tag:blogger.com,1999:blog-39931875709874687642024-02-07T05:30:43.130-08:00AfyaHub | Best Public Health Blog In KenyaThe Best Public Health Blog In KenyaNate Guyhttp://www.blogger.com/profile/04055972938360893271noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-3993187570987468764.post-77623873237269033332017-11-12T05:11:00.000-08:002017-11-12T05:11:11.497-08:00Everything you need to know about Marburg virus in Kenya: Origin, causes, transmission, signs and symptoms, treatment, prevention and control<div class="separator" style="clear: both; text-align: center;">
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<br />
Kenya has recently been on high alert following suspected cases of Marburg Virus Disease in Turkana and Transnzoia Counties. The disease which is believed to have origanated from Eastern Uganda where an outbreak was reported, has Ebola-like symptoms and known to have a high fatality rate.<br />
<br />
<h2>
What is Marburg Virus Disease?</h2>
Originally known as Marburg haemorrhagic fever, MVD was first recorded in Marburg Germany in 1967 hence its name. According to the World Health Organization (WHO), Marburg Virus Disease (MVD) has a case fertality ratio of upto 88%. Both the Marburg and Ebola virus are members of the Filoviridae family (filovirus) and have similar clinical symptoms although they are caused by different viruses.<br />
<h2>
History of Marburg Virus</h2>
Marburg virus was first recorded in 1967 after a simultenous outbreak was reported in Marburg and Frankfurt Germany and in Belgrade, Serbia. This first outbreak is believed to have been spurred by laboratory experiments in Germany using African Green monkeys that were imported from Uganda. The monkeys were to be used for polio vaccine research.<br />
After the German and Serbia cases, outbreaks have been reported in other parts of the world including Uganda, Angola, Kenya, South Africa and Democratic Republic of Congo.<br />
<h2>
Transmission of Merburg Virus Disease</h2>
African Fruit Bats and green monkeys are known to be the primary hosts of Marburg virus. In 2008 for instance, two separate travellers who had visited a cave inhabited by Rousettus bat colonies in Uganda, were reported to have contracted the MVD. The World Health Organization has also warned tourists in Kenya and Uganda against visiting the Mt Elgon National Park which has caves hosting African fruit bats known to transmit the virus.<br />
Human to human transmission of the Marburg virus occurs when one comes into direct contact with body fluids of infected people. These fluids include blood, body secretions, mucus e.t.c.<br />
Infection can also occur through interaction with materials or surfaces contaminated with these fluids for example cloths and beddings.<br />
The virus is also transmitted through sexual intercourse and injuries from injection tools such as needles that had been used on infected people.<br />
MVD is not airborne.<br />
<h2>
Signs and Symptoms of Marburg virus disease</h2>
MVD has an incubation period of 2 to 21 days. This is the time interval from infection to the onset of preliminary symptoms.<br />
The symptoms include:<br />
<br />
<ul>
<li>High fever</li>
<li>Severe headache </li>
<li>Muscles pains </li>
<li>Severe Diarrhoea</li>
<li>Abdominal pain and cramping </li>
<li>Nausea and Vomiting </li>
<li>Sore throat</li>
</ul>
<br />
Severe symptoms include:<br />
<br />
<ul>
<li>Pancreatic inflammation</li>
<li>Delirium </li>
<li>Liver failure</li>
<li>Jaundice</li>
<li>Severe weight loss</li>
<li>Massive haemorrhagic with organ dysfunction </li>
</ul>
<br />
<br />
<h2>
Diagnosis for Marburg Virus</h2>
The following diagnostic tests are done to confirm symptoms of Marburg Virus Disease.<br />
<br />
<ul>
<li>Serum Neutralization test</li>
<li>Antibody-capture enzyme linked immunosorbent assay (ELISA) test</li>
<li>Antigen-capture detection tests</li>
<li>Electron Microscopy </li>
<li>Reverse transcriptase polymerase chain reaction (RT-PCR) assay</li>
<li>Virus Isolation by cell culture </li>
</ul>
<br />
In Kenya these tests are usually done at the Kenya Medical and Research Institute (KEMRI) laboratories in Nairobi.<br />
<br />
<h2>
Treatment for Marburg Virus Disease</h2>
Many viral diseases do not have a specific treament. MVD is one of them. Victims of the virus are given what is known as supportive treament/care. This is done my managing the specific symptoms and maintaining fluid and electrolyte balance , replacing lost blood and ensuring good oxygen supply.<br />
