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Showing posts with label Marriage Clinic. Show all posts
Showing posts with label Marriage Clinic. Show all posts
Saturday, October 18, 2008
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Contraception



Description

1. Contraceptives are used to delay and/or prevent pregnancy. If no contraceptive method is used, 85% of women will become pregnant within 1 year.
2. Birth control type depends on your needs. Many people need to prevent pregnancy and at the same time want to decrease their chance of catching sexually transmitted diseases (STDs).
3. Overall, 60% of pregnancies are unplanned and 80% of teen pregnancies are unplanned.



4. For any type of contraception to work it must be used every time when you have sex and used correctly
5. No method is 100% effective in preventing pregnancy unless one avoids sex (abstinence) altogether, so it is important to keep track of your periods and test for pregnancy if you have a lighter than usual period or miss your period completely. The earlier a pregnancy is terminated (abortion by medication or surgical procedure) the better; if you choose to continue the pregnancy, you must stop taking certain medications, drinking alcohol, and other behaviors that may harm the fetus.


Contraceptives methods and approximate failure rates (lowest expected-typical rates)

1. Barrier methods
a. Male condom: 2-12%*
b. Female condom: 5%
c. Diaphragms used in conjunction with spermicidal jelly or cream: 6-18%
d. Cervical cap: 6-18%
e. Spermicidal alone: 6-21%
f. Sponge (works better in women who have never been pregnant): 6-28%

2. Oral contraceptives with a combination of hormones* to imitate the menstrual cycle: 0.1-3%; or the least effective, progestin-only pills: 0.5-3%.

3. Injectable contraceptives, e.g., Depo-Provera: 0.3%

4. Surgically implanted hormones, e.g., Norplant: 0.2%

5. Intrauterine device (IUD) a. Progestasert: 0.5-3%
b. Copper T 380A: 0.8-3%

6. Natural methods:
a. Withdrawal (coitus interruptus): 4-18% b. Rhythm method: 9-20%. Requires abstinence during the midcycle (usual time of ovulation); however, up to 2% of women ovulate during their menses. The rhythm method is associated with a higher rate of birth defects if the pregnancy is allowed to continue because an old egg and/or old sperm may meet.

7. Voluntary sterilization
a. Tubal occlusion (female): 0.2-0.4%
b. Vasectomy (male): 0.1-0.15%

*Proper use of male condoms and oral contraceptives, at the same time, is more effective than either method used alone and provides good protection against STDs.


Emergency contraception

Emergency contraception, also called postcoital contraception, may prevent pregnancy after unprotected intercourse or when the condom broke or slipped off. Emergency contraception is not an abortion, because it does not work if the woman is already pregnant. Emergency contraception works by preventing the egg and sperm from meeting by delaying ovulation, altering the lining of the fallopian tubes so that the sperm and egg (ova) do not meet, or by changing the lining of the uterus (endometrium) so that a pregnancy cannot develop. Emergency contraception may not work so it is important to continue to monitor yourself for pregnancy and notify your physician at once if the pregnancy test turns positive.

1. Emergency Contraceptive Pills (ECPs)
a. The first pills must be taken within 72 hours of unprotected sex, and the second dose 12 hours later.
b. Side effects should decrease over the next 2days and disappear; if they do not, call your physician.
(1) Nausea in 30-50% of women and vomiting in 15-25% of women. Taking a drug to prevent nausea and vomiting 1 hour before taking the first and second dose of pills is recommended.
(2) Your breasts may become tender and you feel more tired and irritable than usual.

2. Intrauterine device (IUD)
a. Must be inserted within 5 days of unprotected intercourse
b. Complications:
(1) Increase risk of infection particularly if cervix infected with harmful organism, e.g., chlamydia.
(2) Ectopic pregnancy occurs more frequently so report any abdominal pain.


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Marriage License



Description

The purpose of a marriage license is that through a few simple checkups, the engaged couple can ensure the health of their home.



Why you may want a marriage license

# For personal health: While we live in the modern 21st century, ideas about marriage are often rooted in the past. Everybody wishes to have a healthy child, but very few people put in the effort required to ensure this. A marriage license is designed to screen for diseases that might affect future children.
# For a healthy home: Marriage is when two people fall in love and promise to spend their lives together. Getting a checkup before the wedding and detecting illnesses early helps ensure a healthy family life.


