The biggest problem that our country is facing is population. If you look at the world wide, if it was China before, now it is India. This is the main reason why India is not a developed country. This is the main reason why India is not a developed country. Whatever we do for our health, for our advancement, it is becoming like planting seeds in the sea. That is why we are not able to reach every part of the country.

The government is doing many good things, but the beneficiaries are very high. The beneficiaries are very high, but the beneficiaries are very high, not only that, this poverty, all these things are causing overcrowding. In our national level, in our national level, we ask minimum questions about contraception or family planning.

If you are working in this area, if you are working in this area, you can expect such questions. We are going to talk about some important things about contraception. You just have to understand everything. You don't have to buy heart anything. Because if you buy heart, the way you answer will be different. You will have a fear in your tone. If you understand everything and respond, you will try to answer more confidently.

If you are preparing only for this, if you are preparing for RRB exam, if you are preparing for NORSET exam, if you are preparing for any other exam, if you are preparing for any other exam, it will be better if you buy heart these things. Anyway, it is a very important topic. It is a topic that cannot be ignored by people who are preparing for a competitive exam.

India is the first country to initiate a family planning programme. It was a question in the last NORSET exam. It was one of the first programmes in India. It was one of the national health programmes. There were many options.

In our country, we used to know that overcrowding or population increase is good. That was the biggest problem we knew. That is why my country was very early. Other programmes like malaria, etc. India was the first country to initiate a family planning programme. This programme was initiated in 1952.

At Medline Academics, we emphasize the critical importance of contraception and family planning in improving maternal outcomes and sustainable population management. India, known as the first country to initiate a national family planning program in 1952, has built a strong foundation for reproductive health care; however, there remain some deficiencies in awareness and understanding. Our Fellowship in IVF in India Program and other academic offerings endow healthcare professionals with a comprehensive, concept-based understanding of eligible and target couples, criteria for planned fertility, and the entire gamut of contraceptive practices, ranging from natural and temporary spacing methods to permanent sterilization procedures. At Medline Academics, we focus on the critical importance of evidence-based principles, effectiveness evaluation through the Pearl Index, and practical clinical utility to empower learners to advise patients with confidence and make a significant contribution to the national reproductive health agenda.

The next two terms are what is the difference between eligible couple and dodged couple. Eligible couple is actually women of reproductive age. We call women of reproductive age as eligible couple. Eligible couple is 15-49 years old. But there is no fertility period. Now we say 18-45 years. Eligible couple's age period is 15-49 years. This is given in community books like K-Park. Eligible couple's age period is 15-49 years.

Dodged couple is a woman who has completed family or has at least two live children. She has at least two children. In some families, 4-3 or 7-8 children are enough. She has at least two children. In such families, we use the term dodged couple. Because the contraceptive technique is different for both families.

For eligible couple, the contraceptive technique is called contraception. It is a family planning technique. At the same time, what is the target couple?

Permanent contraception - Permanent methods of contraception. That is sterilising. It is either vasectomy or tubectomy. You must have understood the difference between eligible couple and dodged couple.

Next is about what is a planned family. If we say that a family is planned, there are some criteria. The first one is First childbirth should be after mother's age is more than 20 years. When the first child is born, the mother's age should be more than 20 years.

• That is the first criteria. Minimum of 3 years of gap between two children. Minimum of 3 years of gap between the first, second and third child.
• If a child is born after 1.5 or 2 years, we cannot call them as planned family. There is no need to say that there are two children. Minimum of 3 years of gap between two children.
• The third one is limited size of family. In India, we call it 2-3. If it is 2, it is the best.

Next is contraceptive methods. Contraceptive methods are used for two things. That is to have gap between two children.

• If a child is born after 2 or 3 years, the first criteria is to have gap between two children.
• The second criteria is to limit size of the family.

The Dr. Kamini Rao Hospitals addresses reproductive health care in a manner that is based on the principles of evidence-based medicine, patient education, and ethical practice. In a manner that acknowledges the importance of informed family planning as a cornerstone of maternal health and overall well-being, this IVF Centre in Bangalore incorporates comprehensive family planning counselling into the realm of general gynaecological and fertility care. Whether it is counselling young couples on responsible spacing of births or enabling permanent solutions for those who have already completed their families, the focus is on individualized, age-related, and medically sound counselling.

Contraception is used. We use temporary contraception. We call it spacing methods. We call it reversible methods. When we want to have a child, we can go to fertility. The second criteria is to limit size of the family.

We use permanent methods of contraception. This is an irreversible method. The two main methods are tubectomy and vasectomy.

Next is the methods of contraception. There are temporary and permanent methods.

• The first criteria is natural contraception.
• The second criteria is barrier methods.
• The third criteria is oral combined pills. We call it oral combined pills.
• The fourth criteria is injectables.
• The fifth criteria is Ayurvedic medicines. These are the temporary methods.

We already talked about permanent methods. If it is in males, we use vasectomy. If it is in females, we use tubectomy.

We also have a permanent method in females. It is called ESHO. ESHO is like a spring in the fallopian tube.