<h2>
<br />Prevention and Control</h2>
<blockquote class="tr_bq">
According to CDC ( Center for Disease Control), prevention measures against Marburg Virus infection is not well defined, as transmission from wildlife to humans remains an area of ongoing research. </blockquote>
Various health factors, interventions, surveillance and contact tracing should be effected to ensure successful prevention and control of Marburg Virus.<br />
Marburg Virus Infection can be prevented by;<br />
1. avoiding prolonged exposure to mines or colonies inhabited by fruit bat colonies<br />
2. avoiding close physical contact with Marburg patients. Wear gloves and other personal protective equipments when taking care of Marburg patients.<br />
3. ensuring quick and safe burial of people infected with Murburg virus. Contact with the dead should also be avoided.<br />
4. isolation of sick patients from the healthy population.<br />
5. avoiding sexual intercourse with people affected by the Marburg virus.<br />
<br />
References<br />
1. The Standard Kenya, "<a href="https://www.standardmedia.co.ke/health/article/2001259908/fear-over-marburg-virus-in-mt-elgon-national-park">WHO warns park visitors to be wary of Marburg</a>"<br />
2. WHO, "<a href="http://www.who.int/csr/disease/marburg/en/">Marburg Virus Disease</a>"<br />
3. Medicinenet, "<a href="https://www.medicinenet.com/marburg_virus_history_symptoms_and_treatment/article.htm">Marburg virus disease symptoms, treatment and history</a>"<br />
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Nate Guyhttp://www.blogger.com/profile/04055972938360893271noreply@blogger.com1tag:blogger.com,1999:blog-3993187570987468764.post-5904518607933559852017-10-19T09:59:00.001-07:002017-10-19T10:36:03.472-07:00Types of Contraceptive Pills in Kenya: How to use, their effectiveness, side effects, pros and cons<!--[if gte mso 9]><xml>
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<br />
<h3 class="MsoNormal">
<b> <div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQNOjjEI1EAiGt4hht2PFprP7jCZOktjOJxej2gsc83ZtKVrWeoHEsSG6WhDxlAJmE95oIFI97yqFEKxrPCsivLHg2lI689NKf8T4kQXH9MfiS_Su5NImhgEIEPGhG6F0Bc6dmTLkaFDQm/s1600/AfyaHub+types+of+contraceptive+pills.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="373" data-original-width="673" height="353" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQNOjjEI1EAiGt4hht2PFprP7jCZOktjOJxej2gsc83ZtKVrWeoHEsSG6WhDxlAJmE95oIFI97yqFEKxrPCsivLHg2lI689NKf8T4kQXH9MfiS_Su5NImhgEIEPGhG6F0Bc6dmTLkaFDQm/s640/AfyaHub+types+of+contraceptive+pills.jpg" width="640" /></a></div>
</b></h3>
<h3 class="MsoNormal">
<b>What are contraceptive pills?</b></h3>
<div class="MsoNormal">
Contraceptive pill or birth control pill, is one of most
ancient birth control method. It was invented back in 1960 and its demand has
never diminished to date. </div>
<div class="MsoNormal">
Contraceptive pill remains one of the most widely used birth
control by woman here in Kenya. This is largely because, compared to other
birth control methods in Kenya, it is easy to use, safe and very effective. </div>
<div class="MsoNormal">
The pill is hormone based and is taken orally. </div>
<div class="MsoNormal">
<br /></div>
<h3 class="MsoNormal">
<b>How contraceptive pill prevents pregnancy</b></h3>
<div class="MsoNormal">
Like I mentioned, the pills are hormone- based. They
therefore work by releasing hormones which inhibit the different biological
processes that may lead to pregnancy, for example ovulation. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The contraceptive pill works in different ways; </div>
<br />
<ul>
<li><span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> <b>
</b></span></span></span><b><i>Prevents ovulatio</i>n</b> i.e. inhibits the ability of
an ovary to release an egg each month.</li>
</ul>
<ul>
<li><span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> <b>
</b></span></span></span><i><b>Prevents the sperm from reaching and fertilizing
the eg</b>g.</i> This is done by thickening the mucus membrane which makes it difficult
for the sperm o penetrate the membrane and reach the egg. Note that the mucus,
which is found around your cervix, is the fluid that helps the sperm swim to
the egg. Thickened mucus will therefore make it hard for the sperm to reach the
egg.
