Contraception & Family Planning
Contraception & Family Planning
Dr. Shilpa Goyal’s Clinic offers a cafeteria approach to the patients for avoiding unwanted pregnancies. Patients may choose non-permanent measures like Oral Contraceptive pills, barrier methods, I.U.C.D., injectable contraceptives (Depo-provera) or permanent methods, that is, voluntary sterilization.
Voluntary surgical procedure for permanently terminating fertility in women.
Methods:
- Minilaparatomy (interval or postpartum)
- Laparoscopy (interval only)
When to Perform:
- Anytime during the menstrual cycle you can be reasonably sure the client is not pregnant.
- Days 4-7 of the menstrual cycle (proliferative phase preferred)
- Postpartum: within 2 days or after 6 weeks
- Postabortion: immediately or within 7 days, provided no evidence of pelvic infection
Method Characteristics: Benefits
- Highly effective (0.2– 4 pregnancies per 100 women during the first year of use)
- Effective immediately
- Permanent
- Does not affect breastfeeding
- Does not interfere with intercourse
- Good for client if pregnancy would pose a serious health risk
- No long-term side effects
- No change in sexual function (no effect on hormone production by ovaries)
Method Characteristics: Limitations
- Must be considered permanent (not reversible)
- Client may regret later
- Small risk of complications (increased if general anesthesia used)
- Short-term discomfort/pain following procedure
- Requires trained physician (gynecologist or surgeon required for laparoscopy)
- Does not protect against STDs (e.g., HBV, HIV/AIDS)