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In typical use, the rate is approximately 22% during the first year of use.Elevated prolactin levels and a reduction of gonadotropin-releasing hormone from the hypothalamus during lactation suppress ovulation.This leads to a reduction in luteinizing hormone (LH) release and inhibition of follicular maturation.The duration of this suppression varies and is influenced by the frequency and duration of breastfeeding and the length of time since birth.The calendar method is based on 3 assumptions as follows: (1) A human ovum is capable of fertilization only for approximately 24 hours after ovulation, (2) spermatozoa can retain their fertilizing ability for only 48 hours after coitus, and (3) ovulation usually occurs 12-16 days before the onset of the subsequent menses.


For centuries, humans have relied on their imagination to avoid pregnancy.

In June 2013, the Centers for Disease Control and Prevention (CDC) issued selected practice recommendations for contraceptive use in the United States, covering issues such as the initiation of contraception, follow-up, and possible problems, including missed pills and unscheduled bleeding.


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