Reproductive Health Chapter 4
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Questions and Answers

Which method of contraception releases Cu ions to suppress sperm motility?

  • Emergency contraceptives
  • Intra Uterine Devices (correct)
  • Surgical sterilisation
  • Oral Contraceptive Pills
  • Oral contraceptive pills are effective for preventing implantation and altering cervical mucus.

    True

    What is the name of the surgical method of contraception in males?

    Vasectomy

    _______ is used as an emergency contraceptive when administered within 72 hours of coitus.

    <p>Progestogens or progestogen-estrogen combinations</p> Signup and view all the answers

    What is the significance of reproductive health in a society?

    <p>Reproductive health is significant for the overall well-being in all aspects of reproduction including physical, emotional, behavioral, and social aspects.</p> Signup and view all the answers

    Provide suggestions for aspects of reproductive health that need special attention.

    <p>Some aspects that need special attention include creating awareness about reproductive organs, safe sexual practices, STDs, pregnancy-related care, infertility, and maternal health.</p> Signup and view all the answers

    Why is sex education necessary in schools?

    <p>Sex education is necessary in schools to inform and educate students about reproductive health, safe sexual practices, and the prevention of STDs.</p> Signup and view all the answers

    Do you believe reproductive health in the country has improved in the past 50 years? List areas of improvement if yes.

    <p>Yes, reproductive health has shown improvement in reduced maternal and infant mortality rates, early detection and treatment of STDs, assistance to infertile couples, and legal adoption facilities.</p> Signup and view all the answers

    What are the suggested reasons for population explosion?

    <p>Improved health facilities, better living conditions, and extensive propagation of contraceptive methods have contributed to population explosion.</p> Signup and view all the answers

    Is the use of contraceptives justified? Provide reasons.

    <p>Yes, the use of contraceptives is justified to prevent unwanted pregnancies, delay or space pregnancies, and promote reproductive health.</p> Signup and view all the answers

    Explain why removal of gonads cannot be considered a contraceptive option.

    <p>Removal of gonads is a permanent surgical procedure that eliminates the possibility of reproduction, making it a form of sterilization rather than contraception.</p> Signup and view all the answers

    Why is the ban on amniocentesis for sex determination necessary?

    <p>The ban on amniocentesis for sex determination is necessary to prevent gender-based discrimination and selective abortions, which can lead to an imbalanced sex ratio.</p> Signup and view all the answers

    Suggest methods to assist infertile couples in having children.

    <p>Methods to assist infertile couples include in vitro fertilization (IVF), adoption, surrogacy, fertility medications, and lifestyle changes.</p> Signup and view all the answers

    What measures can one take to prevent contracting STDs?

    <p>Measures to prevent contracting STDs include practicing safe sex, using condoms, limiting sexual partners, regular testing, and open communication about sexual history.</p> Signup and view all the answers

    State whether the following statements are True or False: (a) Abortions could happen spontaneously too.

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

    State whether the following statements are True or False: (b) Infertility is defined as the inability to produce a viable offspring and is always due to abnormalities/defects in the female partner.

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

    State whether the following statements are True or False: (c) Complete lactation could help as a natural method of contraception.

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

    State whether the following statements are True or False: (d) Creating awareness about sex-related aspects is an effective method to improve reproductive health of people.

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

    Correct the following statements: (a) Surgical methods of contraception prevent gamete formation.

    <p>Surgical methods of contraception prevent gamete transport or fertilization, not gamete formation.</p> Signup and view all the answers

    Correct the following statements: (b) Not all sexually transmitted diseases are completely curable.

    <p>Not all sexually transmitted diseases are curable; some are viral and can only be managed.</p> Signup and view all the answers

    Correct the following statements: (c) Oral pills are very popular contraceptives among rural women.

    <p>Oral pills may not be universally popular among rural women due to access, affordability, and cultural factors.</p> Signup and view all the answers

    Correct the following statements: (d) In E.T. techniques, embryos are always transferred into the uterus.

    <p>In some cases, embryos can be transferred into the fallopian tubes using embryo transfer techniques.</p> Signup and view all the answers

    What does the term 'reproductive health' refer to?

    <p>Healthy reproductive organs with normal functions and broader emotional and social aspects.</p> Signup and view all the answers

    What does the World Health Organisation (WHO) define as reproductive health?

    <p>Total well-being in all aspects of reproduction</p> Signup and view all the answers

    Sex education in schools should be discouraged to prevent myths about sex-related aspects.

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

    Statutory ban on ___________ for sex-determination helps in checking increasing female foeticides.

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

    Match the contraceptive methods with their descriptions:

    <p>Natural/Traditional methods = Work on the principle of avoiding chances of ovum and sperms meeting Barrier methods = Prevent ovum and sperms from physically meeting with the help of barriers IUDs = Intrauterine devices used for contraception Oral contraceptives = Contraceptive pills taken orally</p> Signup and view all the answers

    Study Notes

    Reproductive Health

    • Reproductive health refers to a total well-being in all aspects of reproduction, including physical, emotional, behavioural, and social aspects.
    • A society with people having physically and functionally normal reproductive organs and normal emotional and behavioural interactions among them in all sex-related aspects is considered reproductively healthy.
    • India initiated family planning programmes in 1951, which were later revamped as Reproductive and Child Health Care (RCH) programmes to create awareness about various reproduction-related aspects.

