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PREGNANCY PREVENTION & Contraceptive Options TEENAGE PREGNANCY 3 in 10 teen American girls will get pregnant at least once before age 20. That’s nearly 750,000 teen pregnancies every year. Almost 50% of teens have never considered how a pregnancy would affect their lives. Parenthood is the leading reason that teen girls drop out of school. More than 50% of teen mothers never graduate from high school. Less than 2% of teen moms earn a college degree by age 30. 8 out of 10 teen dads don’t marry the mother of their child. A sexually active teen who doesn’t use contraceptives has a 90% chance of becoming pregnant within a year. CONTRACEPTION Contraception is the deliberate use of techniques in order to prevent pregnancy. There are a number of contraceptive methods. We can divide contraception methods into four categories: - Barrier Methods - Hormonal Methods - Behavioral Methods - Other Methods Having sexual intercourse without any form of contraception is only acceptable if pregnancy is desired. WHAT CAN REDUCE THE EFFECTIVENESS OF CONTRACEPTION? Ignorance of the correct use of a method Negative beliefs about using a method Lack of partner involvement Forgetfulness Deciding that “this one time won’t matter” PILL Estrogen-Progestin Pi"s and Progestin-Only Pi"s PATCH Ortho Evra VAGINAL RING NuvaRing INJECTION Depo-Provera and Lune"e IMPLANT Implanon IUD Mirena and ParaGard STERILIZATION Vasectomy and Tubal Ligation MALE CONDOMS FEMALE CONDOMS DIAPHRAGM W/ SPERMICIDE STANDARD DAYS METHOD WITHDRAWAL OUTERCOURSE ABSTINENCE SOME QUESTIONS TO ASK WHEN CHOOSING WHICH CONTRACEPTIVE METHOD TO USE How would an unplanned pregnancy affect my life? How effective is each method of contraception? How much money am I willing/able to spend on contraceptives? How much does each method cost? How at risk am I to contracting a Sexually Transmitted Infection? Which contraception methods prevent STIs? COMPARISONS IN COST OF CONTRACEPTIVE METHODS Abstinence Outercourse Standard Days Method Withdrawal No Method IUD - ParaGard IUD - Mirena Male Condoms Diaphragm with Spermicide Female Condom Implant Injection - Depo-Provera Injection - Lunelle Pill - Progestin-only Pill - Estrogen-progestin Patch Vaginal Ring Sterilization - Vasectomy** Sterilization - Tubal Ligation** $0 $800.00 $1,600.00 $2,400.00 $3,200.00 $4,000.00 Approximate Cost per Year for 100 Occurances of Intercourse *IUDs, Implants, and Diaphragms all have higher initial costs than displayed here because they can be used for multiple years. **Sterilization costs are high but the procedures are permanent so it is only a one time expense. TYPICAL FAILURE RATE OF CONTRACEPTIVE METHODS Abstinence Outercourse Implant IUD - Mirena Sterilization - Vasectomy Injection - Lunelle Sterilization - Tubal Ligation Injection - Depo-Provera IUD - ParaGuard Pill - Progestin-only Pill - Estrogen-progestin Patch Vaginal Ring Standard Days Method Diaphragm with Spermicide Male Condom Female Condom Withdrawal No Method 0 25 50 75 100 Number of Women (Out of 100) Who Typically Become Pregnant *Some of the methods on this list are difficult to see (such as implant and IUD - Mirena) because the have very low failure rates. The only methods with absolute zero failure rates are abstinence and outercourse. CONTRACEPTION AND STI S Most contraceptive methods provide NO protection from STIs. Both male and female condoms give some protection from STIs. Cervical barrier methods, such as a diaphragm, give some protection from bacterial STIs. The only method that guarantees protection from STIs is abstinence. THE ABC’S OF STI PREVENTION A - Abstinence: Sex is worth the wait. Abstinence is the best method to preventing both pregnancy and STIs. Commit yourself to waiting until marriage. If both partners “save themselves” for each other, there will be zero risk of Sexually Transmitted Infections within the relationship. B - Be faithful: Sex is best reserved for marriage, or for adults in committed long-term relationships. Having multiple sexual partners is one of the strongest predictors of becoming infected with an STI. Stay faithful to your partner, and no one else, to avoid devastating infections. C - Condom use: If you do choose to be sexually active, always wear a condom. Using one can provide some protection from STIs, as well as helping to prevent pregnancy. SOURCES CITED 11 facts about teenage pregnancy. (n.d.). Retrieved from https://www.dosomething.org/facts/11-facts-about-teen-pregnancy Crooks, R., & Baur, K. (2014). Our sexuality. (12 ed., pp. 284-287). Belmont, CA: Wadsworth. 12 types of birth control. [Web Photos]. Retrieved from http://www.health.com/health/gallery/0,,20354669,00.html Condoms [Web Photo]. Retrieved from http://dxline.info/img/new_ail/condoms_3.jpg Depo-Provera [Web Photo]. Retrieved from http://cdn2.blisstree.com/wp-content/uploads/2011/10/95417515.jpg Standard Days Method [Web Photo]. Retrieved from http://2.bp.blogspot.com/_w0eqksHBmeQ/Sh7IQ0NezlI/AAAAAAAAAxA/ Cf4Gb9D-SWk/s1600/cyclebeads2nw=151&start=0&ndsp=21&ved=1t:429,r:1,s:0,i:79 Calendar [Web Photo]. Retrieved from http://www.todayifoundout.com/wp-content/uploads/2013/09/calendar.jpg Withdrawal Method [Web Photo]. Retrieved from http://static.squarespace.com/static/51e46531e4b0b50a199639bd/t/ 52e288dfe4b0efdbd063ddf6/1390577888615/couple-having-sex-under-the-sheets.jpg Outercourse [Web Photo]. Retrieved from http://walvengers.com/wp-content/uploads/2014/03/27.jpg Abstinence [Web Photo]. 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