</li>
</ul>
<ul>
<li><span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> <b> <i>
</i></b></span></span></span><b><i>Thinning the endometrium</i></b>. The endometrium is
that part of your uterus where the egg will implant after fertilization by the
sperm. Thinning the endometrium will make it difficult for an egg to implant,
therefore preventing pregnancy. </li>
</ul>
<br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h3 class="MsoNormal">
<b>Types of birth control pi</b>lls </h3>
<div class="MsoNormal">
There are two main types of contraceptive pills;<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span></div>
<br />
<ul>
<li><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span>The combined contraceptive pill<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span></li>
</ul>
<ul>
<li><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span>The mini pill/ Progesterone-only pill
</li>
</ul>
<br />
<div class="MsoNormal">
<br /></div>
<br />
<ol>
<li><h3>
<b>The combined contraceptive pill
</b></h3>
</li>
</ol>
<br />
<div class="MsoNormal">
It is the most common and widely used contraceptive pill. The
pill is called combined because it contains two hormones; <b>progesterone</b> and <b>estrogen</b>.
These two are important inhibitors of pregnancy. These hormones are usually
artificial, meaning they are man-made but the female body also produces the
natural types.</div>
<div class="MsoNormal">
<br /></div>
<h4 class="MsoNormal">
<b>How to take the combined contraceptive pill</b></h4>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
You take one pill every day at around the same time for 21
days i.e. three weeks. After the 21 days, you have a break of one week (seven
days) during which you will have your period. You then start taking the pills
again after that one week break. Take note that if you don’t strictly take the
pill at the same time every day, it could become ineffective and fail to
prevent you from getting pregnant. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Women who have had miscarriages or abortions can start using the pill within five days. </div>
<div class="MsoNormal">
<br /></div>
<h4 class="MsoNormal">
Pros</h4>
<br />
<ul>
<li><h4 class="MsoNormal">
<span style="font-weight: normal;">It has been reported to reduce risk of cancer that affect ovaries, womb and the colon. </span></h4>
</li>
</ul>
<ul>
<li>Reduces the pain you feel during your periods. It also makes periods regular and lighter.</li>
<li>It can, in some incidences, reduce symptoms of PMS (Premenstrual Syndrome) </li>
<li>Combined pills may in some cases reduce your risk of developing acne</li>
<li>It may also offer protection against pelvic inflammatory disease </li>
<li>Some users have reported reduced risks of ovarian cysts, fibroids and non-cancerous breast disease </li>
</ul>
<h4>
Cons </h4>
<ul>
<li>Some women have shown increase in blood pressure after using the pill</li>
<li>Unlike the male/female condom, combined birth control pills will protect you against STIs</li>
<li>A few months into using the pill, you may experience breakthrough bleeding </li>
<li> Although in rare cases, combined pills have been associated with increased risk of breast cancer and thrombosis.</li>
