million</p> Signup and view all the answers

    The ______ technique involves transferring a fertilized embryo into the uterus of a surrogate mother.

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

    Match each fertility technique with its description:

    <p>In vitro fertilization (IVF) = Involves retrieving eggs, fertilizing them outside of the body, and transferring the resulting embryo(s) into the uterus Artificial insemination (AI) = Involves introducing sperm into the female reproductive tract to facilitate fertilization GIFT (Gamete Intra Fallopian Transfer) = Involves transferring unfertilized eggs and sperm into the fallopian tube Surrogacy = A woman carries and delivers a baby for another person or couple who cannot conceive or carry a pregnancy naturally.</p> Signup and view all the answers

    The primary purpose of MTP is to decrease population growth.

    <p>False (B)</p> Signup and view all the answers

    Which of the following is NOT a legal method of birth control?

    <p>Detecting sex of the unborn foetus (C)</p> Signup and view all the answers

    Which of the following is a combination of hormones known for its effectiveness in contraception?

    <p>A combination of progesterone and oestrogen (C)</p> Signup and view all the answers

    A contraceptive method that involves injecting a combination of progesterone and estrogen under the skin is a legal and effective method of birth control.

    <p>True (A)</p> Signup and view all the answers

    Which of the following contraceptive methods is NOT mentioned in the provided excerpt?

    <p>Diaphragm (B)</p> Signup and view all the answers

    Emergency contraceptive pills contain high doses of progesterone.

    <p>True (A)</p> Signup and view all the answers

    What is the name of the non-steroidal contraceptive pill mentioned in the excerpt?

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

    The excerpt suggests that the side effects of 'SAHELI' are ______ than those of other contraceptive pills.

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

    Match the contraceptive methods with their descriptions:

    <p>IUD = A small, T-shaped device inserted into the uterus Pills = Oral contraceptives that contain hormones Coitus interruptes = Withdrawal of the penis before ejaculation Cervical cap = A dome-shaped device placed over the cervix Condom = A barrier method that prevents the transfer of semen Periodic abstinence = Avoiding sexual intercourse during the fertile period of the menstrual cycle</p> Signup and view all the answers

    Which of the following contraceptive methods is considered a barrier method?

    <p>Condom (B)</p> Signup and view all the answers

    The excerpt suggests that 'SAHELI' is a steroidal contraceptive pill.

    <p>False (B)</p> Signup and view all the answers

    What is the main mechanism by which oral contraceptive pills prevent pregnancy?

    <p>Oral contraceptive pills typically work by preventing ovulation.</p> Signup and view all the answers

    Which of the following is a method of assisted reproductive technology (ART)?

    <p>Gamete intracytoplasmic fallopian transfer (A), Intrauterine transfer (B), Artificial Insemination (C), Intra cytoplasmic sperm injection (D)</p> Signup and view all the answers

    Gamete intracytoplasmic fallopian transfer is a post-coital contraceptive.

    <p>False (B)</p> Signup and view all the answers

    What is the abbreviation for Intra cytoplasmic sperm injection?

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

    The acronym ART stands for ______ Reproductive ______.

    <p>Assisted Technology</p> Signup and view all the answers

    Match the following ART methods with their descriptions:

    <p>Gamete intracytoplasmic fallopian transfer (GIFT) = A single sperm is injected directly into an egg. Artificial Insemination (AI) = Sperm is deposited directly into the uterus. Intra cytoplasmic sperm injection (ICSI) = Sperm and egg are placed together in the fallopian tube. Intrauterine transfer (IUT) = Embryos are transferred into the uterus.</p> Signup and view all the answers

    Which of the following techniques involves transferring embryos into the uterus?

    <p>IUT (C)</p> Signup and view all the answers

    Artificial insemination is a technique where sperm is directly injected into the egg.

    <p>False (B)</p> Signup and view all the answers

    What is the main difference between GIFT and ICSI?

