Overview — Visual/Diagram-Oriented — Summary

Reproductive Health — Visual Organization

Contraception Classification Tree

CONTRACEPTIVE METHODS
├── Natural (behavioral)
│   ├── Rhythm method → days 10-17
│   ├── Coitus interruptus → withdrawal
│   └── LAM → prolactin → no ovulation → 6 months exclusive BF
│
├── Barrier (physical)
│   ├── Condoms $\frac{male}{female}$ ← ONLY method with STD protection
│   └── Diaphragm/Cervical cap ← no STD protection
│
├── IUD (intrauterine)
│   ├── Copper (Cu-T, Cu-7, Multiload 375) ← non-hormonal, Cu2+ ions
│   └── Hormonal (LNG-20) ← levonorgestrel, mucus thickening
│
├── Hormonal $\frac{systemic}{oral}$
│   ├── OC pills (combined) ← suppress ovulation via GnRH suppression
│   └── Saheli ← NON-STEROIDAL, centchroman, prevents implantation
│
└── Surgical (permanent)
    ├── Vasectomy ← vas deferens, males
    └── Tubectomy ← fallopian tubes, females

ART Flow Diagram

INFERTILITY PROBLEM
      │
      ├── Severe male infertility ────────────────→ ICSI
      │                                          (sperm into oocyte cytoplasm)
      │
      ├── Blocked fallopian tubes ───────────────→ IVF-ET
      │                                          (embryo to uterus)
      │
      ├── Intact tubes + in vitro fertilization → ZIFT
      │                                          (zygote to fallopian tube)
      │
      ├── Intact tubes + in vivo fertilization ──→ GIFT
      │                                          (gametes to fallopian tube)
      │
      └── Mild male infertility ────────────────→ AI/IUI
                                                 (semen to uterus)

STD Curability Map

BACTERIA (NTC)          VIRUSES (HHH)           PROTOZOA
     │                       │                       │
Neisseria (gonorrhoea)   HSV-2 (herpes)         Trichomonas (trichomoniasis)
Treponema (syphilis)     HBV (hepatitis B)*          │
Chlamydia                HIV/AIDS                CURABLE
     │                       │                  (metronidazole)
CURABLE               NOT CURABLE
(antibiotics)         * Hep B = vaccine available

Key Anatomy Reference

Female Reproductive Anatomy

Relevant sites:

Fallopian tube ampulla: Normal fertilization site; ZIFT and GIFT transfer site
Uterine cavity: IVF-ET, ICSI embryo transfer; IUD placement
Ovary: Egg source for IVF/ZIFT/GIFT (follicular aspiration)
Cervix: IUD insertion route; mucus thickened by LNG-20