1. Describe the path the egg takes each month
Warm-up 12/17
Describe the path the egg takes each month
Sources:
vonHertzen H, Piaggio G, Ding J et al. Low dose mifepristone and two regimens of levonorgestrel for emergency contraception: a WHO multicentre randomized trial. Lancet 2002;360:
Ellertson C, Evans M, Ferden S, et al. Extending the time limit for starting the Yuzpe regimen of emergency contraception to 120 hours. Obstet Gynecol 2003;101:

2. A safe and effective way of preventing pregnancy.
What Is Contraception?
A safe and effective way of preventing pregnancy.
Sources:
vonHertzen H, Piaggio G, Ding J et al. Low dose mifepristone and two regimens of levonorgestrel for emergency contraception: a WHO multicentre randomized trial. Lancet 2002;360:
Ellertson C, Evans M, Ferden S, et al. Extending the time limit for starting the Yuzpe regimen of emergency contraception to 120 hours. Obstet Gynecol 2003;101:

3. What do you know about contraception?
Warm-up
What do you know about contraception?
Sources:
vonHertzen H, Piaggio G, Ding J et al. Low dose mifepristone and two regimens of levonorgestrel for emergency contraception: a WHO multicentre randomized trial. Lancet 2002;360:
Ellertson C, Evans M, Ferden S, et al. Extending the time limit for starting the Yuzpe regimen of emergency contraception to 120 hours. Obstet Gynecol 2003;101:

4. Adolescents Need EC
The U.S. has one of the highest teen pregnancy rate in the industrialized world.
82% of teen pregnancies are unplanned
In comparison with other western nations, U.S. teens are less likely to use contraception, and have less access to reproductive health services and sex education. These factors likely explain why the U.S. has the highest pregnancy rate of the industrialized world. [i]
In 2004, the adolescent pregnancy rate in the United States was 72.2 per 1,000, down 38% since its peak in [ii]
It is estimated that 82% of pregnancies in young women ages are unintended. [iii]
A study published in 2006 in the American Journal of Public Health indicates that the major factor in the decrease in teen pregnancy rates in the U.S. was due to an increase in contraceptive use. [iv]
Sources:
[i] Singh S, Darroch J. Adolescent pregnancy and childbearing: Levels and trends in developed countries. Fam Plann Perspect 2000; 32:14-23.
[ii] Ventura SJ, Abma JC, Mosher WD, Henshaw SK. Estimated pregnancy rates by outcome for the United States, 1990–2004. National vital statistics reports; vol 56 no 15. Hyattsville, MD: National Center for Health Statistics
[iii] Finer L, Henshaw S. Disparities in Rates of Unintended Pregnancies In the United States, Perspect Sex Reprod Health 2006;38:90-96.
[iv] Santelli JS, et al. Explaining recent declines in adolescent pregnancy in the United States: The contribution of abstinence and improved contraceptive use. Am J Public Health 2007;97:

5. Teen Pregnancy Rates Worldwide, 2000
Per 1000
U.S. teens are less likely to use contraception, and have less access to reproductive health services and sex education than the rest of the industrialized world. These factors likely explain why the U.S. has the highest pregnancy rate of the industrialized world.
The level of adolescent pregnancy varies by a factor of almost 10 across the developed countries, with a very low rate in the Netherlands (12 pregnancies per 1,000 adolescents per year) to an extremely high rate in the Russian Federation (more than 100 per 1,000).
Japan and most western European countries have very low or low pregnancy rates (under 40 per 1,000); moderate rates (40-69 per 1,000) occur in Australia, Canada, and New Zealand.
A group of 5 countries—Belarus, Bulgaria, Romania, the Russian Federation, and the United States—have pregnancy rates of 70 or more per 1,000.
Sources:
Singh S, Darroch J. Adolescent Pregnancy and Childbearing: Levels and Trends in Developed Countries. Fam Plann Perspect 2000; 32:14-23.
Ventura SJ, Abma JC, Mosher WD, Henshaw SK. Estimated pregnancy rates by outcome for the United States, 1990–2004. National vital statistics reports; vol 56 no 15. Hyattsville, MD: National Center for Health Statistics