    <p>GIFT involves placing sperm and egg together in the fallopian tube, while ICSI involves injecting a single sperm directly into an egg.</p> Signup and view all the answers

    Flashcards

    Oral contraceptive pills

    Daily hormonal pills used for preventing pregnancy.

    Mala–N and Mala–D

    Types of daily oral contraceptive pills with a low failure rate of 0.1%.

    Composition of oral pills

    Includes Norethisterone acetate (progesterone) and Ethynyl estradiol (estrogen).

    Mechanism of action

    Blocks ovulation by inhibiting the secretion of FSH and LH from the pituitary gland.

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    Cervical mucosa thickening

    Progestin-only pills make cervical mucus thick to hinder sperm entry.

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    Saheli

    Weekly oral contraceptive pill with fewer side effects, failure rate of 1.83%.

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    Centchromen and Ormeloxifen

    Active ingredients in Saheli that prevent implantation and offer contraception.

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    Iron supplementation

    Iron pills given in the last 7 days of the cycle to recover from menstruation.

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    Artificial insemination

    The introduction of sperm from a healthy donor directly into a woman's reproductive tract.

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    GIFT

    Gamete Intra Fallopian Transfer: a technique for assisting childless couples by transferring gametes directly into the fallopian tubes.

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    Progesterone and oestrogen

    Hormones injected or implanted under the skin as an effective contraceptive method.

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    Surrogate mother

    A woman who carries and delivers a baby for another couple or person.

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    Detecting genetic abnormalities

    Methods used to identify any genetic issues in an unborn fetus.

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    Oligospermia

    A condition characterized by low sperm count leading to potential infertility.

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    Contraceptive methods

    Techniques or devices used to prevent pregnancy during or following sexual intercourse.

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    Embryo transfer

    The process of placing an embryo into the uterus of a surrogate mother.

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    Medical Termination of Pregnancy (MTP)

    The intentional termination of pregnancy before full term, mainly performed via medical means.

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    First Trimester Safety

    MTP is relatively safe during the first trimester, which is up to 12 weeks of pregnancy.

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    Second Trimester Risks

    There are more significant risks associated with MTP in the second trimester.

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    Global MTP Statistics

    Approximately 45 to 50 million MTPs are performed annually worldwide, around 1/5th of total pregnancies.

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    Ethical Debates on MTP

    The legalization of MTP is debated due to emotional, ethical, religious, and social issues.

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    MTP in India

    MTP was legalized in India in 1971 with strict conditions to prevent misuse.

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    Reasons for MTP

    Reasons for MTP include unwanted pregnancies from unprotected intercourse or contraceptive failure, as well as instances of rape.

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    Female Foeticide Issues

    Legal restrictions on MTP are important to curb illegal female foeticides, especially in India.

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    IUD

    A T-shaped device inserted into the uterus to prevent pregnancy.

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    Contraceptive Pills

    Daily or weekly hormonal pills used to prevent pregnancies.

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    Coitus Interruptus

    A method where the male withdraws before ejaculation to prevent pregnancy.

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    Cervical Cap

    A small cup-shaped barrier placed over the cervix to block sperm.

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    Condom

    A thin covering worn on the penis or inside the vagina to prevent sperm from entering.

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    Periodic Abstinence

    A method where couples avoid sexual intercourse during fertile periods.

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    Emergency Contraceptive Pills

    Pills taken after unprotected intercourse to prevent pregnancy.

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    Side Effects of Saheli

    Saheli has fewer side effects compared to other contraceptives.

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    Estrogen function in contraception

    Estrogen helps avoid pregnancy by preventing fertilization, ovulation, and sperm motility.

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    Preventing ovulation

    Estrogen prevents the release of eggs from the ovaries, reducing chances of fertilization.

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    Cervical plug formation

    Estrogen causes the formation of a cervical plug to block sperm entry into the uterus.

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    Sperm motility inhibition

    Estrogen inhibits sperm movement, making it difficult for sperm to reach an egg.

