Getting Pregnant
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Infertility Risk Factors: Should You Go for Evaluation
Infertility refers to the inability of a couple to conceive. If a woman is not able to get pregnant even after unprotected intercourse for a year, the couple should consult a specialist and get their fertility evaluated.
According to a recent survey by the Centre for Disease Control and Prevention, there are more than a million couples facing reproduction problems. While there may be a single or a combination of factors that may result in infertility, it is recommended that a couple should get themselves evaluated and begin the treatment at the earliest. There are separate tests for men and women to detect the problem.
Evaluation for Male & Female Infertility
A couple may opt for infertility evaluation in the following cases:
1. Age
It plays an important role in determining fertility. A woman’s body undergoes certain changes after 35 that may reduce the chances of a normal conception. Even for men, age is an important determining factor as their sperm count decreases considerably after 35.
2. Smoking
It significantly reduces fertility in both men and women. If a woman conceives and continues to smoke, she is at a greater risk of miscarriage, and her baby can be born with birth-defects.
3. Irregular Menstrual Cycle
If a woman has irregular or painful mensuration or has a history of abdominal or pelvic surgery, miscarriage or was exposed to DES (Diethylstilboestrol), she is likely to turn infertile sooner.
4. Being Overweight
It is difficult for an overweight male to produce the desired amount of sperms. Similarly, an overweight female is also likely to face infertility as compared to a healthy and fit woman.
5. Sperm Count
Low sperm count, poor mobility or irregular sperm shape may also result in fertility issues in men. They should get an infertility evaluation done.
6. Mental Stress
It affects your body in multiple ways. Mental stress impacts both female ovulation and sperm production in males. If either of the partners is under stress, it may result in infertility.
It is important for you to know the general guidelines on who should get evaluated and what should be expected during the infertility consultation. These tips will help you in this.
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14 DPO Symptoms – Pregnancy Signs To Watch Out For
Couples trying to get pregnant might already be familiar with the two-week or 14 days waiting period after ovulation. This is a very important milestone since, at 14 days, the chances of getting accurate results are higher when compared to the tests taken at 9 and 12 DPO. Moreover, at 14 days past ovulation, many women begin experiencing various early pregnancy symptoms that help them know if they are pregnant.
Hence, it’s essential to understand what to expect and the possible early pregnancy symptoms to look out for to determine if conception has occurred. In this article, we’ll explore some of the common early pregnancy symptoms to help you prepare for what’s ahead.
Read on to find out more about the 14 DPO pregnancy test and the 14 DPO symptoms should look out for at this stage.
What Is 14 DPO?
Ovulation usually occurs somewhere between 11 and 21 days of the cycle (depending on how long your cycle is) (1). 14 DPO means 14 days past ovulation, and, if you have been trying to conceive, it is considered to be the right time to check if you are pregnant. At 14 DPO, the levels of the human chorionic gonadotropin hormone (hCG) are usually high enough to be detected by the pregnancy test and yield positive results (2).
Is It Too Early to Test?
So, you’ve been waiting patiently for 14 days, and you’re itching to know if there’s a confirmation. Is it too early to test? Well, the answer is not so straightforward. While you may be tempted to pee on that stick the moment the clock strikes 14 DPO, it’s best to wait a few more days for more accurate results. But hey, we understand the struggle of waiting, so if you can’t resist the urge to test, just remember to take the results with a pinch of salt.
Menstruation and Ovulation Phases of 14 DPO
1. The Waiting Game
This is the period right after ovulation, where you’re waiting to see if your period arrives. It can feel like time is crawling by at a snail’s pace, but it’s important to stay patient and not jump to conclusions just yet.
2. The Dreaded Arrival
Unfortunately, for many people, this is the phase where their period shows up right on time. It can be a frustrating and disappointing experience, but it’s important to remember that everyone’s cycle is different and that one month’s results don’t dictate the next.
3. The Surprising Twist
Sometimes, instead of getting your period, you might experience unexpected spotting or 14 DPO discharge if pregnant. This can be a sign of implantation bleeding 14 DPO, which happens when a fertilised egg attaches to the uterine lining (3). Keep an eye out for this and don’t hesitate to reach out to your healthcare provider if you’re unsure.
4. The Hopeful Wait
If you make it through 14 DPO without getting your period, congratulations! This could be a sign that you’re pregnant. However, it’s important to take a pregnancy test to confirm before getting too excited. Remember to take care of yourself and listen to your body throughout the process.
At How Many DPO Does Period Happen?
Ah, the age-old question: at how many DPO does your period happen? While everyone’s cycle is different, most people can expect their period to arrive around 14 days after ovulation. However, there are plenty of factors that can influence this timing, including stress, changes in diet or exercise habits, and certain medications. It’s important to pay attention to your body’s signals and keep track of your menstrual cycle so that you can anticipate when your period might arrive. And remember, even if your period doesn’t show up when you expect it to, that doesn’t necessarily mean you’re pregnant – there are plenty of other reasons why your cycle might be thrown off. Stay curious and keep tracking!
What Are the Symptoms at 14 DPO?
At 14 DPO, some women may experience most or all the early pregnancy symptoms, while others may not experience any symptoms. Moreover, the symptoms women experience during ovulation, PMS, or while taking fertility drugs are similar to the early pregnancy symptoms experienced during 14 DPO. If you clearly know which PMS symptoms you usually experience, you will be able to determine if the 14 DPO symptoms you are experiencing are related to the pregnancy or not (4).
The levels of hCG at 14 DPO are usually high enough to cause various pregnancy symptoms in the body. Some of the most common early pregnancy symptoms people may experience include:
1. Fatigue
Fatigue is a common pregnancy symptom that occurs due to hormonal changes. This is usually accompanied by extreme exhaustion and sleepiness. During the early days of pregnancy, the progesterone levels in the body increase, and cause tiredness and sleepiness. Another reason for fatigue is the production of extra blood by the body to support the growing fetus.
2. Cramping
One of the most common early pregnancy symptoms is mild uterine or abdominal cramping (5). At 14 DPO, cramping is usually accompanied by implantation bleeding, commonly known as spotting. The reason for implantation bleeding is the implantation of a fertilised egg into the lining of the uterus, which usually occurs between 6 and 10 days after ovulation. Since cramping and implantation bleeding occur a few days before the period date, many pregnant women may confuse them with PMS.
3. Food Cravings
Hormonal changes that occur during 14 DPO may cause cravings for certain foods. During the early weeks of pregnancy, you may also develop sensitivity to certain smells or odours and even a difference in the sense of taste to various foods. These 14 DPO symptoms may stick around throughout the pregnancy for women.
4. Tender Breasts
Another pregnancy symptom many women face is tender and swollen breasts. During the early days of pregnancy, hormonal fluctuations in the body are common, but they make breasts sensitive, sore, heavier, with darker nipples, and tender. However, this usually reduces after a few weeks when the body begins adjusting to the changes in hormones.
Does Your Period Always Come 14 Days After Ovulation?
Ah, the never-ending question: Does your period always come 14 days after ovulation? The short answer is no – while it’s common for people to have a 14-day luteal phase (the time between ovulation and the start of your period), not everyone’s cycle follows this exact timeline. Some people might have a shorter or longer luteal phase, which can affect when their period arrives. Additionally, factors like stress, changes in diet or exercise habits, and certain medications can also throw off your menstrual cycle. So, while it’s a good rule of thumb to expect your period around 14 days after ovulation, it’s important to listen to your body and keep track of your own unique cycle. And hey, if you do end up with a surprise early or late period, just remember that it’s all part of the wild ride of reproductive health.
Which Is the Best Time to Take a Pregnancy Test?
So, you’ve made it to 14 DPO, and you’re wondering – when is the best time to take a pregnancy test? Well, the short answer is that it’s best to wait until after you’ve missed your period to take a test, as this will give your body enough time to produce the hormones that the test is looking for. However, some early response pregnancy tests claim to be able to detect pregnancy hormones as early as a few days before your missed period. Keep in mind, though, that the earlier you take the test, the higher the chance of a false negative result. It’s also important to consider your own personal situation and factors like irregular cycles, medication use, and other health issues that could affect the accuracy of the test. Ultimately, the best time to take a pregnancy test is when you feel ready and prepared to face whatever the results might be.
Are Pregnancy Tests Done at 14 DPO Accurate?
Every woman who has been trying to conceive wonders when the right time to take a pregnancy test is, so that it will give them a positive result. You can always take a pregnancy test, even during the early days; however, your chances of getting a positive result during the first few days of conception are very low. The reason for this is that the body will begin the production of hCG only after a fertilised egg properly implants itself into the lining of the uterus.
So, when you take a pregnancy test, it detects the level of this hormone in the body, and if the implantation is incomplete, your results will show negative because the hCG level is still low. Implantation usually occurs somewhere between 6 and 10 days after ovulation, and after the fertilised egg is implanted, the hormone begins doubling in about 2-3 days.
Therefore, when women take pregnancy tests at 14 DPO, about 90 per cent of them get positive results. The chances of getting 14 DPO negative test results are very low. You could also confirm your pregnancy by taking a blood test as early as 11 DPO, but normal, store-bought pregnancy tests may not be accurate.
At 14 DPO, your blood test will be 99 per cent accurate because even lower levels of hCG can be detected through blood tests. If the pregnancy test you took at 14 DPO shows a negative, there are chances of it being a false negative, since about 8 per cent of pregnant women get a false-negative result in their 14 DPO pregnancy tests.
A false-negative happens when the pregnancy test shows negative even when the woman is pregnant. A common reason for a 14 DPO BFN (big fat negative) is when the level of hCG in the urine is not high enough to be detected by a pregnancy test. This could happen when:
You take a pregnancy test too early.
The instruction was not followed properly.
