contraception the active prevention of pregnancy
TRANSCRIPT
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CONTRACEPTION
THE ACTIVE PREVENTION OF PREGNANCY
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Total Abstinence – How it works
No sexual contact until marriage Oral Anal Vaginal
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Abstinence Only 100% method Protects against
STI No physical side
effects Can be used any
time Nothing to
purchase
Requires commitment and self-control by both partners
Social pressure to engage in intercourse
Many people fail to use protection when abstinence ends
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AbstinenceEffectiveness Perfect Use: 100%
IF used consistently and correctly
Typical Use: Unknown, depends on the user
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AbstinenceWithdrawal Nothing to
purchase Available as a last
resort, *can always say NO
Dependent completely on the male partner
Requires great control May affect pleasure No STI protection Not a method
recommended for adolescents
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AbstinenceWithdrawal – How it works Sexual Intercourse – Male withdraws his
penis and ejaculates outside of the vagina.
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WithdrawalEffectiveness Varies: failure rate
increases if the male does not predict and control ejaculation correctly
<75%
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Rhythm – How it Works Tracking a female’s
menstrual cycle. Not having
intercourse while an egg is in the fallopian tubes
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Effectiveness Not advised for
teens due to changing cycles
Extremely dangerous
Consult Dr. About 50%
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Barrier vs Chemical
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Male Condom – How it Works
Barrier Method Latex sheath placed over the penis Catches & holds seminal fluid in
‘reservoir tip’
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MechanicalMale Condom
• Also protects against STI
• Male involvement• Inexpensive• Over the Counter
(otc)• May help delay
ejaculation
May leak or break if used incorrectly
Requires preparation and planning
Expire Storage 1 time use only
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Male CondomEffectiveness Perfect Use: 98% if
used correctly and consistently
Typical Use: 85%
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MechanicalFemale Condom
Barrier Method Latex sheath placed inside vagina,
closed end at cervix, open end outside.
Penis is placed into it and it prevents fluid entering vaginal canal
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MechanicalFemale Condom Also protects
against STI Available OTC Alternative for
people with latex allergies
Requires high level of comfort with one’s body
May be difficult to insert May become dislodged
during intercourse Requires preparation and
planning Expire Storage 1 time use only
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Female CondomEffectiveness Perfect Use: 95% if
used correctly and consistently
Typical Use: 79%
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MechanicalDiaphragm/Cervical Cap
Barrier method placed over the cervix. Blocks sperm cells from entering
Spermicide affects the way sperm cells move
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Mechanical Diaphragm/Cervical Cap
Barrier method that covers the cervix Used with spermicide Must be fitted by Dr.
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Mechanical Diaphragm/Cervical Cap Can be inserted in
advance of intercourse
Can remain in place for multiple acts
Used with spermicide
Reusable
Requires high level of comfort with one’s body
Requires fitting by clinician
May be difficult to insert Limited STI protection,
possible irritation by spermicide that could facilitate STI transmission
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Diaphragm/Cervical CapEffectiveness Perfect Use: 91%
cap 94% diaphragm
If used correctly and consistently
Typical Use: 84%
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Diaphragms / Caps
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Chemical / MechanicalIntraUterin Device
Affects way sperm cells move T shaped device inserted into the
uterus Alters the uterine lining preventing a
fertilized egg from implanting *2 types, hormonal and non-hormonal
Hormonal method prevents ovulation
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IUD Can stay in place
for up to 10 years. Nothing to apply or
insert at time of intercourse
No STI protection Dr must insert and
remove Cost Rare complications
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Effectiveness
Perfect/typical use: 99% $500-$1,000
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Chemical / MechanicalSponge – How it Works
Barrier placed against cervix that contains spermicide
One time use only
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Chemical / MechanicalVaginal Sponge
Inserted in advance of intercourse
2 methods of protection
Difficult to insert or remove
May become dislodged
Difficult to find in stores
May cause irritation
Cost, $9-15 for pack of 3
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Sponge - Effectiveness
Perfect Use: 91% Typical Use: 88%
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ChemicalBirth Control Pill – How it Works
Hormonal method that prevents ovulation
Pill taken by mouth each day of cycle. No egg, no possibility of pregnancy
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ChemicalThe Birth Control Pill Nothing to apply or insert
at time of intercourse More regular, Shorter
periods Ability to become
pregnant returns quickly when use is stopped
Protects against painful, heavy, or irregular periods
Must remember to take daily
Possible side effects: nausea, breast tenderness, weight gain or loss
Rare but serious health risks (Blood clots, heart attack, & stroke - these risks are higher for women over 35 who smoke)
No STI protection
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The PillEffectiveness Perfect Use: 99+% Typical Use: 92%
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ChemicalPatch – How it Works
A hormonal patch worn on the skin for 3 weeks preventing ovulation
Not worn for 1 week, menstruation
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ChemicalBirth Control Patch Continuous
protection against pregnancy for 1 month
Nothing to apply or insert at time of intercourse
Must remember to replace patch weekly and not wear it the week of menstruation
Visible Not available in all
skin tones No STI protection
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The PatchEffectiveness Perfect Use: 99+% Typical Use: 92%
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ChemicalVaginal Ring – How it Works
The vaginal ring is a small, flexible ring a woman inserts into her vagina once a month to prevent pregnancy. It is left in place for three weeks and taken out for the remaining week each month. The vaginal ring is commonly called NuvaRing, its brand name.
