Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
com
Namma Kalvi
www.nammakalvi.org
UNIT I Chapter 3
Reproductive
Health
CHAPTER SNAPSHOT
3.1 Need for reproductive health Problems and strategies
ns
3.2. Amniocentesis and its statutory ban
3.3. Social impact of sex ratio, female foeticide and infanticide
3.4. Population explosion and birth control
io
3.5. Medical termination of pregnancy (MTP)
at
3.6. Sexually transmitted diseases (STD)
3.7. Infertility
ic
3.8. Assisted reproductive technologies (ART)
3.9. Detection of foetal disorders during early pregnancy
bl
Pu
ConceptMap
Concept Map
ra
Su
40
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
Evaluation
1. Which of the following is correct regarding 5. The approach which does not give the defined
HIV, hepatitis B, gonorrhoea and action of contraceptive is
Chapter 3
ns
fertilizing capacity of
2. Which one of the following groups includes
sperms
sexually transmitted diseases caused by
bacteria only? [Ans. (b) Vasectomy - Prevents spermatogenesis ]
io
(a) Syphilis, gonorrhoea and candidiasis
6. Read the given statements and select the
(b) Syphilis, chlamydiasis and gonorrhoea
(c) Syphilis, gonorrhoea and trichomoniasis
at correct option.
Statement 1: Diaphragms, cervical caps
(d) Syphilis, trichomoniasis and pediculosis
ic
and vaults are made of rubber and are
[Ans. (b) Syphilis, chlamydiasis and
inserted into the female reproductive
gonorrhoea]
bl
(c) The incubation period for syphilis is 2 to 14 (b) Both statements 1 and 2 are correct but
days in males and 7 to 21 days in females. statement 2 is not the correct explanation of
Su
42
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
ns
[Ans. (d) A-(iv), B-(i), C-(ii), D-(iii)] 8 blastomeres into uterus is called IUT
8. Select the incorrect action of hormonal (Intra uterine transfer)
Reproductive Health
contraceptive pills from the following
io
(c) Multi load 375 is a copper releasing IUD.
(a) Inhibition of spermatogenesis.
12. Which method do you suggest the couple
(b) Inhibition of ovulation.
at to have a baby, if the male partner fails to
(c) Changes in cervical mucus impairing its
ability to allow passage and transport of inseminate the female or due to very low
ic
sperms. sperm count in the ejaculate?
Ans. Intra Uterine Insemination (IUI)
bl
determine the sex of the foetus. Once the sex ‘Reproductive and Child Health Care (RCH).
of the foetus is known, there may be a chance Major tasks carried out under these programmes
of female foeticide. Hence, a statutory ban on are:
amniocentesis is imposed. (i) Creating awareness and providing medical
assistance to build a healthy society.
10. Select the correct term from the bracket and
(ii) Introducing sex education in schools to
complete the given branching tree
provide information about adolescence
Periodic abstinence
Natural methods B and adolescence related changes.
Coitus interruptus
Condoms, vaults,
(iii) Educating couples and those in the
A Caps etc marriageable age groups about the
Birth control
methods
Oral contraceptives Pills available birth control methods and family
Vasectomy planning norms.
Surgical methods
C (iv) Creating awareness about care for pregnant
IUDs D women, post-natal care of mother and
(Barriers, Lactational amenorrhoea, child and the importance of breast feeding.
CuT, Tubectomy)
43
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
Health care programmes such as massive the foetus in the after the birth’.
child immunization, supply of nutritional mother’s womb’
food to the pregnant women, Janani Suraksha intentionally.
Yojana, Janani Shishu Suraksha Karyakaram,
RMNCH+A approach etc., are taken up at the
national level by the Government of India.
ns
Causative agent Symptom
Disease
Bacterial STI
io
Affects the urethra, rectum and throat and in females the
Neisseria cervix also get affected.
Gonorrhoea
gonorrhoeae
at
Pain and pus discharge in the genital tract and burning
sensation during urination.
ic
Primary stage: Formation of painless ulcer on the
bl
external genitalia.
