FAMILY PLANNING (BIRTH CONTROL)

There are various birth control methods. Birth control also means "Family Planning". It is used so that couples can have as many children as they want, whenever they want. It also eliminates unwanted negativities. Ex. anemia in women; risk of death due to pregnancy and childbirth; inflammatory pelvic diseases and related infertility in women; early age pregnancies and related risks; risk of giving birth to unhealthy, underweight babies; infant mortality decreases. Moreover; Education increases the happy and safe relationship in couples.

Birth control methods; The decision should be made by the couple according to the age of the person, whether they have given birth before, their menstrual cycle, and their sexual life. Unconscious birth controls may have negative aspects as well as unsuccessful results.

Different birth controls can be briefly mentioned as follows:
 

Natural Methods

 

Calendar Method: According to research by the American National Institute of Environmental Health Sciences, it has been revealed that women have a very high risk of becoming pregnant between 10-17 days of their menstrual cycle. This research, which is valid for women between the ages of 25-35, has shown that there is a risk of pregnancy in adolescence and menopausal women even one day before menstruation. Nevertheless; Even if menstruation is regular, the calendar method is a risky method to protect against pregnancy and is ineffective.

Breastfeeding: Milk secretion, that is, lactation, stops ovarian functions for an undetermined period of time. The frequency and quality of breastfeeding affects the duration of ovulation. Some women who have milk coming from their breasts even though they have not given birth do not ovulate or even menstruate. Although lactating women sometimes do not menstruate or ovulate for up to 2 years, ovulation usually begins within 1-2 months after birth and the risk of pregnancy increases. When complementary foods are started, the risk of pregnancy begins immediately as the frequency of breastfeeding decreases. Women who are not breastfeeding can get pregnant immediately. It is necessary to start birth control methods during this period. However; Since birth control pills will negatively affect the quality and quantity of milk, they should be avoided and other methods should be used.

Withdrawal: En y It is a widely used method. However; most of the time it fails. It is extremely risky to resort to this method in cases where a child is not desired.

 

Birth Control Pills

It is a method with high security. The type of pill to use is a decision to be made between the person and his gynecologist. It is 97.96% successful when used regularly. The practical protection rate is 97%. The risk is less than 01%. Considering these rates, it becomes clear that it is a safe method to be preferred. It is a method that can be used without interruption until you decide to have children. However; It is not a suitable method for those who do not like to swallow pills and those who are distracted and forget to take this medicine. Although there is compensation for forgetting to take pills, protection may be necessary. Details should be discussed with the gynecologist.

Birth control pills should never be used in the following cases:
 

• When there is a known or suspected pregnancy;
• When thrombophlebitis, which is an inflammation of the vessels, is observed or in people who have had such a disease before;
• When there is a tramboembolic disorder or cerebrovascular disease or at risk of having had it before;
• When there is a history of coronary artery disease or ischemic heart disease;
• When there is significant liver disorder (those with hepatitis problems are also included in this group);
• Known or suspected breast cancer;
• Undiagnosed abnormal bleeding;
• Smokers over the age of 35;

 

In the following cases, It should be used carefully with the patient's approval after clinical evaluation:
 

• Migraine;
• High blood pressure;
• Myomas;
• Gestational diabetes;
• Diabetes;
• Epilepsy (Epileptic);
• Obstructive jaundice during pregnancy;
• Sickle cell anemia;
• Diseases accompanied by gallbladder disease or jaundice;
• High blood lipid levels;
• In patients who will undergo major surgery or surgery Any kind of birth control pill should not be used in those who are at risk of vascular occlusion after pregnancy. In general, birth control pills prevent blood clotting Since it affects the mechanism of breastfeeding, it would be appropriate to stop it 4 weeks before the surgery.

Mothers who do not breastfeed or breastfeed irregularly can use low-dose pills starting from the 6th week after birth. Since the pills reduce the quantity and quality of milk, they are not recommended for use in breastfeeding mothers before the 3rd month.

Birth control pills should be discontinued in the following cases:
 

• Long-lasting headache;
• Dizziness, nausea, vomiting accompanied by headache;
• Blurred vision;
• Sudden loss of vision, temporary blindness;
• One-sided and non-stop headache;
• Headache that does not respond to treatment;
• Redness and pain in the legs;
• Stroke or paralysis;
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• Severe abdominal pain;
• Severe chest pain and difficulty breathing;
• High blood pressure;

Other conditions not mentioned here A gynecologist should be consulted.

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