Reproductive Health - NEET 2026 Complete Notes
1. Need for Reproductive Health
Definition:
Why It’s Important:
- Population Control: India faces overpopulation pressure.
Reproductive health promotes awareness and use of contraceptives to
regulate birth rates.
- Maternal and Child Health: Ensures safe pregnancy, delivery, and
postnatal care, reducing infant and maternal mortality.
- STD Prevention: Promotes safe sexual practices to stop
spread of diseases like HIV, Syphilis, Gonorrhea.
- Contraceptive Awareness: Educates people on choices available for
birth control, and safe spacing between pregnancies.
- Infertility Diagnosis and Treatment: Helps couples struggling with conception
by providing medical assistance and counseling.
- Sexual Education: Helps teenagers understand puberty,
menstruation, pregnancy, and personal safety.
📌 Government
initiative: RCH Programme (Reproductive and Child Health care) launched
to improve reproductive well-being across India.
2. Sexually Transmitted Diseases (STDs)
Definition:
STDs are infections
transmitted through sexual contact. They can be bacterial, viral, or protozoan.
Common STDs and Causative Agents:
NEET Tip: Match diseases with causative agents and transmission mode.
Prevention of STDs:
- Use latex condoms during intercourse
- Avoid multiple sexual partners
- Get vaccinated (Hepatitis B, HPV)
- Regular medical checkups and early treatment
- Avoid unprotected sex and sharing of
needles
Why Birth Control?
- Prevent unintended pregnancies
- Avoid illegal and unsafe abortions
- Maintain spacing between births
- Prevent transmission of STDs
- Contribute to population stabilization
4. Contraceptive Methods
Classification of Contraceptives:
Natural Methods:
- Periodic Abstinence (Rhythm Method): Avoid intercourse during fertile window
(days 10–17 of menstrual cycle).
- Withdrawal (Coitus Interruptus): Penis withdrawn before ejaculation.
- Lactational Amenorrhea: During lactation, prolactin
suppresses ovulation temporarily.
📌Less effective due to
dependency on self-control and body awareness.
Barrier Methods:
- Male/Female Condoms: Prevent semen from entering the female
tract.
- Diaphragms, Cervical caps: Inserted into vagina to cover cervix;
used with spermicides.
Intrauterine Devices (IUDs):
- Non-medicated: Lippes Loop (mechanical barrier)
- Copper-releasing (CuT, Cu7): Copper ions reduce sperm motility
- Hormone-releasing (Progestasert, LNG-20): Progesterone prevents endometrial
buildup, thickens mucus.
📌Inserted by trained
doctor; long-term reversible method.
Hormonal Methods:
- Combined Pills: Contain estrogen + progesterone;
inhibit LH & FSH, hence no ovulation
- Saheli (India): Non-steroidal pill (centchroman);
once-a-week, high safety margin
Surgical Methods (Sterilization):
- Vasectomy: Vas deferens cut and sealed in males; no sperm
in semen
- Tubectomy: Fallopian tubes cut/tied in females; prevents
ovum transport
📌Permanent,
irreversible; advised for couples with completed families.
5. Medical Termination of Pregnancy (MTP)
Definition:
Deliberate termination
of pregnancy before full term using medical/surgical methods.
Legal Aspects in India:
- Legal under the MTP Act (1971),
amended in 2021
- Can be done up to 24 weeks in
specific cases:
- Risk to mother’s health
- Fetal abnormalities
- Pregnancy due to rape/incest
- Failure of contraceptives (in married and
unmarried women)
Methods:
- Medical MTP: Drugs like mifepristone + misoprostol
- Surgical MTP: Dilation and curettage (D&C), vacuum
aspiration
📌Risks include incomplete abortion, infections, future complications. Should be conducted only by qualified licensed practitioners.
6. Amniocentesis
What Is It?
A diagnostic technique
where amniotic fluid is drawn using a needle (14–16 weeks pregnancy) to
analyze fetal cells.
Applications:
- Detect chromosomal abnormalities (Down’s
syndrome, Turner’s syndrome)
- Identify metabolic/genetic disorders
(Thalassemia, Sickle cell)
- Determine fetal sex (❌ illegal in India under PCPNDT Act)
📌 Misuse for
sex-determination → female foeticide → strict ban
🚫 7. Infertility
Definition:
Inability of a couple
to conceive even after 1 year of regular, unprotected sex
Causes:
In Males:
- Low sperm count (oligospermia)
- Poor motility
- Hormonal imbalance (↓ testosterone)
- Obstruction in vas deferens
- STDs or varicocele
In Females:
- Ovulation failure (due to PCOS, hormone
imbalance)
- Blocked fallopian tubes
- Endometriosis
- Uterine abnormalities
- Thyroid disorders
Diagnosis:
- Hormone assays (FSH, LH, TSH)
- Ultrasound, Hysterosalpingography
- Semen analysis
- Laparoscopy
8. Assisted Reproductive Technologies (ARTs)
ARTs are helpful for
infertile couples, especially in:
- Blocked fallopian tubes
- Low sperm count
- Hostile cervical mucus
- Unexplained infertility
- Learn causative agents + symptoms of
STDs
- Know mechanism and examples of
contraceptives
- Understand MTP law and ART
procedures
- Amniocentesis = prenatal diagnosis, not for sex
determination!
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