Sex Out Loud Promoting Healthy Sexuality Through Sex Positive Education and Activism

1. Sex Out LoudPromoting Healthy Sexuality Through Sex Positive Education and Activism Put This on When You Get Off! National Condom Week February 11-15 www.sexoutloud.com

2. Birth Control VS

3. Barrier Methods • Create barrier between sperm and an egg • Some barrier methods prevent against STI and HIV transmission • Non-hormonal

4. SPERMICIDE • 71 to 82% Effective • NO STI/HIV protection • Variety of forms including: foams, jellies, suppositories, and film • Contain chemicals that immobilize Sperm cells • Inserted into vagina prior to sex • Must be used each time • Irritate Vagina and can increase the risk of STI

5. SPONGE • 68 to 91 % effective • No STI/HIV protection • Small pillow-shaped sponge containing spermicide is inserted into vagina • Protection lasts up to 24 hours • Sponges are one time use • Don’t need a prescription • Cost: $7.50- $9 for a 3 pack *Risk of Toxic Shock Syndrome if worn longer than 24 hours

6. (Insertive) Condom *95% Effective *DOES offer STI/HIV protection *Made of Latex or Polyurethane *Lambskin condoms DO NOT protect against STIs *Latex condoms can not be used with Oils or Oil-based lubricants *Free on campus at: Sex Out Loud office, UHS, CWC *Available with out a prescription

7. Receptive Condom • 95% effective • STI/HIV protection • Polyurethane • Can be used for vaginal or anal intercourse • Can be inserted 8 hours prior to sex • Cheap (free at SOL) and available without a prescription or $2.50-$3 at drugstores • Allows receptive partner to actively protect themselves • Can use ONLY ONCE and NOT in conjunction with an insertive condom

8. Diaphragm and Cervical Cap • Soft rubber cap inserted into the vagina prior to sex • Covers the uterus opening • Diaphragm 84 to 94% effective • Cap 84 to 91% effective • NO STI/HIV protection • $15 to $75 • Fitted by a health care professional • Both use contraceptive cream or jelly • Can be inserted 6 to 8 hours prior to sex and must be left in 6 hours after intercourse • Can be reused multiple times • Higher risk of bladder infections and works best in women who haven’t given birth

9. IUD • 99.2 to 99.4% effective • Doctor prescribed and inserted • No STI/HIV protection • Small plastic and copper T-shaped device inserted into uterus • Works by changing the uterine environment • ParaGard— contains copper and can be left in place for 12 years • Cost effective and covered by SHIP • $300 to $500 ($351 at UHS)

10. Hormonal Birth Control Two major types • Combined Hormonal methods: use estrogen and progestin to: *stop ovulation *thicken cervical mucus

11. Combined Hormonal Pill • 99.7% effective • NO STI/HIV protection • Need Prescription • One pill is taken daily at the same time of day • Lower risk of certain cancers, can help to lighten periods and cramps • Need to let Dr know of other meds • $12 to $55 a month

12. Vaginal Ring (Nuva Ring) • 99.7% effective • No STI/HIV protection • Need prescription • Soft, clear, flexible ring inserted into vagina for 3 weeks and removed for the fourth week • Can fall out • $15 -$50 a month

13. The Patch: Ortho Evra • 99.7% effective • No STI/HIV protection • Need prescription • Thin, plastic patch worn on butt, upper arm, or stomach • Change weekly for three weeks followed by one week off • $50-60 a month • Less effective in women over 198 pounds

14. Progestin-Only Methods • Contain only one hormone (no estrogen) • Can be a good choice for older women 35+ • Can be used while breast-feeding • Work By: *Thickening cervical mucus *sometimes POPs prevent ovulation

15. POP: Progestin only Pill • 99.7% effective • Similar to combined pill: need prescription and NEED to take pills once a day at the same time • $ 15 to 50 a month • Safer for smokers and women over 35 • Safe to use while breast feeding • Tell health care professional about other medications • Can have some changes in bleeding, spotting, missed periods, weight gain, sore breasts, and headache

