If your teenager finds out that she is pregnant, and will be having a baby soon, it is a very difficult situation to cope with. Teenage pregnancy is associated with intense stress and trauma in both the girl and her parents, and family. It is important for you to realise that teenage pregnancy can be okay, based on good and wise decisions. You should seek all options at hand, and discuss them with people you trust. There are several coping methods for dealing with the stress, trauma, and difficulty of teenage pregnancy. They are as follows:

Keep in mind that it is okay to be overwhelmed

A flood of emotions is likely to flow through your body on finding out that your teenage daughter is pregnant.
Your mind has to be set for facing several challenges which lie ahead. You have to go ahead.
It is okay to feel upset, but avoid showing it in front of your daughter.
Be supportive

You might be upset and angry, but you need to realise that your daughter is scared and alone.
She needs you by her side during this phase more than ever. Your child s health has to remain relaxed both physically and mentally during pregnancy.
Do not make your daughter feel shameful as it will worsen the trauma. You need to make her understand that you are with her to figure out some kind of solution.
Ask your daughter what she wants

It is important for you to ask your pregnant teenage daughter about what she wants, and you should respect her wishes.
Your daughter has to be comfortable with the choices you make regarding the pregnancy.
Give her advice and help her in exploring options

Instead of forcing your opinions and views on your daughter, you need to lead her to beneficial resources and support centres.
It is important for your daughter to make the best decision, without a lot of influence over what has been decided.
Explore the available options with her and point out the various pros and cons.
Teach your daughter the skills required to become independent

While you have to help your teenage daughter emotionally, financially and in many other ways, you should also teach her the ways of becoming an independent self sufficient adult.
If she decides on having the baby, it is very important for her to learn to take care of the baby and deal with all the issues that are likely to be faced.
It is also recommended for you to take your pregnant teenage daughter for therapy and proper counselling. These are also important for her to cope with the trauma and make the best decisions.

Teenage Pregnancy - How To Deal With Stress And Trauma?

Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:

Barrier Methods:
i. Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.

ii. Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.

iii. Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.

iv. Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.

Hormonal Methods:
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
i. Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
ii. Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.

Intrauterine Devices
The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.

Sterilization
This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.

In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.

Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants.

Different Types of Contraceptives and Its Uses

One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

Specialists for men

Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.

Specialists for women

Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

When Should a Couple See a Fertility Specialist?

Common causes of infertility in Women

Fertility in women can be affected because of various external or internal reasons. It is good to understand the problems since this fast becoming a very common problem. 

The causing factors usually include - 

1. Ovulation problems - One reason for female infertility is when eggs don't mature in the ovaries. This is known as ovulation problems. Possible symptoms of this are absent or irregular periods and the possible solution is keeping a check on body weight, taking fertility drugs and/or having IVF.

2. Uterus problem - There are tissues, known as endometrial tissues which form the lining of the uterus. When they grow outside the uterus, it is called endometriosis and can be a reason for infertility. While some women have no symptoms of this, some have painful periods. Fertility drugs, ivf and surgery to remove the tissue are its possible solutions.

3. Pcos - Pcos or Polycystic Ovarian Syndrome is of late one of the most common reasons of female infertility. It is characterised by unpredictable ovarian patterns and hormonal imbalances. Possible symptoms are acne, obesity, irregular periods, and excessive hair growth. Weight loss, changes in lifestyle, injected fertility drugs, ivf and ovarian drilling are its possible solutions.

4. Damaged fallopian tubes - Some women have blocked or damaged fallopian tubes which prevent the sperm from getting to the egg. This situation leads to stds and pelvic inflammatory diseases. There are no symptoms as such and the methods of solution are surgery to open the tubes and if that is not possible, to remove the tubes and try ivf.

5. Unidentified reasons - There are many unexplained fertility problems where none of the above mentioned problems exist. In such situations, fertility drugs - with or without artificial insemination or ivf are advised.

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5 Major Causes Of Infertility In Women

Most women have their own distinct smell below the belt. It might be a little embarrassing to know that there is a feminine odor, sometimes foul, in the private parts of a lady. But, it is true that this smell can be a cause of concern as well. Vaginal odour is a symptom for sexually transmitted diseases like chlamydia and gonorrhea. Besides, a combination of factors including infection of the vaginal tract, unhygiene, gland secretions, sweating and improper clothing are responsible for vaginal odour.

Common reasons for vaginal odour:

    Bacterial vaginosis: It is a very common phenomenon. Vagina contains bacteria, which are produced there naturally. Bacterial vaginosis refers to bacterial overgrowth. It leads to vaginal odour. Most women experience this condition at least once during their lifetime, especially in the reproductive years. Though the exact cause behind its occurrence is unknown, it can occur due to having unprotected sex or frequent douching.
    Yeast Infection: The odour caused due to yeast infection is not very strong. But it has other symptoms like white vaginal discharge and itching. The discharge looks like cottage cheese and is caused due to the excess growth of yeast named Candida. There might be a burning sensation at the time of having sex or urination.
    Sexually transmitted diseases: Vaginal odour is a symptom for STDs like chlamydia and gonorrhea.
    Vaginal odour can intensify after having sex: It can also be caused due to inflammation of the pelvic region.

When is vaginal odour a signal for STDs?

Vaginal odour is normal, but you need to watch out for other symptoms to be sure that whether or not you are infected with STDs. If you have vaginal discharge, painful urination and difficulty in having sexual intercourse, there is a possibility of developing STDs. In case of STDs, the discharge is bloody or brown in colour.

Is Vaginal Odour a Sign of STD?

STDs or diseases that spread due to the exchange of bodily fluids and most of them are treatable in nature, but one should get them treated as soon as poosible and should not ignore them as them can turn fatal as well. And, yes STDs can also spread without having sex. Some of the most common way of getting STDs without penetrative intercourse is mentioned below.

The most common way of contracting Sexually transmitted disease without sexual intercourse is:
1. Pucker up: Kissing can also cause STDs. Infections can be transmitted through the saliva if you swap your spit. Diseases like Mononucleosis and STD s like herpes can be transmitted through kissing. This can cause cold sores and infections in the mouth.

2. Oral sex: If a person has an STD, he or she can easily transmit the disease to their partner by having oral sex. During oral sex, fluids from the genitals can flow to the mouth and vice versa. For example STDs caused by herpes simplex virus 2 can be easily transferred by oral sex. Chlamydia can also be transferred by oral sex. This can cause infections and immense discomfort in your throat. STDs can be prevented by wearing a condom or using a dental dam during oral sex.

3. Contaminated foods: You can also develop STD like Hepatitis A from food which is contaminated. If a person infected with an STD prepares your meal without washing his or her hand after using the restroom, it can easily contaminate your meal thus, transmitting the disease.

4. Touching bases: Skin to skin contact or indirect contact with a person who already has an STD can make you prone to contracting STDs. It can be caused by using an unwashed sex toy with an infected person and also with hand to genital contact.

5. Tanning salons: STDs can be easily spread from person to person by means of a tanning bed. If the surface of the tanning bed is contaminated by someone who has STDs, the risk of developing an STD increases for the next person who ends up using the same bed.

6. Razors and syringes: Sharing a razor or anything which pierces or cuts the skin is an easy and common cause behind contracting an STD. If the razor cuts the skin of an infected person and is contaminated with blood, the next person using that razor can develop STD due to blood contact. The same may be said of a syringe where users share them. Many people, especially drug users shared common syringes which resulted in large scale transmission of HIV.

Can STDs Spread without Having Sex?

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