You should use the normal method of birth control (e.g., latex condoms and spermicidal foam or gel)

tablets are having serious side effects.


and never go for permanent birth control like vasectomy etc. it can never be reversed. but if you have three kids atleast and age not below 35 years, then doctors advise the woman to go for permanent birth control laprocopic surgery.



http://bodyandhealth.canada.com/drug_info_details.asp?channel_id=0&relation_id=0&brand_name_id=629&page_no=1#Indication


How does Triquilar work? What will it do for me?
Levonorgestrel - ethinyl estradiol is a progestin (levonorgestrel) and estrogen (ethinyl estradiol) combination birth control pill used to prevent pregnancy. The ingredients of this medication work by preventing ovulation (the release of an egg from an ovary) and causing changes in the mucus of the cervix, which make it difficult for sperm to penetrate and for an egg to implant.

This medication may also be used to treat acne in women 14 years of age and older or to regulate the menstrual cycle


Levonorgestrel - ethinyl estradiol should not be taken by anyone who:

is allergic to levonorgestrel, ethinyl estradiol, or to any of the ingredients of the medication
is or may be pregnant
has active liver disease
has any eye lesion resulting from vascular disease of the eye, such as partial or complete loss of vision or defect in visual fields
has had a heart attack
has undiagnosed abnormal vaginal bleeding
has or has had benign or malignant liver tumours
has or has had cerebrovascular disorders (e.g., stroke)
has or has had coronary artery disease
has or has had thrombophlebitis or thromboembolic disorders
has, has had, or may have breast cancer
has, has had, or may have an estrogen-dependent tumour

Spermicides and Lubricants

What are spermicides? I What are lubricants? ISpermicides and pregnancy I Spermicides and STIs I Using spermicides I Oil-based v. Water-based lubricants I Where do I get spermicides and lubricants?I Links you can use



What are spermicides?
Spermicides are a contraceptive method that come in many forms including foam, cream, gel, film, and suppositories. Spermicides contain the chemicals non-oxynol 9 (N-9) or octoxynol that prevent pregnancy by immobilizing and killing sperm.

What are lubricants?
The important difference between spermicides and lubricants is whether or not they offer any contraceptive protection. Spermicides prevent pregnancy; lubricants do not. Lubricants are products that increase sexual pleasure by making the contact surfaces wet and slippery and by decreasing friction and possible irritation. Some lubricants come in forms similar to spermicides but offer no contraceptive protection, so if you need pregnancy protection, just be sure your tube or box says it's a contraceptive.

How effective are spermicides in preventing pregnancy?
If a couple uses spermicides alone (not using condoms or another method) correctly every time they have intercourse, about 6% of them will become pregnant. However, not all couples use spermicides every time and they don't always use the spermicide correctly, so the average pregnancy rate is about 21%.

Do spermicides prevent STI transmission?
Because spermicides kill sperm, scientists initially believed that they would also kill sexually transmitted infections (STIs) such as chlamydia, gonorrhea and HIV. However, according to the 2002 Centers for Disease Control STI Treatment Guidelines, N-9 contraceptives do not protect against these infections and may increase STI exposure risk because it can cause genital irritation. To read more about this report, click here.

How do I use spermicides?
For vaginal intercourse, your choice of spermicide is inserted into the vagina ahead of time. The spermicidal chemicals may cause genital irritation, particularly N-9. If you experience inflammation or a burning sensation, look for a spermicide with octoxynol or a lower amount of N-9. The various spermicides are listed below and include information about their N-9 content:

Jellies, Creams & Gels
Jellies, creams and gels all have the same level of protection but have different consistencies and textures. Experiment to find which type of spermicide suits you and your partner. Twist the applicator on to the end of the tube of spermicide and fill the applicator. Untwist the applicator, insert it into the vagina approximately 3 inches and depress the plunger to squirt the spermicide out. All three products will protect you from pregnancy immediately. These spermicides vary in the amount of N-9 they contain, but most have between 1% and 5%. The applicator may be washed with mild soap and water, stored in a clean, dry place and used again.