Your urine may be too diluted from taking a lot of fluid.
The pregnancy test is not sensitive enough for low hCG levels.
What Should HCG Levels Be at 14 DPO?
Curious about what your HCG levels should be at 14 DPO? Well, it’s important to keep in mind that everyone’s hormone levels can vary widely, so there’s no one-size-fits-all answer to this question. However, a typical range for HCG levels at 14 DPO can be between 5 and 426 mIU/mL. Keep in mind that this range is just a general guideline and that there are many factors that can affect your hormone levels, including the sensitivity of the pregnancy test you’re using, the timing of implantation, and the overall health of your pregnancy. Ultimately, it’s best to discuss any concerns you have about your HCG levels with your healthcare provider, who can help interpret your results and provide personalised guidance.
Testing at 14 DPO
So, you’ve made it to 14 DPO, and you’re itching to take a pregnancy test. But before you start frantically peeing on sticks, it’s important to keep in mind that the accuracy of the test can vary depending on factors like the sensitivity of the test and the timing of implantation. While some early response pregnancy tests claim to be able to detect pregnancy hormones as early as a few days before your missed period, keep in mind that the earlier you take the test, the higher the chance of a false negative result. It’s best to wait until after you’ve missed your period to take a test, as this will give your body enough time to produce the hormones that the test is looking for. In the meantime, try to stay calm and take care of yourself – whether you’re hoping for a positive or negative result, your mental and physical well-being is key.
14 DPO BFN vs 14 DPO BFP
So, you’re at 14 DPO, and you’ve got two possible outcomes: BFN (big fat negative) or BFP (big fat positive). The difference between these two results can be nerve-wracking, but it’s important to remember that not everyone’s body shows pregnancy symptoms at the same time. One sign to look out for is changes in your 14 DPO cervical mucus – some people may notice an increase in cervical mucus around 14 DPO if they are pregnant. Another sign is a faint positive on a pregnancy test 14 DPO, which can be a sign that your body is producing the pregnancy hormone, HCG. However, a negative pregnancy test at 14 DPO doesn’t necessarily mean that you’re not pregnant – there’s still a chance that you could be in the early stages of pregnancy and haven’t produced enough HCG to show up on a test yet. Whatever the result may be, whether it be a 14 DPO faint positive or not, just remember to take care of yourself and listen to your body’s signals.
What If You Pregnant at 14 DPO and Have No Symptoms?
You’ve made it to 14 DPO, and you’ve taken a pregnancy test – and it’s positive! But wait a minute – you don’t feel any different. No morning sickness, no breast tenderness, no unusual food cravings. What gives? Well, it’s actually quite common to be pregnant at 14 DPO and have no symptoms at all. In fact, some people don’t experience any pregnancy symptoms until a few weeks later. One sign to look out for is changes in your cervical mucus – some people may notice an increase in cervical mucus around 14 DPO if they are pregnant (6). Another sign is a faint positive on a pregnancy test, which can be a sign that your body is producing the pregnancy hormone, HCG. Remember, everyone’s body is different, and pregnancy symptoms can vary widely. So, even if you’re not experiencing any symptoms, trust your body’s signals and make sure to take good care of yourself as you embark on this exciting new journey.
Does Bleeding at 14 Days Post Ovulation Indicate Implantation or Periods?
Implantation bleeding or spotting is bleeding that normally occurs after conception, sometimes around 10 to 14 days. Implantation bleeding occurs when the fertilised egg begins to implant itself into the uterus lining, and the bleeding is usually seen a few days before or around the time of your period date, making it a bit hard to know if it is normal or if it means you are pregnant.
Implantation bleeding caused by the implantation of a fertilised egg is usually lighter than the normal period flow; this is one way to check for 14 DPO spotting. Along with spotting, you could check for other early pregnancy symptoms like headaches, nausea, light cramping, mood swings, tender breasts, and lower backaches.
The colour of the 14 DPO spotting caused due to implantation can range from a rust-brown to even a light pink. It may last anywhere between a few hours and even a few days, but there should not be any clots in the spotting. Spotting is not a full flow, and sometimes you may not even notice it. However, if you experience heavy bleeding but feel like you are pregnant, then it is best to contact your doctor.
When to Consult a Doctor
At 14 days past ovulation (14 DPO), most people reach the time when a pregnancy test should be accurate. If symptoms are unusual, severe, or a test result is confusing, it may be the right time to consult a doctor. Here’s when to consult a doctor at 14 DPO:
The pregnancy test is positive, and you want confirmation or early prenatal guidance.
Missed period with negative pregnancy tests for several days.
Severe abdominal or pelvic pain, especially on one side (possible concern like Ectopic Pregnancy).
Heavy vaginal bleeding or bleeding with strong cramps.
Persistent nausea and vomiting causing dehydration (possible severe morning sickness such as Hyperemesis Gravidarum).
Fever with pelvic pain or unusual discharge, which may indicate infection like Pelvic Inflammatory Disease.
Repeated fainting, dizziness, or severe weakness.
Very irregular cycles or ongoing fertility concerns.
FAQs
1. Can dehydration affect symptoms at 14 DPO?
Yes. Dehydration can intensify symptoms such as headaches, fatigue, dizziness, and mild cramping at 14 DPO. Because early hormonal shifts may already cause fatigue or nausea, not drinking enough fluids can make these sensations feel stronger or misleading.
2. Why do some people experience tooth or gum sensitivity at 14 DPO?
Hormonal changes shortly after conception can increase blood flow to the gums. This may lead to mild swelling, tenderness, or bleeding while brushing—an early sign sometimes linked to conditions like Pregnancy Gingivitis.
3. Is a sudden metallic taste in the mouth normal at 14 DPO?
Some people notice a metallic or unusual taste (called dysgeusia) around this time due to rising pregnancy hormones. This change in taste perception is occasionally reported in early pregnancy and may be associated with hormonal shifts seen in Dysgeusia.
When you are trying to conceive, 14 DPO is considered to be a very important milestone, since your hCG is likely to be at the right level to result in various pregnancy symptoms at this time. A few of these pregnancy symptoms include implantation bleeding along with mild abdominal cramping, sore and tender breasts, fatigue, and food aversions and cravings. About 90% of women who experience these symptoms at 14 DPO get positive results in their pregnancy tests.
At 14 DPO, no matter what result you get in your normal pregnancy test, it is best to take a blood test to confirm the result. If you have been experiencing early pregnancy symptoms but still get a negative pregnancy test, wait for a few more days to take another test.
Also Read:
13 Days Past Ovulation
15 DPO Pregnancy Symptoms
Pregnancy Signs at 16 Days Past Ovulation
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You Know Baby Bells Are Ringing When…
They are clear indications that shout out loud when you’re on the brink of entering mommy-mode. These signs say you are ready for a baby. So, if you can relate to them, congratulations! Your body and heart are ready for a little darling!
We know you’re a sensible lady with well-discussed pregnancy plans in place. But then, all of a sudden you start exhibiting signs that say that you’re ready to don the role of a mommy. If you find yourself flitting away some first-time thoughts like the ones mentioned below, then maybe it’s time for the stork to come visiting. C’mon, stop blushing!
Sure Shot Signs that Convey you’re Ready to have a Baby
1. Baby pics look cuter than what they did yesterday
One of the primary signs that you are ready for a baby hides in your reactions towards baby pics. Your comments that say “Awwww….cho chweet” on Facebook pictures posted by young mommies echo your thoughts. You don’t yawn while flicking through those hundreds of baby posters for your niece’s projects. Suddenly, movies like “Baby’s Day Out” make you sit up and take notice.
2. What’s sounds better, Neha or Nisha?
You know that the time is ripe for becoming a mom when you start looking for interesting baby names in your spare time—just for the heck of it. You try to find out the underlying meaning attached with the names that catch your fancy or go a step further and start attaching your surname to it, just to feel what it sounds like.
3. You wonder if August would be a good time to take leave
Your work needs you. You just can’t take a maternity leave when clients are expected to go berserk, orders are on the rise, or when your boss expects a full office. If these thoughts start crossing your mind, then it’s a good sign that you’re planning the ways in which you’ll be juggling your baby time and client time.
4. You make mental notes at Birthdays and Baby showers
It’s your two-year-old nephew’s birthday and you’re registering quite a few things mentally. You are listing out the gifts that you would want to keep on your list, the address of the lady who baked the cake, or how many guests are best invited to prevent chaos, and so forth. In case its a baby shower you’re attending and someone casually mentions, “You’re next!”, you end up saying “I hope so!” under your breath!
5. You create checklists of baby duties
You may find it strange, but it’s only when you’re ready to play the parental role that you start stepping in the shoes of your mommy friends. Even as they talk about their day-to-day childcare woes, you start making your own to-do-list beforehand. In some cases, you may also outdo yourself by assigning the tasks between you and your hubby. Obviously, he’ll be doing the diapers at night!
Well, just the fact that you’ve kept till the end of this article is sign enough that you’re ready to go through those wonderful nine months of waiting. Go celebrate these new feelings and go act on the plan!
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Taking Soy Isoflavones for Fertility – How to Take and Side Effects
If you trying to get pregnant for a long time now, you may consider taking soy isoflavones to speed up the process. It is an unconventional method, but, in today’s age, where many women deal with fertility problems, it may just be the answer you are looking for. Although there is no concrete research result which proves this, it’s worth looking into how soy isoflavones can be used to boost fertility. But before we discuss the efficacy, let’s quickly learn about where we get soy isoflavones for fertility, how they work, and other essential aspects of this micronutrient.
What Are Soy Isoflavones?