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    SAHELI contraceptive

    SAHELI is a contraceptive that blocks estrogen receptors to prevent egg implantation.

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    Increasing estrogen levels

    SAHELI increases estrogen concentration, which helps in preventing ovulation.

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    Low sperm count solution

    Assisted reproductive technologies are suitable for couples with a low sperm count for fertilization.

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    Intrauterine Device (IUD)

    An IUD is a contraceptive device that can be used in cases of low sperm count.

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    Gamete Intracytoplasmic Fallopian Transfer

    A fertility treatment where a single sperm is injected directly into an egg before transferring to the fallopian tube.

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    Intra Cytoplasmic Sperm Injection

    A procedure where a single sperm is injected directly into an egg cytoplasm for fertilization.

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    Intrauterine Transfer

    The placement of embryos directly into the uterus after fertilization in vitro.

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    Post-coital Contraceptive

    Contraceptive methods used after intercourse to prevent pregnancy.

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    Fertility Treatment

    Medical procedures aimed at helping individuals conceive a child.

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    Sperm Injection Procedures

    Techniques involving the introduction of sperm into the female reproductive tract or egg.

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    Assisted Reproductive Technology

    A range of medical techniques used to treat infertility, involving the manipulation of eggs, sperm or embryos.

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    Study Notes

    Reproductive Health

    • Family planning encompasses practices aiding individuals in achieving specific goals:
      • Avoiding unwanted births
      • Achieving desired births
      • Regulating intervals between pregnancies
      • Determining family size
    • India pioneered family planning in 1951, transitioning to family welfare programs in 1977, emphasizing improved quality of life through reproduction and child health care.
    • Slogans like "Do Ya Teen Bas" (1970) and "Sons or Daughter-Two will do" (1980) promoted smaller families.

    Contraceptive Methods

    • Contraceptives prevent unwanted pregnancies.

      • Temporary/Spacing Methods:
        • Chemical Methods: utilize chemicals (spermicides) to kill sperm. Example: vaginal foam, creams, jellies
        • Barrier Methods: prevent physical contact between sperm and ovum.
          • Male Condoms: sheath covering the penis
          • Female Condoms: sheath covering the vagina
      • Terminal Methods: surgical procedures permanently preventing conception.
        • Male Sterilization (vasectomy): blocking vas deferens
        • Female Sterilization (tubectomy): blocking fallopian tubes
    • Intrauterine Devices (IUDs): Devices placed in the uterus to prevent pregnancy

      • Non-medicated IUDs: promote phagocytosis of sperm.
      • Copper releasing IUDs: Release copper ions to suppress sperm motility
      • Hormone releasing IUDs: Make uterus unsuitable for implantation, hostile towards sperm
    • Hormonal Methods: use hormones to prevent ovulation

      • Oral Contraceptives: pills containing hormones
      • Injections: deliver hormones through injections
      • Implants: place hormone releasing implants
    • Emergency Contraceptives: used within 72 hours of unprotected sex to prevent pregnancy

    • Natural Methods: avoid intercourse during fertile period (rhythm method) or withdrawal method

    Infertility

    • Infertility is defined as the inability to conceive after one year of unprotected sexual intercourse
    • Assisted Reproductive Technologies (ARTs) address infertility by aiding conception outside the body, involving transfer of embryos into the uterus (invitro).
    • Methods include in-vitro fertilization (IVF), zygote intra fallopian transfer (ZIFT), gamete intra fallopian transfer (GIFT), and intracytoplasmic sperm injection (ICSI).

    Medical Termination of Pregnancy (MTP)

    • MTP is the intentional termination of a pregnancy before full term
    • In India, MTP is regulated to reduce maternal mortality and morbidity and to avoid illegal abortions

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    Description

    Test your knowledge about oral contraceptive pills, including their types, mechanisms of action, and specific brand compositions. Dive into the hormonal effects of pills like Saheli and understand their role in preventing pregnancy. This quiz covers essential information that every student should know about contraceptives.

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