Medical Eligibility Criteria For Contraceptive Use

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1. hak untuk hidup
2. hak untuk mempunyai genetik yang sahih (anak yang
dilahirkan dari ibubapa yang sah pernikahannya)
3. hak untuk mempunyai nama yang baik
4. hak untuk mendapat belaian kasih sayang, perlindungan
dan penyusuan ibu
5. hak untuk mendapat tempat tidur yang berasingan
6. hak untuk mendapat pendidikan dan ilmu pengetahuan
7. hak untuk dibesarkan di dalam suasana Islam
8. hak untuk mendapatkan setiap sesuatu yang
dibelanjakan untuknya dari sumber yang halal
9. hak untuk mempelajari kemahiran hidup dan pertahanan
diri
10. hak untuk mendapat layanan yang saksama tanpa
mengira jantina atau gender
 “Reproductive rights :
› all couples and individuals to decide freely
and responsibly the number and spacing
and timing of their children and
› to have the information and means to do so,
and
› the right to attain the highest standard of
sexual and reproductive health.”
(para. 95, Beijing Platform for Action, 1995)
 How it work
 Mechanism,
 Side effect,
 effectiveness
 How to use
 Availability
# Natural # Barrier
# Hormonal # Surgical
 ethinyl estradiol and mestranol
Estrogen+progesterone
 + progestins
 The progestins may also have

estrogenic, antiestrogenic, or
Progesterone Only
androgenic activity
 Progestins can be classified according to their
chemical structure as an:
1. Estrane (norethindrone,
ethynodiol diacetate) or as a:
2. Gonane (levonorgestrel,
desogestrel, norgestimate).
 Basal Body temperature (BBT) :
› Raised by progesterone and is thus higher after
ovulation in the luteal phase, than in the
follicular phase.
› 0.5 - 1 degrees.
› if pregnancy does not occur, it begins to drop
again 2 – 3 days before the start of the next
menstrual cycle.
› The BBT can be altered by lack of sleep, stress or
fever.
› It is not very reliable in women with irregular
cycles.
 http://www.pinkperiod.com/Data.asp
 Certain facts about a ovum and a
sperm:
› Ovulation: 14 DAYS BEFORE her next period.
› once ovulation has occurred, the sperm has
only 24 hours within which to fertilize
› sperm can survive for up to 72H - 7 DAYS
following intercourse.
= Last infertile day of the pre-
Shortest cycle (S) minus 20
ovulatory phase
Longest cycle (L) minus 10 = Last fertile day
For example:-
Length of cycles during last six months = 28, 29, 28, 27, 30,
28
(S = 27) S - 20 = Last infertile day 27 - 20 = 7
(L = 30) L - 10 = Last fertile day 30 - 10 = 20
 Ovulation: from a thick
consistency to a thin,
watery consistency.
 It can be drawn out into
threads more than 10 –
15 cms long
(Spinnbarkeit test).
 ‘fern pattern’ under the
microscope.
 Effect of oestrogen
adequate to cause
ovulation
 Sexual intercourse
within 36 hours of the
positive ovulation
test (LH surge) is
necessary for
pregnancy.
 A sample of
endometrium is
curetted out on
the 21 – 23rd day
of the menstrual
cycle.
 Secretory
endometrium
means that the
patient has
ovulated in that
cycle.
 5 – 8th day after
ovulation (+ 21st day
of the menstrual
cycle)
 becomes high,
around 10 – 60 nmol/L.
 Sims-Huhner test :
› In this test, a drop of mucous is removed from the cervix not later
than 12 hours (preferably within 2 hours) after coitus.
› The mucous is examined under a microscope for sperm and their
motility, if any. positive, if at least 5 motile sperms found in the
cervical mucous.
 Kremer Test :
› A drop of mucous at the time of ovulation is collected and
placed on a glass slide.
› A drop of the husband’s semen is placed near it. Invasion of the
mucous by the sperm is examined under a microscope.
 Hormone assays :
› Tests for TSH, T3, T4, prolactin level, insulin level and androgen
level should be done. Conditions like hypothyroidism,
hyperprolactinemia, and PCOD can cause infertility by interfering
with normal ovulation
 Blood tests :
› VDRL test, ESR for any infections, blood glucose test
YES
NO
Notes ; I= Initiation
C=
1)Most safest IUCD
2)COC+patch <40
Pop,Depo,Implant <45
IUCD All ages
3)Breastfeeding:
not recommended <6/52
pop, implant, depo 6/52-6/12 (absolute)
pop, implant, depo >6/12 Preferred
UICD >4/52
Abortion All type

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suhazeli.blogspot.

 The progestins may also have

Longest cycle (L) minus 10 = Last fertile day

(S = 27) S - 20 = Last infertile day 27 - 20 = 7

(L = 30) L - 10 = Last fertile day 30 - 10 = 20

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