Reproductive Health - Condensed Important Notes (Expanded)
Definition & Significance
- Reproductive health = Complete physical, mental, and social well-being in all reproductive aspects,
not just absence of disease.
- Ensures:
- Healthy reproductive organs & normal functions.
- Awareness about safe sex and family planning.
- Reduced maternal & infant mortality.
- Control of population growth.
- Prevention & management of STDs.
Government Measures & Awareness
- Reproductive and Child Healthcare (RCH) Programme launched in 1995.
- Spreads awareness about reproduction, contraceptives, and child care.
- Provides medical assistance for pregnancy, childbirth, and fertility issues.
- Awareness methods:
- School sex-education programmes.
- Government advertisements, posters, helplines.
- NGO activities in rural and urban areas.
Population Explosion
- Causes:
- Decline in death rate.
- Increased life expectancy due to better medical facilities.
- High birth rate and lack of contraceptive awareness.
- Consequences:
- Pressure on food, water, jobs, and health services.
- Control measures:
- Family planning, contraceptive use, small-family norms.
- Incentives for couples with small families.
Contraceptive Methods
1. Natural / Traditional:
- Periodic abstinence - avoiding intercourse during fertile period (10th-17th day).
- Coitus interruptus - withdrawal before ejaculation.
- Lactational amenorrhea - effective for first 6 months after childbirth if menstruation absent.
2. Barrier Methods:
- Condoms - male/female; prevent semen entry; protect against STDs.
- Diaphragms, cervical caps, vaults - cover cervix to block sperm.
3. Intrauterine Devices (IUDs):
- Non-medicated: Lippes loop.
- Copper-releasing: Cu-T, Multiload 375 - release Cu ions to reduce sperm motility.
- Hormone-releasing: LNG-20 - release progesterone/estrogen to prevent implantation.
4. Oral Contraceptives:
- Hormonal pills inhibit ovulation, alter cervical mucus.
- Taken in a 21-day cycle.
5. Surgical Methods:
- Vasectomy: Cutting & sealing vas deferens in males.
- Tubectomy: Cutting & sealing fallopian tubes in females.
- Permanent contraception.
Medical Termination of Pregnancy (MTP)
- Purpose: Avoid unwanted pregnancy, prevent risk to mother's health, terminate pregnancies with
severe fetal abnormalities.
- Safety: Safe within first trimester; higher risk after 12 weeks.
- Governed by MTP Act (1971, amended 2021 in India).
Sexually Transmitted Diseases (STDs)
- Examples: Gonorrhoea, Syphilis, Genital herpes, Chlamydiasis, HIV/AIDS, Hepatitis-B.
- Symptoms: Discharge, sores, itching, swelling; some asymptomatic early.
- Prevention:
- Safe sex practices, condom use.
- Avoiding multiple sexual partners.
- Early diagnosis & complete treatment.
Infertility
- Causes: Physical defects, congenital issues, hormonal disorders, infections, drug use,
psychological stress.
- Treatment - Assisted Reproductive Technologies (ART):
- IVF (In-Vitro Fertilization): Fertilization outside body; embryo transferred to uterus.
- ZIFT (Zygote Intra-Fallopian Transfer): Zygote placed in fallopian tube.
- GIFT (Gamete Intra-Fallopian Transfer): Gametes placed in fallopian tube.
- ICSI (Intra-Cytoplasmic Sperm Injection): Sperm injected directly into egg.
- AI (Artificial Insemination): Sperm placed in female reproductive tract.