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   Behavioral
   Hormonal
   Barrier
    ◦ Spermicides
   Long-Term /
     Permanent
   Predicting fertility: Basal Body
    Temperature & Calendar method

   Withdrawal/Pullout


 Abstinence**
    ◦ The only 100% effective way to
      prevent pregnancy, STIs, HIV/AIDS
   What? lowest temp        What? Predicting
    of the body at rest       fertility based on
                              menstrual cycles
   How? Ovulation
    raises body temp ½       How? Women chart
    - 1 degree F, and         previous menstrual
    temp will drop if         cycles to predict the
    fertilization does        days they are fertile
    not occur                 and infertile
   What? The man takes his penis out
    of the vagina before he ejaculates
   How? Male needs to ejaculate away from
    female; sperm on legs and labia can still
    travel into vagina
   Notes: Depends on a male’s self knowledge
    and self control
   Access: Free, available to anyone
   Effectiveness: 78-96%
   The Pill
   The Patch                    These methods add
                                  chemicals similar to
   Vaginal Ring                  hormones to stop the
   The Shot                      release of an egg and
                                  weaken the sperm.
   Implant
                                 The hormones change
   IUD                           your cervical mucus
   Emergency Contraception       and uterine
                                  lining, slow
                                  sperm, and reduce
                                  ability of fertilized
                                  egg to implant into
                                  uterine wall.
   What? A pill taken orally every day
    at about the same time
   Notes: There are many different brands. Your
    doctor can help you find the right one for you.

    Your period can occur monthly, every 3
    months, or not at all
   Access: Prescription needed
   Effectiveness: 91-99.7%
   What? A bandage-like patch that sticks to
    your skin
   How? Changed weekly, no patch on 4th week.
    Hormones are absorbed through the skin
   Notes: Less effective if you weigh over 198
    pounds. May cause skin irritation.
   Access: Prescription needed
   Effectiveness: 91-99.7%
   What? A clear, soft, flexible 2 inch circle worn
    in the vagina
   How? The body absorbs hormones from the
    ring through vaginal wall. The ring is
    inserted and left in the vagina for 3 weeks.
   Notes: One size fits all, neither partner
    usually feels the ring
   Access: Prescription needed
   Effectiveness: 91-99.7%
   What? A long acting hormone injection
   How? Female is given a shot one time
    every 3 months
   Notes: Not reversible- once the injection
    occurs, the hormones are in the woman for at
    least 3 months. It may take a long time to get
    pregnant after the shot.

   More chance of weight gain than any
    other method
   Access: Clinic / doctor visit needed
    every 3 months
   Effectiveness: 94-99.8%
   What? A soft rod 1 ½ inches long placed
    under the skin in your upper arm
   How? Slowly releases hormones into your
    system
   Notes: Prevents pregnancy for 3 years, but
    can be taken out at any time
   Access: Clinic / doctor visit needed
    every 3 years
   Effectiveness: 99.95%
   What? A small plastic “T” with a string inserted
    into the uterus
   How? Releases synthetic progestin hormone that
    changes cervical mucus, fallopian tubes and the
    uterine lining. Stops or slows sperm and egg
   Notes: Lasts 5 years. Insertion can cause a few
    minutes of pain, but removal is fast and easy
   Access: Clinic / doctor visit needed
    for insertion & removal
   Effectiveness: 99.8%
   What? A pill or combination of pills you take
    after sex to prevent pregnancy
   How? Contains a higher dosage of the same
    hormones found in regular birth control
   Notes: Won’t stop an existing pregnancy
   Access: Available at pharmacy for girls
    17+, prescription is needed if less than 17
   Effectiveness: Approx 95% if taken within first
    24 hours of unprotected sex
 Male   condom
 Female   condom
 Diaphragm

