Teen Pregnancy Coalition of

San Mateo County

650-367-1937

www.teenpregnancycoalition.org

� Birth Control Updates

Statistics on Teens and Pregnancy

  • Nearly 31% of girls ages 15 to 19 who have had sexual intercourse at least once become pregnant 1
  • More than 13% of sexually active teenage boys ages 15 to 19 say they have been involved in a pregnancy 1
  • Nearly 50% of teenage girls who have sex for the first time before age 15 report having been pregnant 1
  • 22% of sexually active boys age 15 and under report having been involved in a pregnancy 1
  • A sexually active teenager who does not use contraceptives has a 85 % chance of becoming pregnant within one year. 2

Contraceptive Use Among Teens

  • 65% of current sexually active high school students reported using a condom the last time they had sexual intercourse. 2
  • About 20% of teens use two methods , primarily the condom and another method. 2
  • The drop in teen pregnancy rates from 1990 – 2004 was primarily due to more effective contraceptive practices . 2
  • 50% of all high school students have NOT had sex. 2

Contraceptive Use Among Teen s

  • A woman who wants only two children will need to use birth control for approximately 20 years of her life. 4
  • 98% of all women who have ever had intercourse have used at least one contraceptive method. 3
  • 25% of teens used no method of contraception at first intercourse. 2

Most Commonly Used Birth Control Methods By Teens

  • Hormonal Methods
  • Birth Control Pills ( 92%-99% effective )
  • The Shot: Depo Provera (97%-99% effective )
  • The Patch ( 92%-99% effective )
  • The Ring ( 92%-99% effective )
  • Emergency Contraception ( 75%-89% effective within the first 72 hrs). Most effective within 12 hrs of unprotected sex.
  • Barrier Methods *help protect against STDs
  • Male Condom ( 85%-98% effective )
  • Female Condom ( 79%-95% effective )

Birth Control Pills

  • Medication a woman takes daily to prevent pregnancy
  • Contain hormones - estrogen and progestin - some may be only progestin
  • Stops ovulation
  • Thickens cervical mucus
  • Thins the lining of the uterus
  • Does not protect against STDs
  • Is 92%-99% effective

The Patch - Ortho Evra®

  • It is a thin, beige, plastic patch that sticks to the skin.
  • A new patch is placed on the skin of the buttocks, stomach, upper outer arm, or upper torso once a week for three out of four weeks.
  • No patch is used in the fourth week.
  • The Patch releases synthetic estrogen and progestin
  • The Patch works best when it is changed on the same day of the week for three weeks in a row.
  • The Patch does not protect against STDs
  • The Patch is 92%-99% effective

The Shot - Depo Provera

  • One injection every three months
  • Contains same hormones as BC pills
  • Doesn’t interrupt sex
  • Can be used while breast-feeding
  • Over 99% effective

�The Ring-- NuvaRing®

  • It is a small, flexible ring that is inserted into the vagina once a month.
  • It is left in place for three weeks and taken out for the remaining week.
  • The Ring releases synthetic estrogen and progestin.
  • The Ring may be taken out of the vagina for up to 3 hours.
  • The Ring is simple, safe and convenient.
  • The Ring does not protect against STDs
  • The Ring is 92%-99% effective

Implant--Implanon®

  • Is not Norplant
  • It is a thin, flexible plastic implant about the size of a cardboard matchstick
  • It is inserted under the skin of the upper arm 
  • Only contains progestin
  • Most common negative side effect is irregular bleeding
  • Works for up to 3 years
  • The implant does not protect against STDs
  • The implant is 99.9% effective

Seasonale & Seasonique

  • Allows women to have only 4 periods a year.
  • Approved by the FDA in September 2003.
  • Instead of 21 active pills and 7 reminder pills, it has 84 active pills and 7 reminder pills.
  • Seasonale’s reminder pills are placebos.
  • Seasonique’s reminder pills are estrogen = less bleeding and PMS during period.
  • Bleeding and spotting are more common.
  • Both are 92%-99.7% effective when used correctly.

Emergency Contraception

  • Also called EC, the "morning-after pill," or Plan B.
  • NOT the abortion pill (RU486).
  • The #1 reason for the reduction in abortion rates.
  • They can reduce the risk of pregnancy after unprotected intercourse.
  • Court ordered the FDA to expand access to 17 year olds by April 23, 2009. 5
  • EC can reduce the risk of pregnancy up to 120 hours after unprotected vaginal intercourse.
  • Works best when taken within 72 hours.
  • EC does not protect against STDs
  • If taken with 72 hours they are 75% to 89% effective

Myths About the Pill

Myth #1: The birth control pill doesn't work very well.� Myth #2: Women should "take a rest" from taking the Pill every nine months.� Myth #3: Women gain weight when they take the Pill.� Myth #4: The Pill isn't safe.� Myth #5: The Pill causes cancer.� Myth #6: The Pill causes heart attack, stroke, and blood clots. *Risk with smokers over 35 yrs of age. � Myth #7: The Pill causes birth defects.

