Reasons people have unplanned pregnancies Keys to pregnancy

Reasons people have unplanned pregnancies….

Keys to pregnancy prevention: l Knowing how _____ occurs l _______ with partner l Access to ______ l Deciding on ______ method

The best method of contraception is the one used _____ and _____

Choosing a method: l _____ l ____ prevention l Ease of use l Future fertility l __________ l l l Rx vs OTC Confidentiality l Personal _____ Safety Non- contraceptive benefits Other considerations l l

The Methods….

_____ l _____ % effective l STI/HIV prevention Nothing to buy Safe Need alternate way to satisfy desire for pleasure/intimacy Need for ____ method Requires commitment & communication l l l

_____ method l ____% effective l Nothing to purchase l No interrupting spontaneity l No protection against pregnancy l No prevention of STI/HIV

Withdrawal l Effectiveness varies l May affect pleasure l Nothing to purchase l l Good as last resort Requires commitment and great control l Pre- ejaculate NOT controllable - contains sperm and possible STI/HIV l No STI/HIV prevention

Male condom l _______% effective l l _____ STI/HIV prevention May leak or break if used incorrectly l May interfere w/spontaneity l Possible allergy to latex (_____ available) l No _____ l Inexpensive l Male involvement l New types designed to enhance pleasure

Female condom l _____ % effective l Good STI/HIV prevention l No _______ l Can be inserted prior to intercourse l Requires comfort/familiarity with body l May become dislodged l May be _____ to find in stores

Oral Contraceptive Pills l l l l 95 -99% effective Reduces menstrual discomfort Helps protect against ovarian cysts Newer pills have less side effects Must remember daily Not suitable for all By Rx only l Possible side effects l No STI/HIV prevention

Emergency Contraception Pills l l Up to _____% effective* Can be used up to ____ hours _____ intercourse l Good for emergency situations l Safe even for women who can not use daily OCPs l l Not for regular use No STI/HIV prevention May cause _____ Need ____

Injectables (Depo Provera, Lunelle) l l l ___+% effective ______ months continuous protection Nothing to remember ____ or at time of intercourse l l Must be ____ by healthcare provider May alter menses No STI/HIV prevention Longer return to ______

The Patch l _____ % effective l Stays on even if ______ l Small adhesive patch worn for _____ weeks of cycle* l Nothing to remember each day l Adhesive may be irritating to some l No STI/HIV protection l l _______ absorbed through skin Similar to ______ in side effects

The PATCH

l ____ % effective l l ___” flexible ring inserted in vagina Worn ____ weeks of cycle l Ring contains ____ to suppress ovulation Nothing to remember daily l Most partners not bothered by ring l No protection against STIs/HIV l One size fits _____ l

Implants (Norplant*, etc) l _____+% effective l l Continuous protection up to _____ years* Minor surgical procedure to insert/remove l May be ____ by others l Possible side effects l May be hard to find provider l Nothing to remember l _____ up front

Norplant ® l

Spermicides l ______% effective l Available _______ l l May provide additional lubrication Can be used in combination with other ____ to increase protection l Must insert close to time of intercourse l Some people _____ l Can be messy l Irritation can _____ chance of STI/HIV

Sponge l ______% effective l Requires comfort and/or familiarity with body l OTC l Limited STI protection l Can be inserted _____ to intercourse l One sponge protects for _____ acts of intercourse (within 24 hours)

Diaphragm/Cervical Cap l _______ % effective l l Allows _______ acts of intercourse (with more spermicide) Can be inserted _____ to intercourse l High level of body _____ needed l Must be fitted by ______ l May be difficult to insert

Cervical Cap vs. Diaphragm

Intrauterine Device (IUD) l ______+% effective l l ________ device placed in uterus Must be inserted by healthcare provider l Risks rare, but could include permanent _____ l If infected with STI, can be _______ l Recommended for women with one or more children l Prevents fertilization / ________ l ______ years protection l Nothing to do at time of intercourse

IUD Intrauterine Device

Fertility Awareness Methods l ____% effective l Nothing to purchase l Permitted by some groups that prohibit use of other methods l l Requires training by healthcare provider l Daily charting of _____, _______ mucous l Abstinence needed during ______ times l No STI/HIV prevention _____ side effects

Sterilization l _____+% effective l Non reversible l _______ l No STI/HIV prevention l Nothing to remember l l Requires surgery Usually available only to adults who have at least one child or who have health problems

Finding the right method for YOU requires careful consideration (fortunately, help is available…)

Abstinence from sexual intercourse is the only 100% way to prevent pregnancy. Note: For people who do have sexual intercourse there are many safe, effective ways to prevent pregnancy, but they are not a guarantee.

How can I find out more? l l l Parent/guardian Teacher/counselor School nurse Healthcare provider Planned Parenthood

More Resources l l l l PP Clinic - 575 Main Street, Hackensack For appointments - 201 -489 -1140 Education Department - 201 -489 -1265 www. teenwire. com www. sexetc. org www. iwannaknow. org www. kff. org