1. Birth Control: the basics

2. WHAT SHOULD I THINK ABOUT WHEN CONSIDERING A METHOD
Monogamous vs. Multiple Sexual Partners
Frequency of Intercourse
Effectiveness of Methods
Access to Health Care
Short vs. Long Term Contraceptive Needs
Convenience of Methods
Ability to Use as Directed

3. Monogamous vs. Multiple Sexual Partners
Frequency of Intercourse
Effectiveness of Methods
Access to Health Care
Short vs. Long Term Contraceptive Needs
Convenience of Methods
Ability to Use as Directed

4. ABSTINENCE lifestyle choice – not a birth control method positives?
100% effective
totally safe
available to everyone
no side effects
start/end anytime

6. BIRTH CONTROL PILLS positives? 66% of UCSB students use this method
pill prevents ovulation and changes the lining of the uterus and cervical mucus
hormone regimens: progestin & estrogen vs. progestogen only;
mono-phasic vs. tri-phasic
Must be taken “day 1” of menstrual cycle for immediate effectiveness.
Look to directions if you miss a pill
Side effects can include weight gain, nausea, spotting
positives?
decrease in acne and decrease in PMS symptoms

7. NUVA RING positives? insert for 3 weeks, can be taken out/left
in for sex
NUVA
Contains
estrogen
and
progestin
RING
positives?
don’t have
to remember to
take something
everyday
The ring works in the same way as birth control pills
Contains both estrogen and progestin
How it is used:
Insert once for 3 weeks
Taken out week of period
Can be taken out for intercourse (or left in)
Backup method needed if left out for more than 3 hours

9. Paraguard Copper T (10 years) vs. Skyla (Smaller – 3 Years)
Most underutilized!
all must be
inserted
into the uterus
by a clinician
IUD
positives?
highly effective,
don’t have to
remember to pick up
prescription/take
a pill, is effective
for years
Paraguard Copper T (10 years)
vs. Mirena (5 Years)
vs. Skyla (Smaller – 3 Years)
Copper-T 380 (Paraguard)
Works by releasing copper in the uterus, a substance that is toxic to sperm
Can be left up to 10 years
Mirena IUD
Works like BC pills
Can be left up to 5 years
Skyla (3 years – smaller)
Both must be inserted into
the uterus by clinician
Highly effective method

10. Other types of hormonal methods – implanon (implant) 3 years and the shot (depo-provera) once every 3 months

11. Implanon positives? all must be inserted Highly Effective into the arm
Lasts 3 years
all must be
inserted
into the arm
by a clinician
positives?
Progestogen Only
25% will have no periods

12. 3 months to wait out side effects
Depo Provera
Highly Effective
Only 4 Shots a Year
positives?
Shot Every 3 months
Progestin Only
DownSide?
3 months to wait out side effects

13. B PLAN: emergency contraceptive Plan B is NOT BC
It’s appropriate when:
Contraception was not used
Contraception not used correctly
(check packet inserts)
Condom slipped or broke
Withdrawal or “pull out” method used
Forced sex
EC contains the hormone progestin prescribed under the brand name Plan B
Plan B can be taken up to 5 days after unprotected intercourse
More effective the sooner it is taken
Approximately 89% effective in preventing pregnancy (even higher in the first 24 hours)
Minor side effects include nausea and menstrual changes (next period can be earlier, later, heavier, or lighter than usual)
EC is not recommended for routine use (it is less effective than regular contraception)
Men and women who are 17 or older can get Plan B over the counter
emergency contraceptive

15. male condoms
cervical cap
diaphragm
female condoms

17. Cervical cap – held in place by the cervix
Diaphragm – held in place by the pubic bone
Lea’s shield – vaginal wall
Cervical cap – held in place by the cervix
Diaphragm – held in place by the pubic bone
Lea’s shield – vaginal wall

18. Drawback – partner might feel it, and you have to get it fitted

19. SPERMICIDE
vaginal spermicides include foams, creams, jellies,
vaginal suppositories and gels
the amount of nonoxynol-9 on a pre-lubricated
condom is not enough to prevent pregnancy
Con: Can cause a rash or small lacerations to the vagina, making it easier to transmit HIV or others STIs
Even more irritating to rectum
negatives?
can cause rash or small lacerations to the vagina,
making it easier to transmit HIV and other STIs;
even more irritating to the rectum

20. WHAT DOESN’T WORK

21. withdrawal (pulling out)
douching
Calendar Method
Done by tracking female’s menstrual cycle and having sex on days when female is not ovulating.
Problem: Menstrual cycles aren’t exact. Stressors can cause menstrual cycle to change.
Withdrawal
Done by withdrawing penis from vagina during intercourse before ejaculating.
Problem: Inability to withdraw penis on time/ Sperm can exist in pre-ejaculate/ precum.
sex on your period
calendar method
withdrawal (pulling out)

22. FAM PACT TEAL CARD (Family Pact) Affordable Care Act
Can be used in liue of parent’s insurance to protect identity.
Don’t need to be a citizen.
Student Health bills as “Student Health”
Emancipated Minors
TEAL CARD
Accepted at:
-Planned Parenthood
-IV Clinic

23. Prep/Pep
-Access PEP at Urgent Care 8:30am-4:00pm
-PREP covered by Fam Pact, GHI, and Gilead Supplement Card
HPV Vaccination and all Vaccinations
-DROP IN IMMUNIZATION CLINIC. No appointment needed!