Other Methods

Male Condom

Female Condom

  • Inter-Uterine Devise (IUD)
  • Worn on the penis・
  • Made of latex or plastic (polyurathane)
  • Prevent pregnancy and sexually transmitted infection・
  • Can be used for vaginal, anal, or oral sex・
  • Safe, effective, and easy to get
  • Cost about $1 each, but are sometimes available for free
  • 85% - 98% effective
  • 79% - 95% effective
  • Is inserted into the woman’s vagina
  • FC is made with polyurethane
  • FC2 is made with synthetic nitrile (thus cheaper)
  • Can be used with water and oil based lubricants
  • Provides broader protection against STDs
  • Sponge ( 84%-91% effective for woman who have never given birth. 68%-80% for women how have given birth )
  • Over-the-counter
  • A barrier method and uses spermicide
  • Is inserted deep into the vagina before sex and blocks sperm from entering the uterus
  • No STD protection

Intra-Uterine Device (IUD)

  • A small “T-shaped” device inserted in the woman’s uterus by a clinician.
  • It is either made of cooper (ParaGuard) or hormones (Mirena) to keep sperm from joining with eggs.
  • Considered safe for teens who have and have not already had a baby.
  • IUDs work for 5 or 12 years.
  • The IUD does not prevent against STDs.
  • The IUD is over 99% effective.

Common Behavioral Methods Used By Teens

  • Outercourse ( 100% effective ) *protects against STDs
  • Wait to have Sex ( 100% effective ) *protects against STDs
  • Withdraw/Pull-Out ( 73% effective )
  • No Method ( 85% chance of pregnancy within a year )

Outercourse

  • Outercourse means different things to different people. For some people, outercourse is any sex play without vaginal or anal intercourse. For others, it is sex play with no penetration at all - oral, anal, or vaginal.
  • prevents pregnancy by keeping sperm out of the vagina.
  • Nearly 100 percent effective at preventing pregnancy. But pregnancy is possible if semen or pre-ejaculate is spilled on the vulva and gets into the vagina.
  • Can help reduce the risk of STDs, depending on the activity

Waiting To Have Sex

  • Abstinence - not having sex right now
  • 100% effective in preventing pregnancy and STDs
  • Requires communication between partners

Withdrawal/Pull-Out

  • Man withdraws penis from vagina at before reaching the point of ejaculation
  • Requires great self-control, experience and trust between partners
  • Not recommended for teens
  • Does not prevent pre-cum
  • 73% - 96% effective
  • Wishing - Hoping - Praying
  • 15% effective in preventing pregnancy
  • 0% effective in preventing STDs
  • Like playing Russian Roulette

1 Kaiser Family Foundation (May, 2006). Pregnancy & Childbirth | About 31% of Sexually Active U.S. Teenage Girls Become Pregnant, Report Says

2 Wilkins, R. (2003). Contraception: Teaching About Methods of Protection. The State University of New Jersey Rutgers, Network for Family Life Education.

Kaiser Family Foundation (September, 2008). Sexual Health of Adolescents and Young Adults in the United States.

3 Center for Disease Control (2002).

4 Henshaw, S. (1999). The Alan Guttmacher Institute. Unintended Pregnancy in the United States . Family Planning Perspectives. 30 (1).

5 Alan Guttmacher Institute (March 23, 2009).

Birth Control Information provided from Contraceptive

Technology and Planned Parenthood (2007).

Birth Control Information provided from

  • Contraceptive Technology
  • Planned Parenthood (2007).

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Birth Control

Apr 05, 2019

490 likes | 697 Views

Birth Control. What method of birth control is 100 percent effective?. Abstinence . 100 Percent Effective Prevention against STD’s and Pregnancy Wait until your ready for the right partner . Male Condom. Thin latex or plastic sheaths used during intercourse

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Presentation Transcript

What method of birth control is 100 percent effective?

Abstinence • 100 Percent Effective • Prevention against STD’s and Pregnancy • Wait until your ready for the right partner

Male Condom • Thin latex or plastic sheaths used during intercourse • Sometimes they are called rubbers, safes, or jimmies. They prevent pregnancy and reduce the risk of (STDs).

Condom • Collects pre-cum and semen when a man ejaculates. • Keeps sperm from entering the vagina

Condom Effectiveness • Each year, 2 out of 100 women whose partners use condoms will become pregnant if they always use condoms correctly. • Each year, 15 out of 100 women whose partners use condoms will become pregnant if they don't always use condoms correctly.

