1. BIRTH CONTROL

2. MYTHS
Taking a borrowed BCP for a few days before sex is a reliable form of birth control
You can’t get pregnant if you have unprotected sex before or after your period
During sexual relations sperm enter the vagina only during ejaculation
Breast feeding prevents ovulation
You can not get pregnant the first time you have sex

3. Which Method Is Best For You?
How important is it not to become pregnant?
How safe is the method?
How easy, will I use it every time?
How much will it cost, can I afford it?
How will my partner feel?
Will I feel embarrassed?
How do I feel about touching my body?
How often do I have sex?
Do I need protection from STDs?
Do I have more then one partner?
Do I have religious or moral beliefs about birth control?

4. Coitus Interruptus/Withdrawal
Man withdraws before ejaculation
Pre-ejaculation fluid contains sperm and may contain the HIV virus
Free
Requires will power
High failure rate
pregnancies per 1000 women

5. Condoms Prevent semen from entering the vagina Available since 1500’s
Latex condoms prevent STDs
Most common form of birth control
99% effective if combined with spermicidal cream or jelly
Never use Vaseline or petroleum jelly only a water based lubricant

6. Condoms Heat destroys the rubber, don’t store in car or wallet
Check expiration date
May decrease sensation for the man and interfere with spontaneity

7. Condoms

8. Female Condoms Lubricated sheath with flexible rings on each side
Inserted into vagina like a diaphragm
26% failure rate
Used by women when men will not wear condoms

9. Female Condoms

10. Foams, Creams, Jellies Destroys sperm, spermicidal
Placed deep in vagina near the cervix
Inserted ½ hour before intercourse, after one hour it looses its effectiveness
Cheap and easy to use
No protection from STDs

12. Vaginal Douching Offers no protection from pregnancy or STD
Increases the risk of PID, cervical cancer

13. Oral Contraceptives Approx 10.4 million use the pill
Prevents ovulation
Usually a combination of estrogen and progesterone
Uterine wall does not develop adequately and cervical mucous thickens
Packets of monthly supply
Very effective

14. Oral Contraceptives Disadvantages Weight gain Nausea Swollen breasts
Headache
Yeast infections
Slight increase in blood clots
Antibiotics reduce effectiveness
Requires prescription from MD or NP
Cost

15. Intrauterine Devices IUD
95-98% effective
Very old form of birth control
Interferes with implantation of egg
Inserted by MD
May cause
bleeding,
Cramping
Backaches
Perforation of uterus
infections

18. Diaphragm Dome shaped cup of thin rubber stretched over a metal ring
Covers the cervix, blocks sperm from entering
Used with spermicidal cream
Requires fitting by medical professional
Inserted no more then 2 hours before sex and should be left in 6 hours after sex so spermicide can kill sperm
Must be refitted after childbirth

22. Cervical Cap Small rubber or plastic cup Fits over cervix
Used with spermicidal cream

24. Cervical Cap

25. Norplant Six flexible match stick sized capsules
Placed under the skin of upper arm
Progesterone released in a steady dose for five years
99% effective
Expensive
May cause scarring
Side effects possible
Weight gain
Acne
Headache

26. Norplant

27. Depo-Provera Injection 3 months protection from pregnancy
99% effective
Inhibits ovulation
Side effects similar to Norplant
May take several months to a year to regain fertility

28. Birth Control Patch 1 ¾ square inch patch applied to skin
Continuous delivery of hormones to prevent ovulation
Patch applied the day after your period ends
Replaced every week for three weeks
Fourth week there is no patch
99% effective
Similar side effects as the pill
Monthly supply costs 30-35$
Initial medical exam is $

29. Vaginal Ring Soft flexible plastic ring you place inside the vagina
Contains hormones that are slowly released
Prevents ovulation
Placed for 3 weeks and removed the fourth week
Similar side effects to birth control pills
Costs is 30-35$ month

30. Natural Family Planning
Avoid sex during ovulation
Temperature method
Slight increase in temp before ovulation and slt decrease after ovulation
Take basal body temp each morning before getting out of bed
Calendar method
Ovulation occurs days before next period
Avoid sex during this period

32. Billings Method Cervical mucous evaluation Preovulation Ovulation
Mucous white slippery
Ovulation
Easy to form elastic band with secretions
Looks like egg whites
Post ovulation
Secretions look cloudy and sticky
Sex during pre and post ovulation period
Natural family planning has high failure rate, pregnancies out of 1000 women/yr

33. Billings Method

34. Vasectomy Cut the vas deferens Takes about 30 min in MDs office
Should be considered permanent, very difficult to reverse the operation
Need to use other form of birth control until the sperm count is zero

35. Vasectomy

36. Tubal Ligation Tie off the fallopian tubes
Prevent the egg from going to the uterus
Out patient surgery
Considered permanent

37. Tubal Ligation

38. Abortion Political issue
Should not be used as a method of birth control
Almost ½ of American women will have at least one abortion by the age of 45
Each year 46 million women have abortions worldwide
60% occur in nations where it is legal
25% occur where it is banned
15% occur where it is allowed to save a woman’s life
19 million have an “unsafe” abortion and 600,000 die from complications
Illegal abortions may end in the death of the woman or infertility due to scarring and infection

39. Abortion

41. Morning After Pill Prevents fertilized egg from implanting
First dose within 72 hours of sex followed by a second dose 12 hours later
Usually offered in ED to rape victims
Prevents 89% of unwanted pregnancies

42. RU 486/Mifepristone Abortion pill
Can be taken up to 49 day of pregnancy
Causes the uterus to shed its lining
Can be prescribed by any MD or NP