Contraceptive Technology and Reproductive Health Series: Home Page Contraceptive Technology and Reproductive Health Series Back to FHI Website
Reproductive Health of Young Adults
Introduction Contents Post-Test References Go To Presenter Info

Goals

Section 1
Section 2

- Topics
- Objectives
- Involvement
- Activity
- Provides
- Attitudes
- Discussions
- Communication
- Training
- Activity
- Information
- Research
- Elements
- Sexuality
- Expressing
- Awareness
> Fertility
- Gender
- Where
- Activity
- Programs
- Partnerships
- Family
- Health Clinics
- Opportunity
- School-Based
- Community
- Mass Media
- Summary

Section 3
Section 4

Conclusion

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Section 2 - How to Reach Young Adults

Fertility of Men and Women

  • Males are fertile all the time
    after beginning sperm production

  • Females are fertile for a period
    of time during each cycle

  • Menstrual cycle:
    • begins with menstrual bleeding
    • ovulation occurs
    • if egg is not fertilized, cycle begins again in about 2 weeks

  • Fertile time can begin about 6 days before ovulation

Slide 42


Young people need to understand when they are fertile and when sexual activity can lead to pregnancy. In men, sperm production starts during puberty. Once this begins, men's bodies produce sperm continuously. Thus men are fertile all the time, typically for the rest of their lives.

Women are fertile for a short period of time during each menstrual cycle, from menarche until menopause when menstrual bleeding ends. This occurs at about age 45 to 50. The menstrual cycle is governed by a series of hormonal changes and generally varies in length from 21 to 36 days. The cycle begins with the first day of menstrual bleeding, which is the shedding of the uterine lining. Hormonal changes then lead to ovulation, when the egg is released from the ovary.

The number of days from the beginning of the cycle until ovulation varies. For most women, ovulation usually occurs 14 days before the initiation of the next menstrual bleeding. This means for a 28-day cycle, which is about average and is shown in the slide, ovulation occurs around day 14. In a 24-day cycle, ovulation would occur at about day 10, and in a 34-day cycle, at about day 20. For women with irregular cycles, it is particularly difficult to predict the day of ovulation.

After ovulation occurs, the egg can survive up to 24 hours. However, sperm can survive in the woman's reproductive tract for up to five days, so sperm deposited before ovulation can fertilize the egg. Thus, the fertile time for a couple — when it is unsafe to have unprotected intercourse — could begin six days before ovulation and last for 24 hours after ovulation. If fertilization occurs, the lining of the uterus is not shed and there is no menstrual bleeding. A missed menstrual period is often the first sign of pregnancy. If the egg is not fertilized, the cycle begins again about two weeks later, with another shedding of the uterine lining.

 

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