Let us see each method in detail. The first one is about natural contraceptive methods. Before that, let us see the effectiveness of each contraceptive.

We use Pearl Index. Pearl Index is the number of accidental pregnancies which occurs if two women use the same contraceptive for one year. Suppose we give the same contraceptive to 100 women in one year.

Sometimes, we give implants. Sometimes, we give condoms. Even if it is a contraceptive method, we give the same contraceptive to 100 women and check the failure rate.

That is why we use Pearl Index. Pearl Index is equal to total accidental pregnancies divided by total months of exposure into 1,200. That is the equation.

What is the index used to check the effectiveness of contraceptives? Pearl Index. What is Pearl Index? 100 days. 100 days.

100 women. 100 women in one year. 100 women.

Next is the natural contraceptive methods. The advantage of natural contraceptive methods is there is no need to use any kind of contraceptive, especially and it is not necessary. This is an inexpensive method known as Natural Chondrocephaly Method. The main goal or the main aim of this method is to avoid coitus and intercourse around ovulation.

This is the main aim of Natural Chondrocephaly Method. What are the methods used in this method?

• Rhythm Method or Calendar Method
• Standard Day Method or Thirumala Method
• Cervical Mucous Method
• Basal Body Temperature Method
• Symptothermic Method
• Withdrawal Method

These are the methods used in Natural Chondrocephaly Method.

Rhythm Method, Calendar Method or Standard Day Method - Generally, if we take the normal 28 days cycle of menstrual cycle, Day 1 to 7 will be safe. Day 1 to 7 will be safe. Day 20 to 28 will also be safe. Day 18 to 19 is known as Fertile Period or Nodeside Period. 7 plus 7 is safe period. 14 days is Fertile Period or Unsafe Period. These are the methods used in Standard Day Method and Calendar Method.

Next is Cervical Mucous Method. This is the method used for measuring the thickness of the cervical mucous around ovulation.

Basal Body Temperature Method is used for measuring the normal Basal Body Temperature. Basal Body Temperature is 96-98 degree Fahrenheit. But around ovulation, Basal Body Temperature is 0.5 degree Celsius. This is the Basal Body Temperature Method. Basal Body Temperature is measured in the morning. Okay, then you have to answer him to a thermic method and that's in your number and the natural family planning method.

The problem with Progesterone-only injectables is this. Next is... We talked about Progesterone-only pills and injectables. We also talked about implants.

You should know about these three things. Next is a method known as non-hormonal method. It is called SENT-chromane.

It is very important. If you are going for a competitive exam, remember this SENT-chromane. It is very important.

It is developed by CBRI Lucknow. Its old name is Sahelinaranth. You might have heard of Sakhi Saheli.

Its new name is Chaya. Chaya. This was also asked in the Orsat exam.

What we can see in a general contraceptive is either Oestrogen or Progesterone combined. This does not have Oestrogen or Progesterone. Instead, it contains Ormiloxifene.

It is a non-steroid. Ormiloxifene. Steroids have many side effects.

But this is the best. SENT-chromane or Chaya or Sahelinaranth. This is the best oral contraceptive pill.

SENT-chromane. This is a weekly once tablet. You can use it as an EP pill.

Remember SENT-chromane. Next is emergency contraception. The best is to use it within 72 hours.

Emergency contraception is called back-up control or morning after pill. This is used in unprotected intercourse. Emergency contraception.

It is best to take it within 72 hours after unprotected intercourse. You can also take it within 5 days. The best emergency contraceptive pill is SCOPATI.

The best hormonal contraceptive pill is ULIPRIST. There is no doubt about it. Next is intrauterine contraceptive devices.

That is IU series. IU series has 3 generations. 1st generation, 2nd generation and 3rd generation.

• 1st generation are non-medicated devices. This is LIPPY'S LOOP. This is not used now. This is outdated. This is 1st generation. This is non-medicated.
• 2nd generation are copper or silver containing devices. Copper T380, copper T220. Next is 3rd generation.
• 3rd generation has hormonal IU series. Next is Mirena Progesterase. Mirena Progesterase is very important.

It is trending now. The lifespan of copper T380 is 10 years. Progesterase is 1 year.

Next is most common complication of IU series. Do you know what it is? Most common complication of IU series? Bleeding. Bleeding.

Very good. What is the 2nd most common complication? Pain. Most common reason for removal is pain.

Accidental pregnancies are common in IU series. Next is ideal time for insertion of copper T. 10 days of start of menstrual cycle. It is best to start menstrual cycle within 10 days.

If you want to know about postpartum IU series insertion, ideal time for insertion is within 10 minutes. It is still safe in first 48 hours. You can insert it in first 48 hours.

But, after delivery, you should not insert copper T for 48 hours. You should not use copper T for IU series. It may cause perforation.

It is safe after 4 weeks. Copper T is not used during the time of involution. Next is about permitting methods of contraception.

Vasectomy is used in males and ebectomy is used in females. Vasectomy is the best option. 3 months contraceptive or 30 ejaculations 15 days of heavy lifting 15 days of T bandage 1st 24 hours of bath.