Isoflavones are a type of phytoestrogen or micronutrient derived from plants. They help stimulate the estrogen in your body. Foods like soybean or other soy products, which have a high level of protein, contain isoflavones in a higher proportion (1). It is said that consuming these foods high in isoflavones can increase the chances of fertility in a woman (2). Soy isoflavones derived from soy products reduce the risks of osteoporosis, diabetes, hormone-dependent cancers like breast and prostate cancer, and cardiovascular diseases and alleviate symptoms of menopause (3) (4).
How Do They Work for Fertility?
Many women experience fertility or non-ovulatory issues. Soy isoflavones can help induce ovulation in such women. Women who also have the problem of irregular periods can consume these isoflavones to get much-needed relief. On consumption, they help increase estrogen production in a woman’s body. This, in turn, stimulates ovulation and can make you ready for pregnancy. Therefore, taking soy isoflavones for infertility is a good natural alternative (5).
Who Should Take Soy Isoflavones for Fertility?
Before you try them out, always consult your doctor. If your menstrual cycles and ovulatory cycles are regular, you must not take soy isoflavones as they may cause hormonal imbalances in your body. On the other hand, if you have issues with ovulation or irregular periods, then you can try soy isoflavones. However, take these only after consulting with your doctor.
How to Consume Soy Isoflavones for Fertility
There are two ways to consume soy isoflavones if you are looking to take them for fertility. Here is how you can consume soy isoflavones for fertility:
Soy isoflavone can be consumed in the form of supplements. They are available at pharmacies as tablets or capsules.
You can also consume soy or edamame beans and other soy products such as soy milk, soy tofu or yoghurt made of soy.
Soy Isoflavones Dosage for Fertility
The dosage of soy isoflavone supplements for getting pregnant is 80 mg every day. Since you will get them in the form of 40mg pills at pharmacies or health stores, you can take two tablets every day. However, consult with your doctor first before taking soy isoflavone supplements.
Possible Risks and Side Effects of Taking Soy Isoflavones
Taking soy isoflavones for fertility is not a proven practice, and there are some risks and side effects associated with their use, which are as follows:
Taking soy isoflavone supplements for more than 5 days in a row every month can affect your ovulatory cycle.
Taking too much soy isoflavone can throw your menstrual cycle out of balance.
Taking soy isoflavone supplements with other antibiotics can again have negative effects on your health.
Excess consumption of soy isoflavones can also cause thyroid problems in women.
Digestive disorders and headaches are other side effects of consuming soy isoflavones.
Can You Take Soy Isoflavones Supplements for Getting Pregnant?
Yes, it can be taken, but the research behind this is quite vague. It is safe to take supplements for short periods to see if this will help you get pregnant, but taking them for longer periods might be dangerous, as this realm is yet unknown to scientists. For best results, take soy isoflavone supplements at the correct time during your menstrual cycle. Usually, it is advised to take them 3-5 days after the first day of your menstrual cycle. Take your supplements after meals and make sure you stick to the same timing every day.
Things to Remember Before Consuming Soy Isoflavones for Conception
Some important points to remember before consuming soy isoflavones for pregnancy are:
During your five-day course, take the correct dosage of supplements. Increased soy isoflavone supplement dosage can lead to health problems.
If you are suffering from PCOS, it is better to avoid taking soy isoflavone supplements.
If you are consuming any antibiotics or medicines for thyroid, consult your doctor first before taking the supplements as they can cause problems in your body.
If your ovulation is irregular, then you can take these supplements. But if your infertility is caused by some other issue like uterine fibroids, uterine polyps, fibrocystic breasts or thyroid issues, then you should never take soy isoflavones as they might make these disorders worse.
If you are above 35 years, definitely consult your doctor before taking soy isoflavone supplements.
Take the supplements at the right time every day during the five-day course to minimise side effects like digestive issues or fatigue.
FAQs
1. Who should avoid taking soy isoflavones?
Women having uterine fibroids, PCOS, and ovary, breasts, or uterus sensitivity to estrogen should avoid taking soy isoflavones to get pregnant, as they can worsen the issues.
2. What are the benefits of soy isoflavones?
Phytoestrogen isoflavones derived from soybeans mimic estrogen activity, modulating estrogen metabolism. According to the National Cancer Institute, soy isoflavones are also known to regulate hormone balance, reduce tumour cell proliferation, and reduce the risks of heart disease, breast cancer, and osteoporosis (6) (3).
3. Does eating soy increase the risks of breast cancer?
Studies have shown that a healthy and balanced lifelong diet that contains soy reduces the chances of breast cancer in women because of the protein and isoflavones present in it. However, the notion of soy increasing breast cancer is incorrect. According to the Mayo Clinic, food sources of soy contain plant estrogens, including isoflavone, in good amounts but not in high enough levels to increase the risk of breast cancer. However, soy or isoflavone supplements contain high levels of isoflavones, which may increase the risk of breast cancer in women who have a family history of thyroid problems or breast cancer (7).
The relationship between soy isoflavones and fertility signifies hope. It is a good option if you are struggling to conceive. Fertility over 40 starts declining due to a reduction in the egg supply. If you follow your doctor’s instructions carefully, then soy isoflavones can help in increasing your chances of pregnancy. Good luck!
References/Resources:
1. Soy Isoflavones; Oregon State University; https://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/soy-isoflavones
2. Rizzo. G, et al.; The role of soy and soy isoflavones on women’s fertility and related outcomes: an update; J Nutr Sci.; PubMed Central; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8922143/; March 2022
3. Pabich. M, Materska. M; Biological Effect of Soy Isoflavones in the Prevention of Civilization Diseases; Nutrients; PubMed Central; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6683102/; July 2019
4. Messina. M; Soy foods, isoflavones, and the health of postmenopausal women; The American Journal of Clinical Nutrition; https://www.sciencedirect.com/science/article/pii/S0002916523048918; July 2014
5. Jacobsen. B. K, et al.; Soy isoflavone intake and the likelihood of ever becoming a mother: the Adventist Health Study-2; Int J Womens Health.; PubMed Central; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3982974/; April 2014
6. soy isoflavones; National Cancer Institute; https://www.cancer.gov/publications/dictionaries/cancer-drug/def/soy-isoflavones
7. Will eating soy increase my risk of breast cancer?; Mayo Clinic; https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/soy-breast-cancer-risk/faq-20120377#
Also Read:
Feng Shui for Fertility
Apple Cider Vinegar to Boost Fertility
How Meditation Helps You to Get Pregnant
Best Fertility Yoga Asanas to Get Pregnant Fast
Consuming Coenzyme Q10 for Fertility
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A Guide To Tubectomy (Tubal Ligation)
In the realm of reproductive health and family planning, the name tubectomy or tubal litigation frequently comes in relation to women. So, what is tubectomy? Tubal ligation, aka tubectomy, stands as a significant medical procedure providing a permanent form of contraception for individuals who have decided to conclude their journey of childbearing. This comprehensive guide aims to shed light on tubectomy, discussing its process, benefits, considerations, and more.
What Is Tubectomy or Tubal Ligation?
Tubal ligation is also known as getting your ‘tubes tied.’ In this method of female sterilization, the fallopian tubes, which carry eggs from your ovaries, are blocked by clamping, sealing, or severing them. This prevents sperm from getting to the eggs and fertilising them, thus effectively preventing pregnancy. This type of tubal sterilization can be done through a laparoscopic procedure, mini-laparotomy, or tubal implants.
How Effective Is Tubal Ligation?
Tubal ligation is considered almost 100% effective. But there is a 0.5% chance (5 in 1000) that women who have had tubal ligation will become pregnant one year after the process. In the five years after the procedure, there is a 1.3% chance of pregnancy, and by 10 years, the estimate of sterilization failure could rise to 1.8%. Improper surgery, being pregnant during the procedure, and recanalisation of tubes are reasons why a pregnancy might occur after tubal ligation.
Is Sterilization Right for You?
Sterilization is recommended only for those women who are sure that they do not want any more children. It is also a good option for those who have health issues that might worsen due to pregnancy and for those with some serious hereditary condition that you do not want to pass on. Discuss it with your spouse, family, and doctor before you arrive at a decision on whether this is a good option for you.
Is Tubal Ligation Painful?
In some types of tubal ligation, an incision will have to be made on your body. Your doctor will also administer general or local anaesthesia, depending on the type of sterilization you have opted for. When general anaesthesia is given, you will go to sleep and wake up only after the procedure while local anaesthesia keeps you awake the entire time, but the area is numbed, so you do not feel anything during the surgery.
Types of Tubal Ligation Procedures
The common types of tubal ligation procedures can be classified as those that require an incision and those that do not. Laparoscopy and mini-laparotomy belong to the former category (with an incision), while tubal implants, also known as Essure, are in the latter category (with no incision).
1. Incision Sterilization
The two methods of incision sterilization are laparoscopy and mini-laparotomy, with both requiring either local or general anaesthesia.
Laparoscopy – is preferred for its quicker recovery time, being less painful and less invasive. The entire procedure takes only about 30 minutes and causes minimal scarring. Most women can return home the same day.
A mini-laparotomy – is considered a major surgery and is usually done under general anaesthesia during the first day or two of childbirth. It is also performed during a C-section. The recovery postpartum will not be any different with or without the sterilization done during C-section.
2. Tubal Implants
The process of putting in tubal implants or Essure does not require any kind of incisions as it is performed through the cervix and the vagina. Metal springs are inserted into the fallopian tubes, and gradually scar tissue forms around it, causing a permanent blockage in the tubes.
How to Prepare for the Sterilization Procedure?
Tubal ligation can be done at a hospital and also in some outpatient clinics. Your doctor will discuss the reasons why you are opting for this procedure and want to know if this is a well-thought-out decision. You will be informed of the type of sterilization procedure best suited to your circumstances. Many women choose to have this surgery shortly after childbirth or in combination with some other surgery. If you are not having this procedure immediately after childbirth, you might be asked to use contraception for one month prior to and one month after the procedure.
