Chapter Fourteen Managing Your Fertility
Birth Control vs. Contraception <ul><li>Birth control  refers to  all  procedures (umbrella term) </li></ul><ul><li>Contra...
Selecting Your Contraception Method <ul><li>Safety </li></ul><ul><li>Effectiveness </li></ul><ul><li>Reliability </li></ul...
Current Birth Control Methods 95% Female condom 99% Male condom with spermicide 97% Male condom 94% Diaphragm with spermic...
Current Birth Control Methods (cont’d) 99%+ Contraceptive Patch 99%+ Combined pill 99%+ Minipill 99%+ Depo-Provera (3 mont...
Periodic Abstinence
Vaginal Spermicide Spermicide- chemical capable   of killing sperm.
Condoms <ul><li>Offers substantial protection against STD’s </li></ul><ul><li>Nonoxynol-9 may increase disease transmissio...
Birth Control Pills-  Contain synthetic hormones; do not provide protection against STD’s
Cervical Cap Small, thimble-shaped device that fits over the entire cervix; 1/3 full of spermicide
Emergency Contraception <ul><li>Measure used to prevent pregnancy within 5 days of unprotected intercourse </li></ul><ul><...
Sterilization generally considered an irreversible procedure <ul><li>Vasectomy  – separating vas deferens </li></ul><ul><l...
Abortion –  Termination of a Pregnancy <ul><li>First trimester procedures  </li></ul><ul><ul><li>Vacuum aspiration  </li><...
Abortion    <ul><li>Second trimester procedures </li></ul><ul><ul><li>Dilation and evacuation (D&E) </li></ul></ul><ul><ul...
Pregnancy <ul><li>Obstacles to fertilization </li></ul><ul><ul><li>Acid levels in vagina </li></ul></ul><ul><ul><li>Thicke...
Pregnancy (cont’d) <ul><li>Aids to fertilization </li></ul><ul><ul><li>Number of sperm </li></ul></ul><ul><ul><li>Depositi...
Pregnancy (cont’d)
Signs of Pregnancy [Probable signs] <ul><li>Frequency of urination </li></ul><ul><li>Increased size of abdomen </li></ul><...
Childbirth <ul><li>Stage 1  – E ffacement and dilation of the cervix </li></ul><ul><li>Stage 2  –  Delivery of fetus </li>...
Chapter Fourteen Managing Your Fertility
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  • Chapter Fourteen: Managing Your Fertility Fertility refers to the ability to reproduce. How one decides how to control their fertility can have an important effect upon their future. Understanding concepts of fertility will help with making responsible decisions. This chapter will explore options for promoting or delaying conception until that important step is decided in a healthful manner.
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    1. 1. Chapter Fourteen Managing Your Fertility
    2. 2. Birth Control vs. Contraception <ul><li>Birth control refers to all procedures (umbrella term) </li></ul><ul><li>Contraception procedures are used to decrease chances of fertilization of an ovum (more specific) </li></ul>
    3. 3. Selecting Your Contraception Method <ul><li>Safety </li></ul><ul><li>Effectiveness </li></ul><ul><li>Reliability </li></ul><ul><li>Reversible </li></ul><ul><li>Affordability </li></ul><ul><li>Ease of use </li></ul><ul><li>Interference with sexual expression </li></ul>
    4. 4. Current Birth Control Methods 95% Female condom 99% Male condom with spermicide 97% Male condom 94% Diaphragm with spermicide 94% Spermicide 91% Cervical cap 91-99% Periodic abstinence 96% Withdrawal 15% No method Theoretical Effectiveness Method
    5. 5. Current Birth Control Methods (cont’d) 99%+ Contraceptive Patch 99%+ Combined pill 99%+ Minipill 99%+ Depo-Provera (3 month) 99%+ Lunelle (1 month) 99%+ Contraceptive Ring 99%+ Vasectomy 99%+ Tubal ligation 99%+ / 98% IUD, copper / progestin Theoretical Effectiveness Method
    6. 6. Periodic Abstinence
    7. 7. Vaginal Spermicide Spermicide- chemical capable of killing sperm.
