From Healthcare Provider to Teen:

From Healthcare Provider to Teen:
______________________________________________________ What You Need to Know About Sex and Sexuality Note for the presenter: Please note that this slide set will take over an hour to present, as it contains a lot of information. Therefore, you will want to try to engage your attendees as much as possible by asking questions and breaking out into group activities to better hold their attention. Also, you may want to pick and chose which sections and/or parts of sections to include in your talk. Please see the handout “10 Methods for Obtaining Participation” for some helpful tips. Talking Points: Overview of sections (5 sections) Your body Sexuality Sex Pregnancy risk Sexually transmitted diseases (or STDs) Prevention and tips for making sure you get the best possible healthcare

Our Bodies Overview: In this section, we’re going to talk about your bodies, genitals, reproductive organs, and reproductive cells.

Section 1: Your Body Genitals Reproductive Organs Reproductive Cells

Parts That Everyone Has
Urethral opening Buttocks Anus Genitals Nipples Urethra Question for audience: What do we all have in common? Define: Slang synonyms Talking Points: Genitals: The sexual and reproductive parts of both females and males. In females, the genitals include the vulva, clitoris, vagina, and internal organs such as the uterus. In males, the genitals include the penis testicles, scrotum, and internal organs such as the prostate gland. The nipples: The tops of both males’ and females’ chests that contain many nerve endings. They can be very sensitive to touch and stimulation can cause the nipples to become erect. When a woman breastfeeds, milk comes out of the nipples. Urethra: The tube that carries urine from the bladder to the outside of the body. In males, semen also travels through the urethra to the outside of the body. Urethral Opening: Is where urine comes out of the body. Buttocks: The part of the body at the top of the legs where the anus is located. Anus: The opening from the intestine to the outside of the body. This is where feces comes out. Source: Kempner M, Rodriguez M. Talk About Sex. Sexuality Information and Education Council of the United States. New York, NY: 2005.

Body Diversity Your body is unique!
There is no right or wrong way for a body to look. Talking Points: All bodies and external genitalia come in many different shapes and sizes. Everyone’s body is unique. There is no right or wrong way for a body to look. Most people have male or female genitalia, but a small number of people have parts that are not clearly either. Define: Intersex and Intersexuality An intersexual is a person born with genitals or chromosomes that are not clearly male or female. “Intersex” is a general term used for a variety of conditions in which a person is born with a reproductive or sexual anatomy that doesn’t seem to fit the typical definitions of female or male. For example, a person might be born appearing to be female on the outside, but having mostly male-typical anatomy on the inside. Or a person may be born with genitals that seem to be in between the usual male and female types—for example, a girl may be born with a noticeably large clitoris, or lacking a vaginal opening, or a boy may be born with a notably small penis, or with a scrotum that is divided so that it has formed more like labia. Or a person may be born with mosaic genetics, so that some of her cells have XX chromosomes and some of them have XY.

Your Body Male Talking Point: Every man’s body is different looking and unique.

Shaft: The long part of the penis below the head (glans) of the penis.
Definitions: Penis: The external male sex organ that is located between a male’s legs. The tip of the penis is the most sensitive to touch. The opening of the penis (the urethra) is where urine (pee) and semen (cum) come out. Testicles: The oval-shaped sex organs located just below the penis. The testicles produce sperm and male hormones. For most males, one testicle is bigger than the other and one hangs lower than the other. Scrotum: The pouch of skin that holds the testicles. The scrotum has the ability to adjust the temperature of the testicles by moving them closer to or farther away from the body. This is necessary in order to make healthy sperm. Shaft: The long part of the penis below the head (glans) of the penis. Source: Kempner M, Rodriguez M. Talk About Sex. Sexuality Information and Education Council of the United States. New York, NY:2005. Reprinted with permission from Planned Parenthood® Federation of America, Inc. © 2006 PPFA. All rights reserved.

Talking Points: Circumcision
All males are born with a fold of skin at the end of the penis covering the glans. (This is known as the foreskin.) Some males have been circumcised, meaning that a doctor or clergy member has cut this skin away, usually when the man is a baby. Circumcision is not medically necessary, but some parents have their sons circumcised because of religious beliefs, concerns about hygiene, or cultural or social reasons. All penises work the same, regardless of whether the foreskin has been removed. Source: Reprinted with permission from Planned Parenthood® Federation of America, Inc. © 2006 PPFA. All rights reserved.