6. HS Students Contraceptive Use at Last Intercourse
YRBS 2007
From YRBS Percentages from high school students who were currently sexually active.
Condom use: Females: 54.9%, Males: 68.5%
Birth Control Pills: Females: 18.7%, Males: 13.1%
These numbers may seem especially low because they only includes oral contraception and condoms and do not account for an increased number of teens using injectable contraceptives or other methods.
Source:
Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance – United States, Surveillance Summaries, June 6, MMWR 2008;57(No. SS-4).
*This data only reflects oral contraceptives and not rates of injectable contraceptives use

7. Human Error Inconsistent contraceptive use Incorrect contraceptive use
Unplanned intercourse

8. Methods of Contraception
Plan B, the dedicated product, is the most common method of Emergency Contraceptive Pill (ECP). It comes in a two tablet formation, and One-Step, a one tablet version. There is also a generic version of EC, which is sold as two tablets of .75mg levonorgestrel by prescription only. When access to Plan B or Levonorgestrel is not available, providers can use combined oral contraceptive pills as ECPs or a copper IUD to prevent pregnancy after unprotected intercourse.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.

9. The Male Condom Cheap – free if you look for it
Rolled over the penis to prevent seamen for entering the vagina
All condoms have expiration dates on them and can break
Barrier method
Easily misused
Plan B, the dedicated product, is the most common method of Emergency Contraceptive Pill (ECP). It comes in a two tablet formation, and One-Step, a one tablet version. There is also a generic version of EC, which is sold as two tablets of .75mg levonorgestrel by prescription only. When access to Plan B or Levonorgestrel is not available, providers can use combined oral contraceptive pills as ECPs or a copper IUD to prevent pregnancy after unprotected intercourse.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.

10. The Female Condom Barrier Method About 6.5 inches long
Inserted into the vagina to prevent ejaculated semen from entering the vagina.
Can be troublesome for some couples
Plan B, the dedicated product, is the most common method of Emergency Contraceptive Pill (ECP). It comes in a two tablet formation, and One-Step, a one tablet version. There is also a generic version of EC, which is sold as two tablets of .75mg levonorgestrel by prescription only. When access to Plan B or Levonorgestrel is not available, providers can use combined oral contraceptive pills as ECPs or a copper IUD to prevent pregnancy after unprotected intercourse.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.

11. The Copper-T Intrauterine Device (IUD)
Inserted into the uterus
Highly effective: Reduces risk of pregnancy by more than 99%
Can be used for SEVERAL years
Visit Doctor once a year
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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12. Depo Provera Shot It’s a hormone injection
Contains hormones that prevent ovulation (no egg = no baby)
You need to get the shot every 3 or 6 months depending on the type of shot
97-99 percent effective
Some women can experience medical complications
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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13. Nuva Ring Releases hormones (no egg = no baby)
Kept in the vagina for three weeks and removed for the fourth to allow for menstruation.
Vaginal muscles keep it in place…if it falls out wash it with cool water and re-insert.
Requires a prescription
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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14. Cervical Cap
Placed over the cervix (opening to the uterus after the vagina) to prevent sperm from entering the uterus.
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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15. Can be annoying, easy to miss a dose.
“The Pill”
Typically taken everyday at a set time to regulate hormones that prevent ovulation.
(no egg = no baby)
Can be annoying, easy to miss a dose.
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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16. Chemicals that are designed to kill sperm Not 100% effective
Spermicide
Chemicals that are designed to kill sperm
Not 100% effective
Comes on condoms, jellies, and creams.
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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17. Male =Vasectomy = tubes that allow sperm to leave the penis are cut.
Surgical Options
Male =Vasectomy = tubes that allow sperm to leave the penis are cut.
Female = Tubal Ligation= Fallopian tubes are cut, clipped, or burned so an egg can not go on its pathway to be fertilized.
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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18. Lower hormone levels in females = a lighter period and less acne.
Contraception
Lower hormone levels in females = a lighter period and less acne.
Must speak with your doctor to explore all options.
Be open with your partner about contraception
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
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19. Other
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
Image source:

20. Other
The copper-T intrauterine device (IUD) can be inserted up to five days after unprotected intercourse to prevent pregnancy. Insertion of a copper-T IUD is much more effective than use of ECPs or minipills, reducing the risk of pregnancy following unprotected intercourse by more than 99%. A copper-T IUD can be left in place to provide continuous effective contraception for up to ten years.
Source:
Stewart F, Trussel J, Van Look PF. Emergency Contraception. In: Hatcher RA, Trussell J, Nelson A, Cates W, Stewart F, Kowal D. (editors) Contraceptive Technology, 19th revised edition. New York: Ardent Media, 2007.
Image source: