Birth Control

Before the sexual revolution initiated by 'the pill,' men were a more integral part of family planning and other reproductive health concerns than they are today. If a couple wished to use contraception, their options were limited primarily to methods requiring a man's participation - withdrawal, periodic abstinence, or condoms. Hormonal methods for women, beginning with the first oral contraceptives in 1960, and the subsequent development of intrauterine devices and modern surgical sterilization, led to the development of a family planning services community focused on women, often to the exclusion of men.

Today's challenge, as expressed by the

(ICPD) held in Cairo, is to enhance male responsibility for family planning by expanding services in ways that protect the reproductive health of both men and women, and by encouraging greater sensitivity to gender issues.

The objective is to promote gender equality in all spheres of life, including family and community life, and to encourage and enable men to take responsibility for their sexual and reproductive behaviour and their social and family roles. (Programme of Action, 1994, p. 36).

For this discussion, you are to explain how hormonal contraceptives physiologically affect or could potentially affect:

Women
Additionally, describe and explain your views on contraceptives for both men and women. Do you agree with the statement expressed by the ICPD? Why or why not? Be sure to use and reference outside resources.

Full Answer Section

    Physiological Effects:
  • Ovulation:COCs suppress ovulation, while POPs may or may not.
  • Menstrual Cycle:Periods become regular and lighter on hormonal contraceptives due to the controlled hormonal environment.
  • Hormone Levels:These medications introduce synthetic hormones that can affect natural hormone production.
  • Other Potential Impacts:There can be side effects like nausea, breast tenderness, headaches, and mood swings. Some studies suggest a potential link to increased blood clot risk or certain cancers, but the overall risk is considered low for most healthy women [1, 2].

Source:

Contraceptives for Men and Women: My Views

I believe a wider range of safe and effective contraceptive options for both men and women is crucial. Here's why:

  • Empowerment and Shared Responsibility:More contraceptive choices empower couples to make informed decisions based on individual needs and preferences. Including men in the conversation promotes shared responsibility for family planning.
  • Reduced Burden on Women:Currently, the burden of contraception often falls on women. More male contraceptive options can help create a more equitable dynamic.

The ICPD Statement and Gender Equality

I agree with the ICPD statement. Expanding family planning services to include men and promoting their involvement in reproductive health is essential for achieving gender equality. Here's why:

  • Shared Decision-Making:Including men in discussions about contraception and family planning fosters communication and shared decision-making within couples.
  • Reduced Gender Inequality:Historically, women have shouldered the burden of contraception. Male involvement promotes a more balanced partnership.
  • Improved Sexual and Reproductive Health:Educating men about reproductive health can improve overall sexual health and awareness of sexually transmitted infections (STIs).
 

Sample Answer

   

Hormonal Contraceptives and their Physiological Effects on Women

Hormonal contraceptives work by manipulating a woman's natural hormonal cycle to prevent ovulation, fertilization, or implantation of a fertilized egg. Here's a breakdown of their effects:

Types of Hormonal Contraceptives:

  • Combined Oral Contraceptives (COCs): These contain both estrogen and progestin. Estrogen suppresses the release of follicle-stimulating hormone (FSH), which prevents follicle development and ovulation. Progestin thickens cervical mucus, making it harder for sperm to reach the egg, and thins the uterine lining, making implantation difficult.
  • Progestin-Only Pills (POPs): These contain only progestin, which thickens cervical mucus and thins the uterine lining.