Source: Sex Etc. Glossary http://www.sexetc.org/page/glossary/
Definitions: Testicles: The male reproductive gland, which produces sperm and the hormone testosterone. Bladder: A hollow, muscular, and balloon-like organ that collects urine before it travels out of the body through the urethra. Urethra: A tube that carries urine from the bladder to outside the body in both males and females. In males, the urethra is also a passageway for semen. Prostate: A gland near the male bladder, which secretes a fluid that is part of semen. Source: Sex Etc. Glossary Reprinted with permission from Planned Parenthood® Federation of America, Inc. © 2006 PPFA. All rights reserved.

Male Reproductive Cells
Sperm Short for spermatozoa Cells that carry male’s genetic material Source: 10

What is semen? A fluid that comes out of the penis during ejaculation
Millions of sperm in each drop of semen Usually a teaspoon to a tablespoon of semen is released during an ejaculation

What is an erection? Blood flows into the penis making it firm
Can occur in sexual and non-sexual situations Almost all erect penises are around the same size It is normal for a guy’s erect penis to curve to the right or left

Your Body Female Talking Point: Every woman’s body is different looking and unique.

Definitions: Mon Pubis: The fleshy pad of skin that protects the pubic bone in females. This is where most of a woman’s pubic hair grows. Vulva: The external parts of female genitals. These include the mons pubis, outer labia (outer lips), inner labia (inner lips), clitoris, urethral opening, and the opening to the vagina. Clitoris: An external female sex organ that can be very sensitive to touch. The clitoris is usually located at the top point where the inner labia (inner lips) meet and is protected by the clitoral hood (a piece of skin). The main purpose of the clitoris is to provide sexual pleasure. Vagina: The hollow, tube-like opening between the uterus and the outside of the body. Most of the time, the walls of the vagina are very close together. The walls are made of muscle and are able to separate and expand when something is inserted into the vagina or when something comes out. The vagina is where a baby comes from during vaginal childbirth, where menstrual fluid comes out, where a tampon goes in during a woman’s period, and where a penis can go in during sexual intercourse. Source: Kempner M, Rodriguez M. Talk About Sex. Sexuality Information and Education Council of the United States. New York, NY:2005. Reprinted with permission from Planned Parenthood® Federation of America, Inc. © 2006 PPFA. All rights reserved.

Definitions: Uterus: A pear-shaped internal organ made of muscle. The uterus, which is sometimes called the womb, is where the fetus develops during pregnancy. The lining of the uterus is what comes out when a woman has her period. Cervix: The bottom part of the uterus which extends down into the vagina. The opening of the cervix, called the os, is where sperm swim through into the uterus. It also expands during labor to allow the baby to come out during birth. Ovaries: The internal organs that store and release ovum or eggs. Females have two ovaries, which are located on either side of the uterus. Fallopian Tubes: The thin tubes between the ovaries and the uterus. Once an egg is released from the ovary, it travels down the fallopian tube into the uterus. If fertilization happens, the sperm and egg usually meet in the fallopian tube. Source: Kempner M, Rodriguez M. Talk About Sex. Sexuality Information and Education Council of the United States. New York, NY:2005. Reprinted with permission from Planned Parenthood® Federation of America, Inc. © 2006 PPFA. All rights reserved.

Female Reproductive Cells
Ovum (Egg) Cells that carry the female’s genetic material Once a woman starts getting her menstrual period, her ovaries usually release one ovum a month Source: Kempner M, Rodriguez M. Talk About Sex. Sexuality Information and Education Council of the United States. New York, NY:2005.

Menstruation Menstruation prepares a female’s body for pregnancy
During a female’s menstrual period, her body sheds the uterine lining Menstrual blood flows from the uterus through the small opening in the cervix and passes out of the body through the vagina Talking Points: The Menstrual Cycle In the first half of the cycle, levels of estrogen (the “female hormone”) start to rise and make the lining of the uterus (womb) grow and thicken. At the same time, an egg (ovum) in one of the ovaries starts to mature. At about day 14 of a typical 28-day cycle, the egg leaves the ovary. This is called ovulation. After the egg has left the ovary, it travels through the fallopian tube to the uterus. Hormone levels rise and help prepare the uterine lining for pregnancy. A woman is most likely to get pregnant during the three days before ovulation or on the day of ovulation. Keep in mind, females with cycles that are shorter or longer than average may ovulate earlier or later than day 14. If the egg is fertilized by a man’s sperm cell and attaches to the uterine wall, the woman becomes pregnant. If the egg is not fertilized, it will break apart. If pregnancy does not occur, hormone levels drop, and the thickened lining of the uterus is shed during the menstrual period.