<li> A few uncomfortable side effects may result from using the pill. These include headaches, nausea, breast tenderness e.t.c. If these symptoms persist, try using a different pill or consult your doctor. </li>
<li>Cannot protect against STIs </li>
</ul>
<h4>
Risks and Side effects </h4>
<ul>
<li>The estrogen in the combined pill makes it easier for blood to clot. Clots in blood may cause heart attack, stroke, vein thrombosis (in your leg) and pulmonary embolus (clot in your lung). The risk of developing blood clots from using the combined pill is however very rare. Consult your doctor to see if you have any risk factors that may lead to this. </li>
<li>Some research work have connected the usage of combined contraceptive pills to breast cancer, liver cancer and cervical cancer. Hormonal contraceptives have been shown to make women vulnerable to breast cancer. </li>
</ul>
The good news however, is that these risks are usually mild and many women do not face them. The benefits of using the contraceptive pills will always outweigh the risks.<br />
<br />
<h3>
Can you use the combined pill?</h3>
If you are healthy and do not have any of the risk factors that may cause the pills harm your body, there is no reason why you shouldn't use it.<br />
<br />
The following should however not use the combined contraceptive pill;<br />
<ul>
<li>Pregnant women </li>
<li>Women who smoke and are 35 years or older</li>
<li>Women who are overweight </li>
<li>Women who stopped smoking less than a year ago and are 35 years or older</li>
<li>If you are using certain medications that may not go well with the combined birth control pill (Consult your doctor about the types of medications you shouldn't use with the pill</li>
</ul>
<h4>
</h4>
<br />
<h3 class="MsoNormal">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">2. <span style="font: 7.0pt "Times New Roman";"></span></span></span>The Mini Pill
</h3>
<br />
<br />
<div class="MsoNormal">
This one is also known as the<i> progesterone-only pill.</i><span style="mso-spacerun: yes;"> </span>As the name suggests, it contains only one
type of pregnancy inhibiting hormone; <b>progesterone</b>. The progesterone dose in
mini pill is however lower than that in a combined birth control pill. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>This pill is usually
prescribed to women who for some medical or other reasons, cannot take estrogen. These
include woman who have high blood pressure, history of blood clots or are
overweight. </div>
<div class="MsoNormal">
Unlike the combined pill, the mini pill is taken daily
without the one week break. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
There are two types of progesterone only pill;</div>
<br />
<ul>
<li><span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span><i><b>Three-hour progesterone-only pill</b></i>- taken within three hours of the same time every day.</li>
<li><i><b>12- hour progesterone-only pill</b></i>- taken within 12 hours of the same time every day. </li>
</ul>
<br />
<br />
<h3 class="MsoNormal">
<b>How to take the mini pill</b></h3>
<div class="MsoNormal">
Progesterone only pills come in packs of 28 pills. Like the
combined pill, you have to take one pill each day at around the same time.
