Marriage is a culmination of efforts of so many and an amalgamation of dreams and desires of two individuals and even families. Many a marriages nowadays are decided by the parents or the girl and Boy themselves. When a committment of marriage is acceptable to the girl and the Boy, many a "couple" get super excited and start planning about the marriage, the venue, the themes, the band , the baraat and the party.
Sadly Very few think about the "pregnancy" which is a natural thing to occur to any couple practicing NON protective sex immediately post marriage!
Many a couple come post marriage with a long face, and in a hush hush manner quietly reveal their pregnancy test kit (done at Home)- to an unsuspecting Gynecologist.
Pregnancy is bound to crop up as a "natural consequence" of regular unprotected sex, which usually is the case in newly married couples.
So it's but natural that the "couple to be" also think about "pregnancy" as they start thinking about their marriage plans and married life. Usually the "bride to be" does visit a doctor at times to plan the "menses" and not to let it interfere with the marriage and post marriage rituals. But she rarely talks about pregnancy prevention etc. Most of the times she is accompanied by her mother and she doesn't utter this question, though it might be playing in her mind. The "groom to be" seldom thinks about "pregnancy". The girl and Boy meet, roam around and some even have sex before marriage, but the talk about pregnancy and what to do about it, is RARELY spoken.
Pregnancies have a tendency to occur when least expected. It has surprised many a couples, by announcing itself at Job promotions, one of the couple going overseas, new job recruitment, transfer of residence.
Once detected the "usual suspects" are looked down upon both by their in laws and their peers. Elders also are known to usually call them names.
"How could you not think about it",
"whats the use of so much education if you cant think of such basics"
"I am sure he must have pressurized her to go for it"
Allegations fly back and forth and some fights even land up in the gynecologists consulting chamber. Once pregnant there are only 2 options :
Either keep the pregnancy or Go for abortion.
Most requests are to to do something to get menses, but NOT ABORTION. The Gynecs are at wits end to convince that menses never occur once pregnancy is detected and the pregnancy cant be willed away.
Some couples even "dent" the reports, shun gynecologists and turn up at the "Friendly Neighborhood Doctor" to get menses to induce menses.- the ever obliging doctor even gets carried away and gives some concoction which makes the patient bleed. But something goes wrong and the bleeding is either too slight or too heavy, and the pregnant girl then finally lands up with the gynecologist eventually with either severe bleeding and an incomplete abortion or with a continued but larger pregnancy!!!
Such scenarios can be AVOIDED at the best.
I would implore all the "to be married" couples to talk about when they wish to have pregnancy after marriage, among themselves, and then visit a doctor preferably a gynecologist to get the know how of how to avoid pregnancy till the time they want.
If you have thought about preventing pregnancy before marriage, I must congratulate you for thinking about the contraception before the marriage. Go to a near by gynecologist and speak to them about your plan and choices. Usually, contraception advisable to a newly married couple is
1. Condoms2. Pillsother methods like copper t, implant, injectable are usually not advised to a newly married couple.
Condoms are good for contraception but not the best. Many a newly wed couples find the act of wearing condoms interfering with their sex act and also done like the" barrier" between them. Also condoms have to be used at every act of sex. So availability, storage and disposal pose a problem too
As compared to condoms, oral contraceptive pills are the best, as they have best efficacy. These pills are usually prescribed to be taken once a day, and beginning any day from d1-d5 of cycle. Pills take time to cause action and about 15 days are required to have their action initiated.Pills have to be taken either continuously (in 28 days pack) or as 21 day, with 7 day break cycles. Newer pills also are available in 24 day with 4 day break cycles. Hence during the first cycle of pill, doctors usually ask the patient to either abstain for 15 days or to use an additional contraceptive like condoms in those 15 days.
So couples who are engaged and to be married, meet a gynecologist discuss the options and take pill under guidance.
The doctor will choose the right pill for you depending on your concerns about:
-weight gain-acne-other menstrual complaints
Once selected stick to the pills as prescribed and its schedule.
Do not change the pill brands, as pills have different contents, and their efficacy may be hampered if they are not chosen well.