1. Emergency Contraception
Morning After Pills
Preven ($60.00)
Plan B (Sliding Scale Costs)

2. Plan B 1-888-not-2-late or 1-800-230-plan Progestin pill only
Cost- unknown, price differs
Lowers risk of pregnancy by 75%

3. Preven 1-888-PREVEN2 or www.PREVEN.com 90%-99% effective
Estrogen and Progestin pills
Pills can be taken up to 72 hours after intercourse
Must remember to take daily
Some side effects (ex. nausea, gain weight)
Only works if implantation hasn’t taken place
2nd pill must be taken 12 hours after the first pill
Cost $60.00
Reversible
Continuous protection against pregnancy

4. Medical Abortion RU-486 Mifepristone (1st pill) Inhibits progesterone
3 Days later
Misoprostol (2nd by mouth or vaginal suppository)
Promotes uterine contractions
* May be used up to seven weeks after implantation (95% effective)

5. Surgical Abortions Early Vacuum Aspirations /Suction (D&C)
90% of all abortions
Performed 4-6 weeks
Dilation & Evacuation
7% of all abortions
Performed weeks
Insertion of a medical drug, which dilates the cervix

6. Surgical Abortion Induction Method Medical Extraction Major Procedure
Insertion of a saline solution, which starts contractions
1% of all abortions
Medical Extraction
Rare procedure

7. Evolution of the Condom
Latin word "condus" which means "vessel”
Oiled silk paper, linen sheaths, sheep intestine, snake skin leather, or very thin hollow horn

8. Condoms Today
Condoms can be found in a variety of shapes, sizes, colors, flavors and textures. Many condoms also contain lubricants, spermacides and a reservoir tip.
Condoms that play music when they break
“Dixie,” “The Anniversary Waltz,” “Happy Birthday to You,” & the “1812 Overture”

9. Male Condom Made of latex or polyurethane
Single use barrier method that blocks sperm from entering the female
Approximately 86%-97% effective
Some protection against STIs
Over the counter
Inexpensive
May leak, break, or interfere with spontaneity

10. Female condom
Rubber sheath with a flexible ring that is inserted in to the female
Single use barrier method that blocks sperm from entering the female
79%-95% effective
Some protection against STIs
Over the counter
May leak, break, or interfere with spontaneity
More difficult to use

11. Spermicide
A foam, cream, jelly, film, suppository or a tablet that contains Nonoxynol-9
20-50 out of 100 pregnancies
No protection against STDs

12. Contraceptive foam, film, suppositories
Available over the counter
Must be inserted close to time of intercourse
Limited STD protection
74%-94% effective

13. IUD (Intrauterine device)
A T-shaped device inserted into the uterus by a doctor
Can last from 1 to 10 years
About 2 in 100 pregnancies a year
Pregnancies usually end up in fallopian tubes

14. Diaphragm
Dome-shaped rubber disk that covers the cervix so sperm cant reach the uterus
Best if used with a spermicide
80%-94% effective
Inserted before intercourse, left in for at least 6 hours
Can be used multiple times
Uncomfortable to use
Has to be fitted
Limited protection against STDs

15. Cervical Cap
Soft rubber cup with a round rim which fits around the cervix
80%-94% effective
Hard to insert
Can remain in place for up to 48 hours without being removed

16. Combination Pill Effectiveness Adult Users 99.7%
Actual effectiveness: 92 %
Forget a pill or two
Not following directions
Certain antibiotics
Vomiting or diarrhea

17. Combination Pill
Benefits – regular cycle every 28 days, reduces cramps and flow, reduces risks of uterine and ovarian cancer and other diseases
Side Effects – nausea, headaches, weight gain, fluid retention, bleeding between periods, depression, mood changes, changes in vision, dizziness, yeast infections, and smokers increase chances of stroke and heart attack
Who should not use it – heavy smokers, suffer from severe depression, get migraines, have had blood clots, CVS, cancer or blood diseases
Cost - $10 to $35 a month

18. ABSTINENCE 100% EFFECTIVE ADVANTAGES
No medical or hormonal side effects
Easy to use
Prevents sexually transmitted infections
100%FREE
POSSIBLE DISADVANTAGES
many people find it difficult to abstain from sex
many people fail to use protection when abstinence ends
A commitment required by both people
Peer pressure

19. Extended Cycle Pill
Prevents ovulation, changes lining, difficult for fertilized ovum to implant, thickens the cervical mucous
Only four period per year
99% effective
Advantage for women who suffer from severe cramping or PMS
Side Effects – irregular bleeding, fluid retention (hands and feet), raise blood pressure, nausea, vomiting, headache, vision, appetite, depression infections and allergic reactions
Who should not use it – smokers, CVS, cancer
Cost - $100 to $120 for three months

20. Facts To Know
Other Benefits from correct use: benefits from the birth control method that are in addition to its use to prevent pregnancy
Side Effects: unwanted changes, including health risks, that might occur when the birth control method is used
Who should not use: a list of cautions that identify users who should not use the birth control method because it might cause health risks or might be inappropriate
Cost: an estimate of how much money the birth control method will cost

21. Facts to Know About Birth Control Methods
How it works: the way the birth control methods works to prevent pregnancy
Instructions for correct use: directions for using the birth control method the right way
Effectiveness:
Theoretical Effectiveness: % that tells how well birth control works if adult users use it the correct way every time and have no preexisting conditions that reduce how well it works
Actual user Effectiveness: % that tells how well birth control works if adult users do not use it in the correct way and have no conditions that reduce how well it works