 Cervical   cap
 Spermicides
   What? A thin covering that you unroll over an erect
    penis. Made of latex, polyurethane, or animal
    membrane (don’t protect against STIs).
   How? Put on before any genital contact. At
    withdrawal, hold the rim in place at the base of
    the penis so it doesn’t slip off.
   Notes: May decrease the sensation for men.
    Lubrication makes condom less likely to break.
   Access: Easy to buy in a store or online.
    Inexpensive. Usually offered for free at a health
    clinic.
   Effectiveness: 82-98%
   What? A soft, loose pouch that is inserted in the
    vagina. Flexible rings at each end hold it in
    place. Can be put in up to 8 hours before sex.
   How? Insert the small ring in vagina, large ring
    stays outside partially covering labia.
   Notes: Can be used if you are allergic to latex
    (made of nitrile). Men usually feel no reduction
    in sensation.
   Access: Available at many
    pharmacies, clinics, and online
   Effectiveness: 79-95%
   What? A soft, silicone dome       What? A soft, silicone cup holding
    that covers the cervix w/ a       spermicide designed to fit over the
    flexible rim that holds
    spermicide                        cervix
   How? Put a tbsp of                How? Put a tsp of spermicide in
    spermicide in and slide it into   cap and slide it into the vagina.
    the vagina. Protection lasts 2    Protects for 42 hours, needs to stay
    hours, and needs to be left in
    for 6 hours after sex             in at least 6 hours after sex
   Notes: Neither partners           Notes: Neither partners should feel
    should feel the diaphragm.        the cap. Less effective if you’ve
    Get re-fitted if you gain/lose    given birth.
    15 pounds
                                      Access: Doctor/clinic visit needed
   Access: Doctor/clinic visit
    needed for prescription and       for prescription and fitting
    fitting                           Effectiveness: 77%%
   Effectiveness: 82-94%
   What?Chemicals that go in
                      the vagina before sex.
   Cream             Immobilize or kills sperm.
   Gel               Most work for 1
                      hour, sponge for 24 hours
   Foam
                     How? Put in vagina following
   Film              packaging directions. Most
   Suppository       need to be put in 10
   Sponge            minutes before intercourse.
                     Notes:Key ingredient is
                      Nonoxynol9. Neither
                      partner should notice
                      spermicide.
                     Access:Easy to buy in a
                      pharmacy
                     Effectiveness: 72-91%
 Female- Tubal ligation
 Male- Vasectomy


    ◦ These procedures are permanent, and
      are usually done by people 35+ years
    ◦ Both procedures are done in a doctor’s
      office

   IUD: Copper (10 years)
Tubal Ligation (Female)
                     oA small incision is made in the abdomen to
                     access the fallopian tubes. Fallopian tubes are
                     blocked, burned, or clipped shut to prevent the
                     egg from traveling through the tubes
                     oRecovery usually takes 4-6 days




A small incision is made to access the vas
deferens, the tube the sperm travels from the
testicle to the penis, and is sealed, tied, or
cut
After a vasectomy, a male will still
ejaculate, but there won’t be any sperm
          present
Contraception ppt