Secondary stage: Skin lesions, rashes, swollen joints and
Pu
Chlamydiasis
trachomatis the urinogenital tract, respiratory tract and conjunctiva.
Viral STI
Sores in and around the vulva, vagina, urethra in female
Herpes simplex or sores on or around the penis in male.
Genital herpes
virus Pain during urination, bleeding between periods.
Swelling in the groin nodes.
Human papilloma Hard outgrowths (Tumour) on the external genitalia,
Genital warts
virus (HPV) cervix and perianal region.
Hepatitis B virus Fatigue, jaundice, fever, rash and stomach pain.
Hepatitis-B
(HBV) Liver cirrhosis and liver failure occur in the later stage.
Human
Enlarged lymph nodes, prolonged fever, prolonged
AIDS immunodeficiency
diarrhoea, weight reduction, night sweating.
virus (HIV)
44
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
17. How are STDs transmitted? collected either from the husband or from
Ans. (i) Normally Sexually transmitted infections a healthy donor and is introduced into the
(STI) are transmitted from person to uterus through the vagina by a catheter
ns
person during intimate sexual contact with after stimulating the ovaries to produce
an infected partner. more ova.
Reproductive Health
(ii) Infections like Hepatitis-B and HIV are
io
The sperms swim towards the fallopian
transmitted sexually as well as by sharing tubes to fertilize the egg, resulting in
of infusion needles, surgical instruments,
etc with infected people, blood transfusion
at normal pregnancy.
or from infected mother to baby. 20. Amniocentesis, the foetal sex determination
ic
test, is banned in our country, Is it necessary?
18. Write the preventive measures of STDs. comment.
bl
Ans. Prevention of STDs (Sexually Transmitted Ans. (i) Amniocentesis is a prenatal technique used
diseases) to detect any chromosomal abnormalities
Pu
(iii) In case of doubt, consult a doctor for (iii) If the baby shows genetic abnormalities,
diagnosis and get complete treatment. abortion of the foetus may be required,
Therefore amniocentesis can help to
Su
45
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
Additional Questions
Choose the Correct Answer 1 Mark
Chapter 3
ns
(a) 2021 (b) 2025
[Ans. (b) HPV]
(c) 2022 (d) 2030
11. Mayer – Rokitansky syndrome is a condition
[Ans. (c) 2022]
in which
io
3. Sperm remains active for ______ hours in the (a) Ova are not produced
female reproductive tract (b) Ovaries are not formed
(a) 60 (b) 70 (c) 72 (d) 78
at (c) Uterus is not functioning
[Ans. (c) 72] (d) Fallopian tube is ruptured
ic
4. Saheli is an example for ______ method [Ans. (c) Uterus is not functioning]
bl
(a) Mechanical barrier (b) Chemical barrier 12. Test tube baby is got by ______ technique
(c) Hormonal barrier (a) IUI (b) CVS
Pu
46
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
ns
Ans. Cervical cancer is caused by a sexually
contraceptive?
transmitted virus called Human Papilloma virus
Ans. An ideal contraceptive should be user friendly,
(HPV). HPV may cause abnormal growth of
io
easily available, with least side effects and should
cervical cells or cervical dysplasia.
not interfere with sexual drive. at
13. What is IUT?
4. What is the purpose of barrier method of
Ans. IUT - Intra Uterine Transfer
contraception?
ic
(i) Embryo with more than 8 blastomeres is
Ans. In these methods, the ovum and sperm are
inserted into uterus to complete its further
bl
52
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
ns
blastomeres stage into uterus is called embryo
1. What is lactational amenorrhoea? transfer technique.
Reproductive Health
Ans. Menstrual cycles resume as early as 6 to 8 weeks
io
8. What are the causes of infertility in human
from parturition. However, the reappearance
beings?
of normal ovarian cycles may be delayed for
six months during breastfeeding. This delay in
at
Ans. Inability to conceive or produce children even
after unprotected sexual cohabitation is called
ovarian cycles is called lactational amenorrhoea.
ic
infertility.
