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Contraception METHODS OF CONTRACEPTION NATURAL METHODS – Other than abstinence, these methods are NOT RECOMMENDED for teenagers because there are too many variables! ____________________: Refraining from engaging in any sexual activity. The only 100% effective method of contraception. ____________________: When a woman charts the length of at least 8 menstrual cycles to determine the average length of her cycle. The first day of her period is considered day 1 of each new cycle. 18 days are subtracted from the length of the shortest cycle to find the first unsafe day and 11 days from the length of the longest cycle to find the last fertile day. ___________________________: When a woman records her temperature every day, immediately upon rising and before any physical activity or urinating. A drop in basal body temp may precede ovulation by 12 to 24 hours, followed by a progressive rise during the next several days post ovulation. 75-99% Effective. ___________________________: When a woman checks the changing quality of her cervical mucus during various phases of her menstrual cycle. Cervical mucus secretions are usually cloudy, but near ovulation they become clear, slippery and stretchy between the fingers in a thin strand of two inches or more. This altered discharge usually coincides with a feeling of increased vaginal wetness or stickiness. The last day of this period is called the peak day, and ovulation typically occurs the day after the peak day. A woman is fertile from the time the clear mucus appears until the fourth day after the peak day. 75-99% effective. ___________________________: This is the removal of the penis from the vagina just before ejaculation. ___________________________: This is the worst method for teens. No protection against STD’s or Pregnancy. If you use this method you are trying to start a family! BARRIER METHODS – These are methods that stop the sperm from joining the egg by placing a barrier between them. ___________________: A sheath that covers the penis during intercourse to prevent sperm from entering the vagina. 85-98% Effective nearly 100% with withdrawal. Made from latex, polyurethane, or animal skin. ___________________: A pouch that is worn inside the vagina to prevent sperm from reaching the egg. Made from latex, polyurethane, or animal skin. ___________________: A thimble-shaped latex cap coated with spermicide that fits over the cervix. ___________________: A shallow, round dome made of soft latex or gum rubber coated with spermicide, about two to four inches in diameter. The rim of the diaphragm is sealed over a flexible metal spring or coil to hold it in place. The diaphragm is placed inside the vagina and is designed to completely cover the cervix of the uterus. Visit a private doctor or a family planning clinic for an exam and prescription. Diaphragms and caps may be purchased at a drugstore or clinic. An examination costs from $50 to $200. Diaphragms and caps average from $15 to $75. A kit of spermicidal cream, jelly, or foam costs from $8 to $17. ___________________________: The Protectaid® contraceptive sponge is a unique barrier device made of polyurethane foam impregnated with F-5 Gel (spermicide). ___________________________ (IUD): A small (1–1½ inch) device made of soft plastic that inserted into the uterus to prevent pregnancy. A small string hangs down from the IUD into the upper part of the vagina. The IUD is not noticeable during intercourse. It is thought to immobilize sperm or speed the transport of the ovum through the fallopian tube. 99% effective, Cost 175-400 including exam and insertion. IUD’s can last 1-10 years. __________________: is a hormone-based contraceptive. It’s a soft, flexible ring about two inches in diameter it is inserted into the vagina once a month. The ring contains estrogen and progestin and has the same effects as oral contraceptives. UP TO 99.7% EFFECTIVE CHEMICAL METHOD - These methods kill sperm or stop the ovaries from releasing egg cells. __________________: Prevent pregnancy by killing sperm so that none can reach and fertilize an egg. Foam, cream, jelly, film, or suppository is put deep into the vagina shortly before intercourse to immobilize sperm and keep them from joining egg. $8-17 ____________________________: Oral contraceptives, known as "The Pill", contain two synthetic female hormones (estrogen and progesterone) that prevent pregnancy by inhibiting the monthly release of the "egg" from