Contraception myths

There are a number of methods of contraception that are highly effective in preventing pregnancy. There is also a lot of misinformation about how to use contraception, as well as some methods that simply do not work.

The following are some common myths about birth control and contraception:

1. I am breastfeeding so I cannot get pregnant.

While breastfeeding tends to postpone ovulation, this is not a guarantee. Ovulation can occur even when a woman is breastfeeding. The breastfeeding mother should use contraception if she wishes to avoid getting pregnant.

2. You cannot get pregnant if the woman does not have an orgasm.

Pregnancy occurs when a sperm from the man fertilises an egg from the woman. While the man must ejaculate to release sperm, it is not necessary for the woman to have an orgasm to get pregnant. A woman of childbearing age usually releases an egg each month as part of her regular menstrual cycle. This occurs whether or not the woman has sex or an orgasm.

3. I will not get pregnant if I douche after sex.

Douching is not an effective method of contraception. After ejaculation, the sperm enter the cervix and are out of reach of any douching solution.

4. I do not need contraception because we only have sex during the ‘safe’ time. You are only fertile one day a month.

Myths such as these most likely arise from a lack of understanding of the menstrual cycle. There are four major hormones (chemicals that stimulate or regulate the activity of cells or organs) involved in the menstrual cycle: follicle-stimulating hormone (FSH), luteinising hormone (LH), oestrogen, and progesterone. A delicate balance of these hormones regulates the release of an egg (ovulation), and if the egg is not fertilised, menstruation occurs. While a woman's cycle is more or less regular at most times, this balance of hormones can be disrupted by various factors, including age, stress, medications, etc. Therefore, pinpointing the time of ovulation and predicting any ‘safe’ days can be difficult. Couples who have success with the rhythm method of contraception must carefully monitor the woman's menstrual cycles and evaluate symptoms of ovulation, as well as any external factors.

5. I will not get pregnant if we have sex standing up or if I am on top.

Some people believe that having sex in certain positions, such as standing up, will force the sperm out of the woman's vagina. In truth, positions during sex have nothing to do with whether or not fertilisation occurs. When a man ejaculates, the sperm are deposited well into the vagina. The sperm will, by nature, begin to move up through the cervical canal immediately after ejaculation.

6. You can use plastic wrap or a balloon if you do not have a condom.