Foam
Spermicidal foam is the same consistency of mousse hair-styling products. Shake the can of foam vigorously for at least 30 seconds. Press the tip of the applicator on the nozzle of the can, press down and fill the applicator. Insert the applicator into the vagina approximately three inches and depress the plunger to squirt the foam out. It will be active immediately. Foam has a concentration of N-9 of about 12.5%, which may lead to genital irritation. The applicator may be washed with mild soap and water, stored in a clean, dry place and used again.

Vaginal Contraceptive Film (VCF)
This spermicide comes as a 2-inch by 2-inch sheet of film with a consistency similar to wax paper. Fold it in half, and then in half again and place it on the tip of your index finger and insert the film into the vagina and up near the cervix. You must insert VCF at least 15 minutes before intercourse for it to work effectively. The film will dissolve to a thick gel consistency by absorbing vaginal secretions. Do not place the film on the tip of the penis for insertion as the film will not have adequate time to dissolve and may not end up in the right position. VCF has the highest concentration of N-9, about 28%, which may lead to genital irritation. Use another type of spermicide or another method if you experience irritation.

Suppositories
These are spermicides in a solid form. Brand names you might see in the drugstore include: Encare, Intercept, Koromex, and Semicid. Read and follow the directions on the box. You must allow 10 to 15 minutes for the suppository to dissolve into a foamy substance before having intercourse. Suppositories may be somewhat less effective than foam, cream or gel because it is hard to tell if they have dissolved sufficiently. Because suppositories have a N-9 content of 2% to 8%, some women may experience a sensation of warmth or burning as the suppository dissolves. If this is painful or irritating, use another type of spermicide or another method of contraception.

More information on how to use a spermicide:

Detailed instructions for use are always included in the packaging. Be sure to read them carefully before you use any of these products.
Insertion of a spermicide into the rectum, as a means of reducing STI risk, is not recommended because the spermicide can cause irritation of the rectal tissues, and can actually increase the risk of STI transmission. For STI protection, always use condoms when having anal sex.

For each act of intercourse you should insert another application of spermicide.

If more than 1 hour has passed between insertion of a spermicide and intercourse, another application of spermicide must be used.
What's the difference between oil-based and water-based lubricants?
The only lubricant you should use with latex condoms is water-based lubricant. Oil-based products such as Vaseline, mineral oil, baby oil, vegetable oil, cold creams and most hand creams have oil in them that reacts with latex. Mineral oil, a common ingredient of hand lotions, can cause a 90% decrease in condom strength after as little as 60 seconds of exposure, dramatically increasing the chance of leakage or breakage. Water-based lubricants such as Astroglide, KY, Probe, and Wet have no oil and don't react with latex. An easy way to tell the two apart is that oil-based lubricants bead water and are difficult to wash off. Water-based lubricants rinse off easily in plain water. If you're not sure, read the label. If you're still not sure, don't use it as a lubricant.

Where can I find spermicides and lubricants?
Here at the pharmacy in Health Services we have spermicidal foam and jellies, as well as the lubricant Astroglide at prices that are typically 50% cheaper than drug store prices. Click here to check out the pharmacy's hours and stop by to pick some up.
http://www.brown.edu/Student_Services/Health_Services/Health_Education/sexual_health/ssc/spermicides.htm

नोविलों टेबलेट ओरल contraceptive

http://www.omanaccess.com/community/gynac55.asp

Dr.Smita Lulla MBBS, M.D, .D.G.O. (Gold Medallist),
Consultant Obstetrician & gynecologist at Qurum Clinic, Muscat since 16 years. Have had advanced training in U.K. in Obstetric & Gynecological Ultrasonography & Infertility.

1.

Dr. Sheela Mehra - Best Gynecologist In Delhi - MoolChand MedCity Hospital

For Hospital Consultation: Lajpat Nagar Part 3, New Delhi 24 India

Hospital Numbers: 011-4200 0000 and 011-4200 0300

Moolchand's Email ID: clinic@moolchandhealthcare.com

For Clinic Appointment: C 557 Def Col, New Delhi 24

Clinic Contact Number: 011-24333026

Personal Cell Number: 9811530140

*************************************************************************************************

2.

