Pregnancy Prevention

Melissa SoltmanPlanned Parenthood Los Angeles

Planned Parenthood Los Angeles

Services Available for Men, women & Teens

Pregnancy Test

Options counseling

STI Testing & Treatment

Birth control

Emergency Contraception

Abortion Care

Health Exams

Cancer Screenings

Planned Parenthood Los Angeles Health Center Locations

Canoga Park

Van Nuys

Burbank

Hollywood

East Los Angeles

El Monte

Crenshaw/ Baldwin Hills Basics

Lakewood

Lakewood Basics

South Bay

South Los Angeles

Santa Monica

Whittier

Pomona

Downtown LA

Long Beach

Closest Health Center

East Los Angeles Center

5068 Whittier Blvd.Los Angeles, CA 90022

Teens are welcome

Services are confidential

Fees are based on an individual’s ability to pay

Citizenship is not required

Planned Parenthood Los AngelesKey Policies

Walk-in & Basics Services

BC refill STI testing Pregnancy tests Emergency Contraception (EC) Options counseling

Contact Information

Making an appointment:

(800) 576-5544

www.plannedparenthood.org

Birth Control Choices

Birth Control Options Abstinence

Male Condoms

Female Condoms

Cervical Cap

Diaphragms

Contraceptive Sponge

Spermicide

Oral Contraceptive (Pill)

Ortho Evra (Patch)

Nuva Ring

Depo Provera

Implanon

IUD

Mirena

Copper T

Tubal ligation

Essure

Vasectomy

Emergency Contraception

Can a Pregnancy Happen If….? A female hasn’t yet started menstruation?

He withdraws before ejaculating?

She douches after intercourse?

One person is drunk or high?

A couple has sex standing up?

She urinates immediately after intercourse?

He drinks a lot of Mountain Dew?

A couple has sex in a pool or hot tub?

She takes a shower or bath right away?

The 4 “C’s” of Birth Control Consistently:

Use every time sexual intercourse occurs

Correctly:

Understand how the method works and practice

Comfort:

Choose a method you are comfortable with

Communication: Discuss with partner beforehand what methods will be used. Make it part of the relationship

Things to Consider……

Typical vs. Perfect use

STD Prevention

Health exams

Behavioral Methods: Natural Family Planning (NFP)

& Fertility Awareness Method (FAM)

Based on knowing how people’s bodies and pregnancy works.

NFP: abstain during the time the woman could get pregnant.

FAM: barrier method during the time the woman could get pregnant.

However…

Follow body’s fertility signs--this may include close monitoring of:Cervical mucus Where the cervix is locatedBasal body temperature (BBT)

Types:Cervical Mucus MethodBasal Body Temperature Method (BBT)Sympto-thermal Method (combo)Calendar MethodStandard Days Method (Cycle Beads)

Behavioral Methods: Natural Family Planning (NFP)

& Fertility Awareness Method (FAM)

Male Condom

Latex , polyurethane Lubricated or un-lubricated Animal skin Lubrication Reduce the risk of STIs One time use

85-98% effective

Female Condom• Polyurethane (plastic) & Nitrile (rubber)

• Highly lubricated

• One time use for one act of vaginal intercourse

• Reduces risk of STIs

• 89-95% effective

Over the Counter Method- Spermicide

Chemical that immobilizes and kills sperm No protection against STIs 1 hour or one act of intercourse 71-82% effective Does not need to be removed Does not protect against STIs

Over the Counter Method- Today Sponge

Soft polyurethane foam Absorbs sperm, blocks cervix, releases spermicide Many acts of intercourse in a 24 hour period 84-91% effective Does not protect aginst STIs

Prescription Methods- Hormonal

Works by preventing ovulation Other effects of method include:

Thickening cervical mucus Thinning lining of uterus Reversible Possible side effects include: breast tenderness, headaches, dizziness, change in appetite No STI protection

Prescription Methods- Birth Control Pill

One pill swallowed everyday at the same time of day Not effective immediately 92-99.7% effective

Prescription Methods- Nuva Ring

Flexible plastic ring One ring in vagina for three weeks, then removed for 7 days One size 92-99% effective

Prescription Methods- Ortho Evra

• Band-aid like patch worn on the skin• Patch remains on for 7 days at a time- 3 patches in a row then 7 days patch free• 92-99% effective

Prescription Methods- Depo Provera

Injection Effective for 12 weeks 99.7-99.9% effective Progesterone only method Can result in unpredictable cycle or no period Cannot undo method once given

Prescription Methods- Implanon

Placed under skin in middle of upper arm Designed for easy insertion & removal 1 implant, effective against pregnancy for 3 years

Prescription Methods- Intrauterine Device (IUD)

Mirena Effective for up to 5

years Hormonal method Changes menstrual

periods

• Paragard• Effective for up to 10 years• Made of copper and

impairs sperm function

Prescription Methods: Intrauterine Device (IUD)

Paragard impairs sperm function

Mirena is a hormonal method which prevents ovulation

Contemporary IUDs rival sterilization in terms of effectiveness

Initial cost maybe high

Possible benefits include high effectiveness rate, long lasting, and convenient

Possible disadvantages may include altered bleeding patterns and cramps No STI Protection

Prescription Methods- Diaphragm

• Disc- like shape, covers cervix, used with spermicide• Must be fitted by a clinician• Multiple acts of intercourse for one year• May need to be refitted • May require practice• 80-94% effective

EMERGENCY CONTRACEPTION(Morning After Pill/EC/Plan B)

Can be used up to 5 days after unprotected intercourse Most effective within 3 days (72 hours) Can be used in cases of rape, condom or method failure, lack of method Available at PPLA and doctors’ offices OTC for men and women over age 18

(800) NOT-2-LATE Reduce chance of pregnancy 75-90%

Sterilization Vasectomy

Tubal ligation

Essure

Sterilization

One of the safest, most effective, and most cost effective contraceptive methods.

Has become one of the most widely used methods of family planning in the world in both developed and developing countries.

Vasectomy (males)Tubal Ligation (females)Essure (females)

Sterilization should be considered permanent. While it is true that in some cases, some types of sterilization can be reversed (traditional tubal ligation, vasectomy), this should not be counted on and is not the intended use. ©

Sterilization

VasectomyA health care provider closes or blocks the tubes that carry sperm. When the tubes are closed, sperm cannot leave a man's body and cause pregnancy.

It is nearly 100 percent effective.

However, vasectomy is not immediately effective. Sperm remains beyond the blocked tubes. Another birth control method must be used until the sperm are used up. It usually takes about three months. A simple test, called a semen analysis, shows when there are no more sperm remaining in a person’s ejaculate.

No protection against STIs©

Internal Male Anatomy©

Sterilization

Tubal Ligation and Essure

There are a variety of ways Tubal Ligation can be done.One way is by tying and cutting the tubes. The fallopian tubes also can be sealed using an instrument with an electrical current. They also can be closed with clips, clamps, or rings. Sometimes, a small piece of the tube is removed.

Essure is another option for sterilization. Essure is the brand name for very small metal coils that are inserted in the tubes. Scar tissue grows around them and blocks the tubes.

Sterilization is nearly 100 percent effective and offers no protection against STIs. ©

Internal Female Anatomy©

STI and Pregnancy Prevention Messages

Abstinence Communication with Partner (s)

Proper and consistent use of condoms, latex barriers and birth control for every act of intercourse: oral, vaginal or anal

Regular Testing – every 6 months

Communication with your health care provider

Thank you!

800.576.5544 PPLA

213.284.3311 PPLA Education