What is an erection? Can occur in sexual and non-sexual situations
During excitement, the clitoris swells and changes position The size and shape of the clitoris varies in each woman, although its location is pretty much the same for all females

Let’s Talk About Sexuality
Overview: In this section, we’re going to talk about attraction, sexual orientation, and gender identity.

Section 2: Attraction Sexual Orientation Gender Identity
Overview: In this section, we’re going to talk about attraction, sexual orientation, and gender identity.

What is sexual orientation?

Sexual Orientation Term used to describe people’s physical and romantic attractions to other people The majority of medical professionals believe people are born with their sexual orientation Talking Points: Your sexual orientation will influence whom you find attractive.

Sexual Orientation Includes
Heterosexual (Straight) Attracted to people of another gender Homosexual (Gay or Lesbian) Attracted to people of the same gender Bisexual (Bi) Attracted to people of both genders Unsure or questioning Trying to figure it out Talking Points: The most common labels of sexual orientation are heterosexual, homosexual, and bisexual. So what do these labels mean? Heterosexual or “straight” is used to describe to people who are attracted to people of the opposite gender. Homosexual (lesbian or gay) is used to describe people who are attracted to people of the same gender. The term bisexual is used to describe people who are attracted to people the of same gender and people of the opposite gender. People can get really caught up with labeling themselves. Sometimes, we’re not sure which label might apply to us or whether we need one at all. For some people, their sexual thoughts and feelings are different from how they label themselves. That means that a guy who considers himself to be “straight” could be attracted to a man, maybe even be sexual with that man, but not consider himself to be bisexual or gay. Understanding your sexual orientation can be confusing, scary, and lonely. But it can also be freeing to identify this one aspect of who you are. It can take a long time to figure out, and even once you think you’ve done it, something might happen that makes you question what you thought you knew. That is all totally normal. Source: Kempner M, Rodriguez M. Talk About Sex. Sexuality Information and Education Council of the United States. New York, NY:2005.

Gender Identity Includes
Male Female Transgender None Definition: Transgender Transgender is used to describe people whose inner sense of maleness or femaleness does not conform their biological sex. Transgender people are often described as: Male-to-female (M-to-F) Female-to-male (F-to-M) Transgender people are also described by the sex they currently identify with (“male identified”). Some people do not identify as any gender.

Now Let’s Talk About Sex
Overview: In this section, we’re going to talk about sex and sexual stimulation. Source: Image # 25

Section 3: What is sex? What is sexual stimulation?

What are some types of sexual activity?
Kissing Mutual masturbation Outercourse Dry humping Genital-to-genital contact Masturbation Oral sex Vaginal sex Anal sex Question for audience: Ask about what the audience thinks are types of sex and what slang they use. Masturbation is when a person touches his or her own genitals. Mutual masturbation is touching another person’s genitals. Anal sex is when a penis is put inside the anus. Vaginal sex is when a penis is put inside the vagina. Definitions: Oral sex is sexual play that involves either penis in the mouth or the mouth on the vagina. Dry humping is when two people rub their bodies against each other—often moving their genitals together and simulating the motions of intercourse without actually having it. People can be partially or fully clothed or not wear clothes at all. It's also called dry sex. This is a type of outercourse. Outercourse is sexual play that does not involve the penis penetrating the vagina or anus, and does not involve the exchange of semen, vaginal fluids, or blood.penetration into a vagina or an anus that involves no semen, vaginal fluids, or blood 27

What can happen when a person becomes sexually stimulated?
For Males The penis hardens and forms an erection A fluid called pre-ejaculate is released from the penis For Females Blood rushes to the clitoris The vagina becomes wet For Both Male and Females Nipples become erect Note: pre-ejaculate is also called pre-cum

* Not all erections end in ejaculation
Sexual Climax: Males A man ejaculates (semen comes out of the penis) * Not all erections end in ejaculation Talking Points: For both males and females, sexual climax is also referred to as an orgasm Explain that cum is the same thing as semen

Sexual Climax: Females
The muscles of the vaginal wall contract It is normal for a woman to ejaculate liquid out of her urethra * Not all females will have a sexual climax during each sex act

How many of your high school peers have had vaginal sex?
Less Than Half Increases by grade: 34% of 9th graders 43% of 10th graders 51% of 11th graders 63% of 12th graders Talking Point: In 2005, less than 1/2 of high school students in the United States had had vaginal sex. Source: YRBS

Pregnancy Risk

Section 4: Pregnancy Risk Myths
Overview: In this section, we’re going to talk about how females can get pregnant and some myths about pregnancy risk. We will talk later about how to prevent pregnancy.

