Signs of Pregnancy

Section II–Playing It Safe - Birth Control Options

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Students' Self-Care Guide

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Section II–Playing It Safe

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Birth Control Options

Discuss birth control options with your health care provider to determine
what's best for you. More than one method may be needed to prevent both
pregnancy and HIV and STDs. If no method is used, the chance
of pregnancy is between 85 and 90%.

Abstinence ­ no sexual intercourse.
100% effective in preventing pregnancy, HIV and STDs.
Birth Control Patch ­ hormones from
a prescribed patch worn on the skin weekly for 3 weeks; not worn the 4th
week. About 99% effective. Does not prevent STDs and HIV.
Birth Control Pill ­ hormones in
pill form by prescription only. 95% to 99% effective in preventing
pregnancy. Does not prevent STDs and HIV. Must be taken as prescribed.
Some medications can make the pill less effective.
Condom (Female) ­ polyurethane
barrier placed inside the vagina like a lining. 79% to 95% effective in
preventing pregnancy. Offers effective protection against STDs and HIV.
Should not be used at same time with a male condom. Available
over-the-counter. Can take time and patience to use correctly.
Condom (Male) ­ thin pliable sheath
worn over an erect penis. 86% to 97% effective in preventing pregnancy.
Latex and polyurethane condoms protect against some STDs and HIV and are
more durable than ones made of animal membranes. Latex ones deteriorate
when exposed to UV light, heat, and oil-based lubricants, etc. Use
polyurethane condoms if allergic to latex. {Note:
Your college's Health Services may offer condoms free of charge.}
Depo-Provera ­ a female
prescription contraceptive given by injection every 3 months. 99%
effective in preventing pregnancy. Does not prevent STDs and HIV.
Diaphragm ­ reusable, thin, soft,
rubber cap that covers the cervix. 82% to 94% effective in preventing
pregnancy. Helps protect against some STDs when used with spermicides.
Should be checked for leaks. Size may need to be changed with weight
changes. May dislodge during intercourse.
Intrauterine Device (IUD) ­ small
copper device inserted into uterus by a health care provider and remains
in place until he or she removes it. 97% to 99% effective. You will be
instructed to check for the 2 strings that hang from the bottom of the
IUD to make sure it is in the proper position. Does not prevent STDs and
HIV.
Lunelle ­ hormone shot given
monthly, usually in a doctor's office. About 99% effective. Does not
prevent STDs and HIV.
Natural Family Planning (Fertility
Awareness, Periodic Abstinence) ­ method that involves precise
measurements and observations. 77 to 84% effective in preventing
pregnancy. Does not prevent STDs and HIV.
NuvaRing ­ prescribed contraceptive
ring that a female inserts into the vagina. The ring stays in place for
3 weeks; is removed the week of menstrual period. 98 to 99% effective.
Does not prevent STDs or HIV.
Spermicides (Foams, Jellies, Creams,
etc.) ­ spermicides inserted into the vagina that kill sperm before
entering the uterus. 79 to 94% effective in preventing pregnancy.
Available OTC. More reliable when used with condoms or diaphragms.
Protect against some STDs. Use as directed on label.
Sterilization (Female): Tubal Ligation
(Having Tubes Tied) ­ surgical, permanent form of birth control to
burn, cut, or tie off the fallopian tubes. 99% effective in preventing
pregnancy. Does not prevent STDs or HIV.
Sterilization (Male): Vasectomy ­
permanent form of birth control in which the tubes through which sperm
travels from the testes (vas deferens) are cut. 99% effective in
preventing pregnancy. Does not prevent STDs or HIV.
Withdrawal ­ Removal of the penis
before ejaculation. 72 to 81% effective in preventing pregnancy. Does
not prevent STDs and HIV. Control of ejaculation is necessary and sperm
may leak before this occurs.

Signs of
Pregnancy

Missed menstrual periods {Note: Stress or illness can cause your
period to be late, too. And, some females do not have regular periods.
It may be hard for them to know if their period is 2 weeks late. Other
females can have a light menstrual period or spotting and still be
pregnant. So watch for other signs also listed here.}
Abnormal vaginal bleeding
Breast tenderness, swelling, and/or
tingling
The dark areas around the nipples are
darker than before and the tiny glands around the nipples stick up.
Feeling tired
Nausea or vomiting
Frequent urination
Unusual food cravings or your taste for
certain foods changes; a metallic taste in the mouth
Mood swings
Slight elevation in body temperature
Acne due to extra-active oil glands

If there's even a small chance you could be
pregnant, call your health care provider.

Pregnancy Termination Methods

Abortion Pill ­ Mifepristone,
commonly known as RU-486. Requires 3 separate visits to a doctor who
meets certain qualifications. The pill (mifepristone) is given at the 1st
visit. A different medicine is given at the 2nd visit. An
exam to make sure the pregnancy has been terminated is done at the 3rd
visit. About 96% effective in terminating a pregnancy. Does not prevent
STDs or HIV.
Emergency Hormonal Contraception ­
prescribed pills taken within 72 hours of sex. 75% to 95% effective in
terminating a pregnancy. Does not prevent STDs or HIV.

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6th edition. American Institute for Preventive Medicine
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December 08, 2005

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