16. IUD with Hormones • 99% effective • Prescribed and inserted by health care professional • Small plastic T-shaped device containing hormones is inserted into the uterus • Mirena IUD with progestin costs $400 to $500 • Lasts up to 5 years • Cost effective-covered by SHIP ($420 at UHS)

17. Depo-Provera: The Shot • 99.7% effective • Prescribed and administer by health care professional • NO STI/HIV protection • Shot given in arm, thigh, or butt every 3 months • Often stop getting period while on shot • $30 to $75 per shot • Can take up to 18 months following the last shot to become pregnant • Concerns: bone density loss, weight gain, and irregular bleeding

18. Implanon • 96.6% effective • Prescribed and inserted by health care professional • Single, small plastic rod is placed under the skin on the upper arm • Hormones are slowly released for 3 years • Doesn’t interfere with sex and there is a quick return to fertility

19. Emergency Contraception • Also called morning after pill or Plan B • Available over the counter to women 18+ • Available by prescription to women under 18 • $30-50 • More effective the sooner it is taken • Reduces chance of pregnancy by 89% if taken within 72 hours of unprotected intercourse but can be taken up to 120 hours after unprotected sex • Two pills taken 12 hours apart work to stop ovulation and thicken the cervical mucus • May interrupt cycle and effect next period • Side Effects: nausea and headache • Is NOT an abortion pill (RU-86) and Will NOT harm an already established pregnancy

20. Behavioral Methods • Natural Planning/Rhythm Method ~70 to 90% effective ~ No STI/HIV protection ~difficult: women need to take classes and chart their cycles for up to a year 2. Withdrawal/Pulling Out ~not as effective due to pre-cum and timing ~No STI/HIV protection 3. Abstinence

21. Permanent • Sterilization Tubal ligation: surgery that blacks fallopian tubes off so egg can’t get to uterus and sperm can’t pass the place where tubes are blocked Vasectomy: surgery that permanently blocks off a man’s vas deferens so that sperm don’t come out during ejaculation *one time procedure *long term and difficult to reverse *99.9% effective *No STI/HIV protection

22. Obtaining Birth Control • Set up an appointment for an annual exam: *breast exam *pap smear (if sexually active for 3+ years) *Bimanual Exam *External Examination *Discussion of appropriate BC methods *You can not have an annual exam during menstruation *Free at UHS for all students, sliding scale at Planned Parenthood *Yearly exam **Remember to tell your health care professional about all other medications and existing health concerns

23. Federal Deficit Reduction Act (DRA) of 2005 Pharmaceutical companies previously provided “nominal” or low-cost pricing to UHS and other college health services. The new DRA legislation required the cancellation of those contracts as of Jan 1, 2007 and prices for many form of contraception have increased significantly.

24. Affordable Birth Control • Use generic versions of contraception • Use insurance if available • Apply for Wisconsin Family Planning Waiver: http://service.govdelivery.com/docs/WICLARK/WICLARK_337/WICLARK_337_20060725_en.pdf • Program which covers the cost of contraceptive services and supplies for qualified patients • Planned Parenthood offers services to women on a sliding scale

25. Resources University Health Services: • Free pregnancy tests and counseling • Free annual exams • Birth Control • Free STI/HIV testing at the Blue Bus Clinic • STI/HIV treatment • Emergency Contraception Hours: M-F 8:30 to 5 608-265-5600 1552 University Avenue

26. Planned Parenthood • www.plannedparenthood.org • Madison Central Location: 416 W. Mifflin St 608-256-7257 Hours: M/F 9-5, T/R 11-7, W 11-5, 1st Sat of every month 10-2 Services: *Pregnancy testing and counseling *Annual Exams *Birth Control *STI/HIV testing and treatment *Cancer screening *Emergency Contraception