What type of sex puts you at risk for pregnancy?
Vaginal Sex Genital-to-genital contact (only when semen is ejaculated)

Can a woman get pregnant during her period?
Yes

Does a woman have to orgasm to get pregnant?
No, she does not. 36

Some Things to Keep in Mind
Teenagers are very fertile Sperm can live inside of a woman’s body for up to 5 days Even if a guy pulls out, there is still a risk of pregnancy Definition: Pulling out is when a man withdraws his penis from the vagina before he ejaculates. Talking Point: Why pulling out is not safe: 1) Pre-ejaculate or “pre-cum” can contain sperm 2) The average speed of ejaculation is 28 miles per hour Source:

STIs and STDs Overview: In this section, we’re going to talk about what STIs and STDs are and how you can get one. We will talk later about how to prevent getting an STD.

Section 5: Define STIs and STDs How you can get an STD

What are STIs and STDs? STI STD
An infection spread by sexual contact with certain body parts STD An infection that has developed symptoms Talking Points: Some of these are curable, and some are not. These are caused by bacterial, viral or parasitic pathogens that are acquired through sexual activity. Many people use these terms interchangeably or will just use STD. The rest of this presentation will use the term STD.

Each year, how many teens contract an STD?
More than 9 million new cases of STDs each year in people ages 15-24 By age 25, half of sexually active people will have had an STD Each year, 1 in 4 teens contracts an STD Sources: 1) Guttmacher Institute. (2006) Facts on American Teens' Sexual and Reproductive Health. New York 2) Cates JR, Herndon NL, Schulz S L, Darroch JE. (2004). Our voices, our lives, our futures: Youth and sexually transmitted diseases. Chapel Hill, NC: University of North Carolina at Chapel Hill School of Journalism and Mass Communication. 3) Guttmacher Institute. (1994). Sex and America's Teenagers. New York: Alan Guttmacher Institute

What types of sex put you at risk for STDs?
Vaginal sex Anal sex Oral sex Genital-to-genital contact

What about if you just touch someone’s genitals with your hand?
This is less risky, but…If you have any cuts or sores, you can get or give someone an STD

Things That Increase Your Risk
Having vaginal sex at a young age Having more than one partner at the same time Not using condoms and dental dams correctly every time Talking Point: Why sex at a young age increases risk Having sex before age 15 is risky because a female’s vagina may not lubricate sufficiently, which means that vaginal tearing is more likely to occur. Also, an undeveloped cervix cannot ward off infection well. And, of course, having sex at earlier may suggest more partners throughout the lifespan.

Can you tell by looking at someone that he/she has an STD?
45

No, you can’t tell! Most of the time, STDs have no symptoms
When there are symptoms, they include: Burning when you urinate Discharge from the penis or the vagina Bumps or spots

Curable STDs Chlamydia Gonorrhea Definitions: Chlamydia
A sexually transmitted infection caused by bacteria. It often has no symptoms. When symptoms occur, they can include burning during peeing, discharge, and bleeding during sex for females. For males, pain during peeing and a watery discharge are common symptoms. Chlamydia is the most common STD in the United States and can cause serious health problems if not treated; it is the leading cause of preventable infertility and ectopic pregnancy since it can cause scarring and damage to the female reproductive system if it is not treated early. Because chlamydia is a bacterial infection, it can be cured easily with antibiotics. Gonorrhea A sexually transmitted infection caused by bacteria. Symptoms in males include a discharge from the penis and increased need to pee. For females, there may be a discharge from the vagina, but many females (and some males too) will not have any symptoms. Gonorrhea can be treated and cured with antibiotics. Source:

Treatable STDs Human Papilloma Virus (HPV)
Can cause cervical cancer and genital warts Herpes HIV and AIDS Definitions: HPV The Human Papilloma Virus (HPV) is a sexually transmitted infection that may cause small, painless bumps around the genitals, anus, and/or mouth. The virus cannot be cured. Some strains of the HPV virus are linked to an increased risk of cervical cancer among females, which is why it is very important to get regular Pap smears. Early detection can prevent cervical cancer. There is now a vaccine available for certain strains of the virus. Ask your doctor for more information about the vaccine (Gardasil). Herpes A sexually transmitted infection that is caused by the Herpes Simplex Virus (HSV). It can also be transmitted non-sexually and causes small, blister-like sores (cold sores) around the mouth or genitals. Herpes type 1 is typically associated with sores around the mouth, while Herpes type 2 is typically associated with sores around the genitals or anus. Genital herpes can not be cured, but the symptoms can be treated using antiviral medications. Source: Sex Etc. HIV HIV stands for human immunodeficiency virus. This is the virus that causes AIDS. HIV is different from most other viruses because it attacks the immune system. The immune system gives our bodies the ability to fight infections. HIV finds and destroys a type of white blood cell (T cells or CD4 cells) that the immune system must have to fight disease. AIDS AIDS is the final stage of HIV infection. It can take years for a person infected with HIV, even without treatment, to reach this stage. Having AIDS means that the virus has weakened the immune system to the point at which the body has a difficult time fighting infections. When someone has one or more of these infections and a low number of T cells, he or she has AIDS. Source: CDC 48

If You Think You Have Been Exposed to an STD
Get tested STD clinics offer confidential screening If the test is positive, follow your doctor’s advice for treatment Talk to your partner(s) and tell them to get tested

Preventing Pregnancy and STDs

Section 6: Your many choices Tips for making your choices
Emergency contraception Pregnancy Talking Points: In this section, we’re going to talk about how to prevent pregnancy and STDs. We’re going to talk about your different options, including abstinence, barrier methods, and hormonal contraception, as well as tips for making your choices. Lastly, we’re going to talk about emergency contraception and what your options are in the case of pregnancy.

What You Can Do to Prevent Pregnancy
1) Abstinence 2) Barrier Methods 3) Hormonal Contraception

What You Can Do to Prevent STDs
1) Abstinence 2) Male Condoms, Female Condoms, and Dental Dams Talking Points: Only abstinence, and male and female condoms can protect against pregnancy and STDs 53

Abstinence #1 way to protect yourself
What do I consider to be abstinence? Is it right for me? Is it right for my partner? Am I comfortable communicating my intentions to your partner? Define: Abstinence Sexual abstinence is a choice to refrain from most or all sexual activity. Talking Points: Why chose abstinence? It is the only 100% effective way to protect yourself from STDs and pregnancy. 54

What can I do that is safe?
Dry humping (with clothes on) Masturbation Sexual talk (chatting/IM, phone sex, sharing fantasies) Note for the presenter: IM refers to instant messaging 55

Masturbation: A Safe Form of Sex
Both males and females can and do masturbate Causes no physical harm and there is no risk of pregnancy or STDs Can relieve stress, tension, and sexual desire Familiarizes you with your body 56

If you decide you are ready to have sex…
Image#

Questions to Ask Yourself Before Deciding to Have Sex
Am I emotionally ready to have sex? Do I trust my partner? Do I feel pressured into this decision? How do my religious beliefs, spiritual beliefs, and values affect my choice? How will I feel after? Talking Points: These questions are for the first time or with a new partner. Question for the audience: What questions do you think you could ask? 58

What should you do before having sex for the first time, or with a new partner?
Get tested Discuss past exposure to STDs Discuss boundaries Talk to your doctor and develop a pregnancy and STD prevention plan Talking Points: Before you have sex for the first time or with a new partner, review this checklist. When discussing boundaries, find out what you and your partner are comfortable doing. Get tested once a year and before having sex with a new partner. Ask if your partner has been tested in the last 6 months. It is the responsibility of both partners. Talking to a doctor and a parent (or trusted adult) will help you to make a good pregnancy and STD prevention plan.

What should you ask when making an appointment?
How much will my visit cost? Can my partner come with me? Are services confidential? Are you going to call my house? Are you going to mail my test results?

Tips for Talking to Your Doctor
Be honest Ask questions Ask for an explanation Talking Points: Be honest, so the doctor knows everything and can give you the best care. Ask questions about sex, your body, condoms, birth control, STDs, etc. This is your chance. Ask for an explanation if you don’t understand what the doctor has said or why something is being done. Source: NYC Health & Take Care NY “Teens in NY” publication

Things That Will Not Protect You from STDs and Pregnancy
Douching or washing after sex Withdrawing before ejaculation Using plastic wrap instead of a condom 62

