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Q.How do oral contraceptives prevent pregnancy? OR What is the difference between vasectomy and tubectomy?

Mizoram MbseMizoram Board of School Education HSSLC 2021Subjective· 2mImportance★★★★★
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OCPs (synthetic estrogen ± progesterone) prevent pregnancy chiefly by blocking ovulation, plus secondary barrier effects on mucus and the endometrium.

(Answering the primary part; the OR alternative on vasectomy/tubectomy is not required.)

Oral contraceptive pills (OCPs) contain synthetic estrogen and progesterone (combined pills) or progesterone alone, taken daily, usually starting within the first five days of the menstrual cycle, for 21 days. They prevent pregnancy through several linked mechanisms:

  1. Inhibition of ovulation: the steady dose of estrogen/progesterone suppresses the hypothalamus-pituitary axis, reducing FSH and LH secretion. Without the normal LH surge, follicles do not mature fully and ovulation does not occur.
  2. Altered cervical mucus: progesterone thickens the cervical mucus, making it hostile to and blocking the entry of sperm into the uterus. …

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