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Contraception
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Facts: 80% of American women have a child by age 45
64% of women are on contraceptives
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Outercourse Oral sex Anal intercourse
It can be a viable form of birth control It is not “safe sex” you can still get STD.s
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Who is likely to use contraception ineffectively?
People who feel guilty about sex
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Oral contraceptives Advantages Disadvantages Very effective (99%+)
Increase spontaneity and enjoyment Risks are much lower than pregnancy Disadvantages Decrease sexual motivation Water weight gain Problems with blood clots (in some users)
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Types of pills Constant dose combination pill Multiphasic pill
Most common Multiphasic pill Both types prevent conception by inhibiting ovulation Mini pill Progestin only
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Danger signs for pill users = ACHES
Abdominal pain Chest Pain Heart attack Headaches Eye problems Blurred vision Light flashes Blindness Severe leg pain Blood clot in leg
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The patch Estrogen and progestin
1 patch a week for 3 weeks on & 1 week off 99% effective (similar to pill) Prevent ovulation Increase cervical mucus
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Intrauterine Device - IUD
Danger signs = PAINS Period late or no period Abdominal pain Increased temperature, fever, chills Nasty discharge Foul smelling Spotting, bleeding, heavy periods, clots
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IUD effectiveness due to:
Copper Progesterone Irritation in uterus Makes implantation unlikely
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IUD in uterus
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Male Condoms With Nonoxynol-9 Additional protection against STD’s
How to use
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Female condoms
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Diaphragm One of the least effective birth control methods
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Cervical cap
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Spermicide
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Depo-Provera Progestin only Injection Once every 12 weeks (3months)
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Emergency contraception
High dose of estrogens or progestins
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Contraceptive patch for women
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Norplant Implants Progestin only
Best for a woman who smokes cigarettes, has high blood pressure, is forgetful, and likes spontaneous sex Legal problems (several law suits filed against this product)
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Basal Body Temp. (Rhythm Method)
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What is the leading method of birth control in the United States?
Sterilization
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Male sterilization (Vasectomy)
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Vasectomy reversal
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Female sterilization
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Female Sterilization (Cont.)
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Seasonale 4 periods a year Low-dose estrogen and progestin
12 weeks of active pills + 1 week of dummy pills Twice the risk of “breakthrough” bleeding
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Seasonale (Cont.) Pill - similar to other pills with hormones
84 pink hormone pills and 7 white inactive pills Withdrawal bleeding should occur during the 7 days following discontinuation of pink active tablets. One period every three month.
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NuvaRing Estrogen hormone ring Insert in vagina Worn 3 out of 4 weeks
Position not critical Low dose hormone = low side effects
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