It serves as a natural but an unreliable form of
Causes of infertility:
birth control.
bl
Ans. (i) Copper releasing IUD - Multiload 375 common causes of infertility in women.
CuT 380. (ii) Low body fat or anorexia in women. i.e. a
(ii) Hormone – releasing IUD - LNG-20. psychiatric eating disorder characterised
(iii) Non-medicated IUD - Lippes loop. by the fear of gaining weight.
ra
3. Mention any 3 causes for infertility. (iii) Under developed ovaries or testes.
Ans. (i) Low body fat or anorexia in women. i.e. a
9. What is micro-testicular sperm extraction (TESE)?
Su
53
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757
www.surabooks.com This material only for sample www.surabooks.com
Ans. A collection of procedures which includes the (i) Breast is divided into 4 quadrants and the
handling of gametes and / or embryos outside center (Nipple) which is the 5th quadrant.
the body to achieve a pregnancy is known (ii) Each quadrant of the breast is felt for lumps
as Assisted Reproductive Technology. ART using the palm of the opposite hand.
includes (iii) The examination is done in both lying
(i) Intra-uterine insemination (IUI): This is down and standing positions, monthly
a procedure to treat infertile men with low once after the 1st week of menstrual cycle.
sperm count. The semen is collected either This way if there are lumps or any deviation of
from the husband or from a healthy donor the nipple to one side or any blood discharge
and is introduced into the uterus through from the nipple we can identify cancer at an
the vagina by a catheter after stimulating early stage. Mammograms are done for women
the ovaries to produce more ova. The above the age of 40 years and for young girls and
ns
sperms swim towards the fallopian tubes women below 40 years. Ultrasound of the breast
to fertilize the egg, resulting in normal aids in early diagnosis.
io
pregnancy. 3. Write a note on cervial cancer.
(ii) In vitro fertilization (IVF): In this Ans. Cervical cancer: Cervical cancer is caused
at
technique, sperm and eggs are allowed to by a sexually transmitted virus called Human
unite outside the body in a laboratory. One Papilloma virus (HPV). HPV may cause
ic
or more fertilized eggs may be transferred abnormal growth of cervical cells or cervical
into the woman’s uterus, where they may dysplasia.
bl
implant in the uterine lining and develop. The most common symptoms and signs of
Excess embryos may be cryopreserved cervical cancer are pelvic pain, increased vaginal
Pu
(frozen) for future use. IVF is used to treat discharge and abnormal vaginal bleeding. The
many causes of infertility. risk factors for cervical cancer include
(iii) The basic steps in an IVF treatment cycle (i) Having multiple sexual partners
are ovarian stimulation, egg retrieval, (ii) Prolonged use of contraceptive pills
ra
surgery under general anesthesia, using with an HPV test. X-Ray, CT scan, MRI and a
ultrasound guide after 34 to 37 hours of PET scan may also be used to determine the stage
hCG (human chorionic gonadotropin) of cancer. The treatment options for cervical
injection. The eggs are prepared and cancer include radiation therapy, surgery and
stripped from the surrounding cells. At chemotherapy.
Modern screening techniques can detect
the same time, sperm preparation is done
precancerous changes in the cervix. Therefore
using a special media. After preparing the
screening is recommended for women above
sperms, the eggs are brought together.
30 years once in a year. Cervical cancer can
10,000-1,00,000 motile sperms are needed be prevented with vaccination. Primary
for each egg. Then the zygote is allowed to prevention begins with HPV vaccination of
divide to form 8 celled blastomere and then girls aged 9 – 13 years, before they become
transferred into the uterus for a successful sexually active. Modification in lifestyle can
pregnancy. The transfer of an embryo with also help in preventing cervical cancer. Healthy
more than 8 blastomeres stage into uterus diet, avoiding tobacco usage, preventing early
is called embryo transfer technique. marriages, practicing monogamy and regular
exercise minimize the risk of cervical cancer.
54 www.nammakalvi.org
orders@surabooks.com Ph: 81242 01000 / 812430 1000 / 96001 75757