Skipping the pills will make them ineffective. You have to continue taking even
when you fall sick or experience your period. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
If you gave and want to use the mini pill, you can do so within 21 days of giving birth. If you had abortion or miscarriage you can still take the pill afterwards. </div>
<div class="MsoNormal">
<br /></div>
<br />
<br />
<h3 class="MsoNormal">
Who can take the mini pill?</h3>
<ul>
<li>Breastfeeding mothers</li>
</ul>
<br />
<ul>
<li>Women who are over 40 years</li>
</ul>
<br />
<ul>
<li>Overweight women</li>
</ul>
<br />
<ul>
<li> Women with high blood pressure</li>
</ul>
<br />
<ul>
<li>Women who smoke and are over 35 years </li>
</ul>
<br />
<div class="MsoNormal">
Do not use the pill if you have/have had breast cancer, liver cancer, heart disease or vaginal bleeding.</div>
<div class="MsoNormal">
<br /></div>
<h3 class="MsoNormal">
Pros</h3>
<br />
<ul>
<li><div class="MsoNormal">
Can be used by breastfeeding mothers unlike the combined pill. </div>
</li>
</ul>
<ul>
<li><div class="MsoNormal">
Women who are 35 years or older can still use it</div>
</li>
</ul>
<ul>
<li><div class="MsoNormal">
It can reduce the symptoms of premenstrual syndrome (PMS) and painful periods </div>
</li>
</ul>
<ul>
<li><div class="MsoNormal">
It is good for women who are allergic to estrogen hormone</div>
<div class="MsoNormal">
<br /></div>
</li>
</ul>
<h3 class="MsoNormal">
Cons</h3>
<ul>
<li><div class="MsoNormal">
May be less effective if you don't take it at the same time everyday. </div>
</li>
</ul>
<ul>
<li><div class="MsoNormal">
Some medication will reduce its effectiveness </div>
</li>
</ul>
<ul>
<li><div class="MsoNormal">
May interfere with the normal pattern your periods </div>
</li>
</ul>
<ul>
<li><div class="MsoNormal">
Cannot protect you against STIs. </div>
<div class="MsoNormal">
<br /></div>
</li>
</ul>
<br />
<h3 class="MsoNormal">
Risks and Side effects</h3>
<br />
<ul>
<li>Using the pill may cause acne </li>
<li>It may result to breast tenderness and breast enlargement </li>
<li>Mini pill can lead to an increased or decreased sex drive </li>
<li>Mood swings may be observed</li>
<li>You may also develop headache and migraine </li>
<li>The pill may trigger nausea and vomiting </li>
<li>You may develop stomach complications</li>
<li>Some women have been observed to add weight after using the pill</li>
</ul>
<br />
<h3 class="MsoNormal">
<span style="mso-tab-count: 1;"></span>How effective are contraceptive pills?
</h3>
<div class="MsoNormal">
When taken with strict adherence to prescriptions, the pills
are usually 99% effective. CDC reports that contraceptive pills, have 9%
failure rates. This means that if 100 women use the pill, only nine of them may
get pregnant. The failure can be due to medical reasons or failure to adhere to
instructions.</div>
<div class="MsoNormal">
You should also consider the types of medications you take
with the pills. Some of them for example, antibiotics, HIV medications and some
anti-seizure medications may make the pill less effective. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
You should consult your doctor on more information about
which medication to take or not to take with contraceptive pills. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Vomiting and diarrhea will also reduce the effectiveness of
the pill as it may be removed from the body before it is fully absorbed.</div>
<div class="MsoNormal" style="tab-stops: 272.25pt;">
<br /></div>
Nate Guyhttp://www.blogger.com/profile/04055972938360893271noreply@blogger.com0tag:blogger.com,1999:blog-3993187570987468764.post-9163695708399832322017-10-17T02:43:00.001-07:002017-10-17T02:43:37.586-07:0015 Types of Contraceptive Methods Available in Kenya- Part 1<!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzjJMNWVGA_6V0os68IqZoMLGGglYQ7y3zK45RxEat2mQ0blU0kd8iSZEn4iEuYs6epZa-GVFcqiSXbDkV5oqhVYoV4rrrMZcNPVAXixRqH8ViE-Z54UJsB4BnKKfQcBP3INl9vAa9seEw/s1600/AfyaHub+Types+of+contraceptives.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="194" data-original-width="259" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzjJMNWVGA_6V0os68IqZoMLGGglYQ7y3zK45RxEat2mQ0blU0kd8iSZEn4iEuYs6epZa-GVFcqiSXbDkV5oqhVYoV4rrrMZcNPVAXixRqH8ViE-Z54UJsB4BnKKfQcBP3INl9vAa9seEw/s1600/AfyaHub+Types+of+contraceptives.jpg" /></a></div>
<br />
