1. Family Planning

2. Family Planning Agenda  NC Laws  Whom to contact  STD’s/HIV  Statistics  Birth Control  Female Reproductive System  Male Reproductive System  Q/A Period  Final

3. Family Planning  Age of Consent in North Carolina  In NC the legal age that a person can consent to intercourse is 16.  If a person has sex under the age of 16, there must be a 4 years age difference or “force” before Law Enforcement will investigate and charge.  The Law concerning Sexting.

4. Family Planning  Sexual Coercion  “The act of using pressure, alcohol, drugs, or force to have sexual contact with someone against his or her will;…tactics to post refusal sexual persistence (used are defined as persistent attempts to have sexual contact with someone who has already refused)  Adolescent Sexual Coercion  Sexual coercion is the act of persuading or coercing a minor into engaging in an unwanted sexual activity through physical force, threat of physical force, or emotional manipulation. It differs from rape in that the coerced individual consents to the sexual activity for a variety of reasons.

5. Family Planning What’s Really Going On?  Contrary to popular beliefs  Sexual assault and abuse is any type of sexual activity that you do not agree to, including:  Inappropriate touching  Vaginal, anal, or oral penetration  Sexual intercourse that you say NO to  Rape and/or attempted rape  Child molestation  3.7 million teens, per year, are confronted with sexual situations

6. Family Planning What Can You Do/How To Report Steps to follow if ever sexually assaulted:  Get away from the attacker to a safe place and call 911  Call a friend or family member you trust  Call a crisis center or hotline to talk with a counselor  Do not wash, comb, or clean any part of your body  Do not change clothes if possible  Do not touch or change anything at the scene of the assault  Go to your nearest hospital emergency room as soon as possible

7. Family Planning Numbers: Where To Report  National Sexual Assault Hotline at  1-800 656-HOPE  Onslow County Department of Social Services 910-938- 5533 / 910-938-5700 / 910-938-5460  Onslow County Sheriff’s Department  910-455-3113 –Juvenile Division  Jacksonville Police Department  910-455-1472 –juvenile Division

8. Family Planning True or False? STD/HIV does not discriminate. You can catch an STD/HIV from the toilet seat. You can get and STD?HIV from oral sex. Military guys don’t have STD/HIV because they get tested all the time. Being under the influence of drugs and alcohol can cause an STD?HIV. You can have more that 1 STD at a time. Condoms, when used properly, can protect you 100% from all STD’s/HIV. If I have herpes (HSV) or warts (HPV), I won’t be able to have kids.

9. Family Planning STD/HIV  1 out of 4 US teenagers contract an STD each year. ONSLOW COUNTY STATISTICS  51% of people seen at OCHD are between 13-24 years of age. Most common and reportable STDs Chlamydia: 100 /month; #8 out of 100 counties Gonorrhea: 25/month; #13 out of 100 counties Syphilis: 25/month; #13 out of 100 counties HIV: 14 new per year  Most common STDs in the world Herpes (HSV): 1 out of 4 people in US; Type I = oral & Type II = genital; ½ of people do not even know they have it. Warts (HPV): vaccine that is available covers 4 most common strains; vaccine is 3 shots over 6 month period. (These 2 represent the most devastating to teens)

10. Family Planning Teen Pregnancy  Onslow County teens between ages of 15-19 yrs. of age have a pregnancy rate of 83.5/1000 vs. North Carolina rate of 62.5/1000.

11. Family Planning Contraception-Abstinence  Abstinence from sexual activity is the only 100% sure contraception. Abstinence prevents risks from both pregnancy and STD’s/HIV.  Abstinence is deciding not to have sex.  Saying firmly that you really do not want to have sex. And, saying “NO” even when it is very hard to do.  Abstinence is 100 percent effective.