1. Procedure for Incision Sterilization
The laparoscopic procedure for tubal ligation and the mini-laparotomy are termed incision sterilization.
In laparoscopic sterilization, you will be administered local or general anaesthesia, after which the doctor pumps gas into your stomach cavity to help visualize the organs better. A couple of small cuts will be made near the belly button, through which the doctor will insert a laparoscope to pinpoint your fallopian tubes. Once located, the tubes will be closed off, and the procedure is completed. The entire procedure takes about 30 minutes.
A mini-laparotomy is commonly done after childbirth, and after general anaesthesia is given, the doctor will make a cut near the belly button. The fallopian tubes are brought up through this cut, and clips are used to block them while, in some instances, a section of the tubes is cut off.
2. Procedure for Tubal Implants
If tubal implants are the method of sterilization, there is no need for any kind of anaesthesia. Your doctor will dilate the cervix just before the procedure and then pass a thin catheter through the vagina and cervix up to one of the fallopian tubes. This catheter will place an implant in the tube and repeat the process with the other tube. X-rays will be taken afterwards to ensure the implants have been placed correctly and the tubes blocked.
How Will You Feel After Tubal Ligation?
You may experience cramps like during menstruation or experience some amount of vaginal bleeding as a result of uterus movement during the procedure. If you had a laparoscopic procedure, the gas used might cause your stomach to be swollen for a day or two. The gas might also cause back or shoulder pain for a while. It is important to call your doctor immediately:
if your incision starts to bleed
you get a fever or a rash
you find it difficult to breathe
there is continuous pain in your belly
you see an unusual discharge from your vagina
Even after a tubal ligation, your periods will continue as before until you reach menopause. Sterilization does not bring about any hormonal imbalances, unlike birth control methods that rely on hormonal factors.
How Long Does It Normally Take to Recover After Tubal Ligation?
Recovery times will vary depending on your lifestyle, your health prior to the procedure and the kind of tubal ligation you opted for. After laparoscopic tubal ligation, you will likely go home the same day. Recovery from a mini-laparotomy may take a few days. If you had tubal implants, you are likely to be able to return to your normal routine the same day. A follow-up examination will be scheduled for a couple of weeks after the procedure.
Can Tubal Ligation Be Reversed?
In some instances, tubal ligation can be reversed though it is a major surgery, and you might have to stay in the hospital for a few days. The chances of a successful reversal will depend on factors such as the type of tubal ligation done, your age, the time elapsed since the procedure, and the damage your tubes have experienced. Pregnancy rates after reversal vary greatly and range between 30% and 85%.
Reversal of tube ligation puts you at a higher risk of ectopic pregnancy, which can be a life-threatening condition.
Risks and Complications
Since tubal ligation is an abdominal surgery conducted with anaesthesia, there are certain risks and complications that can occur, such as:
Organ damage to the bowel, bladder or major blood vessels
Reaction to anaesthesia
Failure of the wound to heal and a possibility of infection
Pain in the pelvis or abdomen that lasts for a long time
Permanent scarring at the site of the incision
The risk of complications is higher if you have had abdominal or pelvic surgery prior to this. A history of obesity or diabetes also increases the possibility of complications after tubal ligation.
How Soon Can You Have Sex After Sterilization?
Your doctor will be able to give you a timeline on when it is safe to resume having sex after a sterilization procedure though most people wait for a week or two. If the tubectomy has been done soon after childbirth, the wait time might go up to four weeks at a minimum. Some women may experience pain or discomfort during sex for up to a year after Essure implants.
Does It Provide Protection Against STDs?
No, tubal ligation is only a form of permanent sterilization and does not offer any kind of protection from Sexually Transmitted Diseases (STDs) for men or women. Sterilization is only a means of effective birth control. Using a condom is the best way of lowering your chances of contracting or spreading STDs, as male or female sterilization methods are of no help here.
After tubal ligation with incision method, no backup birth control is required. But when it comes to tubal implants, it is recommended that you use some other form of birth control for about three months. After this period, an X-ray can help confirm that the procedure has been successful, and you can stop using other methods of birth control. It is normal to think that sterilization might change you in some way. However, you will not gain weight, grow facial hair, or bring on menopause. Just make sure that sterilization is the best choice for you before you move ahead with the decision.
Disclaimer: This information is just a guide and not a substitute for medical advice from a qualified professional.
References/Resources:
1. Tubal ligation; MedlinePlus; https://medlineplus.gov/ency/article/002913.htm
2. Peterson. H. B, Xia. Z, et al.; The risk of pregnancy after tubal sterilization: Findings from
the U.S. Collaborative Review of Sterilization; American Journal of Obstetrics & Gynecology; https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.305.1070&rep=rep1&type=pdf; April 1996
3. Tubal Ligation; University of Rochester Medical Center; https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=135&contentid=27
4. Ectopic Pregnancy; University of Rochester Medical Center; https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=p02446
5. Postpartum Sterilization; University of Michigan; https://www.med.umich.edu/1libr/Gyn/PostpartumTubalLigation.pdf
6. Post Tubal Ligation Syndrome; NCCRM; https://www.nccrm.com/tubal-reversal-surgery/post-tubal-ligation-syndrome/
7. Contraception; CDC; https://www.cdc.gov/reproductivehealth/contraception/index.htm
8. Sterilization for Women and Men; The American College of Obstetricians and Gynecologists; https://www.acog.org/womens-health/faqs/sterilization-for-women-and-men
9. Tubal Ligation; Johns Hopkins Medicine; https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/tubal-ligation
Also Read:
Tubal Ligation Reversal
Postpartum Tubal Ligation
Pregnancy After Tubal Ligation
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A Guide to Intrauterine Device (IUD)
Birth control options for women have gone through a lot of changes over time. An IUD device is an effective birth control method that is available to women today.
What Is an IUD?
IUD or Intrauterine Device is a birth control method for women. There is a T-shaped device inserted in the womb of the woman to prevent pregnancy. It is an appropriate choice for those who cannot use other forms of contraception like birth control pills. Prior to using this method, you should have a discussion with your doctor to check if IUD is the correct type of contraceptive for you and evaluate all the risks and benefits. You may carry on with your daily life as normal (have sex, exercise, and use tampons).
What Are the Types of Intrauterine Devices?
There are 2 types of IUDs:
1. Copper IUDs (ParaGard)
These are the most commonly used IUDs. A copper wire is tied around the stem of the T shaped device. This can stay for up to 10 years and is a highly effective method of birth control.
2. Hormonal or Levonorgestrel IUDs (Mirena, Kyleena, Liletta, Skyla)
It is supposed to be slightly more effective in preventing pregnancy than the copper IUD. This IUD can prevent pregnancy for up to five years depending upon the type used.
Who Can Use an IUD?
IUD can be used by most women – young women and women who have never had children too. IUDs (especially hormonal ones) are also highly suitable for women having heavy periods.
You may use the IUD in all the following scenarios:
If you have children or never had children
If you are unmarried
IUD can be used at any age (adolescents and women over 40 years)
Have just had an abortion or miscarriage but there are no infections
If you are breastfeeding
If you are into hardcore physical work/activity
Who Shouldn’t Use an IUD
You should not use an IUD if you have abnormal vaginal bleeding
IUD should not be used if you have cervical or uterus cancer
Pregnant women should not use IUD. You can use it after childbirth. In fact, the best time to get an IUD is right after delivery.
You may also not be able to use IUDs if you recently had a pelvic inflammatory disease (PID) or are allergic to copper. Your doctor will assess your suitability for this method of birth control.
How Does an IUD Work?
The intrauterine device is a contraceptive device made of flexible plastic which is inserted into the uterus. It is a highly effective long-term contraception and can be reversed conveniently.
Copper IUDs – Copper acts as a spermicide preventing the sperm from travelling to the cervix and changes the internal lining of the womb, which makes it difficult to conceive.
Hormonal IUD – This IUD releases a hormone progestin, which thickens the mucus in the cervix. It also thins the uterine lining and partially suppresses ovulation and thus prevents pregnancy.
How Effective Is an Intrauterine Device (IUD)?
IUDs are considered to be one of the best methods of birth control and are 99% effective. You do not need to remember to take it (like the pill) or use it incorrectly (like a condom).
The procedure of IUD Insertion
At the time of insertion, your doctor will first clean the vagina with an antiseptic solution. Then a speculum is placed inside the vagina which slowly draws the uterus closer to the vagina. Then the IUD is inserted with the help of an applicator. You may feel a brief pain or cramp which is temporary. The procedure takes about five minutes.
The applicator is then removed, and the arms of the IUD spring open into the T formation. Once the IUD is inserted, you will not feel anything. The strings attached to the end of the IUD will hang through the cervix and protrude slightly into the vagina. You should not fiddle or tug with the strings else the IUD may be displaced.
IUDs remain in the uterus where it has been inserted. In some cases, they might come out due to incorrect insertion. This is a rare occurrence.
How Soon Does an IUD Begin Functioning?
The non-hormonal IUD is effective immediately. If the hormonal IUD is inserted within seven days after the start of your period, it is effective immediately. If inserted at any other time during the menstrual cycle, then you should use some other form of contraception if you plan to have vaginal sex within the 1st week of insertion. Pregnancy protection starts after seven days if inserted after the first week of the menstrual cycle.
What Can You Expect After Treatment?
After the procedure, you may feel a little cramping for a few days. Your doctor might tell you to take some medication (pain killers) to prevent the cramps.
You may need to come back for a check-up after the next period. They will check if the IUD is still inside and check for infections.
There may be some spotting after getting IUD which goes away within six months. Hormonal IUDs cause your periods to become scanty, and you may stop getting periods also. The Copper IUDs cause periods to become heavier. If you feel any discomfort due to the IUD, then you should immediately consult your doctor.
