Which of the following statements suits best for the role of chemical methods of birth control in family planning?
- AOption (a)
They alter the hormone levels to inhibit ovulation and uterus preparation.
- BOption (b)
They increase estrogen levels to promote ovulation and make fertilisation less likely.
- COption (c)
They prevent sperm from entering the uterus by thickening the vaginal wall.
- DOption (d)
They mechanically block the fallopian tubes and suppress menstruation entirely.
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Correct answer
They alter the hormone levels to inhibit ovulation and uterus preparation.
Why this answer is correct
The correct answer is They alter the hormone levels to inhibit ovulation and uterus preparation.
Key Points
- Chemical methods of birth control, primarily known as hormonal contraceptives, work by interfering with the body's natural reproductive cycle using synthetic hormones like progestogen or a combination of progestogen and estrogen.
- These hormones act on the pituitary gland to inhibit the secretion of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH), which are essential for ovulation. Without the surge of these hormones, the ovaries do not release an egg. Hence, statement 1 is correct.
- In addition to preventing ovulation, chemical methods alter the quality of the endometrium (the lining of the uterus), making it thin and unreceptive for the implantation of a fertilized egg. Hence, statement 1 is correct.
- Chemical methods do not "promote" ovulation; instead, they maintain a steady level of hormones to trick the body into thinking it is already pregnant or to bypass the mid-cycle hormonal peak. Hence, statement 2 is incorrect.
- While some hormonal methods thicken the cervical mucus to prevent sperm transport, they do not "thicken the vaginal wall" to block entry. Hence, statement 3 is incorrect.
- Mechanical blocking of the fallopian tubes is a surgical method (Permanent method) known as Tubectomy, not a chemical one. Chemical methods generally do not aim to suppress menstruation entirely, though they may lighten the flow. Hence, statement 4 is incorrect.
Additional Information
- Oral Contraceptive Pills (OCPs):
- These are popular chemical methods taken orally. A famous example in India is Saheli, a non-steroidal oral pill developed by the Central Drug Research Institute (CDRI) in Lucknow.
- Unlike traditional pills that are taken daily, Saheli is a 'once-a-week' pill with very few side effects and a high contraceptive value.
- Intrauterine Devices (IUDs):
- These are devices inserted by doctors in the uterus through the vagina. They are categorized into non-medicated IUDs (e.g., Lippes loop), copper-releasing IUDs (e.g., CuT, Cu7, Multiload 375), and hormone-releasing IUDs (e.g., Progestasert, LNG-20).
- Hormone-releasing IUDs make the uterus unsuitable for implantation and the cervix hostile to the sperm.
- Barrier Methods:
- These prevent the physical meeting of ovum and sperm. Common examples include condoms, diaphragms, cervical caps, and vaults. Condoms also provide the additional benefit of protecting against STIs and AIDS.
- Surgical Methods (Sterilization):
- These are terminal methods to prevent any more pregnancies. In males, the procedure is called Vasectomy (small part of the vas deferens is removed or tied up). In females, it is Tubectomy (small part of the fallopian tube is removed or tied up).
Important Points
- Medical Termination of Pregnancy (MTP): Voluntary termination of pregnancy before full term is known as MTP or induced abortion. The Government of India legalized MTP in 1971 with strict conditions to avoid its misuse (like female foeticide).
- Family Planning Program: India was one of the first countries in the world to initiate action plans and programs at a national level to attain total reproductive health as a social goal. These programs, called 'Family Planning', were initiated in 1951.
- Emergency Contraceptives: Administration of progestogens or progestogen-estrogen combinations within 72 hours of coitus have been found to be very effective as emergency contraceptives to avoid possible pregnancy due to rape or casual unprotected intercourse.