    8. 8. Condoms <ul><li>Offers substantial protection against STD’s </li></ul><ul><li>Nonoxynol-9 may increase disease transmission </li></ul><ul><li>Male and female types </li></ul><ul><li>Latex vs. Polyurethane </li></ul>
    9. 9. Birth Control Pills- Contain synthetic hormones; do not provide protection against STD’s
    10. 10. Cervical Cap Small, thimble-shaped device that fits over the entire cervix; 1/3 full of spermicide
    11. 11. Emergency Contraception <ul><li>Measure used to prevent pregnancy within 5 days of unprotected intercourse </li></ul><ul><li>Called post-coital or “morning after” contraception </li></ul><ul><li>Need prescription from M.D. in most states </li></ul><ul><li>Side effects </li></ul>
    12. 12. Sterilization generally considered an irreversible procedure <ul><li>Vasectomy – separating vas deferens </li></ul><ul><li>Tubal ligation – separating fallopian tubes </li></ul>
    13. 13. Abortion – Termination of a Pregnancy <ul><li>First trimester procedures </li></ul><ul><ul><li>Vacuum aspiration </li></ul></ul><ul><ul><li>Manual vacuum aspiration </li></ul></ul><ul><ul><li>Dilation and curettage (D&C) </li></ul></ul><ul><ul><li>Medication abortion </li></ul></ul><ul><ul><ul><li>Mifepristone (RU-486) </li></ul></ul></ul><ul><ul><ul><li>Methotrexate </li></ul></ul></ul>
    14. 14. Abortion <ul><li>Second trimester procedures </li></ul><ul><ul><li>Dilation and evacuation (D&E) </li></ul></ul><ul><ul><li>Hypertonic saline procedure </li></ul></ul><ul><ul><li>Prostaglandin procedure </li></ul></ul><ul><li>Third trimester procedures </li></ul><ul><ul><li>Hysterotomy </li></ul></ul><ul><ul><li>Hysterectomy </li></ul></ul>
    15. 15. Pregnancy <ul><li>Obstacles to fertilization </li></ul><ul><ul><li>Acid levels in vagina </li></ul></ul><ul><ul><li>Thickening of cervical mucus </li></ul></ul><ul><ul><li>Location of cervical opening for sperm </li></ul></ul><ul><ul><li>Location of current fallopian tube for sperm </li></ul></ul><ul><ul><li>Distance for sperm </li></ul></ul><ul><ul><li>Movement of sperm “upstream” </li></ul></ul><ul><ul><li>Location of egg due to contoured folds of tubal walls </li></ul></ul>
    16. 16. Pregnancy (cont’d) <ul><li>Aids to fertilization </li></ul><ul><ul><li>Number of sperm </li></ul></ul><ul><ul><li>Deposition of sperm </li></ul></ul><ul><ul><li>Accessory gland production </li></ul></ul><ul><ul><li>Uterine contractions </li></ul></ul><ul><ul><li>Movement of sperm </li></ul></ul><ul><ul><li>Life of sperm </li></ul></ul><ul><ul><li>Consistency of mucus </li></ul></ul>
    17. 17. Pregnancy (cont’d)
    18. 18. Signs of Pregnancy [Probable signs] <ul><li>Frequency of urination </li></ul><ul><li>Increased size of abdomen </li></ul><ul><li>Cervix becomes softer </li></ul><ul><li>Positive pregnancy test HCG </li></ul>
    19. 19. Childbirth <ul><li>Stage 1 – E ffacement and dilation of the cervix </li></ul><ul><li>Stage 2 – Delivery of fetus </li></ul><ul><li>Stage 3 – Delivery of afterbirth (placenta) </li></ul>
    20. 20. Chapter Fourteen Managing Your Fertility

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