Family Planning

• The use of education

and birth control to
limit the number of
offspring and the
population of a
country.

American Heritage® New Dictionary of Cultural Literacy,

3rdEd, 2005 by Houghton Mifflin Company
 Myriad of Methods

Ring Patch

Implant Condoms Cap

Diaphragm

Spermicides

Abstinence

Pills
Injection (“shot”) IUD
How do you choose?
Hormonal, Non-hormonal or
both?
 Non-Hormonal/Barrier
• Condoms

Condoms
 Non-Hormonal/Barrier
• Condoms
• Diaphragm
• Cervical Cap Spermicide
Diaphragm

Cervical
Cap

Spermicides
 Non-Hormonal/Barrier
• Condoms
• Diaphragm
• Cervical Cap
• Spermicide
• Copper IUD
• Abstinence1
• Period abstinence/fertility awareness1
• “Withdrawal”, coitus interruptus

1
Society for Adolescent Med., J Adolesc Health 2006;38:83–87
 Hormonal

• Pill
– Daily
– Emergency
(not recommended
as a regular form of
birth control)
 Hormonal
Patch
• Pill
• Patch
 Hormonal

• Pill
• Patch
• Injection
 Hormonal

• Pill
• Patch
• Injection
• Ring
 Hormonal

• Pill
• Patch
• Injection
• Ring
• Progesterone IUD IUD
 Hormonal

• Pill
• Patch
• Injection
• Ring
• Progesterone IUD
• Implantable device
Advantages/Disadvantages
 Non-Hormonal/Barrier

Advantages Disadvantages
• No hormones • Some need a
• Fewer or no medical doctor’s visit
contraindications*
• Can prevent STD
 Hormonal

Advantages Disadvantages
• Not event dependent • Require use as
• Additional health prescribed
benefits • Some medical
– Menstrual symptoms contraindications
– Acne
– Lower cancer risk
– Less blood loss
 Quick Quiz

Does a young woman need to

have a pelvic exam before starting
birth control?
NO!
 What if….
…the condom broke or
slipped off...
…you forgot your
regular birth
control...
…you were forced to
have sex...

Association of Reproductive Health Professionals

 Emergency
Contraception

• What is it?
– A method for preventing implantation
– A method for preventing fertilization
 WHAT IS EMERGENCY
CONTRACEPTION?
• There are two options for emergency contraception: the 
emergency contraceptive pill (ECP) or a copper IUD.
• The ECP is approved to be taken up three days after
unprotected sex. If you are an average weight, the ECP
is 98% effective. 
• If you weigh more than 70kg, the ECP is less effective
and a copper IUD is recommended. If you weigh more
than 70kg and you choose to take ECP, you should ask
if taking a double dose is the right option for you. The
copper IUD can be inserted up to five days after
unprotected sex, and is more than 99% effective at
preventing pregnancy.
• Emergency contraception can be used to prevent
pregnancy if:
• you haven't used protection
• your normal contraception fails e.g. condom splits
• you have missed more than one contraceptive pill
• you have been vomiting or had diarrhoea while on the
pill
• you have missed your injection
• you have been forced to have sex without
contraception.