1. Pregnancy Prevention Melissa Soltman Planned Parenthood Los Angeles

2. Services Available for Men, women & Teens  Pregnancy Test  Options counseling  STI Testing & Treatment  Birth control  Emergency Contraception  Abortion Care  Health Exams  Cancer Screenings

3. Planned Parenthood Los Angeles Health Center Locations  Canoga Park  Van Nuys  Burbank  Hollywood  East Los Angeles  El Monte  Crenshaw/ Baldwin Hills Basics  Lakewood  Lakewood Basics  South Bay  South Los Angeles  Santa Monica  Whittier  Pomona  Downtown LA  Long Beach

4. Closest Health Center East Los Angeles Center 5068 Whittier Blvd. Los Angeles, CA 90022

5.  Teens are welcome  Services are confidential  Fees are based on an individual’s ability to pay  Citizenship is not required Planned Parenthood Los Angeles Key Policies

6. Walk-in & Basics Services  BC refill  STI testing  Pregnancy tests  Emergency Contraception (EC)  Options counseling

7. Contact Information Making an appointment: (800) 576-5544 www.plannedparenthood.org

8. Birth Control Choices

9. Birth Control Options  Abstinence  Male Condoms  Female Condoms  Cervical Cap  Diaphragms  Contraceptive Sponge  Spermicide  Oral Contraceptive (Pill)  Ortho Evra (Patch)  Nuva Ring  Depo Provera  Implanon  IUD  Mirena  Copper T  Tubal ligation  Essure  Vasectomy  Emergency Contraception

10. Can a Pregnancy Happen If….?  A female hasn’t yet started menstruation?  He withdraws before ejaculating?  She douches after intercourse?  One person is drunk or high?  A couple has sex standing up?  She urinates immediately after intercourse?  He drinks a lot of Mountain Dew?  A couple has sex in a pool or hot tub?  She takes a shower or bath right away?

11. The 4 “C’s” of Birth Control  Consistently : Use every time sexual intercourse occurs  Correctly: Understand how the method works and practice  Comfort: Choose a method you are comfortable with  Communication: Discuss with partner beforehand what methods will be used. Make it part of the relationship

12. Things to Consider……  Typical vs. Perfect use  STD Prevention  Health exams

13. Behavioral Methods: Natural Family Planning (NFP) & Fertility Awareness Method (FAM) Based on knowing how people’s bodies and pregnancy works. NFP: abstain during the time the woman could get pregnant. FAM: barrier method during the time the woman could get pregnant. However…

14. Follow body’s fertility signs--this may include close monitoring of: Cervical mucus Where the cervix is located Basal body temperature (BBT) Types: Cervical Mucus Method Basal Body Temperature Method (BBT) Sympto-thermal Method (combo) Calendar Method Standard Days Method (Cycle Beads) Behavioral Methods: Natural Family Planning (NFP) & Fertility Awareness Method (FAM)

15. Male Condom  Latex, polyurethane  Lubricated or un-lubricated  Animal skin  Lubrication  Reduce the risk of STIs  One time use  85-98% effective

16. Female Condom Polyurethane (plastic) & Nitrile (rubber) Highly lubricated One time use for one act of vaginal intercourse Reduces risk of STIs 89-95% effective

17. Over the Counter Method- Spermicide  Chemical that immobilizes and kills sperm  No protection against STIs  1 hour or one act of intercourse  71-82% effective  Does not need to be removed  Does not protect against STIs

18. Over the Counter Method- Today Sponge  Soft polyurethane foam  Absorbs sperm, blocks cervix, releases spermicide  Many acts of intercourse in a 24 hour period  84-91% effective  Does not protect aginst STIs

19. Prescription Methods- Hormonal  Works by preventing ovulation  Other effects of method include: Thickening cervical mucus Thinning lining of uterus  Reversible  Possible side effects include: breast tenderness, headaches, dizziness, change in appetite  No STI protection

20. Prescription Methods- Birth Control Pill  One pill swallowed everyday at the same time of day  Not effective immediately  92-99.7% effective

21. Prescription Methods- Nuva Ring  Flexible plastic ring  One ring in vagina for three weeks, then removed for 7 days  One size  92-99% effective

22. Prescription Methods- Ortho Evra Band-aid like patch worn on the skin Patch remains on for 7 days at a time- 3 patches in a row then 7 days patch free 92-99% effective

23. Prescription Methods- Depo Provera  Injection  Effective for 12 weeks  99.7-99.9% effective  Progesterone only method  Can result in unpredictable cycle or no period  Cannot undo method once given

24. Prescription Methods- Implanon  Placed under skin in middle of upper arm  Designed for easy insertion & removal  1 implant, effective against pregnancy for 3 years

25. Prescription Methods- Intrauterine Device (IUD)  Mirena  Effective for up to 5 years  Hormonal method  Changes menstrual periods Paragard Effective for up to 10 years Made of copper and impairs sperm function

26. Prescription Methods: Intrauterine Device (IUD)  Paragard impairs sperm function  Mirena is a hormonal method which prevents ovulation  Contemporary IUDs rival sterilization in terms of effectiveness  Initial cost maybe high  Possible benefits include high effectiveness rate, long lasting, and convenient  Possible disadvantages may include altered bleeding patterns and cramps  No STI Protection

27. Prescription Methods- Diaphragm Disc- like shape, covers cervix, used with spermicide Must be fitted by a clinician Multiple acts of intercourse for one year May need to be refitted May require practice 80-94% effective

28. EMERGENCY CONTRACEPTION (Morning After Pill/EC/Plan B)  Can be used up to 5 days after unprotected intercourse  Most effective within 3 days (72 hours)  Can be used in cases of rape, condom or method failure, lack of method  Available at PPLA and doctors’ offices  OTC for men and women over age 18  (800) NOT-2-LATE  Reduce chance of pregnancy 75-90%

29. Sterilization  Vasectomy  Tubal ligation  Essure

30. Sterilization One of the safest, most effective, and most cost effective contraceptive methods. Has become one of the most widely used methods of family planning in the world in both developed and developing countries. Vasectomy (males) Tubal Ligation (females) Essure (females) Sterilization should be considered permanent. While it is true that in some cases, some types of sterilization can be reversed (traditional tubal ligation, vasectomy), this should not be counted on and is not the intended use. ©

31. Sterilization 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. It is nearly 100 percent effective. However, vasectomy is not immediately effective. Sperm remains beyond the blocked tubes. Another birth control method must be used until the sperm are used up. It usually takes about three months. A simple test, called a semen analysis, shows when there are no more sperm remaining in a person’s ejaculate. No protection against STIs©

32. Internal Male Anatomy ©

33. Sterilization Tubal Ligation and Essure There are a variety of ways Tubal Ligation can be done. One way is by tying and cutting the tubes. 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. Essure is another option for sterilization. Essure is the brand name for very small metal coils that are inserted in the tubes. Scar tissue grows around them and blocks the tubes. Sterilization is nearly 100 percent effective and offers no protection against STIs. ©

34. Internal Female Anatomy ©

35. STI and Pregnancy Prevention Messages  Abstinence  Communication with Partner (s)  Proper and consistent use of condoms, latex barriers and birth control for every act of intercourse: oral, vaginal or anal  Regular Testing – every 6 months  Communication with your health care provider

36. Thank you! 800.576.5544 PPLA 213.284.3311 PPLA Education