1. 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.

2. 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)

3. 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.

4. 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

5. 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

6. So the legal age of consent is16
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.

7. Recap – The Female Body
Re-cap the female body

8. Recap - The Male Body
Re-cap the male body

9. 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.

10. 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

11. Contraception…..your choices

12. 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.

13. 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.

14. 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.

15. 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

16. 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.

17. 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.

18. 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’

19. 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.

20. 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.

21. 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.

22. 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.

23. 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

24. 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.

25. 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.

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

27. 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

28. 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

29. 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

30. Any questions?