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ChemicalVaginal Ring
Nothing to apply or insert at time of intercourse
Can regulate menstrual cycle
Hormonal Cost - $35-250 No STI protection Nausea Weight gain/loss Risky for those
over 35 who smoke
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ChemicalVaginal Ring
Perfect use: 99% Typical use: 91%
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ChemicalSpermicide - How It Works Contraceptive foams block the entrance to the
uterus with bubbles and contain a spermicide that immobilizes sperm.
Contraceptive creams, jellies, film, and suppositories melt into a thick liquid throughout the vagina. They block the entrance to the uterus and contain spermicide that immobilizes sperm.
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ChemicalSpermicides Available otc in a
variety of forms (creams, foams, gels, suppositories)
Adds lubrication
Timing: must insert close to each intercourse
May cause allergic reaction
Possibility of irritation that could facilitate STI transmission
No STI Protection
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SpermicideEffectiveness Perfect Use: 85% if
used correctly and consistently
Typical Use: 71%
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ChemicalInjection – How it Works
An injection by a Doctor once every 3 months that is a hormonal method that prevents pregnancy
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ChemicalInjection Continuous protection
against pregnancy for 3 months
Nothing to apply or insert at time of intercourse
Menstruation stops for over half of women (some may not consider this an advantage)
Private
Requires injection Must remember to get
shot Side effects: weight
gain, irregular periods, headaches
Return to fertility may take several months
NO STI protection
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InjectionEffectiveness Perfect Use: 99+% Typical Use: 97% Cost: $240-580 per
year
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ChemicalNorplant – How it Works
The progestin in the birth control implant works by keeping a woman's ovaries from releasing eggs — ovulation.
The hormone in the implant also prevents pregnancy by thickening a woman's cervical mucus. The mucus blocks sperm and keeps it from joining with an egg.
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Implant The ability to become
pregnant returns quickly when you stop using the implant.
It can be used while breastfeeding.
It can be used by women who cannot take estrogen.
It gives continuous long-lasting birth control without sterilization.
There is no medicine to take every day.
Nothing needs to be put in place before vaginal intercourse.
headache rarely, an infection
or pain in the arm nausea pain at the insertion
site weight gain
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Norplant – Effectiveness
Typical/Perfect Use: 99%
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ChemicalEmergency Contraceptive – How It Works Prevents ovulation Thins the lining of the uterus Thickens cervical mucus to act as a barrier
method Must be taken within 120 hours (5 days) of
unprotected sex or sex where an ‘accident’ happened - ***the sooner the better.***
Emergency contraception should not be used as a form of ongoing birth control because there are other forms of birth control that are a lot more effective.
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ChemicalEmergency Contraception Pill
Relatively safe No known reports
of serious side effects
Its Plan B, not ‘THE method’
Nausea breast tenderness irregular bleeding dizziness headaches If you use the
morning-after pill frequently, it may cause your period to be irregular.
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ECPCost
The cost of emergency contraception varies a great deal. It may cost anywhere from $10 to $70. If you are not 17 and need a prescription, the health center visit may cost up to $250, depending on where you live.
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ECP- Effectiveness
89% effective Pill only protects against pregnancy
for prior acts. Will not protect against future situations. Risk increases over time.
If the female does not have her period within three weeks she should consider a pregnancy test.
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PermanentVasectomy – How it Works
Vasectomy is a form of birth control for men that is meant to be permanent.
During vasectomy, a health care provider closes or blocks the tubes that carry sperm. When the tubes are closed, sperm cannot leave a man's body and cause pregnancy.
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Vasectomy Permanent – feel
that family is ‘complete’
Non-hormonal
Surgery – bruising, soreness, risk of infection
Cost - $350 - $1,000
Rare complications with surgery
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Vasectomyeffectiveness
99+% However, vasectomy is not
immediately effective. Sperm remains beyond the blocked tubes
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Permanent Tubal Ligation – How it works During a sterilization procedure, a health
care provider closes or blocks a woman's fallopian tubes. Closing the tubes can be done in several ways.
One way is by tying and cutting the tubes — this is called tubal ligation. The fallopian tubes also can be sealed using an instrument with an electrical current. They also can be closed with clips, clamps, or rings. Sometimes, a small piece of the tube is removed.
Sometimes, tiny inserts are put in the tubes. Tissue grows around them and blocks the tubes. The brand names for these types of sterilization are Adiana and Essure.
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Female Sterilization Permanent Safe & Highly
effective
Cost - $1,500 - $6,000
Surgery Rare complications Family changes
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Female Sterilization Sterilization is nearly 100 percent effective. For every 1,000 women who have Essure,
fewer than 3 will become pregnant. For every 1,000 women who have
traditional incision methods, about 5 will become pregnant.
For every 1,000 women who have Adiana, fewer than 20 will become pregnant.
Most kinds of sterilization for women are effective right away. But it takes about three months before Adiana and Essure are effective.