CONTRACEPTIVES: YAY or NAY? Contraceptives generally have a bad reputation when it comes to the topic of sexual education. Particularly in the Philippines where intercourse without procreation is taboo in our religion, the immediate reaction to contraceptives is typically negative. However, there are some instances where contraceptives can be for the better good. The concept of family planning is a common safe-haven to “pro-contraception” individuals. According to an article by Rappler, the usage of family planning methods is steadily rising in our country. Released on Wednesday, June 22, the second consolidated report on the implementation of the RH law revealed the use of modern family planning methods in the country was at 43.8% in 2015 – an increase from 41.14% in 2014.It has been steadily increasing over the years, from 33.4% in 2003, 34% in 2008, and 37.6% in 2013. ( Retrieved from Rappler, https://www.rappler.com/nation/137256-2nd-report-implementation-reproductive-health-rh-lawfamily-planning) As of 2013, the unmet need for modern family planning methods is still very high at 18%. Of this number, 7% want to space births, and 11% want to stop giving birth. The report noted that women without any formal education have the highest levels of unmet need (24%), while women with higher levels of education have the lowest unmet need (16%). "Almost 5.5 million women are using modern family planning methods," the report read. Below is a breakdown of the number of current users of short acting, long acting, and permanent methods: Short acting Long acting Permanent Pills - 1,952,190 DMPA injectables - 817,750 Condoms - 251,593 IUDs - 400,071 Implants - 100,869 BTL - 718,553 NSV - 12,863 WHAT CONTRACEPTIVE IS APPROPRIATE FOR ME? The Good Boy There are methods in which the usage of devices is not required for basic family planning. The perfect example of this method is abstinence, the complete avoidance of sexual intercourse. Abstinence is typically pushed to the youth because it is less expensive and requires only a strong will of the person. Withdrawal or “pulling out” is also suggested to the Filipino youth, but is not appropriate to our religion where pre-marital sex is not advised. (Retrieved from https://www.medicalnewstoday.com/articles/162762.php) The Thrill Seeker These contraceptives allow the users to have sexual intercourse without worrying about impregnating their partners or pro-creating. The most common examples of these contraceptives are condoms, both for males and females. The male condom forms a barrier and prevents pregnancy by stopping sperm from entering the vagina. It is placed over the penis before sexual intercourse begins. A condom is made of polyurethane or latex. The female condom, or femidom, is made of polyurethane. It has a flexible ring at each end. One fixes behind the pubic bone to hold the condom in place, while the other ring stays outside the vagina. (Retrieved from https://www.medicalnewstoday.com/articles/162762.php) There are other devices wherein allow sexual intercourse, but does not allow the passage of sperm cells towards the uterus. These devices include sponges, diaphragms, and cervical caps. These are devices inserted in the vagina together with spermicides, preventing the sperm from making it to the uterus for fertilization. Retrieved from https://www.medicalnewstoday.com/articles/162762.php) The Pharmacy Enthusiast There are pharmaceuticals that prevent partners from pro-creating. The perfect example is the contraceptive pill. The combined contraceptive pill is taken daily. It contains two hormones, estrogen and progestin. The hormones stop the release of the egg, or ovulation. They also make the lining of the uterus thinner. It is effective for between 91 and 95 percent of women on average. Another type is the emergency or “morning after” pill. Emergency contraceptive pills, or the "morning-after pill," may prevent pregnancy after intercourse. It prevents ovulation, fertilization, or implantation of an embryo. It is different from medical methods of termination, because these act after the egg is already implanted in the womb. Emergency contraception can be used up to 72 hours after unprotected sex. It is 95 percent effective during the first 24 hours, falling to 60 percent by 72 hours. Emergency contraception should only be used when primary methods fail.