Additional Information • Condoms can be more effective if: • Use spermicide • Pull out before ejaculation

Female Condom • A pouch inserted into the vagina to prevent pregnancy • Reduces the risk of STI’s • Vaginal and anal intercourse • Safe, effective, and convenient • Easy to get & cost about $4 each

Implanon http://www.plannedparenthood.org/health-topics/birth-control/birth-control-implant-implanon-4243.htm

Implanon • Thin, flexible, plastic, size of a cardboard matchstick. It is inserted under the skin of the upper arm. Protects up to 3 years. • How does it work? • Release progestin which keeps the ovaries from releasing eggs

Birth Control PatchOrtho Evra • Sticks to skin • Releases estrogen and progestin • Keeps ovaries from releasing eggs- ovulation • Less than 1 out of 100 woman get pregnant if it is used correctly

Orthro-Evra • http://www.plannedparenthood.org/health-topics/birth-control/birth-control-patch-ortho-evra-4240.htm

Birth Control Pill • Estrogen and progestin which prevents you from releasing egg cells during ovulation • 1 out of 100 women will get pregnant on the pill if used correctly • Reduces cramps, lighter periods, protection against Pelvic Inflam. Dis., helps acne, and helps PMS

Possible Side Effects • Bleeding between periods • Breast tenderness • Nausea and vomiting • Serious Side Effects include heart attack, stroke, blood clots in the legs, lungs, heart, or brain.

Vaginal Ring NuvaRing • A small ring you put in your vagina once a month for 3 wks to prevent pregnancy • Prevents woman from releasing egg

Birth Control Shot (Depo-Provera) • The birth control shot is an injection of a hormone that prevents pregnancy. Each shot prevents pregnancy for 3 mths. http://www.plannedparenthood.org/health-topics/birth-control/birth-control-shot-depo-provera-4242.htm

Birth Control Sponge • Plastic foam, soft, round, and about 2in in diameter. It has a nylon loop attached to the bottom for removal. It is inserted deep into the vagina before intercourse. • The sponge covers the cervix and blocks sperm from entering the uterus. • The sponge also releases a spermicide that keeps sperm from moving.

Birth Control Sponge • 9 out of 100 times will get pregnant each year if they use the sponge correctly • 16 out of 100 if they have given birth

http://www.plannedparenthood.org/health-topics/birth-control/birth-control-sponge-today-sponge-4224.htm http://www.plannedparenthood.org/health-topics/birth-control/birth-control-sponge-today-sponge-4224.htm

Inserting the Sponge • Before inserting sponge, wet with at least two tbsp of clean water. • Gently squeeze the sponge. The spermicide will become active when the sponge is completely wet. •  Fold the sides of the sponge upward and away from the loop on the bottom to make it look long and narrow. Then slide the sponge as far back into your vagina as your fingers will reach.

Inserting the Sponge • The sponge will unfold and cover the cervix when you let go of it. To make sure the cervix is covered, slide your finger around the edge of the sponge and check its position. You also should be able to feel the nylon loop on the bottom of the sponge.

Cervical Cap (FemCap) • The cervical cap is a silicone cup shaped like a sailor's hat. You insert it into your vagina and over your cervix. • The cervical cap blocks the opening to the uterus. • The spermicide stops sperm from moving.

Cervical Cap

Cervical Cap Effectiveness • For women who have never been pregnant or given birth vaginally, 14 out of 100 who use the cervical cap will become pregnant each year. • For women who have given birth vaginally, 29 out of 100 who use the cervical cap will become pregnant each year.

Inserting Cervical Cap • Put one-quarter teaspoon of spermicide in the dome of the cervical cap and spread a thin layer on the brim. • Put one-half teaspoon in the folded area between the brim and the dome. • Put your index and middle fingers in your vagina to locate your cervix. That way, you will know where to place the cap.

Inserting Cervical Cap • Separate the labia with one hand and squeeze the rim of the cap together with the other hand. Slide the cervical cap dome-side down into the vagina, with the long brim entering first. • Push down toward the anus and then up and onto the cervix. Make sure the cervix is completely covered. (It is easier to insert before you are sexually aroused.)

Diaphragm • Blocks the opening to the uterus. • Spermicide stops sperm from moving. • If women always use as directed, 6 out of 100 will become pregnant each yr. • If women don't always use as directed, 16 out of 100 will become pregnant each yr.

Emergency Contraception • AKA Morning After Pill • Can be started up to 5 days/ 120 hours after unprotected sexual intercourse • Keeps woman’s ovaries from releasing eggs which prevents pregnancy • Plan B is most common • Can cost anywhere from $10-$70 • Sooner pills started, the better

Intrauterine Device (IUD) • "T-shaped" devices made of flexible plastic. Inserted into a woman's uterus to prevent pregnancy. • Affects the way the sperm move, preventing them from joining with the egg

Two Brands Available in U.S. ParaGard Mirena • Contains Copper • Effective for 12 years • Release a small amount of progestin • Effective for five years

Problems with IUD • Can slip out of uterus • Infection if bacteria gets into the uterus when the IUD is inserted • Can push through the wall of the uterus if inserted incorrectly.

Sterilization (Tubal Ligation) • Surgery that prevents pregnancy • Safe and highly effective • Costs between $1,500 and $6,000 • Meant to be permanent • Closes or blocks a woman's fallopian tubes.

Vasectomy • During vasectomy, a health care provider closes or blocks the tubes that carry sperm. When the tubes are closed, sperm cannot leave a man's body and cause pregnancy.

Vasectomy Incision Method No Incision Method One puncture is made to reach both tubes Tubes are ties up or blocked • Incision on the side of the scrotum to reach the vas deferens (tube that carries the sperm) • Tubes are tied up or blocked with surgical clips

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