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Adapted from: Puberty: Choosing a Contraceptive that’s
Right for You. SexualityandU.ca, 2010
Birth Control
(Contraception)
Objective:
• Review of reproductive systems
• To learn about the various methods of
contraception or birth control to prevent
pregnancy and STIs
Reproductive system: person with a vagina
Reproductive system: person with a vagina
Menstrual cycle
Reproductive system: person with a penis
Reproductive system: person with a penis
STIs and Pregnancy Prevention
• Abstinence
• Hormonal Methods
• Non-hormonal Methods
What is the most effective
method of preventing
pregnancy and STIs?
Abstinence
•avoiding vaginal intercourse (penis to vagina sex),
•avoiding oral (mouth to penis or vagina sex) and
anal intercourse (penis to anus sex), or
•avoiding genital contact (any type of direct
touching of the partner's penis or vagina)
Abstaining is not necessarily forever, and it is not
only for virgins.
What is abstinence?
• Abstinence is the only 100% effective
method against STIs and pregnancy if you
do not have vaginal, anal, oral sex or skin to
skin contact.
• What are alternative ways that a person
who is abstinent can be intimate with a
partner?
Abstinence
Hormonal methods of
birth control
The pill
• A hormonal method that contains:
a. estrogen and progesterone or
b. progesterone only
• Prevents the release of a mature egg
• Thickens cervical mucous
• Changes the lining of the uterus
• Typical effectiveness rate is 91%
Transdermal patch
• A patch that releases hormones through the
skin
• Thin, smooth and beige patch
• Prevents the release of a mature egg
• Thickens cervical mucous
• Changes the lining of the uterus
• Typical effectiveness rate is 91%
Nuva Ring (vaginal ring)
• Soft and flexible ring, inserted into the vagina
• The ring slowly releases hormones while in the
vagina for 3 weeks
• Prevents the release of a mature egg
• Thickens cervical mucous
• Changes the lining of the uterus
• Typical effectiveness rate is 91%
Depo Provera – Injectable
contraceptive
• An injection of progestin administered every
12 to 13 weeks
• Prevents the release of a mature egg
• Thickens cervical mucous
• Changes the lining of the uterus
• Typical effectiveness rate is 94%
Intrauterine Contraception -IUC
• T-Shaped device that is inserted in the uterus
by a Doctor or Nurse Practitioner
• Two types of IUC:
– the Copper intrauterine device (no hormone)
– the levonorgestrel-releasing intrauterine system
(contains a progestin)
• Typical effectiveness rate is 99.8%
Hormonal methods of birth control
• Side effects that may occur during the first few
months on hormonal contraception include :
 irregular bleeding, spotting
 nausea
 mood swings
 bloating
 breast tenderness
 headaches
Emergency contraception
• Can be taken up to 5 days after intercourse
• The sooner it is taken, the better it works
• Delays or prevents the release of an egg
• May prevent implementation of a fertilized egg
• 95 % effective if taken within 24 hours after
intercourse
• 85% effective if taken 25-48 hours after intercourse
• 58% effective if taken 49-72 hours after intercourse
Barrier methods
(non-hormonal)
Condom
• Thin latex or polyurethane that fits over an erect
penis
• Catches sperm during ejaculation to prevent it from
entering the vaginal/cervical canal
• Typical effectiveness is 82%
• Reduces but does not eliminate the spread of STIs
and HIV
• Demonstration
Condom (female)
• Polyurethane sheath inserted into the vagina
• Provides a physical barrier to prevent sperm
from entering cervical canal
• Sperm is trapped in the condom, which is
thrown away after use
• Typical effectiveness rate is 79%
Sponge and Spermicides
• The sponge is a soft, disposable, device with a
spermicide
• Typical effectiveness is 76%-88%
• Fits over the cervix
• Traps and absorbs sperm to increase effect of
spermicide
• Spermicide in the sponge disables the sperm
• Effective for up to 12 hours
• Spermicides disable sperm
• Typical effectiveness is 88%onge
Surgical
Methods
Sterilization
• Tubal ligation - a surgical procedure to close
or block the fallopian tubes ensuring sperm
and egg do not meet
Sterilization
• Vasectomy - A surgical procedure to close or
block the vas deferens
The Clinic
• Located at 50 King St at the corner of King
and Ridout by Budweiser Gardens
• Birth control clinic, STI clinic and needle
exchange
• Free testing and treatment of most STIs
• Inexpensive birth control and morning after
pill
Comparing Birth Control
Effectiveness
Abstinence 100%
IUC 99.8%
Depo Provera 94%
The Pill 91%
The Patch 91%
The Ring 91%
Male Condom 82%
Female Condom 79%
Sponge and Spermicides 76-88%

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  • 1. Adapted from: Puberty: Choosing a Contraceptive that’s Right for You. SexualityandU.ca, 2010
  • 3. Objective: • Review of reproductive systems • To learn about the various methods of contraception or birth control to prevent pregnancy and STIs
  • 9. STIs and Pregnancy Prevention • Abstinence • Hormonal Methods • Non-hormonal Methods
  • 10. What is the most effective method of preventing pregnancy and STIs? Abstinence
  • 11. •avoiding vaginal intercourse (penis to vagina sex), •avoiding oral (mouth to penis or vagina sex) and anal intercourse (penis to anus sex), or •avoiding genital contact (any type of direct touching of the partner's penis or vagina) Abstaining is not necessarily forever, and it is not only for virgins. What is abstinence?