Although there is very little chance of the IUD slipping out, it may happen during the first three months. They are most likely to come out during your period, so you should check your pad or tampon to see if it fell out. After the IUD has been inserted, it is recommended that you use sanitary pads. If you are using a tampon, then it must be changed frequently, and care should be taken while pulling it out so that the strings of the IUD are not tugged or pulled at.
Once the insertion of IUD had been completed, most women feel well enough to resume their normal life. Medication is prescribed to ease out any pain.
In case the IUD falls out, you will not be protected from pregnancy. Hence, you need to visit your doctor or use some other form of contraception in the meanwhile.
How Long Can IUD Last?
The Copper IUD can last up to a period of 12 years, and the Hormonal IUD can last anywhere between three to six years.
However, there is no minimum time frame for the IUD to stay in. You can have it removed any time you wish to.
You will need to keep track of when IUD has to be replaced. IUD placement may seem to have a higher upfront cost. However, it turns out to be cost-effective in the long run because the IUD’s protection can last between 5 to 10 years. They are an inexpensive and reversible form of birth control.
Can an Intrauterine Device Be Inserted Anytime?
It is safe to insert the Intrauterine Device at the end of the cycle and not during the early days of the menstrual cycle. During this time, it is unlikely that the woman is pregnant and the cervix also dilates during the flow. Dilation helps make insertion easier.
What Are the Complications and Risks of IUD?
IUD is one of the most popular forms of birth control across the world. Once inserted, it does not require maintenance and is extremely effective.
Risks of using the intrauterine device:
Copper IUD causes increased menstrual bleeding and cramps accompanied by spotting. Hormonal IUD causes reduction of menstrual bleeding and cramps.
In a few cases, the IUD may get stuck or perforate into the uterus. Perforation is rare; however, it always occurs during insertion of the IUD. The IUD needs to be removed if the uterus has been perforated.
Sometimes, the IUDs are expelled out of the uterus into the vagina in the first year. This can happen during the first few months. There is a high chance of expulsion if the IUD is inserted right after childbirth or in a woman who has never been pregnant.
Hormonal IUD may cause benign cysts which go away on their own.
The hormonal IUD can also cause hormonal side effects like tenderness of breasts, mood swings, headache and acne. These are similar to side effects caused by oral birth control methods. However, they go away after the first few months.
Only a health professional or doctor can remove the IUD. You should never attempt to remove the IUD yourself.
The IUD can cause a genital infection in the uterus leading to pelvic inflammatory disease in the first months after insertion.
You might experience a foul-smelling vaginal discharge at times.
Sometimes, you may have an unexplained fever.
What Are the Advantages of IUD
IUDs are highly effective methods of birth control
They are a very cost-effective method of birth control
Extremely easy to use
IUDs do not interrupt foreplay or intercourse
They do not require the cooperation of your sexual partner or spouse
IUDs are safe to use while you are breast-feeding
Can be removed whenever you face any problems or want to stop using it. Fertility returns with the first ovulation cycle following removal of the IUD
Hormonal IUD can relieve you of heavy menstrual bleeding
Copper IUD can be used as emergency contraception within 5 days of unprotected intercourse
IUDs can be inserted after a normal vaginal delivery, C section, or first-trimester abortion.
How to Ensure IUD Is Still in Place
There are no serious problems that are caused by IUDs. However, sometimes, the strings of the IUD cannot be seen because they are drawn back into the cervical canal. In very rare instances, the missing IUD may be due to pregnancy or uterine perforation or expulsion. Therefore, it is important to know how to check if the IUD is still in place.
If you have an IUD, then you should keep checking the strings on your own once every month. In case you can feel the strings, the IUD is intact. The cervix moves naturally during the periods, so when it moves down, you will be able to feel the device closer to the outside of the vagina.
In case if you are not able to feel it, then the doctor should be consulted.
How Is the IUD Removal Done?
If you want to get the IUD removed, you need to visit your doctor. Please do not try to do it yourself. The doctor will remove the IUD when it has reached its expiration date or if you are facing some medical problem.
IUD removal takes only a few minutes. Women usually find it less painful or uncomfortable than having the IUD inserted. You may want to consult the doctor if you need to take medication in case of cramping later on. In case your IUD has been removed due to an infection in the uterus, and you have been prescribed medicine then ensure that you complete the full course.
The doctor will insert a speculum into your vagina and search for the strings. If they aren’t there, your doctor can insert a thin tool through your cervix to get the strings. He will slowly pull the IUD strings. This will pull the IUD through the cervix and out of the vagina.
Then your doctor will remove the speculum.
Can IUD Affect the Ability to Get Pregnant?
Once you remove the IUD, your fertility levels return to normal at once. IUD does not cause infertility, and once the IUD is removed, you can definitely become pregnant. There are no risks of infertility due to IUD.
If your IUD was non-hormonal, then your fertility was never affected at all. It is similar to using condoms as a method of birth control. Since there are no hormones released in your body, you can get pregnant once you remove the IUD.
In case you were using the hormonal IUD, you can become pregnant during the first cycle without the IUD.
If you are unable to conceive even after the removal of the IUD then you should consult your doctor.
In What Way Will IUD Affect My Periods?
The Hormonal IUD and Copper IUD affect the periods in different ways.
Hormonal IUDs may make the periods lighter. You may even skip your first period after IUD has been inserted. Periods may even stop altogether. In some cases, hormonal IUDs may cause irregular bleeding for the initial three to six months. The pattern of your periods differs when you are using birth control pills or when you shift to IUD. In rare cases, hormonal IUDs can cause the periods to worsen in the long term.
Copper IUDs cause your periods to become heavier, longer, and accompanied by cramps. In this IUD, the uterine lining takes time to adjust to the foreign body so there may be a little bit of inflammation or tissue damage.
What Symptoms May Indicate a Problem
You have to be observant of any unusual symptoms related to the IUD. These include:
If you experience prolonged abdominal pain after IUD has been inserted
Delayed period or if you experience bleeding in between periods
Abdominal pain along with a delayed period
Vaginal discharge, which can be caused by an infection
The length of the IUD string feels shorter or longer than usual
You can feel the hard plastic bottom of the IUD coming out through the cervix
Breathing problem
What Happens if a Woman Gets Pregnant While Having an Inserted IUD
You will still ovulate with the IUD inserted in the uterus, unlike some other methods of birth control.
The IUD can sometimes slip partly or completely out of the uterus. This happens to women during the first year after the device is inserted, and occurs mostly within the first few months.
Sometimes, the IUD may get embedded into the uterus. In some rare cases, the device may pierce the uterus. If this happens, then the device will not work, and it needs to be removed.
Another thing to remember is that while the Copper IUD starts working right after it is inserted, the Hormonal IUD starts working immediately only if inserted during the first 7 days of your period. If the Hormonal IUD is inserted at any other time during the menstrual cycle, then it will take 7 days to be effective. Hence, it is advisable that you use some other form of birth control in the meanwhile. Not doing so can lead to pregnancy.
The women who become pregnant while IUD is inserted face a greater risk of ectopic pregnancy. In this case, the embryo implants outside the uterus.
If pregnancy occurs and the IUD remains inserted into the uterus, then you may have a high risk of severe infection, miscarriage or premature delivery. So, doctors remove the IUD when a woman becomes pregnant.
When Should I Call a Doctor?
The doctor follows the correct process to insert the IUD. However, sometimes, it may be pushed out or displaced due to contractions in the uterus. In case you have excessive bleeding or discomfort, then you should consult the doctor immediately and start using an alternate method of birth control.
These symptoms may signal there is a problem –
Severe pain in the abdominal pain
Experience pain while having sex
When you miss a period or if you sense any sign of pregnancy
Unusual discharge from the vagina with a foul smell
A change in the length or position of the IUD string
FAQs
1. Can I use IUD while breastfeeding a baby?
Yes, the hormonal IUD (Mirena) can be used while breastfeeding.
2. Will I need a backup form of contraception after insertion?
IUDs have a success rate of 99%. However, depending upon the type of IUD, it may not start working immediately and may require you to use alternate contraception. As discussed earlier, if you have used Copper IUD it starts working immediately. Copper IUD may even be used as a form of emergency contraception. In case you are using a hormonal IUD, and it has been inserted within the first seven days of your periods, then it starts to work right away. Else, you will need to use a backup birth control in the meantime.
3. Will my partner feel the IUD?
No, the IUD cannot be felt while having sexual intercourse. In case you feel the device, then you should consult the doctor. You may feel some pain though during sex in the initial days after the IUD insertion has been done.
IUDs are a convenient and economical form of birth control, though IUDs cannot prevent sexually transmitted diseases. Side effects of IUDs occur in less than 1% of women. Discuss with your doctor if you want to start using this form of birth control.
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How to Prepare for a Second Baby?
Being a parent is a heartwarming and life-changing experience. However, it comes with responsibilities and lifestyle changes that are paramount to ensure your child’s and your family’s well-being as a unit.
Preparing for what is to come is essential if you long for another child to extend your family or give your child an adorable sibling. Planning for your second child can seem deceptively easy as you’ve already been through raising a child before. However, new complications such as your biological clock, finances, and firstborn come into the picture. Here, we touch upon the things to consider while preparing for your second baby.
What Is the Best Time to Have a Second Baby?
When to have a second baby can cause a dilemma among many couples. There is no right answer to this, as many factors, such as health, finances, and personal preferences, come into play. Many women have had pregnancies at the age of 40, and there have been many families with few resources who have been able to raise two kids successfully. Below are factors that will help you decide the best time to have a second child. Once these factors are met, it will make it easier for you to have your second baby.
How to Decide Whether You Are Ready to Have a Second Baby or Not?