Hormonal Contraception
Birth Control Pills The Vaginal Ring The “Shot” The Patch IUD 54 mm 4 mm Talking Points: Only abstinence, and male and female condoms can protect against pregnancy and STDs. These contraceptives shown in the slide work by releasing hormones (the chemical substances that control the functioning of the body's organs) into the bloodstream to prevent pregnancy. Definitions: Birth Control Pills: There are two basic types — combination pills and progestin-only pills. Both are made of hormones like those made by a woman's ovaries, and require a prescription. Vaginal Ring: The vaginal ring is a transparent, flexible ring that a woman inserts into the vagina herself. The vaginal ring stays in the vagina for three weeks, and it releases hormones into the body. The “Shot”: Depo Provera is a hormone injection that lasts for three months. The injection contains hormones. It is usually given in the arm or rear, delivering a high level of progesterone into the body. The Patch: The birth control patch is a thin, beige, square patch that sticks to the skin. It releases hormones through the skin into the bloodstream. IUD: The IUD or intrauterine device is a T-shaped piece of plastic about the size of a quarter that is placed inside the uterus to prevent pregnancy. Two types of IUDs are available—one releases the hormone progesterone, and the other one is covered with copper wire. This type of IUD does not contain hormones. 63

STD Prevention: Condoms and Dental Dams
Most effective means of preventing STDs (besides abstinence) To be effective, you must use a new condom EVERY time you have sex For oral sex, use condoms or dental dams to cover the penis, vagina, or anus

Barrier Methods Condoms Female condoms (polyurethane) Cervical Cap
Latex Lambskin Polyurethane Female condoms (polyurethane) Cervical Cap Diaphragm Talking Points: Condoms: Latex condoms are the best condoms available at the moment. There are three different types of condoms. They can be made from latex (most male condoms are latex), lambskin (some male condoms are made of lambskin), and polyurethane (some male and all female condoms are made of polyurethane). The male latex condom is the best at protecting against pregnancy and sexually transmitted infections. If you are allergic to latex or would like to use a female condom, you can use a polyurethane condom. Lambskin condoms are not recommended for protecting against STIs. Cervical cap: This is a small latex or silicone cap to be placed over the cervix. Spermicide needs to be added, and a female must be fitted for one. Diaphragm: A diaphragm is a large, latex cap to be placed over the cervix. Spermicide is needed, and a female must be fitted for one.

Is there a right and wrong way to use a condom?
YES! Talking Point: Incorrect use can increase your chances of pregnancy and disease.

Things to Remember About Condoms
Always check the expiration date and look for damage to the wrapper or condom before using Never use a condom more than once Using two condoms at once does not offer increased protection You have to use the condom the entire time you have sex Talking Point: Using two condoms at the same time is not recommended for either safer sex or pregnancy prevention. In fact, "double-bagging" can increase the friction between the condoms during intercourse, making them more likely to rip or tear.

Other Things to Remember About Condoms
Do not use oils, lotions, or Vaseline anywhere on the condom (either inside or out) Use lubricants (or lube) specifically designed for use during sex!

Choosing What Is Right for You
Very personal decision How well each method will work for you? How effective is it? How will it fit into your lifestyle? What are the side effects? Is it affordable? Remember: oral contraception does not provide STD protection

What if: Is there anything you can do to prevent pregnancy?
The condom breaks? You forgot to take your pill? Sex was forced? Is there anything you can do to prevent pregnancy?

Emergency Contraception (EC)
YES! You can take Emergency Contraception (EC) Talking Points: What is EC? Also known as “Plan B”, “Back Up Birth Control,” or “the Morning After Pill” Note that this is not an abortion/not the same as RU486 Source:

Emergency Contraception
Plan B® Will not work if you’re already pregnant Pills you can take up to 5 days after unprotected sex Work best the sooner you take them If you are >18, you need a prescription If you are 18+, you can get EC over the counter The Emergency Contraception Hotline: 1-888-NOT-2-LATE Talking Points: Ask your healthcare provider for a prescription in advance, so that it will be there for you—in time—if you ever need it. Both males and females can get EC at the pharmacy without a prescription if they are 18 or older.

If you or your partner get pregnant, what are your options?
Continue Pregnancy Adoption Parenthood End Pregnancy Abortion Talking Points: Abortion: Medical procedure that ends a pregnancy. Two types: surgical and medical. If you are a minor and want to have an abortion, a lot of states require you to get permission or tell your parents. It’s helpful to talk to a trained counselor about your decision. It also will probably be helpful to talk to your parents or guardians.

Questions?

Useful Websites Teenwire.com http://www.teenwire.com Sex, Etc.
Go Ask Alice!

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