11

ContraceptionContraception

Health 12Health 12

2012-20132012-2013

22

Signs of Signs of PregnancyPregnancy

Period is late or missedPeriod is late or missed Abnormal period; lighter or shorterAbnormal period; lighter or shorter Breast tenderness or fullnessBreast tenderness or fullness Nausea…sometimes vomitingNausea…sometimes vomiting Changes in appetiteChanges in appetite Frequent urinationFrequent urination FatigueFatigue

33

Pregnancy TestPregnancy Test

Urine test to Urine test to detect the detect the presence of presence of HCGHCG, a hormone , a hormone that is produced that is produced (by the placenta) (by the placenta) when a woman when a woman is pregnant.is pregnant.

44

Doctor’s visit?? Health Insurance?? Doctor’s visit?? Health Insurance?? Prescriptions?? Prescriptions??

$$$$ $$$$

55

Warning Signals for Hormonal Warning Signals for Hormonal Methods! (ACHES)Methods! (ACHES)

AAbdominal pain Yellow skin or eyesbdominal pain Yellow skin or eyes CChest painhest pain HHeadaches (severe)eadaches (severe) EEye problems, blurred vision, loss ye problems, blurred vision, loss

of visionof vision SSevere leg pain or swelling in calf evere leg pain or swelling in calf

or thighor thigh

66

Please Quit !Please Quit ! Smoking + Smoking +

Hormonal Methods Hormonal Methods can be dangerous ! can be dangerous !

Some examples of blood clots are blood clots in the:Legs (deep vein thrombosis)Lungs (pulmonary embolism)Brain (stroke)Heart (heart attack)Eyes (total or partial blindness)

77

Oral Contraceptives: “The Oral Contraceptives: “The Pill”Pill”

Introduced in the Introduced in the United States in United States in 19601960

Approximately Approximately $35-$60$35-$60 per month per month

Requires a Doctor’s Requires a Doctor’s PrescriptionPrescription

88

Oral Contraceptives: “The Oral Contraceptives: “The Pill”Pill”

Family Doctor, Family Doctor, Gynecologist, Family Gynecologist, Family Planning ClinicPlanning Clinic

During an annual During an annual exam or check up a exam or check up a doctor will do a doctor will do a pelvic exam, breast pelvic exam, breast exam, Pap smear, exam, Pap smear, Blood pressure Blood pressure check & Family check & Family historyhistory

99

Oral Contraceptives: “The Oral Contraceptives: “The Pill”Pill”

1010

How does the pill work?How does the pill work?

Stops OvulationStops Ovulation;; No egg, no No egg, no pregnancy!pregnancy!

Thins the endometriumThins the endometrium; ;

thinthin lining no implantationlining no implantation

Thicken the cervical Thicken the cervical mucusmucus

1111

Common Side EffectsCommon Side Effects Changes in Changes in

menstrual cyclemenstrual cycle NauseaNausea HeadacheHeadache Mood Mood

Swings/DepressionSwings/Depression High Blood PressureHigh Blood Pressure Weight GainWeight Gain Breast TendernessBreast Tenderness

1212

% of Effectiveness/Reliability % of Effectiveness/Reliability RateRate

General Population General Population = = 99%99%

Teenagers =Teenagers =

95-99%95-99%

1313

What do pill users need to What do pill users need to know?know?

Must be taken every day!!! Must be taken every day!!! NO NO SKIPPING!SKIPPING!

Taken at the same time everydayTaken at the same time everyday

Beware of drug Beware of drug interactions….interactions….AntibioticsAntibiotics…check with …check with your doctor or pharmacist!your doctor or pharmacist!

1414

Please Note: Please Note: Antibiotics, St. John’s Antibiotics, St. John’s Wort & antifungal Wort & antifungal drugs may lower drugs may lower effectivenesseffectiveness

1515

Please Note…..Please Note…..

NO STD NO STD PROTECTIOPROTECTION!!!!N!!!!

1616

Implanon /NexplanonImplanon /Nexplanon“Sub dermal Implant”“Sub dermal Implant”

1717

Implanon /NexplanonImplanon /Nexplanon

Cost=Cost=$400-$400-$800$800

Removal =$100-$300Removal =$100-$300

Inserted by a Inserted by a doctordoctor

Protection = Protection = 3years3years

1818

How does How does Implanon work?work?

Stops OvulationStops Ovulation;; No egg, no No egg, no pregnancy!pregnancy!

Thins the endometriumThins the endometriumThicken the cervical Thicken the cervical mucusmucus

1919

Common Side EffectsCommon Side Effects Weight gainWeight gain HeadacheHeadache Mood swingsMood swings AcneAcne Changes in Changes in

bleeding bleeding patternpattern

2020

Not Not recommended if you have recommended if you have a history of….a history of….

Blood ClotsBlood Clots Unexplained Unexplained

vaginal vaginal bleedingbleeding

Liver DiseaseLiver Disease Breast cancerBreast cancer

2121

Implanon /NexplanonImplanon /Nexplanon

% of Effectiveness =% of Effectiveness =

99%99%Please Note: Antibiotics, St. Please Note: Antibiotics, St. John’s Wort & antifungal drugs John’s Wort & antifungal drugs may lower effectivenessmay lower effectiveness

2222

NO STD PROTECTION !!!NO STD PROTECTION !!!

2323

Depo ProveraDepo Provera“Injection”“Injection”

2424

Depo ProveraDepo Provera

FDA approved 1992FDA approved 1992 Injection given by a Injection given by a doctor doctor One shot every 3 monthsOne shot every 3 months….4 ….4

shots per yearshots per year Approximately Approximately $50$50 per shot + per shot +

Office visit $Office visit $

2525

How does Depo Provera How does Depo Provera work?work?

Stops OvulationStops Ovulation;; No egg, no No egg, no pregnancy!pregnancy!

Thins the endometriumThins the endometriumThicken the cervical Thicken the cervical mucusmucus

2626

Common Side EffectsCommon Side Effects DizzinessDizziness Breast tendernessBreast tenderness Bloating/weight gainBloating/weight gain HeadachesHeadaches Anxiety/Mood swingsAnxiety/Mood swings Menstrual Changes: Menstrual Changes:

missed periods, missed periods, unpredictable unpredictable bleeding/spottingbleeding/spotting

2727

Not Not recommended for women recommended for women with a history of….with a history of….

SmokingSmoking increases increases cardiovascular risks.cardiovascular risks.

Heart attack or strokeHeart attack or stroke Blood clotsBlood clots

May Decrease Bone May Decrease Bone density!density!

May raise May raise Cholesterol levels!Cholesterol levels!

2828

Depo ProveraDepo Provera

% of Effectiveness =% of Effectiveness =

99+%99+%

2929

NO STD PROTECTION !!!NO STD PROTECTION !!!

3030

EVRA (The Patch) EVRA (The Patch) 3 patches per month3 patches per month, each worn for 1 , each worn for 1

week…4week…4thth week is “patchless” week is “patchless”

3131

Evra (The Patch)Evra (The Patch)

FDA approved FDA approved 20022002

Prescribed by Prescribed by a a doctordoctor

Approximately Approximately $40-$50$40-$50 per per month.month.

3232

How does “The Patch” How does “The Patch” work?work?

Stops OvulationStops Ovulation;; No egg, no No egg, no pregnancy!pregnancy!

Thins the endometriumThins the endometriumThicken the cervical Thicken the cervical mucusmucus

3333

Possible Side Effects:Possible Side Effects:

Nausea/vomitingNausea/vomiting Breast tendernessBreast tenderness HeadacheHeadache Menstrual crampsMenstrual cramps Abdominal painAbdominal pain Application site Application site

reactionreaction

3434

NotNot for women with a history for women with a history of…of…

SmokingSmoking Blood clotsBlood clots DiabetesDiabetes Liver DiseaseLiver Disease CancerCancer High Blood High Blood

PressurePressure

3535

Evra (The Patch)Evra (The Patch)

% of Effectiveness =% of Effectiveness =

99%99%Please Note: Antibiotics, St. Please Note: Antibiotics, St. John’s wort & antifungal John’s wort & antifungal drugs may lower drugs may lower effectivenesseffectiveness

3636

In the News……In the News……Increased risk of Blood Clots Increased risk of Blood Clots

among “Patch” users??among “Patch” users??

3737

What should I do if a patch seems What should I do if a patch seems loose, partially lifts off of my skin, or loose, partially lifts off of my skin, or

falls off?falls off?

    Do not try to reapply a birth control patch if it is no longer sticky; Do not try to reapply a birth control patch if it is no longer sticky; if it has been stuck to itself or another surface; if it has other if it has been stuck to itself or another surface; if it has other material stuck to it; or if it has become loose or has fallen off material stuck to it; or if it has become loose or has fallen off before.before.

For less than 24 hours:For less than 24 hours: Try to reapply your patch or apply a Try to reapply your patch or apply a new patch immediately. new patch immediately. No backup contraception is needed No backup contraception is needed and your "Patch Change Day" will remain the same.and your "Patch Change Day" will remain the same.

For more than 24 hours:For more than 24 hours: or if you are not sure for how long: or if you are not sure for how long: Start a new Start a new 4-week cycle immediately by applying a new patch. You now have 4-week cycle immediately by applying a new patch. You now have a new Day 1 and a new "Patch Change Day". a new Day 1 and a new "Patch Change Day". You must use You must use backup contraception, such as a condom, spermicide or a backup contraception, such as a condom, spermicide or a diaphragm, for the first week of your new cycle because diaphragm, for the first week of your new cycle because you may become pregnant during this time.you may become pregnant during this time.

3838

NO STD PROTECTION !!!NO STD PROTECTION !!!

3939

Nuva RingNuva Ring

4040

Nuva RingNuva Ring

FDA approved 2002FDA approved 2002 Prescription from Prescription from Doctor Doctor One ring is worn in the vagina One ring is worn in the vagina

for for 3 weeks3 weeks Approximately Approximately $40-$50$40-$50 per per

monthmonth

4141

How does “The Ring” work?How does “The Ring” work?

Stops OvulationStops Ovulation;; No egg, no No egg, no pregnancy!pregnancy!

Thins the endometriumThins the endometriumThicken the cervical Thicken the cervical mucusmucus

4242

Possible Side Effects of the Possible Side Effects of the Nuva RingNuva Ring

Vaginal Infections Vaginal Infections and irritationand irritation

Vaginal dischargeVaginal discharge Weight gainWeight gain NauseaNausea HeadacheHeadache

4343

Who should Who should notnot use the Nuva use the Nuva Ring?Ring?

SmokersSmokers Blood ClotsBlood Clots High Blood PressureHigh Blood Pressure DiabetesDiabetes CancerCancer Liver diseaseLiver disease Heart attack or Heart attack or

strokestroke

4444

Nuva RingNuva Ring

% of Effectiveness =% of Effectiveness =

99%99%Please Note: Antibiotics, St. Please Note: Antibiotics, St. John’s wort & antifungal John’s wort & antifungal drugs may lower drugs may lower effectivenesseffectiveness

4545

Will NuvaRing® fall out?Will NuvaRing® fall out?The muscles of your vagina will keep NuvaRing® securely in The muscles of your vagina will keep NuvaRing® securely in

place, even during exercise or sex. You can check the place, even during exercise or sex. You can check the contraceptive ring periodically with your finger. In the rare contraceptive ring periodically with your finger. In the rare instance that NuvaRing® does slip out follow the directions instance that NuvaRing® does slip out follow the directions

below:below:

Out for less than three hours:Out for less than three hours: If it does slip out, and if it has been out If it does slip out, and if it has been out less than three hours, you should still be protected from pregnancy. Rinse less than three hours, you should still be protected from pregnancy. Rinse NuvaRing®  with cool-to-lukewarm (not hot) water and re-insert it as soon NuvaRing®  with cool-to-lukewarm (not hot) water and re-insert it as soon as possible, at the latest within three hours. If you've lost NuvaRing®, you as possible, at the latest within three hours. If you've lost NuvaRing®, you mustmust insert a new contraceptive ring and stay on the same schedule you insert a new contraceptive ring and stay on the same schedule you would have followed if you were still using the lost ring. would have followed if you were still using the lost ring.

If NuvaRing® is out of the vagina for more than three continuous If NuvaRing® is out of the vagina for more than three continuous hours:hours: During Weeks 1 and 2: If the ring has been out of the vagina for During Weeks 1 and 2: If the ring has been out of the vagina for more than three continuous hours during the 1st or 2nd week of use, more than three continuous hours during the 1st or 2nd week of use, contraceptive effectiveness may be reduced. Reinsert ring as soon as you contraceptive effectiveness may be reduced. Reinsert ring as soon as you remember and use an extra method of birth control, such as male remember and use an extra method of birth control, such as male condoms or spermicide, until the ring has been used continuously for condoms or spermicide, until the ring has been used continuously for seven days. seven days.

During Week 3: If NuvaRing® slips out of the vagina for more than three During Week 3: If NuvaRing® slips out of the vagina for more than three continuous hours during the 3rd week of the three-week use period, throw continuous hours during the 3rd week of the three-week use period, throw the ring away and choose one of the following two options.the ring away and choose one of the following two options.

1.1. New Ring New Ring 2.2. Wait for your period and start a new ring within 7 daysWait for your period and start a new ring within 7 days

4646

NO STD PROTECTION!NO STD PROTECTION!

4747

Emergency ContraceptionEmergency Contraception(1999)(1999)

Plan B /Next Plan B /Next Choice/EllaChoice/Ella

The “Morning The “Morning After Pill”After Pill”

$50$50 approximately approximately ((Ella = $77Ella = $77))

4848

In the News……In the News…… December 2006: December 2006: The FDA approved over-The FDA approved over-

the-counter (OTC)the-counter (OTC) sale of Plan B to women sale of Plan B to women and men 18 and older.and men 18 and older.

July 2009: July 2009: FDA approved lowering the OTC FDA approved lowering the OTC age to 17 years old.age to 17 years old.

December 2010: December 2010: ELLAELLA Prescription EC , can Prescription EC , can be used up to 5 days after unprotected be used up to 5 days after unprotected intercourse.intercourse.

June 2013June 2013: FDA approves:: FDA approves:

Plan B One-Step is available without age restrictions to women

and men (check the family planning aisle).

One-pill generics (Next Choice One Dose) will soon be available on the shelf for consumers aged 17

and older, but this change has not taken effect yet; women aged 16 and younger still need a

prescription. Two-pill generics (Levonorgestrel Tablets) are still available only behind the counter without prescription if you are 17 or older; younger

women need a prescription.4949

In the News!In the News!November 2013November 2013

Researchers are reporting:Researchers are reporting:

Reduced effectiveness at Reduced effectiveness at 165 pounds165 pounds

Absence of effectiveness at Absence of effectiveness at 176 pounds176 pounds

5050

5151

Emergency ContraceptionEmergency Contraception

EC is controversial: EC is controversial: Some groups Some groups oppose the oppose the legalization and legalization and use of ECs.use of ECs.

Anti-abortion Anti-abortion advocates liken it advocates liken it to abortionto abortion

5252

Plan B/Next Choice/EllaPlan B/Next Choice/Ella Must be taken within Must be taken within

72 hours72 hours of of unprotected unprotected intercourseintercourse

Plan B Plan B = 1 pill= 1 pill Next Choice Next Choice = 2 = 2

pills..one soon as pills..one soon as possible the second possible the second 12 hours later.12 hours later.

EllaElla = prescription (5 = prescription (5 days)days)

5353

Emergency ContraceptionEmergency Contraception

EC/Plan B works primarily by EC/Plan B works primarily by preventing or delaying preventing or delaying ovulationovulation (No Egg). (No Egg).

It also works by thinning the It also works by thinning the lining of the uterus to lining of the uterus to prevent prevent implantationimplantation..

5454

Expected Side Effects…..Expected Side Effects…..

Nausea/VomitingNausea/Vomiting Abdominal painAbdominal pain HeadacheHeadache FatigueFatigue DizzinessDizziness Breast tendernessBreast tenderness Menstrual changes: Menstrual changes:

Period earlier or laterPeriod earlier or later

5555

Plan B & Next ChoicePlan B & Next Choice

ReducesReduces the chance of the chance of pregnancy by pregnancy by 88%88%

Taken within Taken within 2424 hours hours , , Plan B is Plan B is 95% 95% effective!effective!

Note: Note: Antibiotics may Antibiotics may decrease effectiveness.decrease effectiveness.

5656

There is a reason why they call There is a reason why they call it Plan B !!!it Plan B !!!

There should There should be a Plan A in be a Plan A in place!place!

5757

NO STD PROTECTION!!!!NO STD PROTECTION!!!!

5858

Intrauterine Device (IUD)Intrauterine Device (IUD)

5959

The IUD is inserted by a The IUD is inserted by a physicianphysician..

Approximately Approximately $500-$1000$500-$1000

6060

How does it work??How does it work??

There are 2 There are 2 kinds of IUDs:kinds of IUDs:

Traditional:Traditional: plastic & plastic & coppercopper

Hormonal:Hormonal: contains a contains a small amount of small amount of

progesteroneprogesterone

It may prevent It may prevent implantation of implantation of the fertilized egg.the fertilized egg.

and/orand/or The IUD works by The IUD works by

preventing sperm preventing sperm from fertilizing from fertilizing the egg.the egg.

6161

Potential Side Effects:Potential Side Effects: Increased cramps & Increased cramps &

bleeding during monthly bleeding during monthly periods.periods.

Spotting between periods Spotting between periods in the first 3–6 months  in the first 3–6 months 

Irregular periods in the Irregular periods in the first 3–6 months — with first 3–6 months — with Mirena  Mirena 

Heavier periods and worse Heavier periods and worse menstrual cramps — with menstrual cramps — with ParaGardParaGard

PIDPID

6262

No STD Protection!No STD Protection!

IUD makes you IUD makes you more vulnerable to more vulnerable to getting a STD.getting a STD.

6363

Who should Who should notnot use an IUD? use an IUD?

History of PIDHistory of PID Multiple partnersMultiple partners Abnormal pap Abnormal pap

smear or cancer of smear or cancer of cervix/uteruscervix/uterus

Bacterial vaginosisBacterial vaginosis

6464

Who uses this method?????Who uses this method?????

A woman who uses an IUD has a A woman who uses an IUD has a contraceptive that is highly reliable contraceptive that is highly reliable (96-99%),(96-99%), long-acting (5-10 years) long-acting (5-10 years) and reversible. and reversible.

Mutually faithful relationship (No Mutually faithful relationship (No STDs)STDs)

Have at least 1 childHave at least 1 child No history of PIDNo history of PID

6565

Worldwide an estimated 100 Worldwide an estimated 100 million women use IUDs. In million women use IUDs. In

the United States less than one the United States less than one million use it.million use it.

6666

IUD HistoryIUD History

IUDs have a IUDs have a negative image in negative image in the United States. the United States. An IUD called the An IUD called the Dalkon Shield (1970-Dalkon Shield (1970-75) was used by 75) was used by hundreds of women hundreds of women who developed who developed serious PID…a few serious PID…a few even died from the even died from the infection.infection.

6767

Diaphragm & Cervical CapDiaphragm & Cervical Cap

6868

DiaphragmDiaphragm

Since 1925Since 1925

Fitted by a Fitted by a doctordoctor

Approximately Approximately $100-$150$100-$150

6969

How does it work?How does it work?

Diaphragm is a Diaphragm is a BARRIER BARRIER method.method.

Barrier blocks the cervix Barrier blocks the cervix and the spermicide kills and the spermicide kills the spermthe sperm

7070

Please note…..Please note…..

The diaphragm The diaphragm must be left in must be left in place place 6-8 hours6-8 hours after intercourse after intercourse to allow the to allow the spermicide time spermicide time to kill the sperm!to kill the sperm!

7171

Common Side Effects:Common Side Effects:

Latex allergyLatex allergy

Spermicide Spermicide irritationirritation

Risk of Risk of Toxic ShockToxic Shock SyndromeSyndrome (TSS) if (TSS) if worn for more than worn for more than 24 hours24 hours

7272

How Effective is the How Effective is the Diaphragm?Diaphragm?

The diaphragm is 84-94% The diaphragm is 84-94% effectiveeffective

7373

Provides Provides NONO STD Protection! STD Protection!

7474

Today’s SpongeToday’s SpongeContraceptive SpongeContraceptive Sponge

7575

The SpongeThe Sponge

Back on the Back on the market after a market after a 10 year 10 year absence.absence.

OTCOTC Approximately Approximately

3 for 3 for $15$15

7676

How does it work to prevent How does it work to prevent pregnancy?pregnancy?

Barrier Barrier methodmethod

Sponge to trap the Sponge to trap the sperm & sperm & spermicidespermicide to kill the spermto kill the sperm

Must be wet to Must be wet to activate the activate the spermicide.spermicide.

7777

Please Note……Please Note……

May be awkward to insertMay be awkward to insert Not fitted: One size fits allNot fitted: One size fits all Temporary & DisposableTemporary & Disposable

7878

Common Side EffectsCommon Side Effects

Chance of Yeast Chance of Yeast InfectionInfection

IrritationIrritation UTIUTI Toxic ShockToxic Shock

SyndromeSyndrome risk risk (rare)(rare)

7979

How Effective is the How Effective is the Sponge?Sponge?

The sponge is 84-91 % The sponge is 84-91 % effectiveeffective

8080

Latest research Latest research = No STD = No STD ProtectionProtection

8181

Spermicides: Spermicides: Foams, Gels, Foams, Gels, Film, InsertsFilm, Inserts

8282

Spermicides:Spermicides:

Available Available OTCOTC

$10-$15$10-$15

8383

Spermicides are chemicals that Spermicides are chemicals that kill sperm.kill sperm.

Nonoxynol-9Nonoxynol-9

The trick is The trick is getting the getting the chemical into chemical into the right place the right place at the right at the right time!!!!time!!!!

8484

Common Side Effects:Common Side Effects:

No serious side effectsNo serious side effects Allergic reaction…itching, Allergic reaction…itching,

burningburning IrritationIrritation Urinary Tract Infection (UTI)Urinary Tract Infection (UTI)

8585

% of Effectiveness:% of Effectiveness:

Spermicides are only Spermicides are only 80%-80%-90%90% effective. effective.

Really not to be used alone Really not to be used alone w/o a barrier method!w/o a barrier method!

8686

No STD No STD Protection!Protection!

No protection against No protection against HIVHIV ! Spermicides are ! Spermicides are harsh and may create harsh and may create irritation that makes irritation that makes you more vulnerable you more vulnerable to infection!to infection!

8787

Think about it…..Think about it…..

Used along Used along with a with a condom the condom the effectiveness effectiveness rate go to rate go to 98%+98%+

8888

Female CondomFemale Condom

8989

CondomsCondoms

OTCOTC $5-$10$5-$10 Male Barrier Male Barrier

methodmethod

9090

So…you have found your way So…you have found your way to your favorite drug store to to your favorite drug store to

buy condoms…..what kind will buy condoms…..what kind will you buy?you buy?

9191

The best condom for your The best condom for your health and your partner’s health and your partner’s

health…health… LatexLatex SpermicideSpermicide LubricatedLubricated Brand NameBrand Name Check Check

expiration expiration date!date!