    Reproductive Health – Problems and Strategies

    • Awareness about reproduction-related aspects is essential to maintain reproductive health.
    • Effective dissemination of information about reproductive organs, adolescence, and related changes, safe and hygienic sexual practices, sexually transmitted diseases (STDs), AIDS, etc. can help prevent problems.
    • Educating people, especially fertile couples and those in marriageable age group, about available birth control options, care of pregnant mothers, post-natal care of the mother and child, importance of breast feeding, equal opportunities for the male and the female child, etc. can address the importance of bringing up socially conscious healthy families of desired size.
    • Successful implementation of various action plans to attain reproductive health requires strong infrastructural facilities, professional expertise, and material support.

    Population Explosion and Birth Control

    • The world population grew from 2 billion in 1900 to 6 billion in 2000, and India's population reached 1 billion in 2000, with a growth rate of 1.7% per year.
    • Uncontrolled population growth can lead to scarcity of food, shelter, and clothing, despite significant progress in those areas.
    • Motivating smaller families through various contraceptive methods, such as natural, barrier, IUDs, oral contraceptives, injectables, implants, and surgical methods, can help control population growth.
    • An ideal contraceptive should be user-friendly, easily available, effective, and reversible, with no or least side-effects, and not interfere with sexual drive, desire, or act.

    Contraceptive Methods

    • Natural methods: periodic abstinence, withdrawal, and lactational amenorrhea.
    • Barrier methods: condoms (male and female), diaphragms, cervical caps, and vaults, which prevent sperm and ovum from meeting.
    • IUDs (Intra Uterine Devices): non-medicated, copper releasing, and hormone releasing, which increase phagocytosis of sperms and make the uterus unsuitable for implantation.
    • Oral contraceptives: pills, which inhibit ovulation and implantation, and alter cervical mucus to prevent entry of sperms.
    • Injectables and implants: progestogens alone or in combination with estrogen, which have longer effective periods.
    • Surgical methods: vasectomy (male) and tubectomy (female), which block gamete transport and are generally advised as a terminal method.

    Medical Termination of Pregnancy (MTP)

    • MTP is the intentional termination of pregnancy before full term, often due to casual unprotected intercourse, failure of contraceptive, or rape.
    • India legalised MTP in 1971 with strict conditions to avoid misuse, and it is considered relatively safe during the first trimester.
    • Illegal MTPs are often performed by unqualified quacks and are unsafe, and the misuse of amniocentesis to determine the sex of the foetus is dangerous and illegal.

    Sexually Transmitted Diseases (STDs)

    • STDs are diseases or infections transmitted through sexual intercourse, such as gonorrhoea, syphilis, genital herpes, chlamydiasis, genital warts, trichomoniasis, hepatitis-B, and HIV leading to AIDS.

    • Early symptoms of most STDs are minor and include itching, fluid discharge, slight pain, and swellings in the genital region.

    • Except for hepatitis-B, genital herpes, and HIV infections, other STDs are completely curable if detected early and treated properly.### Reproductive Health

    • Refers to a total well-being in all aspects of reproduction, including physical, emotional, behavioral, and social.

    • Involves counseling and creating awareness about reproductive organs, adolescence, and associated changes, safe and hygienic sexual practices, and sexually transmitted diseases (STDs) including AIDS.

    Sexually Transmitted Diseases (STDs)

    • Can lead to complications such as pelvic inflammatory diseases (PID), abortions, stillbirths, ectopic pregnancies, infertility, and cancer of the reproductive tract.
    • Prevention and early detection are crucial, and can be achieved by avoiding sex with unknown/multiple partners, using condoms during coitus, and seeking medical attention if symptoms arise.

    Infertility

    • Defined as the inability to conceive or produce children even after 2 years of unprotected sexual cohabitation.
    • Can be caused by physical, congenital, diseases, drugs, immunological, or psychological factors.
    • Can be addressed through assisted reproductive technologies (ART), including in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), and intrauterine insemination (IUI).

    Assisted Reproductive Technologies (ART)

    • Include techniques such as IVF, GIFT, and IUI to assist infertile couples in having children.
    • IVF involves fertilization outside the body, followed by embryo transfer into the female genital tract.
    • GIFT involves transferring an ovum collected from a donor into the fallopian tube of another female.
    • IUI involves artificially introducing semen into the vagina or uterus of the female.

    Reproductive and Child Health Care Programmes

    • Aim to provide medical facilities and care to address problems related to menstrual irregularities, pregnancy, delivery, medical termination of pregnancy, STDs, birth control, infertility, and post-natal child and maternal management.
    • Have led to an overall improvement in reproductive health, as indicated by reduced maternal and infant mortality rates, early detection and cure of STDs, and assistance to infertile couples.

    Contraception

    • Various methods are available, including natural, traditional, barrier, IUDs, pills, injectables, implants, and surgical methods.
    • Medical termination of pregnancy is legalized in India, and is often performed to get rid of unwanted pregnancy due to rapes, casual relationships, or when the continuation of pregnancy could be harmful or fatal to the mother, foetus, or both.

    Importance of Reproductive Health

    • Significance of reproductive health in a society lies in its impact on overall well-being, population growth, and economic development.
    • Special attention needs to be given to aspects such as sex education, awareness about STDs, and access to reproductive health services, particularly in rural areas.
    • Improvement in reproductive health has been observed in the past 50 years, with reduced maternal and infant mortality rates, and increased access to reproductive health services.

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    Description

    This quiz covers reproductive health, its problems, and strategies. It includes topics like population explosion, birth control, and medical termination of pregnancy.

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