the ovaries. ______________________________ - a 2-inch by 2-inch paper-thin sheet that contains a chemical that kills sperm (called nonoxynol-9). It is translucent (permitting light to go through it). It is placed on or near the cervix (the opening of the womb). It will dissolve immediately. ________________ (ORTHO EVRA): a thin plastic patch placed on the skin of the buttocks, stomach, upper outer arm, or upper torso once a week for three weeks in a row. Uses hormones similar to the estrogen and progesterone made by a woman’s ovaries to usually, prevent the ovaries from releasing an egg (ovulation) also thicken cervical mucus to prevent sperm from joining egg. The cost is about 55-125 for the exam and 35 a month for the patch. This method is up to 99.7% effective. ____________________________________: (Norplant, DepoProvera mini pill): Can be administered orally, by injection, or via implants. Progesterone inhibits ovulation, thickens the cervical mucus, thins the endometrium, and causes early degeneration of the corpus luteum. 92—99.7% EFFECTIVE. __________________: Six thin, flexible plastic implants are inserted under the skin of the upper arm. The soft capsules are about the size of a cardboard matchstick. Each contains a hormone (levonorgestrel) like the progesterone made by a woman's ovaries. A small amount of hormone is released constantly. The hormone keeps the ovaries from releasing eggs. It also thickens the cervical mucus, keeping sperm from joining with an egg. __________________: A prescription method of reversible birth control. It is a hormone like progesterone that regulates the menstrual cycle. A shot of Depo-Provera in the buttocks or arm can prevent pregnancy for 12 weeks by not allowing the ovaries to release eggs. Depo cost about $215-$545 for a year’s use. SURGICAL METHOD – This prevents sperm from meeting to the egg. Either the eggs path is blocked or the sperms path is blocked. ___________________ (TUBAL LIGATION, VASECTOMY): Surgery performed on the female to prevent an ovum from reaching the uterus, and sperm from reaching the egg. Surgery performed on the male to prevent sperm from being released from the body. ______________: An operation that blocks the tubes (the vas deferens), which carry a man's sperm to the penis. This operation should be considered permanent. Vasectomy cost between $240$1000. ___________________________: An operation that blocks the fallopian tubes that carry a woman's egg to her uterus. Tubal ligation cost between $2000-$6000. _____________: The Essure procedure is a sterilization procedure for women that is performed by an Essure trained doctor. Unlike tubal ligation and vasectomy, there are no incisions. Instead, micro-inserts are passed through the body's natural pathways (vagina, cervix, and uterus) and placed into your fallopian tubes. ___________________ (RU 486): Method of termination of pregnancy for early pregnancies. It works to block the action of progesterone and cause the shedding of the endometrium. In addition it opens the cervix and causes contractions that help dislodge and expel the embryo. __________________________(Plan B): Emergency use only. The morning after pill tries to block a pregnancy from happening. The sooner it is taken the better it will work. OVER-THE-COUNTER BIRTH CONTROL FOR WOMEN Female condom Male condom Contraceptive foam, jelly, suppository Vaginal contraceptive film Emergency Contractive – Plan B CONDOM - Lubricants that can and will weaken or disintegrate latex condoms. Petroleum jelly (Vaseline) Baby oil Cooking oil Vegetable oil Hand lotion Body lotion Crisco Chocolate syrup Suntan lotions or creams METHODS NOT RECOMMENDED FOR TEENS Sterilization Vasectomy Tubal sterilization Intrauterine device (IUD) Withdrawal Chance Periodic Abstinence or Fertility Awareness Methods SIGNS OF PREGNANCY Missed menstrual period Tenderness in the breasts Nausea Vomiting Fatigue Change in appetite PREGNANCY TESTS Blood test - This tests for the presence of HCG (Human Chorionic Gonadotropin) in the blood. In pregnancy, the placenta produces large amounts of HCG, which can be detected in the female’s blood as early as 6-8 days after fertilization. A physician performs the test. Urine test - HCG is also found in urine and can be detected in as few as 7 days after conception. The test is performed by a physician and is 99% accurate. Home Pregnancy Tests - Same as urine tests, but can be used any time after the first day of your missed period. Read instructions carefully.