Birth control
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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

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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and Forrest, J.D., Proportion of U.S. Women Ever Pregnant Before Age 20, New York: Alan Guttmacher Institute, 1986, unpublished.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.”

Birth control

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:

  • “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

  • “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

  • Hormonal

  • Barrier

  • IUD

  • Methods based on information

  • Permanent sterilization

Advantages of waiting

Advantages of Waiting

  • Abstinence is recommended

  • You can make a choice



Hormonal methods

Hormonal Methods

-Oral Contraceptives

(Birth Control Pill)



-Injections (Depo-Provera)

-Implants (Norplant I & II)


Pills by mouth

Pills (by mouth)

Birth control

Pills (by mouth)

Taking the pill

Taking the Pill

  • 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





Injections shots

Injections (shots)

Injections shots1

Injections (shots)



  • 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

Five years

Two capsules

Three years

Norplant I vs. Norplant II

Norplant implant

Norplant Implant

Norplant considerations

Norplant Considerations

  • Should be considered long term birth control

  • Requires no upkeep 

  • Extremely effective in pregnancy prevention > 99%

Birth control


Birth control


Barrier methods


  • Male Condom

  • Female Condom

  • Diaphragm

  • Spermicides

Barrier method


  • Prevents pregnancy blocks the egg and sperm from meeting

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





Reality the female condom

Reality  : The Female Condom

Female condom


  • 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

Vaginal spermicide1

Vaginal Spermicide

Diaphragm with spermicide

Diaphragm (with spermicide)

Diaphragm with spermicide1

Diaphragm (with spermicide)



Birth control

Natural Methods

Natural methods

Natural Methods



  • Procedure performed on a man or a woman permanently sterilizes

  • Female = Tubal Ligation

  • Male = Vasectomy

Tubal ligation


  • 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




  • 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





  • 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


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

  • 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

  • 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

Birth control

Emergency Contraception

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)

  • 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)

Birth control


  • 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

Birth control




Why Should You be Responsible

for Your Sexual Behavior?


Personal Values


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