Before you go ahead with conceiving a second child, it is vital to ask yourselves a few questions to ascertain if having this child is the best step forward. Some of these questions include:
Are you emotionally prepared to go through the rigour of pregnancy again?
Are you happy to share your attention between your two children, and can you balance it?
Do you think the age difference between your kids (whether short or big) will be manageable
Are you equipped to handle probable sibling rivalry effectively?
Do you think you can still spend valuable time with your spouse or partner while ensuring your child gets the best care?
Are you financially equipped to handle the expenses of a second child?
While there are many more considerations to evaluate, these questions will help you create a list of pros, cons, and reasons for having a second child. Read on to find other things to consider before preparing for baby 2!
How Does a Second Pregnancy Differ From a First Pregnancy?
All pregnancies are beautiful in the eyes of the parents, but having a second child brings about changes that might differ from your first pregnancy. Here are some of the differences you might experience between the first pregnancy and the second:
Baby bumps become apparent earlier due to the expansion of your muscles and abdomen caused by the first pregnancy (1)
You might experience your baby kicking and Braxton Hicks contractions a lot earlier (1)
Symptoms like nausea, constipation, indigestion, and morning sickness might come a lot sooner (1)
Experience more fatigue as you have to juggle your pregnancy as well as your role as a parent to your first child (1)
The onset of back pain is sooner (1)
Shorter labour (1)
Things to Consider While Planning for a Second Pregnancy
Here are a few points to consider:
1. Your Physical Health
Getting pregnant means significant changes in your body, which can only happen if your health is optimal. Even if your first pregnancy was not too long ago, you can have a second baby if you’ve recovered and are in good health (2).
2. Your Age
As women age, their menstrual cycles begin to change regarding egg production. This is because women are born with a limited supply of eggs and will eventually run out. With increasing age, the quality of the eggs also reduces, thus increasing the chances of miscarriage or genetic defects (3).
3. Father’s Age
While planning a second child, your partner’s age is also under the scanner. Studies have shown that men show a marked decrease in their sperm quality once they turn 35 (4).
4. Finances
Finances play a crucial role in second-child planning, as the costs immediately double, straining household income (5). Are you and your partner both working? Do you plan on sending both of your children abroad for higher education? Such questions must be thought about well in advance when planning your finances.
5. Goals As a Family
Raising a second child means you and your partner must be on the same page. There may be instances where you both may differ in opinion. One may want to wait for a while or not have kids. You both must communicate your goals and how you can reach a middle ground. This is because your parenting goals and style can impact your child’s grown and development (6).
6. Career
You will have to make tough career decisions to make time for the newborn, including whether you are taking a sabbatical or quitting altogether. Additionally, if you continue working while pregnant, you have to be mindful of health implications of stressful work, long work hours, being on your feet, or risky jobs (7).
7. Age Gap
While planning for a second child, your first child comes into the equation. Would you like your children to be playmates? In that case, it’s better to have a smaller gap as they would be of the same age group and get along well.
8. Helping Hands
When you get pregnant for the second time, extra help becomes important because your first child needs to be looked after. Do you have a person that you trust to babysit your child? Do your parents live close by so that they can lend a hand with your baby? It is important to have support during pregnancy to ensure less stress, better emotional and physical state, and overall welfare of the mother and child (8).
9. Accommodation
Having a new child in the family would mean reassessing your living space. You may need to move into a bigger home once the baby grows up, or the kids may need to bunk in the same room.
10. Delivery
If you’ve had a caesarean section for your firstborn, you would have to repeat the process if the gap is less than two years. This is because, in the next pregnancy, you will need to wait for labour pains, which cannot be induced. It is not recommended to deliver vaginally in case you have had a c-section before. You must, therefore, go for a multi-speciality hospital as a big set-up becomes necessary to take care of any emergency that can arise.
How to Prepare Yourself for the Second Child?
Below are some tips for second-pregnancy planning:
1. Go for a Check-Up
When you and your partner decide that it’s time for a second baby, make sure you get a blood test done. A blood test can help confirm pregnancy if you’ve already started trying. Apart from that, it also can help check the iron content in your body. Most women become anaemic during pregnancy due to the amount of blood that is needed to sustain themselves and the baby. With a blood test, you can devise a good plan to improve your iron content and avoid complications like maternal anaemia.
2. Keep a Close Eye on Your Menstrual Cycle
Even if you don’t use birth control, a missed period doesn’t always mean that pregnancy is around the corner. After the first baby, your menstrual cycle could be out of sync. You’ll need to chart out your ovulation days to determine the optimal conception time. It may take a couple of weeks to get it right, so be patient and keep trying!
3. Hit the Gym
Getting back into shape after your first pregnancy is challenging but achievable. Most moms get back on their feet after a strict exercise regime, but if you’re not one of them, you must start now. Weight gain can inhibit fertility and can sometimes cause hormonal imbalances, making it difficult to track your ovulation.
4. Read Up on Male Infertility
Pregnancy isn’t a woman’s job alone. Ensure you and your partner are familiar with the nuances of male fertility. Habits like smoking marijuana and alcohol severely curtail the sperm count in men. Obesity has been linked to male infertility, so both you and your partner can hit the gym together.
5. Figure out the Best Time to Get Pregnant
If you’re in your early 30s and are worried that your fertility may be affected, it would make sense to have your second baby as soon as possible. However, it’s also crucial that you think about your firstborn. Many couples wait for about three years before conceiving their second child as the first child is independent enough by then, and the pregnancy can be given priority.
6. Look for Alternatives
If you have hit a wall despite trying to conceive for over half a year, looking at an IVF specialist makes sense. Infertility after conceiving for the first time can take place due to increased age, health problems, lifestyle changes, etc.
Things to Do Before Your Second Baby Is Born – Quick Checklist
If you have decided to welcome a second angel into your life, ensuring you are equipped with all they need is important. Here are some things you should consider before welcoming your secondborn into your new home and your loving family:
Arrange for a babysitter so your firstborn is not ignored during labour and delivery. This will be a point where you both will be separated, and someone else you trust will have to take your role. This can even be your partner, parents, or a close relative that you trust.
Raising a baby can be expensive, so it wouldn’t hurt to salvage supplies from the last time you were pregnant. Your old pregnancy gown, unisex infant clothes, and booties can be reused. Old sheets with stains can be washed and reused.
As you’re going to be in the hospital and not within immediate reach of your firstborn, pack a bag for her. This can contain items like her favourite toy and activity book she can carry when she visits you in the hospital.
Have a schedule set that your toddler will follow every day. Have a practice session with whoever will care for your child in your absence. That way, any doubts can be clarified in person rather than on an inconvenient phone call at the hospital.
Keep a journal for your babysitter. In it, you can leave little details about your firstborn that the babysitter must know. It could be a list of cartoons your child likes, activities that can keep her occupied, snacks that she would enjoy, etc. You can even write reminders of any medication your child might need.
If your firstborn is still young, you can invest in a double stroller for convenient travel.
Stock up on baby essentials such as diapers, nursing bras, breast pumps, a baby monitor, etc.
Have a baby shower with all your close friends and relatives. This is also a great time to ask for volunteers.
Make food arrangements before you leave. You can do this by cooking in advance, recruiting your family and friends, or buying readymade meals from outside. Ensure you stock up on your firstborn’s favourite snacks to keep them happy.
Scout for locations in the house where you can keep your baby, and divide your home into two zones – the first zone can be places where your firstborn can’t reach the baby and ‘over love’ them, and the second zone can be areas where your firstborn can reach the baby, but only under your watchful eye.
Prepare for natural birth by watching your weight and exercising regularly. Kegel and pelvic exercises can help smoothen the labour process.
Once you’ve brought your second child home, decide where you want him/her to stay. This means bunking with their older sibling, temporarily being set up in their room, or getting a new room.
Decluttering the house comes naturally to pregnant women, and it is called ‘nesting’. Take advantage of this by babyproofing areas and ensuring everything is in place before your second baby is home. Once you’re back from the hospital, you’ll have to manage time for both your kids and for miscellaneous errands.
Set up a diaper station with all the requirements, such as wipes, diapers, creams, etc.
If you feel that breastfeeding is lengthy, you could employ a wet nurse so you can spend time with your firstborn.
Tips for Preparing Your Child for a New Sibling
As essential as it is to prepare yourself for the baby you’re about to have, it’s just as vital to equip your firstborn with the tools they need to adjust to the new arrival in the family. Here are some helpful tips to prepare your child for their new sibling:
There is no need to inform your toddler about your pregnancy immediately. Concepts like pregnancy and childbirth are complicated topics that can be tackled later.
Since toddlers have a poor concept of time, even a few months can seem like an eternity. They may bother you with their curiosity about the baby’s arrival daily. Wait for a while before telling them about their soon-to-arrive sibling.
While breastfeeding, find a spot where your firstborn can sit next to you.
Your firstborn may not be used to sharing —a gift-giving ceremony will help prepare her for it.
Work on making your toddler independent by letting her do small activities alone. This will make her feel that she is a grown-up and let you focus on your newborn.
Before your second child is born, try not to be too indulgent with your firstborn. This is because a shift in your attention immediately after the baby is born may make your firstborn jealous.
You can slowly start building a nurturing habit in your firstborn by asking her to take care of a stuffed doll.
Make a secret code that only you and your toddler can understand. If your firstborn feels left out, you can always cheer her up by talking in a code only you can understand. Later, you could teach your second child as well.
Make a scrapbook of memories to help your toddler remember that they, too, received special treatment when they were small. This will reduce any feelings of jealousy or resentment your child may feel.
Books such as ‘Once Upon a Baby Brother’ by Sarah Sullivan and I’m a Big Sister’ by Joanna Cole can help introduce children to the concept of siblings. Reading these books can teach children how siblings must care for each other. Additionally, they may love the stories so much that they want their siblings.
