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Birth Control. What Do You Need To Know?. One in twelve U.S. girls gets pregnant each year. 56% give birth 30% get abortions 14% have miscarriages Of teens who get pregnant, 15% will be pregnant again within one year. Four in ten girls get pregnant at least once before age 20.

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Birth control

Birth Control

What Do You Need To Know?


One in twelve u s girls gets pregnant each year
One in twelve U.S. girls gets pregnant each year.

  • 56% give birth

  • 30% get abortions

  • 14% have miscarriages

  • Of teens who get pregnant, 15% will be pregnant again within one year.


Four in ten girls get pregnant at least once before age 20
Four in ten girls get pregnant at least once before age 20.

Source: National Campaign to Prevent Teen Pregnancy analysis of Henshaw, S.K., U.S.. Teenage Pregnancy Statistics, New York: Alan Guttmacher Institute, May, 1996; and Forrest, J.D., Proportion of U.S. Women Ever Pregnant Before Age 20, New York: Alan Guttmacher Institute, 1986, unpublished.


We re number one unfortunately
We’re number one…unfortunately

The United States has much higher pregnancy and birth rates than other fully industrialized countries. US pregnancy rates are nearly twice as high as rates in Canada and England and seven to eight times as high as rates in Japan and the Netherlands.

Singh, S., & Darroch, J.E. (2000). Adolescent pregnancy and childbearing: Levels and trends in developed countries. Family Planning Perspectives 32(1), 14-23. Pregnancy rates calculated as the sum of births, abortions, and estimated miscarriages (20 percent of births plus 10 percent of miscarriages).


Why are european rates lower
Why are European rates lower?

  • Greater openness toward sexuality in general.

  • More comprehensive sexuality education.

  • Media provide positive reinforcement for using birth control.

  • Reproductive health care and birth control are more accessible to teens.

  • Cultural consensus for “safe sex or no sex.”


US teens wait an average of one year after intercourse begins before visiting a birth control clinic.


Reasons for delaying visit to clinic
Reasons for delaying visit to clinic: begins before visiting a birth control clinic.

  • “I just didn’t get around to it.”

  • “I was afraid my parents would find out.”

  • “I was waiting for a closer relationship with my partner.”

  • “I was afraid of the exam.”


Half of all premarital teen pregnancies occur in the first six months after intercourse begins

Half of all premarital teen pregnancies occur in the first six months after intercourse begins.

20% occur in the first month.


Teens birth control excuses excuses excuses
Teens & Birth Control: Excuses...Excuses...Excuses six months after intercourse begins.

  • “It was unromantic and planned”

  • “I Would feel guilty”

  • “It is against my religion”

  • “We used the withdrawal method”

  • “Doctor will blab to my mom”

  • “It won’t happen to me”

  • “Condoms break and don’t work”


Types of birth control
Types of Birth Control six months after intercourse begins.

  • Hormonal

  • Barrier

  • IUD

  • Methods based on information

  • Permanent sterilization


Advantages of waiting
Advantages of Waiting six months after intercourse begins.

  • Abstinence is recommended

  • You can make a choice


Abstinence
Abstinence six months after intercourse begins.


Hormonal methods
Hormonal Methods six months after intercourse begins.

-Oral Contraceptives

(Birth Control Pill)

-Patch

-Ring

-Injections (Depo-Provera)

-Implants (Norplant I & II)

-IUD


Pills by mouth
Pills (by mouth) six months after intercourse begins.


Pills (by mouth) six months after intercourse begins.


Taking the pill
Taking the Pill six months after intercourse begins.

  • Once a day at the same time everyday

  • Use condoms for first month

  • Use condoms when on antibiotics

  • Use condoms for 1 week if you miss a pill or take one late

  • The pill offers no protection from STD’s


The patch orthoevra
The Patch/OrthoEvra six months after intercourse begins.


Nuvaring
NuvaRing six months after intercourse begins.


Nuvaring1
NuvaRing six months after intercourse begins.


Injections shots
Injections (shots) six months after intercourse begins.


Injections shots1
Injections (shots) six months after intercourse begins.


Implants
IMPLANTS six months after intercourse begins.

  • Implants are placed in the body filled with hormone that prevents pregnancy

  • Physically inserted in simple 15 minute outpatient procedure

  • Plastic capsules the size of paper matchsticks inserted under the skin in the arm

  • 99.95% effectiveness rate


Norplant i vs norplant ii

Six capsules six months after intercourse begins.

Five years

Two capsules

Three years

Norplant I vs. Norplant II


Norplant implant
Norplant Implant six months after intercourse begins.