Dr. Abha Majumdar - Top Infertility Doctor in Delhi - Sir Ganga Ram Hospital

For Hospital Appointment: Old Rajinder Nagar New Delhi 60 India

Hospital Number: 011-25750000

Gangaram's Email ID:gangaram@sgrh.com

For Clinic Appointment: Genesis Clinic F 431 Ground Floor New Rajinder Nagar, New Delhi 60

Clinic Contact Number: 011-28745692

Personal Cell Number: 9810315807

किर्कुम्किसिओन एंड phimosis

http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2008;volume=5;issue=1;spage=32;epage=36;aulast=Bhattacharjee

my boy was circumcised on 01.06.2009 at guwahati by Doctor M.I Khan mobile no : 9435044971. he has completed almost one lac cases during the last ten years of practice. he said phimosis is a common problem not understoood by almost 90 per cent of all people. because of this marital life of many people have been destroyed. lots of people are diviroced. and lots of males are not marriyng because of this medical p[roblem . this can be easily corrected by plastic surgery. he has done thousands of such cases successfully.

Jews and Muslims are getting the benifit without knowing the name of the disease when they circumcise their child according to their religion.

Most paediatric urologists recommend circumcision for acquired phimosis, paraphimosis, recurrent balanitis and in boys with recurrent urinary tract infections. [5] However, phimosis itself is a controversial diagnosis. In common usage it implies any condition where the foreskin cannot be retracted. But most infants are born with a foreskin that does not retract and it may not do so until after puberty- it is a normal physiology and not phimosis. Spontaneous full retractability occurs in 90% of the boys by 16 years and in 99% of males by 18 years of age. [24] The parents should be instructed against repeated forcefully retraction of the immature foreskin for "cleaning" of smegma as it would invite fibrosis and development of "true" phimosis or preputial stenosis. The production of smegma helps in natural separation of glans from the foreskin as the child matures.

Acquired phimosis is usually due to poor penile hygiene. Avoidance of external irritants (chemicals contained in bubble bath to name one) and regular cleaning of the accumulated dirt and urine under the foreskin later on in childhood will definitely prevent recurrent balanitis, and /or tearing of the delicate prepucial opening, thereby preventing acquired phimosis. [4] Sometimes generalized edema may result in non-retractile prepuce; hence general state of health should be assessed before a diagnosis of phimosis is made and circumcision is considered.

Rickwood et al. [14],[25] defined phimosis as a tight non-retractile prepuce caused by balanitis xerotica obliterans (BXO), characterized by a whitish hardened sclerotic skin at the tip of the prepuce. Many doctors in UK are often not trained to distinguish between pathological phimosis and the developmental tightness of the prepuce, resulting in misdiagnosis; [26],[27],[28],[29] the condition in USA is probably much worse. Rickwood et al. [14],[25],[30] noted that as a result of this over diagnosis, a number of circumcisions performed in UK is 8 times more than actually indicated. [14] Circumcision is only recommended for confirmed cases of phimosis caused by BXO.

A recent study from Scotland suggests that the steady decrease in the circumcision rates are due the awareness that healthy non-retractile foreskin in children does not require circumcision. [31]

The need of circumcision following reduction of paraphimosis is debatable. A good perineal hygiene may be equally effective (as circumcision) in reducing the incidence of urinary tract infection in baby boys. [4]

As the debate concerning the medical and ethical issues continues, the economic factors are beginning to limit the practice in some countries. In England and Canada, infant circumcision had been removed from the list of procedures available as public healthcare service; and in USA many private insurance companies have decided not to subsidize the cost of this procedure. [6]

According to Hutson [4] , it may be a matter of time before adult males who were circumcised in childhood begin legal action against their parents or their doctors for the so-called mutilation of their bodies without medical indications or permission.