FAQs
1. Is there a right time to prepare for a second baby?
Every family unit is different; the ‘right time’ depends on your circumstances. Some of these include the emotional and psychological well-being of both would-be parents, financial stability, medical conditions, the age and needs of your firstborn, and the resolve to take on more responsibilities. Discuss these subjects to see if this is best for you both.
2. Will my firstborn be okay with having a sibling?
It is crucial to sit your firstborn down and prepare them for the little brother or sister they are about to have. Reassure them and let them know that you still love them and are there for them. Show them how much fun it will be to have a new best friend and how they can share their things. Be patient with their curiosity and answer questions calmly. Above all, remember to take care of them and balance the attention and nurturing you give to both of your kids.
The process of 2nd baby planning helps answer the challenges of taking care of your firstborn while pregnant with your second baby. It also lets you consider the future, as raising two kids is twice the effort. However, the rewards are twice as good, and many families are happy that they have two children instead of one.
References/Resources:
1. How does a second pregnancy differ from the first?; Tommy’s; https://www.tommys.org/pregnancy-information/im-pregnant/ask-a-midwife/how-does-second-pregnancy-differ-first
2. Planning for Pregnancy; Centers for Disease Control and Prevention; https://www.cdc.gov/preconception/planning.html
3. Having a Baby After Age 35: How Aging Affects Fertility and Pregnancy; The American College of Obstetricians and Gynaecologists; https://www.acog.org/womens-health/faqs/having-a-baby-after-age-35-how-aging-affects-fertility-and-pregnancy
4. How does a father’s age affect fertility and a baby’s health?; UT Southwestern Medical Center; https://utswmed.org/medblog/older-fathers-fertility/
5. How do pregnancy and newborns affect the household budget?; Australian Institute of Family Studies; https://aifs.gov.au/research/family-matters/no-88/how-do-pregnancy-and-newborns-affect-household-budget
6. 3 Powerful Types Of Parenting Goals That Will Change Your Life; Penn State Pro Wellness; https://prowellness.childrens.pennstatehealth.org/3-powerful-types-of-parenting-goals-that-will-change-your-life/; December 2022
7. Corchero-Falcón, M. D. R., Gómez-Salgado, J., García-Iglesias, J. J., Camacho-Vega, J. C., Fagundo-Rivera, J., & Carrasco-González, A. M.; Risk Factors for Working Pregnant Women and Potential Adverse Consequences of Exposure: A Systematic Review; International journal of public health; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977819/; 2023
8. Al-Mutawtah, M., Campbell, E., Kubis, H. P., & Erjavec, M.; Women’s experiences of social support during pregnancy: a qualitative systematic review. BMC pregnancy and childbirth; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638802/; 2023
Also Read:
Second Pregnancy
Second Baby Pregnancy Signs and Symptoms
Calculate Your Pregnancy – By Months, Weeks and Trimester
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Mini Pill (Progestin Only Pills or Progesterone Only Pill)
A couple who is not looking to get pregnant but has an active sex life now have various options available to them to prevent any surprises. Mini pills, a type of birth control pills, are one option which a couple can consider. Mini pills are formulated to prevent conception and pregnancies, thus being preferred by women who want to avoid getting pregnant after the intercourse.
What Are Mini Pills?
Mini pills are basically oral contraceptives that contain the hormone progestin. These pills contain very less progestin as compared to other combination birth control pills. These pills work by thickening the cervical mucus and thinning the lining of the uterus, thus preventing the sperm from reaching the egg.
Who Can Take Progestin-Only Pills?
Breastfeeding mothers can take progestin only-pills. Young women and women above 35 years of age, who aren’t pregnant are also allowed to take these pills. These pills work best for mothers who are six months into breastfeeding.
Who Can’t Take These Pills?
If you have an erratic work schedule, experience nausea or vomiting, or if your body weight is above 70 kgs then you shouldn’t take these pills. Women with a positive history of vaginal bleeding, chronic liver disease, hypertension, and other chronic/atrial diseases are advised to not take these pills. Also, if you experience abdominal pain, vaginal bleeding, or nausea when taking these pills, stop taking them immediately and consult a healthcare professional.
Breast cancer patients must avoid using these pills as other complications may arise from taking these pills.
Advantages of Using Progestin-Only Pill
Following are the advantages of using progesterone-only pills:
These pills can be taken by women older than 35.
They have fewer side effects as compared to combined birth control pills or oestrogen and progestin pills.
These pills are ideal for breastfeeding women as they do not reduce breastmilk production.
Taking these pills do not raise blood pressure levels.
Mini-pills also ease pre-menstrual tension.
Disadvantages of Using Progestin-Only Pill
Following are the disadvantages of taking these pills:
Nausea, depression, and low sex drive are common side effects of taking these medicines.
These pills do not prevent an ectopic pregnancy.
Taking these pills may not be effective for women who are above 70 kgs.
These pills are also ineffective at preventing pregnancies if not taken at the same timing every day.
These pills come with certain side effects, like not having periods or breakthrough bleeding which lasts a few days.
How Do Progestin-Only Pills Work?
The progestin hormone in these pills prevent eggs from being released by the ovaries, though not consistently, and thickens the cervical mucus to eliminate chances of fertilization. These pills also thin the uterus lining which prevents the sperm from reaching the egg.
Effectiveness of Progestin Pills
Progestin-only Pills (POP) contain the hormone progesterone and not oestrogen, which makes them lesser effective than their counterpart combination birth control pills. Since these pills are designed for breastfeeding women, they do not affect the baby after birth in the breastfeeding stage. The effectiveness rate for progestin pills is 2 to 9 pregnancies out of 100 women every year with a success rate between 87% to 99.7% for preventing pregnancies (the reason being that most women don’t take these daily as instructed).
The success rate is 100% when these pills are taken daily and on time as per instructions.
Mini Pill Risks and Side Effects
The progesterone-only pill side effects and risk factors are similar to those of pregnancy symptoms. They are as follow:
Mood swings, nausea, and depression
Slightly increased risk of heart attacks, breast cancer, blood clots, and stroke
Breast tenderness, acne, and headaches
Uneven weight gain
Unpredictable bouts of menstrual bleeding which may be irregular in nature
Not very effective if not taken daily and on time since 1 out of every 9 women get pregnant every year by using these pills
How to Take Progestin-Only Pills
These pills should be taken on the first day before you start intercourse. The first day of your period is ideal to start taking these pills. Before you take the pill, talk to your doctor regarding your family history, pre-existing medical conditions and any other medications you take. This will help him plan out your timings for taking the pill, how to take it, and the preferred dosage for maximum effectiveness.
Talk to your doctor regarding backup methods and alternative options for the days when you miss these pills or if you can’t seem to stick to the schedule.
Can You Take the Progestin-Only Pill While Breastfeeding?
This is a common question that most women ask. The simple answer to this is, yes. The progestin-only pill can be taken if you’re breastfeeding. Taking these pills won’t harm the baby.
What to Do If You Miss Your Mini Pill
The mini-pills must be taken on time, and even if you miss it by 2 or 3 hours, it will still be effective. However, if the window extends beyond that, you can take two pills on the same day but there should be a gap of at least a couple of hours when taking these pills.
From the next day, take the mini pill at your usual time and stick to the timing. If you miss your mini pill on the same day, use a backup method like using condoms during intercourse to lower the chances of a pregnancy.
Ideally, you should abstain from sex or should use additional contraceptive methods if you miss taking the pill on the desired day. If you stop taking these pills, then you should use backup methods. The chances of you getting pregnant increase if you skip the pill. Therefore, it is advised that you stick to your schedule.
What to Do If You Vomit After Taking the Mini Pill
If you vomit within two hours of taking a mini pill, it’s all right. If you vomit before that, take another pill. However, if you constantly keep vomiting or experience diarrhoea for over a day, then talk to your healthcare provider for additional instructions.
Are There Any Medications That Make the Progestin-Only Pill Ineffective?
Some medications and herbal supplements affect the way these pills work. These drugs may interact with progesterone-only pills; so it is best to talk to your healthcare provider regarding your existing supplements and medications before taking these pills.
Do You Need to Use a Backup Method When You First Start Taking the Progestin-Only Pill?
The answer to this would be ‘yes’. Especially if you don’t take your pills on time, you shall need a backup method when you first start taking the progestin-only pill. A preferred backup method is to use condoms with spermicide prior to intercourse, along with these pills.
Signs and Symptoms That Might Indicate Medical Problems From the Mini Pills
The known signs and symptoms of the mini pill contraceptive are similar to that of pregnancy. You may experience nausea, vomiting, diarrhoea, depression and a low sex drive occasionally, when on these pills. If you take any medication that interferes with the effects of the mini pills, then you may need to talk to your doctor.
Although progestin-only pills are not the most reliable way of preventing unplanned pregnancies, they are effective when taken on time and regularly. But you must talk to a trusted medical practitioner if you have any existing medical conditions or chronic diseases before taking the mini pills.
Also Read: Guide on Oral Contraceptive Pills
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Superovulation – Process, Risks and Success Rates
Infertility treatments can be really exhausting both emotionally and physically. Before getting into these treatments, we need to be fully aware of the process, risks attached to it and of course the success rates. This post explains in detail all you need to know about superovulation therapy as a part of infertility treatment.
What Is Superovulation?
We all have heard of IVF (in-vitro-fertility) treatment; superovulation is a part of it. Superovulation refers to the artificial drug-induced production of multiple eggs which can then be used in IVF reproduction technology. In the normal course, a woman ovulates one egg per cycle. In superovulation process, with the help of fertility drugs, she will be able to produce more than one egg, which the doctor will retrieve from the ovaries just before ovulation. More eggs will lead to more embryos. This process thus increases the chances of success rate in IVF.
