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b) Vasectomy
 
b) Vasectomy
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=='''Contraceptive options:''' ==
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==Contraceptive options: ==
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'''I. Natural Family Planning'''
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===I. Natural Family Planning===
    
These are convenient methods but carry a failure rate of up to 25%.  With this, pregnancy can be prevented by using one or more of the following:  
 
These are convenient methods but carry a failure rate of up to 25%.  With this, pregnancy can be prevented by using one or more of the following:  
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However, this do not assure 100% contraception because in a woman with excellent reproductive health, even the whole month may be considered as fertile period. [A. S. Sharira Sthana 1/46]
 
However, this do not assure 100% contraception because in a woman with excellent reproductive health, even the whole month may be considered as fertile period. [A. S. Sharira Sthana 1/46]
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4. Basal body temperature method
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'''4. Basal body temperature method'''
    
Physiologically, the body temperature increases during ovulation. This method requires checking body temperature upon waking up every morning.  During ovulation, the temperature should rise during ovulation. Intercourse should be avoided in this period to achieve contraception.  
 
Physiologically, the body temperature increases during ovulation. This method requires checking body temperature upon waking up every morning.  During ovulation, the temperature should rise during ovulation. Intercourse should be avoided in this period to achieve contraception.  
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5. Cervical mucus method
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'''5. Cervical mucus method
 
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'''
 
The cervical mucus/vaginal discharge changes in quantity, quality and consistency throughout menstrual cycle.  During the first few days of the cycle there is minimal discharge which increases to the largest amount during ovulation.  At that time the discharge thickens and can be stretched between fingers, known as Spinbbarkeit test.  Intercourse should be avoided during that period.
 
The cervical mucus/vaginal discharge changes in quantity, quality and consistency throughout menstrual cycle.  During the first few days of the cycle there is minimal discharge which increases to the largest amount during ovulation.  At that time the discharge thickens and can be stretched between fingers, known as Spinbbarkeit test.  Intercourse should be avoided during that period.
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6. Lactation amenorrhea method
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'''6. Lactation amenorrhea method'''
    
Breastfeeding supresses ovulation.  It is considered to an effective method of contraception only if the mother is exclusively breastfeeding the baby at regular intervals.
 
Breastfeeding supresses ovulation.  It is considered to an effective method of contraception only if the mother is exclusively breastfeeding the baby at regular intervals.
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7. Positions of sexual intercourse  
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'''7. Positions of sexual intercourse'''
    
Left lateral, right lateral and elbow-knee positions are not recommended for a fruitful coitus and conception. So, these positions may not result conception in the ideal way. [Cha. Sa. [[Sharira Sthana]] 8/6] More research studies are needed to assure the contraception in these methods.  
 
Left lateral, right lateral and elbow-knee positions are not recommended for a fruitful coitus and conception. So, these positions may not result conception in the ideal way. [Cha. Sa. [[Sharira Sthana]] 8/6] More research studies are needed to assure the contraception in these methods.  
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8. Withdrawal method
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'''8. Withdrawal method'''
    
In this, the couple proceeds with intercourse in the usual way until the moment of ejaculation, when the male withdraws and ejaculates outside the vagina or the external genitalia.
 
In this, the couple proceeds with intercourse in the usual way until the moment of ejaculation, when the male withdraws and ejaculates outside the vagina or the external genitalia.
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