Contraceptive Methods: Your Questions Answered - Obstetrics and Gynecology

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Inquire about contraceptive methods?


I have been sexually active for a year and a half.
Initially, I used the calendar method for the first six months, and later I started using condoms.
However, I recently noticed that sometimes after intercourse, the discharge seems to have a brownish color.
(Q1: Should I see a doctor for this? Also, when using condoms, it feels like there is a stinging sensation when the male partner touches inside.
(Q2: Does using condoms increase the risk of cervical injury? We have also been considering whether to use oral contraceptive pills, but after reading a lot online, I am still unsure if they have any harmful effects on the body.
(Q3: Are oral contraceptive pills really not harmful to the body? While researching, I came across male contraceptive pills, but I couldn't find any information on how to obtain them.
(Q4: Are male contraceptive pills available? (It doesn't necessarily have to be male contraceptive pills; any contraceptive method for males other than condoms would be fine.) Lastly, I want to ask about my menstrual cycle, which is very regular.
I can generally predict when it will start.
(Q5: What is the effectiveness of using the calendar method for contraception? (Q6: Is it highly likely not to get pregnant if we have intercourse during menstruation? (Q7: Is it also highly likely not to get pregnant if we have intercourse within the three days leading up to the expected start of menstruation? Thank you!

Qí fú., 10~19 year old female. Ask Date: 2015/11/17

Dr. Lü Lizheng reply Obstetrics and Gynecology


1.
After intercourse, the discharge seems to have a brownish color; it is advisable to see a doctor.
2.
Regular condoms do not increase cervical injury, unless they are specially shaped condoms.
3.
Emergency contraceptive pills generally do not harm the bodies of young individuals; however, older women or those with conditions such as hypertension, hyperlipidemia, or thrombosis should consult a physician before use.
4.
Currently, male contraceptive pills are not available.
5.
The effectiveness of the calendar method for contraception has about a 10% chance of failure, which is not insignificant.
6.
Engaging in intercourse within the three days leading up to menstruation has a low, but not negligible, chance of pregnancy.
7.
Emergency contraceptive pills and condoms are still the recommended methods of contraception.
Sincerely, Dr.
Lyu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/11/17

More Info


Understanding contraceptive methods is crucial for anyone who is sexually active, and it's great that you're seeking information to make informed decisions. Let's address your questions one by one.

Q1: Should I see a doctor if I notice brown discharge after intercourse?
Brown discharge can occur for several reasons, including old blood being expelled from the body, hormonal changes, or even irritation. If this is a new symptom for you, especially if it is accompanied by other symptoms like pain, itching, or an unusual odor, it would be wise to consult a healthcare provider. They can help determine if there is an underlying issue that needs to be addressed.

Q2: Does using condoms increase cervical damage?
Condoms are designed to prevent sexually transmitted infections (STIs) and unintended pregnancies. Generally, they should not cause cervical damage when used correctly. However, if you are experiencing discomfort or a "stinging" sensation during intercourse, it could be due to several factors, including latex allergies, insufficient lubrication, or improper use. If discomfort persists, consider discussing this with your partner and possibly trying different types of condoms (like those made from polyurethane or polyisoprene) or using additional lubrication.

Q3: Are birth control pills harmful to the body?
Birth control pills can have side effects, but they are generally considered safe for most women. Common side effects include nausea, weight gain, mood changes, and breast tenderness. Serious side effects are rare but can include blood clots, especially in women who smoke or have certain medical conditions. It's essential to consult with a healthcare provider to discuss your health history and any concerns you may have about hormonal contraceptives.

Q4: Are male contraceptive pills available?
As of now, there are no widely available male contraceptive pills on the market. Research is ongoing, and there are experimental methods being tested, but they are not yet accessible for general use. Currently, the most common male contraceptive methods are condoms and vasectomy.

Q5: What is the effectiveness of the rhythm method (safe period)?
The rhythm method, or natural family planning, can be effective for some couples, but it requires careful tracking of the menstrual cycle. When used perfectly, it can have a failure rate of about 1-3%, but typical use can lead to higher failure rates (around 15-25%). Factors such as irregular cycles can make this method less reliable.

Q6: Is it safe to have sex during menstruation to avoid pregnancy?
Having sex during menstruation generally has a lower risk of pregnancy, but it is not foolproof. Sperm can survive in the female reproductive tract for up to five days, so if you have a shorter cycle and ovulate soon after your period, there is still a possibility of becoming pregnant.

Q7: Is it safe to have sex in the three days leading up to my period?
Having sex in the days leading up to your period can also carry a risk of pregnancy, especially if you have a shorter cycle. If you are tracking your cycle accurately and know when you ovulate, you can better assess your risk, but it is not a guaranteed method of contraception.

In summary, while there are various contraceptive methods available, each has its pros and cons. It’s essential to consider your health, comfort, and lifestyle when choosing a method. Consulting with a healthcare provider can provide personalized advice and help you make the best decision for your situation.

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