Health Matters Lesson 4 BEFORE SESSION ENSURE THAT THE FOLLOWING RESOURCES AVAILABLE: FPA Contraception Display Case Condom Card Game (4 packs) Emergency Contraception (pharmacies in Poole) Posters Laminated Ground Rules with blue tak Evaluation for Students Evaluation for Teachers BEFORE SESSION PUT LAMINATED GROUND RULES ON BOARD, ENSURING ALL CAN SEE.

and not getting pregnant Contraception It’s what we do……. keeping safer…… and not getting pregnant What’s that? AFTER FIRST BUBBLE Contra means against Contraception means ‘the intentional prevention of conception (fertilisation of ovum by sperm)

Ground Rules Confidentiality Don’t be afraid to ask (no question is too silly) Respect and listen to each other Can you think of any other ground rules that we could set? AFTER FIRST BULLET POINT Confidentiality – What’s said in this room stays in this room AFTER FOURTH BULLET POINT Add any others ground rules the group would like to include, to the laminated sheet on the board.

Learning Outcomes By the end of this session you will know: that you have a choice whether to become sexually active or not about methods of contraception suitable for young people how to use a condom effectively where to get emergency contraception how to protect yourself from sexually transmitted infections (S.T.I.s) and pregnancy where to get confidential advice and support Explain learning outcomes and re-visit at the end of slide 38

Heterosexual Boys? Heterosexual Girls? Homosexuals (Gay Men)? What is the legal age of consent for: Heterosexual Boys? Heterosexual Girls? Homosexuals (Gay Men)? Lesbians (Gay Women)? Ensure that young people are aware that the age of consent is 16 for all groups

So the legal age of consent is 16 But that doesn’t mean you have to do it !!! It’s OK to say No !!! Consent means ‘you agree’ !!! AFTER FIRST BULLET POINT It doesn’t mean you have to do it, because you are 16 AFTER SECOND BULLET POINT It is ok to say no – not everyone is doing it – mention average age is 16 for boys and 17 for girls. Young people become sexually active at different times – it should be YOUR choice. Just because we are giving you this information now, you don’t have to use it now; it is information for the rest of your lives. AT END OF SLIDE If you have any worries following this session or haven’t understood something then your school nurse…………… is available………. or you can drop in to the Quay Advice Centre or discuss your concerns with a trusted adult.

Recap – The Female Body Re-cap the female body

Recap - The Male Body Re-cap the male body

Relationships….. Your choice…….. However……. If you choose to become sexually active… Reinforce that it is your choice – you should never be forced into a relationship against your will.

So how can you AVOID getting pregnant or contracting sexually transmitted diseases? Don’t have sex Or use contraception There are two ways of not becoming pregnant AFTER SECOND BULLET POINT Practice safer aspects of ALL SEXUAL PRACTICES, particularly the ones we know young people are partaking in such as ORAL SEX

Contraception…..your choices

Barriers Put a barrier between the sperm and the egg (ovum)… A barrier method of contraception is the only method that protects against sexually transmitted infections and pregnancy – IF used correctly.

The Male Condom 98% effective if used properly Free from young people’s advice centres and through the C-Card Scheme. Emphasise that condoms are free from young peoples clinics and some other sources - ask the students.

So condoms are barriers against pregnancy AND……… We protect people against S.T.I.s What else do we do? AFTER FIRST BUBBLE Ask the students. AFTER SECOND BUBBLE Explain what STIs are. Explain that they are on the increase e.g. Chlamydia – 70% of people contracting it do not know they have it. If caught today, and left untreated, you could be infertile by the age of 25.

Sexually Transmitted Infections like….. What are S.T.I.s? So condoms protect against pregnancy AND S.T.I.s? Oh Yes! double protection FIRST BUBBLE Ask students. SECOND BUBBLE Chlamydia – which is easily treated with antibiotics FOURTH BUBBLE Protection against pregnancy and STIs – not using 2 condoms

Contraceptive Advice You can also get information, advice and free contraception from Advice Centres and Youth Advisory Clinics Or you can buy condoms from: Chemists/Supermarkets Pubs/Clubs/Shops They cost about £2.50 for a packet of 3 Reinforce information on where and how friendly young peoples clinics are. After Pubs/Clubs/Shops – emphasise that they must have the kite mark.

Whoops!!! But, what do you do if you have unprotected sex or the condom splits? Don’t panic; seek help and advice as soon as possible. Ask students if they know of any other times when they might need emergency contraception e.g. if you are on the pill and have had a bout of D&V or antibiotics.

Emergency Contraception Levonelle 1500 is a single tablet containing the hormone progesterone It needs to be taken within 3 days (72 hours) of unprotected sex; the sooner the better! Reinforce the importance of gaining access to Emergency Contraception as soon as possible. Ensure students know that they can still get help if after 72 hours (other options may be available) Formerly known as ‘Morning After Pill’

What other contraceptive choices do you have? For girls? For boys? Asks students which other contraceptive choices they have heard about. Thank students for their input.

Other choices for girls……… The Contraceptive Pill The Implant (Implanon) The Contraceptive Injection The Femidom (Female Condom) Ensure all four methods are covered along with reinforcing barrier methods of contraception.

The Contraceptive Pill 2 types – combined and progesterone only pill 99% effective if taken correctly Can only be obtained by prescription from a health professional BULLET POINT 1 Recommend combined pill as more suitable for young people. BULLET POINT 2 Taking the pill is a responsibility – it should be taken at the same time of day as this instils routine & means it is less likely to be forgotten. Some girls put a reminder on their mobile phone. If antibiotics are prescribed or a person suffers an episode of diarrhoea and vomiting the contraceptive pill should be continued but a condom should also be used for 7 days.

The implant (Implanon) A small plastic white rod which is inserted into the upper arm, by a health professional Provides a steady stream of the hormone progesterone Lasts up to 3 years; fertility returns to normal quickly Ensure the sample Implanon is passed around the student group. Advise students that the implant is inserted using a local anaesthetic.

The contraceptive Injection Depo-provera injection contains the hormone progesterone Effective from day 1 Needs to be given by a health professional every 12 weeks BULLET POINT 2 Effective from day one if started on day one of period BULLET POINT 3 Usually given in the buttock

The Female Condom (Femidom) 95% effective Can be bought from chemists e.g. Boots - about £5 for a packet of 3 These are not available free and are single use only Ensure that the sample femidom is held up for the student group to see, ensuring students know how to use it. Reinforce that it is 95% effective IF USED CORRECTLY.

Safer Sex The Double Dutch Method of using Condoms and another form of contraception is the best way of protecting everyone. Using condoms together with a long term method of contraception is strongly advised to give protection against pregnancy and sexually transmitted infections. Emphasis is on SAFER SEX as there is no such thing as SAFE SEX as it always carries a risk and a responsibility.

Relationships….. Your choices Who decides? Him? Her? Joint decisions? Reinforce that it is an individual choice.

Remember Abstinence is the only 100% effective way of not getting pregnant and avoiding sexually transmitted infections. Condoms are the only type of contraception to prevent pregnancy AND protect against Sexually Transmitted Infections. Reinforce this message

Think Your life, your choice Remember that it is your choice about when to have sex and you need to feel completely ready emotionally. It is important that many young people experience high levels of regret associated with having sex at an early age and before the person was really ready. It is important to delay having sex until you are ready

Learning Outcomes You should now know: that you have a choice whether to become sexually active or not about methods of contraception suitable for young people how to use a condom effectively where to get emergency contraception how to protect yourself from sexually transmitted infections and pregnancy where to get confidential support and advice Recap

Any questions?