22. Kinds of Birth Control methods
Abstinence from Sex
Oral Contraceptives - Combination Pill, Progestin Only Pill, Extended-Cycle Pill
Vaginal Ring
Injectable Contraceptives – injectable Progestin
Skin Patch
Barrier Methods – Spermicides, Diaphragm, Cervical cap, Male and Female Condom
Fertility Awareness Methods – basal Body Temperature Method, The Calendar Method, The Mucous Method
Sterilization – Tubal Ligation (Female), Vasectomy (Male)
Unreliable Methods – The Douche and Withdrawal

23. Norplant (Implant)
6 matchstick sized rubber rods implanted under skin of the upper arm
Steadily releases a contraceptive steroid levonorgestrel
Very effective. About 1 in 100 pregnancies
Lasts for 5 years until person needs to replace them
Reversible
Very expensive
No STD protection

24. Depo-Provera (injection)
Injectable progestin that prevents ovulation
Prevents sperm from reaching egg and keeps egg from implanting in the uterus
Less than 1 out of 100 pregnancies
1 injection every 3 months
Not safe against STDs
Fertility may take a few months to get back to normal

25. Lunelle (injection) Injectable form of Progestin and Estrogen
Less than 1 out of 100 pregnancies
Could change menstrual cycle, cause to gain weight
Given 1 time a month
Prescription given from doctor
No STD protection

26. WITHDRAWAL
Effectiveness varies: Increases if male doesn’t predict when to pull out
pregnancy is possible if sperm are spilled on the vagina
not effective against sexually transmitted infections — use latex or female condoms to reduce the risk

27. WITHDRAWAL ADVANTAGES can be used when no other method is available
POSSIBLE DISADVANTAGES
requires great self-control, experience, and trust
not for men who ejaculate prematurely
not for men who don’t know when to pull out
not recommended for teens

28. Fertility Awareness Methods
Nothing to purchase
Permitted by some religious groups that don’t allow other methods
Requires commitment to other person
No intercourse during menstrual cycle
80%-99% effective if done correctly

29. No Method No Protection
Only 15% effective
Free
No protection against pregnancy
No protection against STDs

30. STERILIZATION ADVANTAGES permanent protection against pregnancy
no lasting side effects
no effect on sexual pleasure
protects women whose health would be seriously threatened by pregnancy
POSSIBLE DISADVANTAGES
risks of minor surgery if incision is made
some people later regret not being able to have children
not usually reversible if you change your mind
rarely, tubes reopen, allowing pregnancy to occur

31. STERILIZATION
Tubal sterilization — intended to permanently block woman's tubes where sperm join egg
Vasectomy — intended to permanently block man's tubes that carry sperm
% EFFECTIVE Not effective against sexually transmitted infections — use latex or female condoms to reduce the risk.

32. STERILIZATION Tubal sterilization bruising if incision is made
very rare injury to blood vessels or bowel
pregnancies that rarely occur are more likely to be ectopic (in a fallopian tube)
Vasectomy
infection or blood clot in or near the testicles
temporary bruises, swelling, or tenderness of the scrotum
sperm leakage may form temporary small lumps near testicles

33. STERILIZATION
COST $2,000-$6,000/ tubal sterilization 240-$520/ vasectomy (Vasectomy costs less because it is a simpler procedure that can be done in the clinician’s office.)

34. Skin Patch
Hormones are released to prevent ovulation from occurring, mucus thickens, ovulation returns three months after the patch is last used
Effectiveness – 99% in women who weigh 198 pounds or less
Other benefits – menstrual cycle regular, shorter and lighter flow
Side effects – bleeding between periods, nausea, headaches, weight gain or loss, mood changes
Who should not use them – Same as others, include history of blood clots
Cost - $30-$35 a months

35. Ortho Evra (patch)
Patch worn on the lower abdomen or on the upper body
Releases progestin and estrogen into the bloodstream
Less effective for women weighing more than 198 pounds
New patch applied once a week for 3 weeks, 4th week no patch is worn so female can have her menstrual period

36. Vaginal Ring Small, flexible, plastic ring that is about 2 inches wide
Placed in the vagina each month and releases hormones similar to those in birth control pills
Prevents ovulation, removed after three weeks, after having a menstrual period insert a new one
Effectiveness – 98-99%
Benefits – regular menstrual period, shorter and lighter flow
Side effects – bleeding between period, nausea, headaches, weight gain or loss, mood changes

37. Vaginal Ring Who should not use it
Smokers, High Blood Pressure, CVD, liver disease, cancer
Cost - $30-35 a month

38. Nuva Ring
It is a small, flexible ring that is inserted into the vagina once a month
It is left in place for three weeks and taken out for the remaining week
The Ring releases synthetic estrogen and progestin to protect against pregnancy for one month.
Two woman out of every 100 who use the ring become pregnant

39. Cost of the Nuva Ring
The cost of the first visit and/or examination, if needed, ranges from about $35-$125
At some family planning clinics, the cost may depend on your income.
The Ring costs between $30 and $35 a month.
The cost is usually lower at a clinic and is covered by Medicaid.

40. OUTERCOURSE NEARLY 100% EFFECTIVE
pregnancy is possible if sperm are spilled on the vagina
reduces the risk of many sexually transmitted infections — unless body fluids are exchanged through unprotected oral or anal intercourse.
Latex or female condoms can reduce risk of infection.

41. Outercourse ADVANTAGES no medical or hormonal side effects
may prolong sex play and enhance orgasm
can be used when no other methods are available

42. Outercourse POSSIBLE DISADVANTAGES
many people find it difficult to abstain from vaginal intercourse
many people fail to use protection from pregnancy or infections if intercourse takes place