<br />
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Looking back 50 years ago, there
were very few birth control methods available. But in the modern world, with
over 15 different types of contraception methods, you are literally spoiled for
choice. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">But this variety of methods also
brings with it the confusion of not knowing which contraceptive method is good
for you. Unlike in the past where perhaps there was only the pill and the
condoms, couples nowadays have to do a little research and consider a number of
available options before settling on a contraception method that is suitable
for them.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">So if you are ready to look beyond
the pill and the condom and explore other contraceptive methods available here
in Kenya, this post is for you. I have listed below the contraceptives that are
available right now. Some of them may not be readily found in Kenya but that
doesn't mean it's impossible to access them. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<ol>
<li><h2>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The pill </span></h2>
</li>
</ol>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">If you have used a contraceptive
before, you have probably used the pill. Founded back in the 1960s, the pill
remains the most widely used female contraceptive worldwide. The simplicity of
use has made it a favorite among many women. When it comes to preventing
pregnancies, contraceptive pill are known to be at least 95% effective. When
taken properly, the percentage rises to 99%.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<h3 class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Types of contraceptive pill</span></b></h3>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Contraceptive pills are of two
types:</span></div>
<ul>
<li><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="color: #6aa84f;">Combined pill </span>– This is the most
commonly used by women. It is usually simply referred to as ‘the pill’ and
contains estrogen and progestin hormones, hence the name ‘combined’. The
hormones work by inhibiting the ovaries from releasing an egg, making it
difficult for the sperms to reach the egg and also preventing the egg from
implanting on the womb lining. </span></li>
</ul>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The
combined pill is usually administered orally once a day for three weeks. This
is followed by a week gap; the time you will be having your periods. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; mso-add-space: auto; mso-list: l1 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<ul>
<li><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;">.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="color: #6aa84f;">The mini pill -</span><span style="mso-spacerun: yes;"> </span>It contains only the progesterone hormone
and that is why it is sometimes referred to as the Progesterone-only pill. This
pill is usually prescribed to women who for some medical or personal reasons,
cannot take estrogen hormone. Unlike the combined pill, the mini one is taken
daily with no seven day’s break. </span></li>
</ul>
</div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Both the combined pill and the mini
pill are 99% effective in preventing pregnancies. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">An important caution to keep in mind
is that contraceptive pills do not prevent STIs. It is always wise to get a
professional direction on how to use the pill. </span><br />
<br />
<h3>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> </span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;"> <span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">2. The male condom.</span></h3>
</div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">While the pill is popular with
women, the male condom has become a monopoly in the men population. It is hard
to come across a situation where you talk to a man about contraceptives and a
condom does not pop in mind. In fact, most men know it as the only form of
contraception. You may not pardon the ignorance but, hey, look at it from
another angle; the thing is easy to use, affordable and also very effective in
preventing the spread of STIs. Sometimes, they even have your favorite smell!
