2. If you think using contraception is inconvenient, try getting up at 1 A.M. 3 A.M. 5 A.M. etc. to feed or care for a crying baby, and then go to school!

3. The decision to begin having sex takes a lot of thought about responsibility. An unplanned pregnancy changes a teenager’s life in many ways. Be Responsible. Think about your actions before you do anything. Are you ready to become a parent? Remember that abstinence is the only 100% effective method of contraception. TAKE CHARGE OF YOUR LIFE!

4. Contraceptives- Methods used to prevent conception. (pregnancy) The methods are categorized as barrier, hormonal or permanent. You also need to know the failure ratings of each method. These rates are measured for perfect use situations, but real users make mistakes.

5. Before choosing a method, you need to consider the following: Your overall health How often you have sex The number of partners you have If you want to have children someday The failure rates of each method Possible side effects You and your partner’s comfort level with using the method The cost of each method

6. The method most teens use is the Pull and Pray Method This method has a high failure rate, based on 100 expected pregnancies, 90 women will become pregnant using this method It takes a lot of male self-control. Even if the male pulls the penis out before ejaculation, there are sperm present due to the cowpers glands.

7. Barrier methods- Put up a block, or barrier, to keep sperm from reaching the egg. The Today Sponge— contains a spermicidal that kills sperm. It is put in up to 24 hours before sex and left in for 6 hours after. Failure rate is 16-32.

8. Spermicides Jellies, Foams, Creams, Suppositories, Films These products are put into the vagina and will kill sperm that are ejaculated or present. They are more effective if used with another barrier such as the diaphragm. 30 Pregnancies if used alone

9. Diaphragm, cervical cap, cervical shield These barriers block sperm from entering the cervix. A spermicide is applied and then they are placed into the vagina next to the cervix. They must be left in place for 6-8 hours after. 15 pregnancies 17-23 pregnancies

10. Female Condom This is worn by the female inside the vagina. It lines the vagina and keeps the sperm from crossing into the cervix to reach the egg. It is inserted 8 hours prior to sex. Failure rate of 20 pregnancies

11. Male Condom Thin latex, polyurethane or natural/lamb skin. Can be non-lubricated or lubricated. Must have spermicide to be effective against pregnancy. Cannot use petroleum jelly for lubrication it weakens the condom. Don’t keep them in your wallet or glove box as heat breaks down the condom causing breakage. 2 is NOT better than 1 For the avid hunter Pick your color! READ THE DIRECTIONS!!!!!! 11-16 Pregnancies

12. Hormonal methods — Prevent pregnancy by interfering with ovulation, fertilization, and/or implantation of the egg Oral Contraceptives, (The Pill) These contain estrogen and progestin. Taken daily to prevent the ovary from releasing an egg. It also causes changes in the lining of the uterus to prevent the sperm from joining the egg. There are a variety of prescriptions. Some are monthly, some are four month Risks include blood clots. Smoking increases the risks 5 Pregnancies

13. Emergency Contraception “The morning after pill” or “Plan B” Should not be used as regular birth control Has to be give within 72 hours of unprotected sex, or failed protection, (the condom breaks) 1 pregnancy

14. The Patch Brand name called Ortho Evra The patch releases hormones into the bloodstream over a three week period. The patch is replaced every three weeks and placed on the abdomen, buttocks, outer arm, or upper body. Side effects are same as the pill. 5 Pregnancies

15. The shot, Depo-Provera It is given every three months It should not be used longer than 2 years in a row. Side effects are same as the pill Less than 1 pregnancy

16. The vaginal ring, (The Nuva Ring) Worn for three weeks and is taken out the week of the period. Risks are the same as the pill 5 pregnancies

17. Implantable Contraceptives Devices inserted into the body and left there for a long period of time Implanon and Norplant, the rod type of contraceptive. A matchstick-size, flexible rod/s that are put under the skin of the upper arm. Can be effective for three to five years. Less than one pregnancy

18. Intrauterine Devices, I.U.D. A small T shaped device that is inserted into the uterus and can stay there for 5-10 years Copper IUD, or ParaGard Marena, a hormonal type of I.U.D Less than one pregnancy

19. Permanent birth control methods For people who are sure they never want children, or they do not want more children. Sterilization Implant (Essure). A thin tube is used to thread a tiny spring-like device through the vagina and uterus into the fallopian tube. Scar tissue forms around the coil blocking the fallopian tubes and stopping the union of the sperm and egg. Less than 1 pregnancy

20. Surgical Sterilization For the females it’s called a tubal ligation. Cutting, tying, or sealing the fallopian tubes to prevent the egg and sperm from uniting. Less than 1 pregnancy

21. Male Sterilization A vasectomy is the cutting of the vas deferens so sperm are not present in the ejaculate. Less than 1 pregnancy

22. Natural Family Planning or “The Rhythm Method” This Method is used by checking body temperature and keeping track of your menstrual cycle to determine what days you are most likely to become pregnant. You would not have sex on those day. Sometimes used to intentionally become pregnant 30 pregnancies

23. The side effects to hormonal contraceptives It will vary among females, many include:  Pain  Bleeding  Weight gain  Headache  Hair Loss  Tubal Pregnancy  Depression  Ovarian cysts  Blood Clots  Bone Loss with Long term Use  Stroke  Allergic Reaction

24. How you can get contraceptives Over the Counter Condoms Sponges Spermicides Emergency Contraception (if under 17 need a prescription) Prescription or Clinic Visit All Oral Contraceptives Patch Vaginal Ring Diaphragm Cervical Cap and Shield Shot IUD Implantable rods Surgical procedures such as the vasectomy and the tubal are performed either as an out patient or in the doctor’s office.

25. The Only 100% effective contraceptive is

26. Many people consciously choose not to use contraception. They may have moral, religious or personal reasons for their choice. They may want a pregnancy. However, over 850, 000. teens face unplanned pregnancies each year that end in unwanted births or abortion. For teens, these pregnancies are not a result of a conscious choice, but a failure to determine their values and take time to wait for sex. On the next slide, you will see some commonly asked questions, take a few minutes and answer them honestly.

27. 1.Why don’t teens use contraceptives? 2.What can be said about the maturity of those that do not use contraceptives? 3.How does the media portray the use of contraceptives? 4.What teen couples are most likely to use contraceptives? 5.Do you think learning about contraceptives in a sexual education course at school is a positive thing? Why? Suppose you had the ability and the resources to invent the ideal method of birth control. What would it be like? How would it be different than any other method on the market? Who would be responsible for using it? What would be the advantages to you method?