Marriage License; Exchanging Health Diagnoses

# Preparation for a healthy marriage: Exchanging diagnoses may seem unpleasant, but the purpose is to find diseases ahead of time and to treat them accordingly.
# Preparation for healthy children: A healthy marriage requires a healthy couple, as some diseases can infect the baby during pregnancy.
# Discover illnesses early and prevent them: If sick, receive appropriate treatment quickly and prevent further complications.


Example 1:

Hepatitis B carriers and their unborn children are at risk. If hepatitis B is treated with a preventive inoculation ahead of time and antibodies form, then there is no problem.


Example 2:

Medication can cure tuberculosis carriers, and once medication starts, tuberculosis is no longer communicable.


The ideal tests

Chest x-ray, blood test, urine test, blood type, hepatitis test, liver function test, and tests for STDs are the basics. Women should prepare for pregnancy by receiving German measles (rubella) tests, along with a pelvic ultrasound.


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For a Happy Marriage



Description

# Try with your heart and soul: A happy marriage does not happen by itself. It can only happen when the husband and wife want a happy marriage with their hearts and put their souls into this effort.
# Prepare for marriage: These days, young couples getting married do so without adequate preparation, as demonstrated by the increasing divorce rates.



# "Married singles": Many modern marriages are based on emotional, material, and physical qualities. It's hard to experience true joy and happiness in a marriage based only on emotion and not serious conversation about values, expectations, character, and nature. This lack of joy and happiness makes some people "married singles."
# Requirements for a happy marriage:
# An open mind, in order to understand your spouse
# A healthy body and a good understanding of your own body
# Proper preparations (medical, emotional, and financial) for having children
# Make an effort to lead a mature life: Wedlock began as an effort to accomplish things in life that people couldn't do by themselves. So, an effort must be made to lead a mature life.


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The Beauty of Love



Description

True love does not come to everyone. Only the mature can experience true love.




The prerequisites for a mature love are the following.

1.The basic human desires need to be fulfilled.
2.The value and importance of love must be realized.
3.The ability to persevere through hardships and setbacks is needed. There are moments when one's own desires are sacrificed in order to love another.
4.The ability to love yourself.
5.A healthy relationship with the self (ego).
6.Possession of rational and reasonable ideals.
7.Independence from parents.


Mature love does not just happen; it comes about only after hard work and effort. More than anything, the ability to communicate and resolve problems effectively and the desire to be open and frank with others are needed. Of all the elements needed for happiness, besides health, love would probably be the most important among them. Without love -- just as in the case of health--everything will seem in vain, despite possessing all one could possibly want. Love is the main ingredient to life. Living means loving, and loving is living. Love brightens our days and fills us with vital energy. Without love, our life has no meaning, no purpose, and we are left with a sense of emptiness and despair. Love can be sustained through many different channels. In that light, love and sex can be considered to be independent, depending on the individual. Although very rare, there are couples that live fulfilled lives of love and affection, even if one of them may be sexually incapable. However, in most cases, love comes with the physiological need for sexual fulfillment as well. In order to sustain and develop a loving relationship, mutual sexual satisfaction is important.

If and when the sexual relationship is over, usually the demise of love and affection soon follows. Loss of sexual interest with one's partner can lead to boredom, tedium, and in some cases, loss of love, which is considered to be the key ingredient to happiness. Human sexuality is distinguished from that of animals by the unusually active participation of the brain (cerebrum). In contrast to the simple mating rituals animals undergo for purposes of reproduction only, human sexuality fulfills a much wider need involving the emotions, psychology, and intellect. In other words, human sexuality is very cerebral and has been traditionally treated by psychologists. However, with modern medicine and new surgical procedures to correct and treat sexual malfunctions and diseases, more and more responsibilities are shifting to the urologist. But let us not forget that human sexuality is still very much cerebral and that a discussion of it without consideration of the psychology behind it would be a big mistake. That is, of course, until the human brain and its activity can be fully understood at the molecular level. The attitude toward sex, whether it is positive or negative, greatly influences a person's sex life. All things equal, a person who sees a half full glass of water as opposed to a half empty glass will be at an advantage. A man who blames his wife's lack of orgasms on frigidity and shifts all responsibility to her, will never be able to correct the problem, much less have an enjoyable sex life. On the other hand, if the man considers this to be a problem they can work out together, and looks for a solution, he will be on his way toward a much more enjoyable sex life. Positive thinking gives people energy and nurtures positive behavior. And positive behavior, in and of itself, is a reflection of an improved quality of life.

