Name: Period: Birth Control Methods Background Info: 1. Speaking about HS students across the U.S. … a. What percentage have sexual intercourse? _____________ b. What percentage had sexual intercourse during the previous 3 months? ____________ c. What percentage had sex with four or more people during their life? _____________ d. What is the average age in which individual first have sex? _____________ e. TRUE or FALSE Teens are waiting longer to have sex than they did in the recent past. 2. What are the top 3 reasons that teens gave for not having had sex? ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ 3. Summarize the Reality of Pregnancies in the U.S. VOCAB: 1. Contraceptive Methods- 2. Hormonal Methods- 3. Barrier Methods- 4. Other Methods- 5. Theoretical Effectiveness (Perfect Use)- 6. Typical Effectiveness (Actual Use)- Name: Period: Birth Control Methods Barrier methods Review: 1. What are the only two methods that protect against STI transmission? 2. What do you think are the greatest two benefits barrier methods have to offer? 3. What is the ratio of male based methods to female based methods? 4. Joe is 17 years old and he and his girlfriend decided they are ready to be sexually active. They both promised to be exclusive, not see anyone else. They have decided not to use a hormonal method or other method. They will be using a barrier method to keep themselves safe. Which method(s) would you recommend for them to use and why? Be Specific. Hormonal methods Review: 1. What is the most commonly used hormonal method? Why do you think that this is? 2. What is the only hormonal birth control method that does not required a prescription for certain brands? What are the benefits of “no prescription”? Name: Period: 3. Rank the following methods in order from being most likely to use/recommend to least like to use/recommend. AND explain your reasoning for the method you would most likely with support. Vaginal Ring B.C. Shot B.C. Implant B.C. Patch 4. Identify and explain two situations in which an emergency contraceptive would be appropriate for an individual of any age to use. Other methods Review: 1. Compare and contrast Male and Female Sterilization. 2. Which method of the “other birth control methods” would be most appropriate for teens and why? 3. Which method of the “other birth control methods” would be least appropriate for teens and why? Name: Period: Barrier Methods (Male Condom, Female Condom, Diaphragm, Sponge, Spermicide, Cervical Cap) Effectiveness Cost/ Location Male Condom Plastic or Latex material molded into the shape of penis. 82-98% Free - $1.00 Drug Store, Supermarkets N Female Condom Pouch inserted into vagina prior to intercourse, ring at each end. 79-95% $4.00 Pharmacy Superstores N Diaphragm Shallow, domeshaped cup with a flexible rim. Made of silicone. Inserted in to the vagina, covers the cervix. 88-94% Exam $50$200 Diaphragm $15-$75 Sponge Sponge is made of plastic foam contains spermicide. Soft, round, 2 inches in diameter. Placed into the vagina prior to intercourse. Method Description Spermicide Cream, gel, foam, or film that contains chemicals that stop sperm from moving. Cervical Cap Silicon cup shaped cap that is inserted into the vagina and over the cervix. 88-91% (never given birth) 76-80% (previously given birth) 71-85% 71%-86% $9-$15 (3pack) Drugstore, Online, Supermarkets Applicator Kit and Gel $8, Refills $4-$8 (20-40 applications) Drugstore Supermarkets Exam $50$200 Diaphragm $60-$75 Physician Pharmacy Prescription (Y/N) Y N N Y Advantages Safe Easy to get Can pair with other methods Protects against STIs Protects against STIs Easy to get Can be used by individuals allergic to latex Small, convenient Typically not felt Can be inserted hours prior Safe, simple, convenient Does not need to be fitted Can be inserted prior to intercourse and remain in for up to 30 hours afterwards Disadvantages Allergies (6%) May break May dull sensation May cause irritation May slip out of place May decrease sensation Must be fitted/ refitted May be difficult to insert May be pushed out of placed May be difficult to insert/remove May cause vaginal irritation Can be paired with other methods to increase effectiveness If used incorrectly- may not form a good barrier over the cervix Messy May irritate genitals Small Can be inserted prior Needs to be sized Cannot be used during menstruation May be difficult to insert May be dislodged Name: Period: Hormonal Methods (Vaginal Ring, Birth Control Pills, Patch, Shot, Emergency Contraceptive, Implant, Intrauterine Device) Method Description Vaginal Ring A small, flexible ring inserted into the vagina once a month, it is removed after three weeks allowing menstruation to occur. Effectiveness Cost/ Location 91-99% $15-$80 Pharmacy 91-99% $15-$50 no exam needed $35-$250 with exam Pharmacy $15-$80 $35-$250 with exam Birth Control Pill A pill taken daily. Mini (progestin only) pills must be taken at same time every day. Patch Thin, skin colored, plastic patch that sticks to the skin. The patch is placed on the skin once a week for three weeks in a row. 91-99% Shot An injection of a hormone. Each shot prevents pregnancy for three months. 