Natural method of contraception include the following ?

Options

A. IUD
B. Pills
C. Condom
D. Lactational amenorrhea

Answer

### Step-by-Step Solution:

1. **Understanding Natural Methods of Contraception**:
- Natural methods of contraception are techniques that do not involve artificial devices or hormonal treatments. They rely on the body's natural reproductive cycle to prevent pregnancy.

2. **Identifying Key Natural Methods**:
- Among the various methods of contraception, some are classified as natural. These include:
- **Lactational Amenorrhea Method (LAM)**: This is a natural method based on the absence of menstruation during breastfeeding.
- **Calendar Method**: Tracking the menstrual cycle to avoid intercourse on fertile days.
- **Withdrawal Method**: The male partner withdraws before ejaculation to prevent sperm from entering the vagina.

3. **Focusing on Lactational Amenorrhea**:
- Lactational Amenorrhea refers to the natural postpartum infertility that occurs when a woman is amenorrheic (not menstruating) and exclusively breastfeeding.
- During the first six months postpartum, if a mother is exclusively breastfeeding, the chances of ovulation and conception are significantly reduced.

4. **Mechanism of Lactational Amenorrhea**:
- The hormone prolactin, which is responsible for milk production, also suppresses ovulation. This means that during the breastfeeding period, especially in the first six months, the likelihood of ovulation is very low, leading to a natural form of contraception.

5. **Conclusion**:
- Therefore, the natural method of contraception that is highlighted in the question is **Lactational Amenorrhea**. It is effective during the first six months after childbirth when the mother is exclusively breastfeeding.