Identify and describe How Pregnancy Begins, Hormonal Contraception: How It Works and The Contraceptive Pill in the context of contraception.
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GCSE Biology Revision
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GCSE Biology revision
Contraception
Hormonal coordination in humans
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Explain the relationships between How Pregnancy Begins, Hormonal Contraception: How It Works and The Contraceptive Pill and how they contribute to contraception.
Apply and analyse knowledge of How Pregnancy Begins, Hormonal Contraception: How It Works and The Contraceptive Pill to interpret unfamiliar information about contraception.
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Key knowledge
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How Pregnancy Begins
- FSH stimulates egg development in the ovaries, and LH triggers ovulation, releasing the egg into the fallopian tube.
- If a sperm fertilises the egg in the fallopian tube, the fertilised egg travels to the uterus and implants into the uterine wall to develop into a foetus.
- Contraception works by interrupting this process at one or more stages to prevent pregnancy.
Hormonal Contraception: How It Works
- Oestrogen, when released steadily, inhibits FSH production, preventing egg development and ovulation.
- Progesterone stimulates the production of thick mucus in the cervix, blocking sperm from reaching the egg.
- Many hormonal contraceptives use a combination of oestrogen and progesterone to provide dual protection against pregnancy.
The Contraceptive Pill
- The combined oral contraceptive pill contains both oestrogen and progesterone and is over 99% effective when taken correctly.
- The combined pill can cause side effects such as headaches or nausea in some users.
- The progesterone-only pill is equally effective but tends to cause fewer side effects than the combined pill.
Hormonal Patches, Injections & Implants
- The contraceptive patch is worn on the upper arm, releases oestrogen and progesterone, and each patch lasts one week.
- The contraceptive injection delivers progesterone into the upper arm and remains effective for 2 to 3 months per dose.
- The contraceptive implant is a small device inserted under the skin of the arm that slowly releases progesterone for up to 3 years.
Intrauterine Devices (IUDs)
- The plastic IUD is placed inside the uterus and releases progesterone, stimulating thick cervical mucus to block sperm.
- The copper IUD (copper coil) is a non-hormonal device that kills sperm inside the uterus, preventing fertilisation.
- Both the plastic and copper IUD can last over 3 years, making them long-term contraceptive options.
Barrier Methods of Contraception
- Male condoms are worn over the penis to trap sperm, while female condoms are worn inside the vagina to achieve the same effect.
- Condoms are the only form of contraception that also protect against sexually transmitted diseases (STDs).
- The diaphragm is a shallow plastic cup placed over the cervix to block sperm from entering the uterus, but must be used alongside spermicide due to its low reliability alone.
- Spermicide is a substance that kills sperm but is only effective around 7 out of 10 times when used alone, making it an unreliable sole method.
Sterilisation
- Female sterilisation involves cutting or tying the fallopian tubes, preventing eggs from travelling from the ovaries to the uterus.
- Male sterilisation (vasectomy) involves cutting and tying the sperm ducts, preventing sperm from being released during ejaculation.
- Sterilisation is considered a permanent procedure and is generally chosen only by those who do not wish to have any more children.
Natural Methods & Abstinence
- Natural methods include only having sex at certain times of the month or withdrawing before ejaculation, but both are highly unreliable.
- Abstaining from sex altogether is the only method that is 100% effective at preventing pregnancy.
Comparing Contraceptive Methods: Key Considerations
- Hormonal methods vary in how invasive they are, ranging from taking a daily pill to having a device implanted under the skin.
- The duration of effectiveness varies greatly across methods, from a single day (condom) to several years (IUD or implant).
- Choosing a contraceptive method involves weighing up effectiveness, side effects, invasiveness, and duration of protection.