Teen Version # 51 1 Family Planning for Women & Men Location- Allegan County Human Services Building Confidentiality- is maintained for all clients Except: When one is being abused or abusing someone else Clinic Hours-various mornings, afternoons and evenings (clinician is not on staff full time) Call For Current Office Hours ***(It’s best to call for an appointment.)

Teen Version # 52 HOW MUCH WILL SERVICES COST? Fee Structure —based upon family income and size using a sliding fee schedule Insurances are accepted – Medicaid Plan First Private insurances *If insurance is used- parents will be notified through insurance* No one is denied family planning services!!!! for inability to pay.

Teen Version # 53 Should I get tested? The answer is ‘yes’ if you answer ‘yes’ to either of the following questions: Have you had more than one sexual partner? Have you EVER had a partner who has had other partners and did not use protection? GET TESTED

Teen Version # 54 How could I get an S.T.I.? Oral, vaginal, or anal sex: Chlamydia, HPV, Gonorrhea, Hepatitis B, Herpes, HIV/AIDS, Syphilis Skin-to-skin contact: HPV, Herpes Contact with blood: Hepatitis B, HIV/AIDS Fluids that transmit: contact with vaginal fluids, semen, breast milk (HIV/AIDS), saliva (Hepatitis B)

Teen Version # 55 Many Different S.T.I.s Bacterial Gonorrhea Cancroids Chlamydia Trichomoniasis Syphilis Bacterial Vaginosis Scabies Pubic lice (Parasite) Pelvic Inflammatory Disease Viral Hepatitis B HIV / AIDs Herpes Simplex Virus (HSV) **Human Papilloma Virus (HPV) **GARDASIL VACCINE*** For both male and female!

Symptoms of S. T. I.’s Discharge Itching Sores Pain Rash Odor Organisms Fatigue Sometimes no symptoms!!! Teen Version # 56

% of Effectiveness % of Effectiveness *use according to instructions Perfect Use vs. Human Use Effectiveness when a method is used consistently and correctly Abstinence 100%!!! Oral contraceptives – Combined hormonal – Progestin only – 99.9% or 95% Implanon – or Injectables – Depo-Provera – 99.7 or 99.6% Emergency contraception – 85% NuvaRing – 99.9% or 90% Male condoms (Barrier Method) – 97% or 86% Teen Version # 57

8 % of Effectiveness % of Effectiveness *use according to instructions Withdrawal Sterilization – Tubal ligation nearly 100% – Vasectomy nearly 100% Female barrier methods – Female condom 95% or 79% – Diaphragm 90% or 94% – Sponge Spermicides – Cream/foam – jelly (gels) – VCF – (film) – 94% or 74% Intrauterine devices (IUDs) – Mirena 99.7% or 99% – Paragard 99.7% or 99% Natural family planning Calendar Method