Who Can Opt for Superovulation
Women who are already ovulating but are unable to conceive can opt for superovulation to improve their chances of getting pregnant by releasing more eggs. Women with open fallopian tubes and whose partners have adequate sperm count can also opt for superovulation. Another case is when women are ovulating with the help of oral medication, but are unable to conceive can also go for superovulation.
Superovulation Process
The superovulation process starts with women releasing extra eggs with the help of oral medication like clomiphene. This involves low cost, less risk and can be considered as a mild form of superovulation.
An ultrasound around the time of ovulation will reveal exactly how many follicles are being released. If only one follicle is released, then the dosage of medicines will be changed accordingly in the next cycle.
Many doctors recommend gonadotropin during superovulation. Gonadotropin is a hormonal medicine that can be injected into the body to initiate ovulation. Women under the medication of gonadotropin ought to be carefully monitored to ensure that they do not produce too many eggs.
Women undergoing the superovulation protocol will be asked to take three days of medication and then return to the clinic for an ultrasound and blood tests. Depending on the response of the ovaries the doctor will ask you to come to the clinic during the next one to three days for additional monitoring.
The doctor then injects the human chorionic gonadotropin (hCG) to initiate ovulation, once the desired number of eggs have matured. In case of Intrauterine Insemination (IUI), you will have to come back to the clinic after 36 hours of hCG injection for the insemination process.
Fertility Drugs That Are Used in Superovulation
Superovulation focuses on two processes, inducing the ovaries to mature more eggs and to prevent premature release of those eggs. The doctor needs to be able to retrieve the eggs from the ovaries before ovulation. If ovulation occurs before the retrieval, then the IVF cycle will have to be cancelled. The following first two medicines are used to induce superovulation, and the last two are injected to prevent premature ovulation.
Gonadotropin
Gonadotropins
GnRH agonists
GnRH antagonists
How Many Eggs Do You Ideally Need?
The ideal number of eggs you need to be matured solely depends upon your diagnosis report and treatment plan. It also depends on the doctor’s professional experience and opinion. An ultrasound report will reveal how many follicles are produced by your ovaries. The problem is that not every follicle will give you desired quality of egg which can mature into an embryo. Hence, a number of eggs are produced to improve the success rate of your pregnancy. Taking into consideration the above factors, the number of eggs varies from 8 to 15. In case of micro-IVF you just need four or five follicles.
Risks Associated With Superovulation
The following risks are associated with superovulation:
1. Multiple pregnancies
Superovulation increases the risk of multiple births. Around 20-30% of successful IVF pregnancies have resulted in twins or triplets. Superovulation has the highest risk of triplets as compared to other treatment options.
2. Ovarian Hyperstimulation Syndrome
OHSS is a condition wherein the ovaries became enlarged and filled with fluid as a result of gonadotropin medications. Mild forms of OHSS are quite common, and the symptoms involve bloating or slight pelvic discomfort; it goes away immediately after the treatment ends. But in rare cases, OHSS is more severe, and women experience difficulty while urinating, rapid weight gain, dehydration, complications in other organs like kidney and liver and are under high risk of developing blood clots. A woman under gonadotropins medication is closely monitored to significantly reduce the chances of OHSS, and if the patient is at high risk of developing OHSS, then the treatment is cancelled immediately.
3. Ovarian torsion
Ovarian torsion also called ovarian twisting happens in extremely rare cases. As the ovaries get enlarged, it twists on itself, restricting the blood flowing into it. This leads to severe abdominal pain, nausea, vomiting and at times fever. Surgery needs to be performed to resolve the twist.
4. Ectopic pregnancy
When a fertilized egg implants itself outside the uterus say in fallopian tubes, ovaries or cervix, then it is termed as ectopic pregnancy. Ectopic pregnancy is quite rare and happens because many women with infertility have tubal dysfunction and fertility medications cause the release of more eggs. This increases the possibility that not all fertilized eggs move through the tubes into the uterus for implantation.
Side Effects of Superovulation
Any treatment carries a certain amount of risk attached to it. The side effects depend upon the medication dosage and how your body reacts to it. Superovulation may cause the following side effects:
Nausea
Headaches
Off-cycle abdominal bleeding
Bloating
Mood swings
Respiratory disorders
Weight gain
Stomach upset
Dryness in the vagina
Hot flashes
Anxiety
Joint pain
Redness or swelling on the injection site
Low sex drive
Acne
Side effects can be lessened by taking the medicines at night or with food. Also, if the treatment is done with lowest effective dose, the side effects can be lessened.
What Is the Success Rate of Superovulation?
The success rate of the treatment depends upon factors like – treatment used IVF, IUI, mini IVF, diagnosis of the patient, and age of the patient.
In the normal course, IVF success rates are higher compared to the superovulation IUI success rates. Superovulation will not be successful in case of women above 40 years of age and women with primary ovarian failure. In such cases, doctors recommend an egg donor, as the IVF success rate with an egg donor is quite good. Ovarian reserve testing is done to predict whether superovulation will work or not.
Superovulation can definitely increase your chances of getting pregnant through IVF or IUI. Have a detailed discussion with your doctor to understand your situation better and to know if superovulation is the correct treatment for you.
Also Read: What is Anovulation?
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Withdrawal Method (Coitus Interruptus) of Birth Control
Contraceptives are essential to the modern couple, as the risk of an unplanned pregnancy can not only be risky and possibly difficult to manage, but it can be expensive as well. There are numerous types of contraceptives available in the modern day. The market is full of hormone-based contraceptives that guarantee your partner and you will not get pregnant unless you really want to. There are many couples, however, who do not want to risk an imbalance in hormones. So, how do they manage? Through techniques like the pull out method!
What is the Pull Out Method?
The pull-out method, commonly known as the withdrawal method, is, as the name suggests, a sexual technique in which the man interrupts sexual intercourse and pulls the penis out of out the vagina just before ejaculation, so as to ejaculate outside the woman’s body. This ensures the man’s sperm do not reach the woman’s egg, and the woman does not get pregnant.
How to Use this Method
The pull-out method involves the man pulling out of the woman’s vagina during sexual intercourse, thus, temporarily interrupting the penetration, in order to ejaculate. If done efficiently, this technique lowers the risk of unwanted pregnancies. It is important to remember that the man must pull out fully before ejaculation for this method to be effective, and should ejaculate away from the woman’s body.
How to Make the Withdrawal Method Work Best for You
This technique requires a lot of control and willpower from both the man and woman during sexual intercourse. It also requires the man to have an intimate knowledge of his body. For this method to work effectively for you, it is recommended that you learn more about your the male and female body, and especially about the penis.
One of the most important parts of using the pull out method is recognising the feeling that gets you close to ejaculation. For this purpose, men are recommended to read about the penis in detail as well as regularly practice masturbation. Masturbation allows the man to become comfortable with various sensations he might feel during intercourse. It also helps the man understand the sensation that indicates the upcoming ejaculatory cycle. Understanding this will work as an alarm during sex. If the man knows when he is about to climax, he can pull out fully a few seconds before he does. Understanding the anatomy of the penis and vagina is also considered extremely vital. This will also aid in using a safe and pain-free technique to pull out.
How Effective is this Method?
There is no such thing as a guaranteed contraceptive. Birth control is known to fail 20% of the time and condoms are known to fail 8-15% of the time. To ensure that the pull out method pregnancy rate stays on the lower end, the man must successfully pull out before ejaculation at all costs. This leads to one basic question, does the pull out method work? The answer is yes, provided not a single drop of semen enters the vagina. If even one sperm enters, it can lead to pregnancy. Needless to say, this technique should only be used as a backup as the risk of failure is high. It is recommended that this technique is used in combination with other methods of contraception like condoms, birth control and intra-uterine devices. To ensure the lowest risk of pregnancy, it is recommended that all these methods be used together. It is advised, however, that at least one other method of contraception be used with the pull out method in particular, due to the high-risk factor.
Benefits of the Pull Out Method
There are numerous benefits of using this technique as a means of contraception. Some of them are:
1. Cost
Due to the lack of equipment required to execute this technique, such as a pill or condom, it works as free contraception.
2. Beliefs
Some cultures and religions believe that condoms and birth control are unethical or immoral. This technique works to appease those who would otherwise have no method of contraception.
3. Lack of Chemicals
Whether it be a condom or a pill, there is an external chemical that your body is exposed to. This method avoids that chemical exposure. Even in natural contraceptives, there is a risk of chemical exposure. This technique is the only non-consumption-based contraceptive.
Disadvantages of the Pull Out Method
Like any contraceptive, this method has a lot of disadvantages. These are:
High risk of failure
Risk of exposure and spreading of sexually transmitted diseases (STDs)
Does not work for men with premature ejaculation or issues with uncontrollable and unpredictable climaxes
Is the Withdrawal Method Method Right for You?
To understand if this technique is the right method of contraception for you, it is critical to understand the risks that come with it. This technique is recommended as a secondary means of contraception. It is only recommended as a primary contraceptive for those whose belief system does not allow for other contraceptive methods.
Can the Pull Out Method Protect Against STDs?
There are no guarantees that this technique will protect you from STDs. It is recommended that you use a condom during sexual intercourse to lower the risk of any sexually transmitted diseases.
The pull out method is one of the most commonly used contraceptives around the world. This technique, however, is risky and offers less of a guarantee of success. When used as a secondary source of contraceptive, however, this technique drastically reduces the risk of any unwanted pregnancies. When using this technique, if you do not use condoms, it is recommended that you get tested for STDs on a regular basis. Running STD panels ensures that if you are diagnosed with an STD, it is identified early and treated as effectively as possible. It is important to remember that some STDs like herpes and AIDs cannot be cured.
Also Read: Ways to Calculate Safe Period to Avoid Pregnancy
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