Sex, Contraception, and Life

    What is Sexuality?
    In my view, sexuality is the personal unique spiritual and physical ability, which we learned and accumulated over lifetime, to interact
    with the opposite sex, who may be our spouse, girlfriend, daughter, granddaughter, and anyone we may meet in offices, on streets, in
    malls, in airports, in bus stations, or in beautiful sceneries, with which we know when and how to interact with them so to conform with
    social, cultural, gender etiquettes for fulfilling a harmonious daily living.

    Then we troll and roll along our life tracks and can capture the sense of comfort and control, which help project and radiate satisfaction
    and  happiness. If not, we may run into the trouble like that happened to an former US president, who displayed his sexuality with a
    wrong person, an intern, at a wrong place, the White House, and in a wrong time, office hours.

    For his own defense, he had to get on TV to lower his eyeglasses and wiggle his pointing right index finger to look at the inquirers and
    audience and said he never had any relationship with that woman, which left behind and become a famous iconic American
    presidential gesture. This story poses no offense but restates the facts.

    What is the Goal of Life and How Do We Fulfill It?
    The goal of life has remained the same forever for any entities regardless of race, gender, religion, occupation, education, location, and
    time, that is, for survival, growth, and continuation through the constant path to observe, search, collect, analyze, summarize, and perfect
    all the potential means to fulfill the matters for foods and sex life by recycling the process of eating, peeing, pooping, and mating.  

    Why Does Contraception Come to the Scene of Discussing Sex and Life?
    Procreation or reproduction is the most primitive goal of sex life so we appear on today's stage of life on this planet. The ultimate goal of
    upraising is make our children capable to recycle the process of survival, growth, and continuation as described above, and it is very
    costly in finance and time, which are the sure price we have to pay if wanting to enjoy our share of traditional pleasure and honor of life.
    As a result, most people just simply can no afford to go through a full steam of parental duty to raise many kids, and they have to
    calculate and plan how many children couples would like to have. The pressuring affordability to raise children affects not just personal
    but social life. That is why and how no-scalpel vasectomy emerged in China as the most definite feasible way to control population by
    lowering birth rate. Hence the demand for contraception heightened.

    How Many Methods are Available for Contraception?
    The imagination goes and explores all possible means to prevent sperms to meet and fertilize a timely waiting egg, that are, blocking
    egg or sperm transportation with tubal ligation or vasectomy, or aborting egg production by taking birth control pills to manipulate sex
    hormones via oral or implantation routes. or preventing ejaculation inside the vagina with timely penile withdrawal at the verge of
    ejaculation, or calculating menstrual cycle for safety. Among all available contraceptive methods, vasectomy leads the pack of all
    contraceptives in considering its simplicity and effectiveness.

    How Successful are the Available Contraceptives?
    Methods                                                                          Actual Success Rate                                         Theoretical Success Rate
    ===================================================================================================
    Evera patch                                                                      92%                                                                        99.7%
    -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Pill-combined                                                                  92%                                                                        99.7%
    -progestin                                                                         92%                                                                        99.7%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Nuvaring                                                                           92%                                                                         99.7%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    IUD
    - Copper T                                                                        99.2%                                                                      99.4%
    - Levonorgenestrel (Mirena)                                         99.9%                                                                      99.9%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Diaphragm-Spermicide                                                 84%                                                                          94%         
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Spermicide & male condom                                no confirmed data                                                          99%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Female condom alone                                                  79%                                                                           95%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Male condom alone                                                        85%                                                                           98%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Spermicides                                                                    71%                                                                            82%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Tubal ligation                                                                  99.5%                                                                         99.5%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Vasectomy                                                                     99.85%                                                                        99.9%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Cervical cap -women have had children                   68%                                                                             74%
    Cervical cap-women have not had ...                         84%                                                                             91%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Depo-provera                                                                  97%                                                                            99.95%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Sponge-women have had children                            68%                                                                             80%
    Sponge-women have not had children                     84%                                                                             91%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Fertility awareness method                                          75%                                                                            95-97%
    ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    Withdrawal                                                                       73%                                                                            96%
    -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
    NO METHOD (Chance)                                                 15%                                                                            15%
    ===================================================================================================
            This table is adopted from
        
https://www.optionsforsexualhealth.org/birth-control-pregnancy/birth-control-options/effectiveness.



    What Should We Do in Doubt for Becoming Pregnant?

    As we can see, there has been no known contraceptives carrying a 100% of success.

    Nowadays, more than 20 brands of HPT (home pregnancy test) kits are available for self testing at home and they carry a claimed
    accuracy up to 99% although a 95% accuracy is more realistic. So, do HPT (home pregnancy test) in one week after missing period
    (menstruation), and repeat HPT in another week if the first HPT is negative and still in doubt.

    However, if still in doubt after HPT as described above, seek timely evaluation and counseling by obs/gyn doctors.


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