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Revision Notes on Reproductive Health

Reproductive health – problem and strategies

(a) India was amongst the first countries in the world to initiate to the programme “family planning” initiated in 1951.

(b) Reproductive health in a society forms a crucial part of general health.

(c) Improved programs covering wider reproduction-related areas are currently in operation under the popular name ‘Reproductive and child health care (RCH) program.’

(d) Health and education of young people and marriage and child bearing during more mature stages of life are important attributes to the reproductive health of a society.

Population explosion and birth control

(a) The rapid increase in human population size over a relatively short period is called human population-explosion.

(b) Population growth rate depends on factors like fertility, natality, mortality, migration, age and sex structure.

(c) Increased health facilities and better living conditions are the cause behind population explosion.

(d) Out of 6 billion world population 1.3 billion populations is of Indians.

(e) Rapid decline in death rate, maternal mortalility rate (MMR) and infant mortality rate (IMR) are major cause of population growth.

(f) Growth rate of Indian population is around 1.7 percent.

(g) Most of the urban people are uneducated.

(h) The regulation of conception by preventive methods or devices to limit the number of offsprings is called birth control.

(i) A birth control method which deliberately prevents fertilization are referred to as contraception.

(i) Contraceptive methods are preventive methods and are of two types – temporary and permanent.

Characteristics of an ideal contraceptive are:-

(a) User friendly

(b) Easily available

(c) Nor or least side – effects

(d) No way interferes with sexual drive

Methods of Birth Control

S. No.

Method

Action

(1)

Rhythm Method

No intercourse during woman’s fertility period (day 12-20).

(2)

Withdrawl

Penis is withdrawn before ejavculation.

(3)

Tubectomy / Tubal ligation

Women’s fallopian tubes are cut and tied, permanently blocking sperm release.

(4)

Vasectomy

Man’s vasa deferentia are cut and tied permanently blocking sperm passage.

(5)

Intrauterine device (IUD)

Small plastic or metal device placed in the uterus to prevent implantation. Some contain copper, other release hormones.

(6)

Oral Contraceptive

Synthetic estrogens and progestrones prevent normal menstrual cycle, primarily prevent ovulation.

(7)

Male condom

Thin rubber sheath on erect penis collects ejaculated semen.

(8)

Female condom

Plastic pouch inserted into vagina catches semen.

(9)

Diaphragm

Soft rubber cup covers entrance to uterus, prevents sperm from reaching egg and holds spermicide.

(10)

Cervical cap

Miniature diaphragm covers cervix closely, prevents sperm from reaching egg and holds spermicide.

(11)

Foams, creams, jellies etc.

Chemical spermicides inserted in vagina before intercourse, prevent sperm from entering uterus.

(12)

Implant (Norplant)

Capsules surgically implanted under skin, slowly release hormone that blocks ovulation.

(13)

Injectable contraceptive (Depo-Provera)

Injection every 3 months of a hormone that is lowly released and prevents ovulation.

Amniocentesis

(a) During pregnancy, the fetus is surrounded by amniotic fluid which is a water-like substance.

(b) Amniotic fluid contains live fetal skin cells and other substances, such as alpha-fetoprotein (AFP).

(c) These substances provide important information about baby's health before birth.

(d) These days amniocentesis is being misused also, i.e., for detecting the sex of the foetus.

(e) Normal foetus is being aborted if it is a female.

Sexually transmitted diseases ( STDs)
Diseases which are transmitted sexually through sexual intercourse are collectively called as Sexually Transmitted Diseases (STDs) or Venereal Diseases (VDs) or reproductive tract infections (RTI). STDs can be classified as viral, bacterial, protozoan, fungal, etc.
Causes of STD’s
STDs can be spread with any type of sexual activity, depending on the disease. STDs are most often caused by viruses and bacteria.
Types of Sexually Transmitted DiseasesThe various types of sexually transmitted diseases include genital herps, chancroid, gonorrhoea, syphilis and most common HIV leading to AIDS.
(i) Chlamydiasis
  (a) Chlamydiasis is a sexually transmitted disease in humans caused by the bacterium Chlamydia trachomatis.
  (b) It is a major infectious cause of human genetial and eye diseases.
(ii) Gonorrhoea
  (a) Gonorrhoea is transmitted sexually, by oral, anal or genital sex.
  (b) Gonorrhea is caused by the bacterium Neisseria gonorrhoeae
Prevention
STDs are a major threat to a healthy society.
(i) Avoid sex with unknown partners as well as multiple partners.
(ii) Always use condoms during coitus.
(iii) In case of any doubt, go to a qualified doctor for early detection and get complete treatment if diagnosed with disease.
Infertility
(a) Inability to conceive or produce children even after 2 years of unprotected sexual cohabitation is called infertility.
(b) A large no of couples all over India are infertile.
(c) The reasons for this could be many-physical, congenital, diseases, drugs, Immunological or even Psychological.
Assisted Reproductive Technologies (ART)
Includes all fertility symptoms in which both sperms and eggs are handled. These are special techniques that assist couples to have children.
The main ART- techniques include:
(i) In-vitro fertilisation (IVF)
(ii)...

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