The need for contraception is almost universal in the adult world. Myths about various contraceptives abound, but the fact remains that no single device combines 100% safety, efficacy, reversibility and ease of use. A little information therefore would help you arrive at an informed decision about what method suits you best. 
 
 
The Rhythm Method 
 
Calculation of the fertile period is possible only in a woman with regular menstrual cycles. Have a gynaecologist confirm your estimation of the safe period. This is not advisable for couples who are determined not to have a pregnancy, as some slippages/ failures do occur. 
 
 
Coitus Interruption 
 
Though practiced commonly is not foolproof. Sperm are inherently mobile and can swim towards the female genital tract even if deposited outside around the vagina. 
 
 
Condom 

Many couples find that using a condom interrupts lovemaking. In order to be effective, a prophylactic must be worn immediately after erection is achieved and should be removed immediately after ejaculation occurs. 
 
 
The Pills 

The pill combines effective contraceptives with potent health benefits. It is not the contraceptive of choice for a nursing mother. But it has no effect on future fertility or the quality of future offspring. The pills keep the menstrual cycle regular and protect against pelvic inflammation and cancer of the ovaries and uterus. See the doctor to have a preliminary check done to see if there is any reason you must use this excellent contraceptive. 
 
 
The Intra- Uterine Device or Copper-T or Multiload 

Many such devices exist which must be inserted by a qualified practitioner. A nursing mother may find this the best option. It is linked to inflammation of the fallopian tubes, pelvic infections, increased menstrual blood loss and an increased risk of tubal pregnancy. However, most users are satisfied and perhaps the only thing one should remember is to have a gynaecologist checkup every six months and not ignore a missed period or lower abdominal pain/discomfort. It can be easily removed if so desired. 
 
 
The Vaginal Contraceptive 

This is a non-hormonal contraceptive that is not ingested, so does not have adverse effects which affect your body. It should be inserted into the vagina about 10 minutes before intercourse and acts by forming a foam, which entraps sperms. It has a chemical that kills sperm too. Some women are known to have some irritation of the membranes; this might need discontinuation. It has excellent results, especially if used in conjunction with a condom. 
 
The tragedy is that most couples learn about contraceptives only after a pregnancy has occurred and an abortion is performed. An MTP or Medical Termination of Pregnancy should not be used as a contraceptive as the procedure is risky. It is best done in a good hospital. 
 
Do not hesitate to ask for contraceptive counselling if you are already in an intimate relationship. Too many people remember after a missed period. 
 
~Dr. Vijaya Sherbet is a practicing Gynaecologist. 

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