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Why contraception?

Why contraception?

Thursday 22nd October 2020

By Ramandimbiharinoro Rojonirina Liantsoa (SE/CNLS)

Contraception, according to the World Health Organisation, is defined as “the use of agents, devices, methods or procedures to reduce the likelihood of pregnancy or to avoid it”.

Madagascar, with a contraception prevalence rate of 40.9% in 2018, needs to put in significant efforts to reach the goal of 50% set for 2020. Many young people are misinformed on contraception and have a poor perception of the risk of Sexually Transmitted Infections (STIs), AIDS or pregnancy.  


1.      To prevent unwanted pregnancy, the main reason.,

2.      To protect from STIs: Condoms are the only protection available against STIs and HIV.

3.      In preparation of the first time:  The desire to have sex can quickly urge to an adolescent. As contraception involves girls as much as boys, it’s better to prevent than to cure and then to use double protection: a contraception method and a condom.

4.      To avoid resorting to abortion

5.      To mitigate abundance and pain of menstruation: Progestin-only contraceptives (progestin-only pills, implant, hormonal IUD, injections) reduce the intensity of menstruation.

6.      To influence frequency of menstruation: combined hormonal contraceptives (pills, patch, and ring) regulate menstrual cycle.

7.      To space out pregnancies: a woman can become pregnant after only a few weeks of delivery if she or her partner do not use contraception method.

8.      To reduce acne  which is overall caused by hormonal imbalance

9.      To reduce risk of some cancers

10.  Poor management of « natural » contraceptive methods: Calculations aim to determine the date of ovulation. We deduce “safe” intervals to have sex. The length of menstrual cycle is different to each woman. Therefore, it is necessary to know the infertile period a posteriori, without forgetting external factors that can alter the cycle (medication, stress …)


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