Using a spermicide is a form of contraception that is best used in combination of diaphragm, female condom or sponges. It can be safely used during breast feeding. A spermicide can be used in the form of a cream, foam or suppository. It prevents sperms from moving, thereby preventing fertilization. Some spermicides act as a barrier to entry of sperm into the cervix. A spermicide must be used about 10 minutes before you have intercourse. It is effective for about an hour after insertion. Some brands of spermicides cause irritation. Many women complain of spermicides being messy. Nonoxynol-9 is a commonly used spermicide. Read instructions on inserting spermicides carefully. Failure to use it correctly reduces its effectiveness.
Birth control pills are oral contraceptives that inhibit the body's fertility level through chemical means. The oral contraceptive contains synthetic hormones that alter the woman's hormonal system so that ovulation is prevented. The birth control pill has been around since the 1960s and is popularly used even today. The modern combination pills are popular on account of the fewer side effects and high success rate. But the birth control pill does not offer any protection against sexually transmitted diseases (STDs) or HIV and AIDS.
Estrogen and progesterone are the key hormones that keep a woman's menstrual cycle going. The contraceptive pill contains both these hormones, which go into making a hostile environment for an embryo to develop. Modern pills contain less estrogen than their earlier versions. The birth control pill works as a contraceptive by blocking the release of an egg. While a woman is on birth control pill, the brain no longer signals the ovaries to produce an egg each month. In this way, the contraceptive pill seeks to block ovulation so as to prevent a pregnancy. The cervical mucous becomes thick and unreceptive to sperm thereby making its progress through the fallopian tubes difficult. The endometrium also becomes unreceptive to receive the fertilized egg.
The combined birth control pills contain both the hormones estrogen and progesterone. Combination pills prevent the ovaries from releasing eggs. The progesterone-only contraception pills thicken the cervical mucus making it difficult for the sperm to travel. Combination pills are more effective than progesterone only pills. The success rate of birth control pills is about 97 - 99%, if taken correctly. The pill is an easily reversible method of contraception. If the woman is also taking antibiotics such as rifampin or anti-seizure medications, the birth control pill may not be as effective. Some anti-HIV protease inhibitors and anti-fungal oral medication may also affect the efficacy of oral contraceptives.
Pelvic Inflammatory Disease
Nearly 1 million women in the US alone suffer from pelvic inflammatory disease or PID each year; PID is an infection in the reproductive organs of a woman. It is essential to treat the symptoms of Pelvic Inflammatory Disease immediately when noticed. Failure to do so may lead to complications such as infertility and even can be life threatening. Sexually transmitted diseases (STD) such as chlamydia or gonorrhea are often the cause for pelvic inflammatory disease. Women who have multiple sexual partners or partners with symptoms of chlamydia or gonorrhea infections are at a higher risk for PID. Some forms of contraception such as IUDs may put a woman at increased risk of PID. Surgical procedures such as D and C (Dilation and Curettage), insertion of IUD or treatment of an abnormal Pap smear can lead to pelvic inflammatory. Usually the cervix prevents the spread of bacteria into the internal organs. But when the cervix gets infected with an STD (Sexually Transmitted Disease), disease-causing bacteria travel up the internal organs and damage the uterus, fallopian tubes, ovaries and abdomen. Bacteria present in the vagina and cervix can also have a precipitating effect on the Pelvic Inflammation. Usually multiple organisms are responsible for a bout of PID. Spreading of the infection can lead to further inflammation and scarring.
Women suffering from PID experience high fever and chills. Dull pain in the lower abdomen and lower back are typical symptoms of pelvic inflammatory disease. A woman suffering from pelvic inflammatory disease may also experience fever and irregular menstrual bleeding. Other symptoms of Pelvic Inflammatory Disease are pain during intercourse and urination. Some women do not experience any symptoms at all. Laboratory tests for chlamydia, gonorrhea and urinary tract infection are conducted on a patient who might be suffering from PID. A pelvic ultrasound helps in looking for any abnormalities in the pelvic area or fallopian tubes. Pelvic Inflammatory Disease can also be diagnosed with falloposcopy - a visual study of the inside of the fallopian tubes.
Treatment for pelvic inflammatory disease is based on pelvic examination and examination of the woman's sexual and menstrual history. Antibiotic therapy of Floxin is used as oral medication for PID. This is the first FDA approved oral therapy for PID. Other drugs used in combination for treatment of Pelvic Inflammatory Disease are Cefoxitin, Oflaxocin, Clindamycin. If left untreated, pelvic inflammatory disease can lead to severe and permanent damage of the reproductive organs.
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Bibliography / Reference
Collection of Pages - Last revised Date: December 10, 2019