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Question

In a lady with a regular 28-day menstrual cycle, what is the 'safe period'?

The correct answer is
First and last seven days

Safe Period Calculation in a 28-Day Cycle

The 'safe period' is a concept used in natural family planning, referring to the days in a woman's menstrual cycle when pregnancy is least likely. This calculation depends heavily on the regularity of the cycle and the typical timing of ovulation.

Understanding Ovulation and Fertile Window

  • Ovulation is the release of an egg from the ovary, typically occurring around the middle of the menstrual cycle.
  • In a standard 28-day cycle, ovulation usually happens around day 14.
  • Sperm can survive inside the female reproductive tract for up to 5 days, and the egg remains viable for about 12-24 hours after ovulation.
  • The fertile window includes the days leading up to ovulation and the day of ovulation itself. For a 28-day cycle, this is roughly days 10 through 17.

Identifying the Safe Period

The 'safe period' is considered the time outside this fertile window. Based on the typical ovulation around day 14 in a 28-day menstrual cycle:

  • First Safe Period: The initial days of the cycle, before the fertile window begins. This includes the first 7 days of the cycle (days 1-7). Pregnancy risk is minimal during this time.
  • Second Safe Period: The days following the fertile window, after ovulation has occurred and the egg is no longer viable. This includes the last 7 days of the cycle (approximately days 22-28).

Therefore, the combination of the first seven days and the last seven days of a regular 28-day cycle is often referred to as the 'safe period'. It's important to note this method has limitations and is less effective if the cycle is irregular.

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Important Questions from Conventional Contraceptives

  1. Which one of the following statements regarding contraception is NOT true?
  2. Which of the following are correct regarding failure rate of contraceptive methods?
    1. Depot medroxyprogesterone ace-tate 0 to 1 per HWY
    2. Norplant 0-1 per HWY
    3. LNG-IUS 0.02 per HWY
    4. Levonorgestrel 3 per HWY
    Select the correct answer using the code given below :
  3. Injectable medroxyprogesterone IP 150 mg/mL contraceptive injection is available in Family Health Programme of the Government of India under the name
  4. A 25-year-old newly married female on liver enzyme inducers is requesting contraceptive advice in family planning clinic. Which of the following would be the most reliable method of contraception for her?
  5. Amongst the following, the Pearl Index is highest with
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