Contraceptive Toolbag. Diana Koster, M.D. Planned Parenthood of New Mexico April 14, 2010. Goals. Provide: Contextual information about U.S. teen pregnancy rates Updated medical information reproductive healthcare needs contraception LARC (long-acting reversible contraception)
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Diana Koster, M.D.
Planned Parenthood of New Mexico
April 14, 2010
Abstinence as preferred for teens
Accurate contraceptive information for future
Abstinence until marriage
No contraceptive education
Refusal skillsAbstinence Education
Abstinence and contraception cannot both be taught successfully.
Teaching our youth about contraception will make them become sexually active.
“Reduction of unintended pregnancy is best achieved by strategies that include…effective programs to delay and reduce sexual activity….Strategies to reduce unplanned pregnancies should include improving the knowledge, accessibility, and availability of contraception services, including emergency contraception.”
Policy Statement in Pediatrics, Vol. 116 No. 4 Oct 2005
Minors must have parental consent/permission to obtain birth control.
There are 100% effective birth control methods. Anyone who gets pregnant using birth control “screwed up.”
Birth control is dangerous.
Use of a properly selected contraceptive method is always safer for a woman than pregnancy.
Making emergency contraception (easily) available will increase irresponsible behavior.
To use (hormonal) birth control safely, a woman must first have a complete physical exam and lab testing including a Pap smear and STD testing.
Testing – Pap, STDs
Heart and lungs
Blood pressure, weight
Testing – variable, age-specific
Exam – variable, age-specific, usually,none needed for teen
beginning birth control“Annual Exam”Then Now
It is good medical practice to make decisions concerning prescription of birth control pills to women based solely on a careful health history and a blood pressure measurement.
- World Health Organization
A birth control method can only be started when a woman is having her period.
Any contraceptive method may be started at anytime in a woman’s cycle as long as it is reasonably certain that she is not pregnant.
Teens cannot use IUDs.
Women who have not had babies cannot use IUDs.
Unmarried women cannot use IUDs.
- David Grimes (modified)
* * * * * *
The Pill causes:
A woman should go off contraception periodically to “give her body a rest.”
There is a limit to how long it is safe for a woman to use contraception.
A woman should not be on a contraceptive unless she is sexually active.
Ortho Evra is a dangerous birth control method; it causes strokes in many women.
Not having a period every month is unhealthy: the blood needs to “come down.”
DepoProvera (DMPA) causes significant weight gain and osteoporosis
*require medical professional to fit
There are large holes in condoms that allow free passage of bacteria, viruses and sperm.
Diana Koster, ext.317 or Johnny Wilson, ext.306