Demography & Family Welfare
Contraception of choice in newly married couple is:
a. Progesterone only pills are advocated usually in older women (age > 40 yrs), lactating women in the first 6 months of lactation or even in young women with risk of neoplasia. But these pills could not become very popular due to poor cycle control and risk of pregnancy and definitely not a contraceptive of choice in newly married couple.(option a)
b. OCPs are by far the contraceptive of choice in a young newly married couple wherein the wife does not suffer from any of the contraindications.
c. The single most significant benefit of the pill is its almost 100 % effectiveness in preventing pregnancy and thereby removing the anxiety about the risk of unplanned pregnancy.
d. Another advantage of OCPs is that the contraceptive effect is fully reversible and nearly 98% of women conceive within 3 months of discontinuation of these pills which is most desirable in newly married couples. However, its use is still very limited in the developing countries.
e. Although barrier methods (however the question does not specify it as condom) and to be more precise condoms are the most commonly used method of contraception worldwide, its failure rate (ranging from 4 to 14 per HWY ) is very high if not used appropriately, which precludes its usefulness in a newly married couple.(option c)
In 1985, the American college of Obstetricians & Gynaecologists stated that IUDs are “not recommended for women who have not had children or who have multiple partners, because of the risk of PID and possible infertility.” (option d)