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Contraception ppt

  • 1.
  • 2. Behavioral  Hormonal  Barrier ◦ Spermicides  Long-Term / Permanent
  • 3. Predicting fertility: Basal Body Temperature & Calendar method  Withdrawal/Pullout  Abstinence** ◦ The only 100% effective way to prevent pregnancy, STIs, HIV/AIDS
  • 4. What? lowest temp  What? Predicting of the body at rest fertility based on menstrual cycles  How? Ovulation raises body temp ½  How? Women chart - 1 degree F, and previous menstrual temp will drop if cycles to predict the fertilization does days they are fertile not occur and infertile
  • 5. What? The man takes his penis out of the vagina before he ejaculates  How? Male needs to ejaculate away from female; sperm on legs and labia can still travel into vagina  Notes: Depends on a male’s self knowledge and self control  Access: Free, available to anyone  Effectiveness: 78-96%
  • 6. The Pill  The Patch  These methods add chemicals similar to  Vaginal Ring hormones to stop the  The Shot release of an egg and weaken the sperm.  Implant  The hormones change  IUD your cervical mucus  Emergency Contraception and uterine lining, slow sperm, and reduce ability of fertilized egg to implant into uterine wall.
  • 7. What? A pill taken orally every day at about the same time  Notes: There are many different brands. Your doctor can help you find the right one for you. Your period can occur monthly, every 3 months, or not at all  Access: Prescription needed  Effectiveness: 91-99.7%
  • 8. What? A bandage-like patch that sticks to your skin  How? Changed weekly, no patch on 4th week. Hormones are absorbed through the skin  Notes: Less effective if you weigh over 198 pounds. May cause skin irritation.  Access: Prescription needed  Effectiveness: 91-99.7%
  • 9. What? A clear, soft, flexible 2 inch circle worn in the vagina  How? The body absorbs hormones from the ring through vaginal wall. The ring is inserted and left in the vagina for 3 weeks.  Notes: One size fits all, neither partner usually feels the ring  Access: Prescription needed  Effectiveness: 91-99.7%
  • 10. What? A long acting hormone injection  How? Female is given a shot one time every 3 months  Notes: Not reversible- once the injection occurs, the hormones are in the woman for at least 3 months. It may take a long time to get pregnant after the shot.  More chance of weight gain than any other method  Access: Clinic / doctor visit needed every 3 months  Effectiveness: 94-99.8%
  • 11. What? A soft rod 1 ½ inches long placed under the skin in your upper arm  How? Slowly releases hormones into your system  Notes: Prevents pregnancy for 3 years, but can be taken out at any time  Access: Clinic / doctor visit needed every 3 years  Effectiveness: 99.95%
  • 12. What? A small plastic “T” with a string inserted into the uterus  How? Releases synthetic progestin hormone that changes cervical mucus, fallopian tubes and the uterine lining. Stops or slows sperm and egg  Notes: Lasts 5 years. Insertion can cause a few minutes of pain, but removal is fast and easy  Access: Clinic / doctor visit needed for insertion & removal  Effectiveness: 99.8%
  • 13. What? A pill or combination of pills you take after sex to prevent pregnancy  How? Contains a higher dosage of the same hormones found in regular birth control  Notes: Won’t stop an existing pregnancy  Access: Available at pharmacy for girls 17+, prescription is needed if less than 17  Effectiveness: Approx 95% if taken within first 24 hours of unprotected sex
  • 14.  Male condom  Female condom  Diaphragm  Cervical cap  Spermicides
  • 15. What? A thin covering that you unroll over an erect penis. Made of latex, polyurethane, or animal membrane (don’t protect against STIs).  How? Put on before any genital contact. At withdrawal, hold the rim in place at the base of the penis so it doesn’t slip off.  Notes: May decrease the sensation for men. Lubrication makes condom less likely to break.  Access: Easy to buy in a store or online. Inexpensive. Usually offered for free at a health clinic.  Effectiveness: 82-98%
  • 16. What? A soft, loose pouch that is inserted in the vagina. Flexible rings at each end hold it in place. Can be put in up to 8 hours before sex.  How? Insert the small ring in vagina, large ring stays outside partially covering labia.  Notes: Can be used if you are allergic to latex (made of nitrile). Men usually feel no reduction in sensation.  Access: Available at many pharmacies, clinics, and online  Effectiveness: 79-95%
  • 17. What? A soft, silicone dome What? A soft, silicone cup holding that covers the cervix w/ a spermicide designed to fit over the flexible rim that holds spermicide cervix  How? Put a tbsp of How? Put a tsp of spermicide in spermicide in and slide it into cap and slide it into the vagina. the vagina. Protection lasts 2 Protects for 42 hours, needs to stay hours, and needs to be left in for 6 hours after sex in at least 6 hours after sex  Notes: Neither partners Notes: Neither partners should feel should feel the diaphragm. the cap. Less effective if you’ve Get re-fitted if you gain/lose given birth. 15 pounds Access: Doctor/clinic visit needed  Access: Doctor/clinic visit needed for prescription and for prescription and fitting fitting Effectiveness: 77%%  Effectiveness: 82-94%
  • 18. What?Chemicals that go in the vagina before sex.  Cream Immobilize or kills sperm.  Gel Most work for 1 hour, sponge for 24 hours  Foam  How? Put in vagina following  Film packaging directions. Most  Suppository need to be put in 10  Sponge minutes before intercourse.  Notes:Key ingredient is Nonoxynol9. Neither partner should notice spermicide.  Access:Easy to buy in a pharmacy  Effectiveness: 72-91%
  • 19.  Female- Tubal ligation  Male- Vasectomy ◦ These procedures are permanent, and are usually done by people 35+ years ◦ Both procedures are done in a doctor’s office  IUD: Copper (10 years)
  • 20. Tubal Ligation (Female) oA small incision is made in the abdomen to access the fallopian tubes. Fallopian tubes are blocked, burned, or clipped shut to prevent the egg from traveling through the tubes oRecovery usually takes 4-6 days A small incision is made to access the vas deferens, the tube the sperm travels from the testicle to the penis, and is sealed, tied, or cut After a vasectomy, a male will still ejaculate, but there won’t be any sperm present