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Medical Examination In Single Women



Description

Whether single and considering marriage, involved in a relationship, or virgin, the health-minded woman of today will want to take a number of precautions to insure her child-bearing options for the future.



Hymen Examination

The hymen is like an elastic wrinkle in the mucous membrane that is located at the vaginal entrance. Because the thickness, shape, and elasticity of the hymen differ from person to person, light exercise, or even everyday chores, may cause it to rupture, or it may remain undamaged despite repeated intercourse. The presence of the hymen, and whether it is ruptured or not can be determined with the naked eye, making the test procedure to ascertain intactness relatively simple.


Vagina Examination

It is a good idea to receive a vaginal examination before marriage to detect any abnormalities that might interfere with intercourse or pregnancy, such as the Rokitansky-Kuster-Hauser syndrome, a congenital reproductive organ disease in which there is no vagina, or the vagina is a vestigial organ and the ovaries are normal but the uterus is absent. Because women with this syndrome do not menstruate, they may discover that they have this condition during puberty. Women with this condition must undergo surgery to create a vagina.


Menstrual Irregularities

Tests can detect if ovulation is occurring when a woman's menstruation is irregular. Luteinizing hormone and follicle stimulating hormone are important reproductive hormones. When menstruation is irregular, only follicular hormone is secreted, and too much follicular hormone can lead to infertility or cancer.


Pelvis Examination

This examination checks for any abnormalities inside the pelvis. An ultrasound examines the ovaries, uterus, and fallopian tubes, and an abdominal ultrasound is performed if the woman has not had intercourse.


Blood Test

Generally, anemia, blood type, hepatitis, liver function, urine, and rubella tests are conducted during a medical checkup.

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The Meaning of Marriage



Various Definitions and Sayings on Marriage

# Marriage according to standard definitions, marriage is the union of a man and a woman, and the baby born from that union is their legitimate child.
# The dictionary's definition of marriage: A marriage is when a person enters into a legal relationship as a couple with a person of the opposite sex.
# What the average person says about marriage: Marriage is a social institution and practice. It is the process of forming a social structure and having a family through the union of two people. Marriage is the most basic means to maintain society and, at the same time, it is a means for a new life for the individuals. In a marriage, the wife doesn't leave her fate to her husband and the husband doesn't take on his own fate. It is simply a couple understanding each other, fulfilling each other's responsibility, and supporting each other and planning together.



# The General Meaning of Marriage

# Marriage is a contractual, not a verbal, agreement.
# In marriage, two people can accomplish more than they could individually, through cooperation and love. It is different from just living together.
# Unlike living together, marriage is a legal promise to live together until the end. It is a vow made out of sincerity, with passion and intimacy. It's a contractual agreement stating that while conditions at the time of marriage may change, the love will not.
# Marriage has rights, duties, and responsibilities.
# Rights and duties are different depending on the times, social climate, and culture, but the husband and wife are expected to carry out their roles responsibly according to their surroundings. Faithfulness and the duty and responsibility of raising children are universal in most societies and cultures.
# Marriage is a relationship of character.
# Humans are social animals. With these instincts, people marry, love, and live amongst other people. In this way, a married couple learns the value of each other, feels joy together, and forms a relationship respectful of each other.


Marriage From A Sociological Standpoint

# Marriage is a sexual and interdependent relationship.
# A marriage is a relationship that shares the right to financial ownership.
# It's a mutually supportive and dependent relationship. One partner will affect the other mentally and emotionally.
# Marriage is a relationship in which distinctive qualities tend to stabilize with time.