12. Family Planning Birth Control -Hormonal Hormonal methods prevent pregnancy by interrupting the normal process for becoming pregnant. Hormonal methods DO NOT protect against STD’s.  Emergency Contraception –Hormonal pills that are taken within 72 hrs of unprotected sex or method failure. This is the only method that can be used after sex to prevent pregnancy.  Hormonal Implant –small capsules inserted under the skin of a woman’s upper arm that releases small amounts of a hormone.  Hormonal injection –A hormone injection “shot” that is injected into a woman’s arm or buttock on a regular basis ( every 1 to 3 months, depending on the hormones)  Hormonal Patch –A thin beige patch containing hormones that a woman applies to her skin once a week for 3 weeks. Hormones that prevent pregnancy are released during the times the patch is on. It is removed for one week, which she then has her period.

13. Family Planning Birth Control –Hormonal Continued  The Pill –A pill for women that must be taken at the same time every day.  Vaginal Ring –A ring containing hormones that a woman puts into her vagina and leaves there for 3 weeks. Hormones that prevent pregnancy are released for that time. The woman removes it for one week, during which she has her period.

14. Family Planning Birth Control –Barrier Methods Barrier methods prevent sperm from reaching the egg.  Condom/Rubber -A cover for the penis or vagina. Latex condoms may prevent against some STD’s, including HIV.  Diaphragm/Cervical Cap –A shallow latex cup which the woman puts into her vagina, covering the cervix, before having sex. The diaphragm is generally used with a spermicidal jelly or cream that stops or kills sperm.

15. Family Planning Birth Control –Other Methods  Abstinence –Not having vaginal, oral, or anal intercourse. Abstinence is the only way to prevent pregnancy and STD’s, including HIV/AIDS.  Intra-Uterine Device (IUD) –An IUD is a small plastic device that is inserted into a woman’s uterus by a trained clinician. Those used in the US contain copper or hormones. This method is not generally recommended for teens, but is excellent for faithful married couples.  Natural Family Planning –Not having sex during the 5 or 6 days of the month when it is possible for the woman to get pregnant. Specialized training is essential for using this method.

16. Family Planning Other Methods Continued  Spermicide –A cream, foam, jelly, or insert which kills sperm. Spermicides do not protect against STD’s or HIV/AIDS. Nonoxynol-9, the most common spermicide, may increase the risk of HIV/AIDS in individuals who are at rick for an STD or HIV/AIDS.  Sterilization –A permanent, surgical form of contraception that blocks the fallopian tubes in women (tubal ligation) and the vas deferens in men (vasectomy).  Withdrawal –Removing the penis from the vagina before ejaculation. It may not prevent pregnancy, because some semen may leak before ejaculation.

17. Family Planning Contraceptive –True or False 1.Contraception is the girl’s responsibility. False…Contraception is both partners’ responsibility. Every baby has a mother and a father. 2.If you use contraception, you can still get pregnant or get a girl pregnant. True…Nothing is 100% sure except abstinence –not having sex (vaginal, oral, or anal intercourse). 3.All contraceptive methods protect against STD’s, including HIV/AIDS. False…Most contraceptive methods do not protect against STD’s including HIV/AIDS

18. Family Planning North Carolina Minor Consent Law North Carolina Law allows minors <18 years old to receive:  Family Planning/Birth Control  Pregnancy Tests/Prenatal Care,  Sexually Transmitted Diseases (STD), and  Communicable Disease Services WITHOUT PARENTAL CONSENT. However, it is the policy of our Health Department to always encourage minors to discuss their healthcare needs with their parents. The Minor Consent Law for certain medical services can be found in the North Carolina General Statute GS90-21.5

19. Family Planning Information on Women’s Health and Birth Control  http://www.cdc.gov/reproductivehealth/womensRH/index.htm  http://www.womenshealth.gov/faq/birth-control- methods.cfm  http://www.cdc.gov/reproductivehealth/unintendedpregna ncy/contraception.htm

20. Family Planning Statistical &/or Information on STD’s, HIV, Sexual Assault, Coercion  http://www.epi.state.nc.us/epi/hiv/stats.html  http://www.cdc.gov/std/default.htm  http://www.cdc.gov/std/hiv/default.htm  http://www.epi.state.nc.us/epi/hiv  http://www.womenshealth.gov/faq/sexual-assualt.cfm  http://www.fit.edu/caps/documents/SexualCoercion 000.pdf

21. Family Planning