Norplant considerations
Norplant Considerations six months after intercourse begins.

  • Should be considered long term birth control

  • Requires no upkeep 

  • Extremely effective in pregnancy prevention > 99%


IUD six months after intercourse begins.


IUD six months after intercourse begins.


Barrier methods
BARRIER METHODS six months after intercourse begins.

  • Male Condom

  • Female Condom

  • Diaphragm

  • Spermicides


Barrier method
BARRIER METHOD six months after intercourse begins.

  • Prevents pregnancy blocks the egg and sperm from meeting

  • Barrier methods have higher failure rates than hormonal methods due to design and human error


Condom
Condom six months after intercourse begins.


Condom1
Condom six months after intercourse begins.


Reality the female condom

Reality six months after intercourse begins. : The Female Condom


Female condom
FEMALE CONDOM six months after intercourse begins.

  • Made as an alternative to male condoms

  • Polyurethane

  • Physically inserted in the vagina

  • Perfect rate = 95%

  • Typical rate = 79%

  • Woman can use female condom if partner refuses


Vaginal spermicide
Vaginal Spermicide six months after intercourse begins.


Vaginal spermicide1
Vaginal Spermicide six months after intercourse begins.


Diaphragm with spermicide
Diaphragm six months after intercourse begins.(with spermicide)


Diaphragm with spermicide1
Diaphragm six months after intercourse begins.(with spermicide)


Diaphragm
DIAPHRAGM six months after intercourse begins.


Natural Methods six months after intercourse begins.


Natural methods
Natural Methods six months after intercourse begins.


Sterilization
STERILIZATION six months after intercourse begins.

  • Procedure performed on a man or a woman permanently sterilizes

  • Female = Tubal Ligation

  • Male = Vasectomy


Tubal ligation
TUBAL LIGATION six months after intercourse begins.

  • Surgical procedure performed on a woman

  • Fallopian tubes are cut, tied, cauterized, prevents eggs from reaching sperm

  • Failure rates vary by procedure, from 0.8%-3.7%

  • May experience heavier periods


Laparoscopy band aid sterilization

LAPAROSCOPY-’BAND-AID’ STERILIZATION six months after intercourse begins.


Vasectomy
VASECTOMY six months after intercourse begins.

  • Male sterilization procedure

  • Ligation of Vas Deferens tube

  • No-scalpel technique available

  • Faster and easier recovery than a tubal ligation

  • Failure rate = 0.1%, more effective than female sterilization


Vasectomy1
VASECTOMY six months after intercourse begins.


Withdrawal
WITHDRAWAL six months after intercourse begins.

  • Removal of penis from the vagina before ejaculation occurs

  • NOT a sufficient method of birth control by itself

  • Effectiveness rate is 80% (very unpredictable in teens, wide variation)

  • 1 of 5 women practicing withdrawal become pregnant

  • Very difficult for a male to ‘control’


Something to think about
SOMETHING TO THINK ABOUT… six months after intercourse begins.

Couples who use no birth control have a 85% chance of a pregnancy within the first year.

Will you be one of the 512,000 of the teens that gave birth in 2000?


Where to go
Where to Go six months after intercourse begins.

  • Confidentiality Law

  • How to access services and where to go

    • Health care provider

    • Planned Parenthood

    • Public Health Department

    • New Life Crisis Center

    • Birthright


Where to go1
Where to Go six months after intercourse begins.

  • Emergency contraception

    • Must be within 72 hours after unprotected sex

    • Method of action

      • May prevent ovulation

      • Can prevent sperm from fertilizing egg

      • Can prevent fertilized egg from implanting


Emergency Contraception six months after intercourse begins.

Emergency contraception pills can reduce the chance of a pregnancy by 75% if taken within 72 hours of unprotected sex!


Emergency contraception ecp
Emergency Contraception (ECP) six months after intercourse begins.

  • Must be taken within 72 hours of the act of unprotected intercourse or failure of contraception method

  • Must receive ECP from a physician

  • 75 – 84% effective in reducing pregnancy

  • California pharmacies can prescribe without a doctor! (1/1/02)


ECP six months after intercourse begins.

  • Floods the ovaries with high amount of hormone and prevents ovulation

  • Alters the environment of the uterus, making it disruptive to the egg and sperm

  • Two sets of pills taken exactly 12 hours apart


Health six months after intercourse begins.

Family

Career

Why Should You be Responsible

for Your Sexual Behavior?

Finances

Personal Values

Relationships


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