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GEMS for "Gynaecology Endoscopy Maternity Menopause Surgery"

Contraception Advice and Management

It is safe to resume to your sexual activities after 2 months of delivery or after your postpartum bleeding stops. Although you are breastfeeding your child, it is necessary to remember that you can ovulate and get pregnant. So using precaution is a must in the post delivery period!

Our doctors are specialists in birth control and can help you choose the most suitable method of contraception for your lifestyle, as well as provide contraception itself.

Various methods of contraception advised and administered are:

1. Barrier: IUD, condoms.
IUD: This is an intrauterine copper containing device (IUD) that's inserted into the uterus for long-term birth control (contraception). The T-shaped plastic frame has copper wire coiled around the stem and two copper sleeves along the arms that continuously release copper to bathe the lining of the uterus. It produces an inflammatory reaction in the uterus that is toxic to sperm, which helps prevent fertilization. Some women suffer from minor cramping & Excessive bleeding for the first few cycles. Copper T comes in various versions where it's effective for 3 years, 5 years or 10 years. Check with Dr. Bapaye which one is right for you. You need to visit Dr. Bapaye after your first period after insertion for a check up and every 6 months to a year depending what your doctor suggests. Condoms : Condoms are easily available and very convenient. But it has high failure rate.

2. Hormonal : IUS(Mirena), pill, injection, emergency contraception.
Pills : The usual estrogen, progesterone producing pill is not recommended immediately after delivery because it can affect the milk production. But you have the progesterone only pill which proves to be safe in the period till you are feeding your baby. This pill needs to be taken continuously without a break after 6 weeks of your delivery. That does not affect your milk production neither your reproductive health & it definitely prevents pregnancy. It is a very safe option with lactating mothers.
IUS : Mirena is an intrauterine device (IUD) that’s over 99% effective at preventing pregnancy. It’s made of soft, flexible plastic and placed into your uterus by your healthcare provider during a routine office visit.
Mirena releases small amounts of hormone directly into the uterus and lasts as long as YOU want, for up to 5 years.
It is important to note that Mirena is recommended for women who have had a child. Mirena does not protect against HIV or STDs."

3. Permanent: Vasectomy, Female sterilisation.
If after the delivery you feel that your family is complete, you can talk to your doctor about the permanent method of sterilisation which is called as the tubal ligation, which can be done either by the open method immediately after your delivery or laproscopically 6 weeks after your delivery. It is an irreversible method and you will not be able to conceive after you get this surgery done. It is a minor procedure and you can resume with your activities after a couple of days rest.