Marriage From A Cultural Standpoint

# Heterosexual: Many people do not recognize homosexual relationships as legitimate marriages.
# Monogamy: Modern society does not recognize polygamy.
# The first part of family is formed through marriage: Having babies or adopting completes the second part.
# The couple is together in a relationship of "love."
# Relatives cannot be marriage partners: In Korean society, the law prohibits marriage between two relatives.

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Sex and Planned Pregnancy



Description

When two people meet, fall in love, love each other with their bodies and souls, and marry, this is beautiful and natural. But it is important to know about sex and contraceptives.



Plan Pregnancy Before Marriage

# A planned pregnancy: Having a baby is natural; raising it well is important. A planned pregnancy is when a couple tries to have a baby during the best health and life conditions
# Plan and prepare for the next generation before marriage: Babies are precious, but pregnancy during financial hardship or illness may cause worries rather than joy.
# Prepare for a safe pregnancy: There are many people who have taken medicine unaware that they were pregnant. Not all medications are dangerous to the fetus, but some medications can cause birth defects. Planned pregnancy is an effort to have healthier, smarter children and to prevent such defects.
# Learn about male and female contraceptives: As mentioned above, to have babies during the best conditions, it's important to study and learn about contraceptives before marriage.
# A marriage license: Through a few simple checkups, a couple can ensure their health and happiness.


Why You May Want a Marriage License

# For personal health: While we live in the modern 21st century, ideas about marriage are often rooted in the past. Everybody wishes to have a healthy child, but very few people put in the effort required to ensure this. A marriage license is designed to screen for diseases that might affect future children.
# For a healthy home: Marriage is when two people fall in love and promise to spend their lives together. Getting a checkup before the wedding and detecting illnesses can help ensure a healthy family life.


Marriage License; Exchanging Health Diagnoses

# Preparation for a healthy marriage and healthy children: Exchanging diagnoses may seem unpleasant. Some diseases, however, can infect a baby during pregnancy, so the purpose of exchanging diagnoses is to detect diseases beforehand and treat them accordingly.
# Discover illnesses early and prevent them: If a communicable disease is discovered, receive appropriate treatment quickly and prevent further complications.

Example 1:

Hepatitis B carriers and their unborn children are at risk. If Hepatitis B is treated with a preventive inoculation ahead of time and antibodies form, then there is no problem.

Example 2:

Medication can cure tuberculosis carriers, and once medication starts, tuberculosis is no longer communicable.
# The ideal tests: chest x-ray, blood test, urine test, blood type, hepatitis test, liver function test, and tests for STDs are the basics. Women should prepare for pregnancy by receiving German measles (rubella) tests, along with a pelvis ultrasound.

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Mature Relationships and Open Minds



Description

# To make a happy home, the couple must first have a mature relationship.
# Sincerity: When couples are sincere to each other, they can be grateful when served and forgiving when mistreated. This is important in maintaining a healthy relationship.
# Diligence: Like all human relationships, married couples must begin their family life with diligence and conscientiousness. Doing little things earnestly will eventually lead to a more trusting relationship. On the other hand, when things are not done this way and done with carelessness, love and trust can fade.



# Know that a couple is "together" and not alone: Through marriage, couples can accomplish things together and work towards a more mature life.
# There must be respect and consideration: It's not easy to lower yourself in a marriage or in today's society, a society in which everyone likes to express him or herself. Being considerate to your spouse is a must for a happy marriage.
# Try with your heart and soul: A happy marriage doesn't happen by itself. It can only happen when the husband and wife want a happy marriage with their hearts and put their souls into this effort.
# Prepare for marriage: These days, many young couples get married without adequate preparation. This is happening more than ever and is reflected in the increasing divorce rates.
# "Married Single": Many modern marriages are based on emotional, material, and physical qualities. It's hard to experience true joy and happiness in a marriage based on emotions rather than serious conversation about values, expectations, character, and nature. This lack of joy and happiness makes people "married singles."

# Prerequisites for a happy marriage: 1. An open mind to understand your spouse 2. A healthy body, and a good understanding of your own body 3. Proper preparations (medical, emotional, and financial) to have children
# Make an effort to lead a mature life: Wedlock began as an effort to accomplish things in life that people couldn't do in

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