  • 12. • Abstinence is the only 100% effective method against STIs and pregnancy if you do not have vaginal, anal, oral sex or skin to skin contact. • What are alternative ways that a person who is abstinent can be intimate with a partner? Abstinence
  • 14. The pill • A hormonal method that contains: a. estrogen and progesterone or b. progesterone only • Prevents the release of a mature egg • Thickens cervical mucous • Changes the lining of the uterus • Typical effectiveness rate is 91%
  • 15.
  • 16. Transdermal patch • A patch that releases hormones through the skin • Thin, smooth and beige patch • Prevents the release of a mature egg • Thickens cervical mucous • Changes the lining of the uterus • Typical effectiveness rate is 91%
  • 17.
  • 18. Nuva Ring (vaginal ring) • Soft and flexible ring, inserted into the vagina • The ring slowly releases hormones while in the vagina for 3 weeks • Prevents the release of a mature egg • Thickens cervical mucous • Changes the lining of the uterus • Typical effectiveness rate is 91%
  • 19.
  • 20. Depo Provera – Injectable contraceptive • An injection of progestin administered every 12 to 13 weeks • Prevents the release of a mature egg • Thickens cervical mucous • Changes the lining of the uterus • Typical effectiveness rate is 94%
  • 21.
  • 22. Intrauterine Contraception -IUC • T-Shaped device that is inserted in the uterus by a Doctor or Nurse Practitioner • Two types of IUC: – the Copper intrauterine device (no hormone) – the levonorgestrel-releasing intrauterine system (contains a progestin) • Typical effectiveness rate is 99.8%
  • 23.
  • 24. Hormonal methods of birth control • Side effects that may occur during the first few months on hormonal contraception include :  irregular bleeding, spotting  nausea  mood swings  bloating  breast tenderness  headaches
  • 25. Emergency contraception • Can be taken up to 5 days after intercourse • The sooner it is taken, the better it works • Delays or prevents the release of an egg • May prevent implementation of a fertilized egg • 95 % effective if taken within 24 hours after intercourse • 85% effective if taken 25-48 hours after intercourse • 58% effective if taken 49-72 hours after intercourse
  • 27. Condom • Thin latex or polyurethane that fits over an erect penis • Catches sperm during ejaculation to prevent it from entering the vaginal/cervical canal • Typical effectiveness is 82% • Reduces but does not eliminate the spread of STIs and HIV • Demonstration
  • 28.
  • 29. Condom (female) • Polyurethane sheath inserted into the vagina • Provides a physical barrier to prevent sperm from entering cervical canal • Sperm is trapped in the condom, which is thrown away after use • Typical effectiveness rate is 79%
  • 30.
  • 31. Sponge and Spermicides • The sponge is a soft, disposable, device with a spermicide • Typical effectiveness is 76%-88% • Fits over the cervix • Traps and absorbs sperm to increase effect of spermicide • Spermicide in the sponge disables the sperm • Effective for up to 12 hours • Spermicides disable sperm • Typical effectiveness is 88%onge
  • 32.
  • 34. Sterilization • Tubal ligation - a surgical procedure to close or block the fallopian tubes ensuring sperm and egg do not meet
  • 35. Sterilization • Vasectomy - A surgical procedure to close or block the vas deferens
  • 36. The Clinic • Located at 50 King St at the corner of King and Ridout by Budweiser Gardens • Birth control clinic, STI clinic and needle exchange • Free testing and treatment of most STIs • Inexpensive birth control and morning after pill
  • 37. Comparing Birth Control Effectiveness Abstinence 100% IUC 99.8% Depo Provera 94% The Pill 91% The Patch 91% The Ring 91% Male Condom 82% Female Condom 79% Sponge and Spermicides 76-88%