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Abstract
Introduction: In this review, we discuss three main points: 1. What are the main achievements of modern contraception? 2. What could be done better? 3. Contraception in the future.
In I part we present all the new achievements in contraception including WHO data. It is essential, that, family planning/contraception reduces the rate of artificial abortion, especially unsafe abortion. Meantime we are aware; that the ideal contraceptive does not exist yet and the activities for its creation are going on. We suppose that a lot could be done better. For instance: it is lack of male contraception, Mifepristone successfully can substitute any type progestogene in female and male hormonal contraceptives. In addition ‘’The Modification of the Method of Hormonal Contraception” (MHC) gives the possibility of an 80% decrease in the frequency of side effects of the combined oral contraceptives and the “Phasic” contraceptives are considered as a huge additional benefit of the hormonal contraception. Contraception in the future should be based on something principally new. It is impossible to say how achievable the goal is, but still, we would like to present some of our promising options of female and male contraceptives for the future such as the fertility chip, origami female condom, dapavirine vaginal ring, vazalgel, gamendazole, clean sheet pill.
Method: The data concerning the issue was collected from the Google, NCBI and PubMed database by the use of keywords, such as: family planning, modern contraception, male contraception, emergency contraception, hormonal contraception, mifepristone, the future of contraception. The years for the search were 1989-2018.
Conclusion: The combat for the ideal contraception is continuing. It is necessary to develop male contraceptives and bring them up to the level of the females. Female contraception requires not only new methods but also, more appropriate use of already existing ones. The mechanism of action of the future contraceptives should be based, not only on biological, but physical and chemical processes as well.
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