94-99% Effectiveness is increased with regular use Emergency Contraceptive Birth control used up to five days after unprotected sex. Intrauterine Device (IUD) IUD are small, “Tshaped,” plastic devices. ParaGard (copper) 12 years Prescription Advantages Disadvantages Y Regulates, lightens, and shortens periods. Protects against: acne, bad menstrual cramps, heavy/irregular periods, PID, infertility, and headaches Side effects usually clear up after 2-3 months. Bleeding between periods Breast tenderness Nausea and vomiting Y Reduced menstrual cramps Lightens period Protects against PID which may lead to infertility The combo pill protects against: acne and bad menstrual cramps Bleeding between periods Breast tenderness Nausea and vomiting Y Protects against: acne, bad menstrual cramps, heavy/irregular periods, PID, infertility, and headaches Side effects usually clear up after 2-3 months. Bleeding between periods Breast tenderness Nausea and vomiting Long lasting pregnancy protection Do not need to remember to take daily May help prevent uterine cancer Anyone can buy Emergency Contraceptive Some brands require a prescription if under 16 Backup/emergency method-can be used with other methods if needed Irregular bleeding, especially during first 6-12 months Fewer and lighter periods or no more period Longer, heavier period Possible spot bleeding (Y/N) $55-$150 Y Varies with brand 85/89% within 72 hours Effectiveness decreases with time $30-$65 N/Y (2 pill brands Yes) 99% Medical exam, IUD, insertion, follow up Y Reduced cramps Lighten Period Reduce menstrual flow Earlier or later, heavier or lighter period than usual Dizziness, headache, nausea, or vomiting Mild to moderate pain when IUD is inserted Cramping/backache Spot bleeding first 3-6 months Name: Period: Mirena (hormonal) 5 years Skyla (hormonal) 3 years Implant Thin, flexible, plastic implant about the size of a matchstick that is inserted under the skin of the upper arm. Last for three years. visits $500$1000 99% Exam, implant, and insertion $400$800 Removal $100$300 Irregular or heavier periods RARE Cases: IUD slips out and may puncture uterus wall or infections develop Y Quick return to fertility Long lasting method No daily medicine to take Fewer lighter period 1 in 3 will stop having a period Some will have longer, heavier periods Increase spot bleeding Other Methods (Abstinence, Fertility Awareness Methods, Female Sterilization, Male Sterilization, Withdrawal) Name: Method Period: Description Abstinence A behavior that prevents pregnancy. Fertility Awareness Methods FAMs are ways to track ovulation. Also known as family planning. Calendar Method Cervical Mucus Method Temperature Method Standard Days Method (combo of all 3) Female Sterilization Fallopian tubes are closed or blocked during surgery. This is meant to be permanent. Male Sterilization Also known as a Vasectomy. Vas deferens (tube carrying sperm) are blocked or closed. Is meant to be permanent. Withdrawal Also known as the pull out method. Oldest method of birth control. Used by over 35 million couples worldwide. Effectiveness 100% 76% (typical use) Effectiveness increases with practice 99.5%-99.7% depending on method 99.9% 73%-96% Cost/ Location Prescription (Y/N) Advantages Disadvantages Maybe difficult to abstain for long periods of time May end abstinences without being full prepared Peer Pressure May not work if... Multiple partners Lack of commitment by one partner or both Forgetful Struggle with abstinence (10 days+/month) Do not depend on tracking if ... Irregular period N No medical or hormonal side effects Free Prevents STDs N Safe Can be stopped easily to plan a pregnancy No medication needed $1500-$6000 Hospital N (arrangement must be made with health care provider) Most sterilization is effective immediately, some methods may take up to 3 months No hormonal changes Normal Periods Not designed for individual who… May want children later Pressured by others Using it as a solution to problem(s) $350-$1000 Hospital Medical Office N (arrangements must be made with health care provider) Permanent No side effects Not designed for individual who… May want children later Pressured by others Using it as a solution to problem(s) N Can be used when no other method is available No medical or hormonal side effects Can increase the effectiveness of other methods when paired together Requires selfcontrol, experience, and trust Not recommended for teens and sexually inexperienced men Free Readily Available Free to Small Cost (calendar, thermometer) Online courses Health center classes, hospitals Free Readily Available