9292

How effective are condoms?How effective are condoms?

Condoms Condoms are are 88%88% effective in effective in real life.real life.

12/100 12/100 pregnanciespregnancies

9393

Common side effects….Common side effects….

Latex Latex allergyallergy

Irritation Irritation from the from the spermicidespermicide

9494

Some STD protectionSome STD protection Highly effective when used w/ a spermicideHighly effective when used w/ a spermicide Must be put on before any intimate contactMust be put on before any intimate contact Remove immediately after ejaculationRemove immediately after ejaculation Store in a cool dry placeStore in a cool dry place (Vaseline & Baby Oil) Petroleum jelly and (Vaseline & Baby Oil) Petroleum jelly and

oils will weaken latexoils will weaken latex Natural skin condom do not protect against Natural skin condom do not protect against

STDs!STDs!

9595

Grow up & Get real !!!!!Grow up & Get real !!!!!

9696

Natural Family PlanningNatural Family PlanningFertility AwarenessFertility Awareness

9797

How does it work???How does it work???

Education/AwarenessEducation/Awareness Avoiding Intercourse on Avoiding Intercourse on

Fertile Days: Fertile Days: 7 days before 7 days before ovulation & 4 days afterovulation & 4 days after

Calendar ChartingCalendar ChartingBasal Body TemperatureBasal Body TemperatureCervical Mucus ChartingCervical Mucus Charting

9898

% of Effectiveness% of Effectiveness

79% - 87%79% - 87% 20% Failure 20% Failure

Rate during Rate during the first year!the first year!

9999

Natural Family Planning:Natural Family Planning: No harmful side No harmful side

effectseffects Acceptable for Acceptable for

religious reasonsreligious reasons Irregular cycles Irregular cycles

make prediction make prediction difficultdifficult

NO STD PROTECTIONNO STD PROTECTION Requires discipline & Requires discipline &

dedicationdedication

100100

Surgical Sterilization:Surgical Sterilization:VasectomyVasectomy

Tubal SterilizationTubal Sterilization

101101

SterilizationSterilization

Vasectomy:Vasectomy: UrologistUrologist Approximately Approximately

$500$500 Cutting the Cutting the

Vas DeferensVas Deferens

Tubal Tubal Sterilization:Sterilization: Gynecologist / Gynecologist /

OBGYNOBGYN Approximately Approximately

$2500$2500 Cutting the Cutting the

Fallopian TubesFallopian Tubes

102102

Sterilization is Sterilization is 99%+99%+ EffectiveEffective

No real side effects beyond surgeryNo real side effects beyond surgery Not easily reversed ($$$)…should be Not easily reversed ($$$)…should be

considered permanent.considered permanent.

NO STD PROTECTION!!!!NO STD PROTECTION!!!!

Did you know….Sterilization is the Did you know….Sterilization is the most common method of birth most common method of birth control in our countrycontrol in our country

103103

New method of sterilization for New method of sterilization for women = Essurewomen = Essure

104104

WithdrawalWithdrawal

Category?Category?

106106

StupidStupidStupidStupidStupidStupid

107107

How does it How does it work?work?

108108

It Doesn’tIt Doesn’t

109109

Common Side Common Side Effects…..Effects…..

110110

PregnancyPregnancySTDSTD

111111

Effectiveness Effectiveness Rate?Rate?

112112

Depends how Depends how lucky you lucky you are?!!!are?!!!

113113

Please Note…..Please Note…..

Withdrawal is for Withdrawal is for morons!!!morons!!!

You are not allowed to You are not allowed to use this method!!!!use this method!!!!

Thank you!Thank you!

114114

In the NewsIn the News:: Medical Abortion: Medical Abortion:

RU 486 RU 486 (up to 7 weeks)(up to 7 weeks)

MifeprexMifeprex “Abortion Pill” “Abortion Pill”

Future Future MethodsMethods::

MicrobicidesMicrobicides Male Pill?Male Pill?

115115

7 week/14 weeks7 week/14 weeks