Men would go for that any day. <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Male condoms are usually made of
latex. Some are made of polyurethane or lambskin.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">NB: Lambskin condoms will not keep
you from conducting STIs, use them responsibly.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<h3>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;"> 3. <span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The female condom </span></h3>
</div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Many first time female contraceptive
users do not quickly embrace the use of female condoms. Many of them stick with
the pill or use it long enough to have guts for the condom. They are a bit more
expensive than the male condoms but more durable. They can actually be inserted
8 hours prior to having sex. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">They prevent 99% pregnancies and
will also protect you against STIs. </span><br />
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<h3>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">4. The Diaphragm </span></b></h3>
</div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The diaphragm is placed inside the
vagina in a such a way that it stands in the way of the sperm getting into the
vagina. Before having sex, you should first coat it with spermicide and insert
it six hours before sex. The diaphragm is usually removed after 24 hours for cleaning
purposes and can be reused severally depending on the type of the material. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Although it is a barrier contraceptive
like the condom, the diaphragm will not protect you against STIs. </span></div>
<div class="MsoListParagraph" style="line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<h3>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;">5<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">5. The Cervical Cap</span></h3>
</div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">It is also called Femcap. It is
designed like a diaphragm but usually come in smaller sizes. Like the
diaphragm, it is also coated with a spermicide before sex.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Unlike the other contraceptives, the
Femcap remains in the vagina for up to six hours after sex but must be taken
out within 48 hours of having sex. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">While the diaphragm covers most of
the vagina, the Cervical cap only covers the cervix hence being a good choice
for women who have reported developing cystitis after using the diaphragm. </span></div>
<div class="MsoListParagraph" style="line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<h3>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;">6 6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The Intrauterine Device (IUD)</span></h3>
</div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The IUD possess some of the most
interesting contraception capabilities than any of the others. It is a T shaped
device and is usually inserted by a professional doctor. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">They come in two types;</span><br />
<br />
<b><span style="color: #6aa84f;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">a) </span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;"><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; line-height: normal;">
</span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Hormonal IUD</span></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">This
one works more like the hormonal birth control pill. <span style="mso-spacerun: yes;"> </span>Once inside the uterus, Hormonal IUD has 4
main functions:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<ul>
<li><span style="font-family: "wingdings"; font-size: 12.0pt;"><span style="mso-list: Ignore;"> <span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Releases progesterone hormone in
small amounts to prevent the sperm from reaching the egg.</span></li>
</ul>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<ul>
<li><span style="font-family: "wingdings"; font-size: 12.0pt;"><span style="mso-list: Ignore;"> <span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Prevent ovulation i.e. the release
of an egg by the ovary.</span></li>
</ul>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<ul>
<li><span style="font-family: "wingdings"; font-size: 12.0pt;"><span style="mso-list: Ignore;"> <span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Thickens the cervical mucus to
inhibit the sperm from swimming to the egg.</span></li>
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<ul>
<li><span style="font-family: "times new roman" , serif;"> </span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Thins the uterine lining to keep the
fertilized egg from implanting. </span></li>
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<b><span style="font-family: "wingdings"; font-size: 12.0pt;"><span style="mso-list: Ignore;"><br /><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; line-height: normal;"> </span></span></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; mso-add-space: auto; mso-list: l0 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<b><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;">b<span style="font-family: "times new roman";"> <span style="color: #6aa84f;"> b)</span></span><span style="color: #6aa84f;"><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; line-height: normal;">
</span></span></span></span><span style="color: #6aa84f;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Copper Based IUD</span></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The
IUD comes wrapped in copper wire. This contraceptive works for up to ten years
and can still prevent pregnancy five days after having unprotected sex. </span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">One of the fascinating thing about
the IUDs is the fact that you can keep them inside the for a period of five or
ten years without a single removal. But this kind of durability carries with it
a high price tag. All you have to do is look at the bright side; you will not
have to worry about contraceptives for 10 years!</span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">If you are fed up with a taking a
pill daily or can’t just remember to do so every time, this should be the
perfect solution for you. </span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">They are more than 99% effective
although they will not protect you against STIs. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">It is always advisable to have a
doctor or a credible expert insert the IUD for you. Some sources claim that an
IUD can still keep you from getting pregnant if inserted within five days after
having sex. <span style="mso-list: Ignore;"> <span style="font: 7.0pt "Times New Roman";"> </span></span></span><br />
<br />
<h3>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">7. The Contraceptive Implant </span></h3>
</div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">This is another option that will provide you with long term protection like the IUDs. They can be used for up to 3
years. Like the Pill and the IUD, it also contains progesterone hormone and
uses the same principle of contraception. However, it is more effective than
the pill. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The contraceptive implant is
inserted in the arm by a professional doctor and removed after three years. </span></div>
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<br /></div>
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<style>
/* Style Definitions */
table.MsoNormalTable
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mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
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<![endif]-->Nate Guyhttp://www.blogger.com/profile/04055972938360893271noreply@blogger.com0