1 Who s s The Daddy? What You Should Know About OTC Contraception By: Vona Broughton, BS Public Health & Kevin McCarthy, RPH This program has been brought to you by PharmCon PharmCon is accredited by the accreditation counsel for Pharmacy Education as a provider of continuing pharmacy education
2 Who s s The Daddy? Speaker: Vona Broughton received her BS degree in Health Promotion from Coastal Carolina University in Conway, SC. She then joined PharmCon as the Assistant Director of Continuing Education, where she coordinates CE programs on location nationwide, as well as moderates CE webinar programs. Her primary interests include women's health (contraception, breast cancer as well as other cancers, menstruation), eating disorders, nutrition, as well as an array of international health issues. Speaker Disclosure: Miss Broughton has no actual or potential conflicts of interest in relation to this program. This program has been brought to you by PharmCon PharmCon is accredited by the accreditation counsel for Pharmacy Education as a provider of continuing pharmacy education Legal Disclaimer: The material presented here does not necessarily reflect the views of Pharmaceutical Education Consultants (PharmCon) or the companies that support educational programming. A qualified healthcare professional should always be consulted before using any therapeutic product discussed. Participants should verify all information and data before treating patients or employing any therapies described in this educational activity.
3 Who s s The Daddy? Accreditation: Pharmacists L04-P Pharmacy Technicians L04-T Target Audience: Pharmacists & Technicians CE Credits: 1.0 Credit hour or 0.1 CEU for pharmacists/technicians Expiration Date: 8/15/2011 Program Overview: Counseling the patient who seeks advice on over the counter contraception can often result in an awkward encounter, especially if the pharmacist is not fully knowledgeable in the latest products on the market. In addition, advice and counseling on this topic must be done professionally and with sensitivity to avoid embarrassment to either party. Objectives: 1. Identify several available birth control methods, specifically over the counter options. 2. Provide an update on the birth control method options including mechanisms of action, efficacy, safety, and tolerability. 3. Describe the role pharmacists can have in identifying, educating and counseling patients seeking contraceptives. This program has been brought to you by PharmCon
4 Program Overview: WARNING! GRAPHIC PHOTOS AND SEXUALLY EXPLICIT LANGUAGE. This program contains sexually explicit images and audio content which may be considered offensive to some audiences. If such material offends you, please do not continue your participation in this presentation. If you sign off now, you will be refunded your registration fee. Exercise mature judgment if your viewing area may be seen by children or coworker s who may find the content offensive Who s s The Daddy?
5 Objectives: Identify several available birth control methods, specifically over the counter options. Provide an update on the birth control method options including mechanisms of action, efficacy, safety, and tolerability. Describe the role pharmacists can have in identifying, educating and counseling patients seeking contraceptives.
6 What Are Contraceptives? Definition: A substance or device capable of preventing pregnancy.
7 Note: Birth control methods are NOT substitutes for prevention methods against sexually transmitted diseases or infections. PREVENTION IS MUCH EASIER THAN A CURE!!!
8 Fast Facts: Some birth control methods are more effective than others. No method, other than abstinence, is 100% effective. Many factors influence effectiveness of any method available. Best method is individual choice and should be discussed with healthcare provider.
9 Choosing a Birth Control Method: Choose contraception like you choose a partner carefully. It is a choice know your options.
10 Choosing Birth Control Method Become informed about STDs and risk of pregnancy. Partners should choose together.
11 How Does Conception Occur?
12 Journey of the Sperm
13 Busting Birth Control Myths A female can t get pregnant the first time Sex education: Talking to your teen about sex
14 Busting Birth Control Myths Douching, showering, or bathing can prevent pregnancy
15 Busting Birth Control Myths A female cannot get pregnant if male pulls out Suggestion: Get a signed contract by the guy beforehand!
16 More Myths Busted A female can t get pregnant if she has sex during her period
17 More Myths Busted Birth control pills cause cancer Breast cancer inconclusive Protective effect against ovarian cancer
18 More Myths Busted Use saran wrap or a balloon if a condom is unavailable
19 Myths continued Pregnancy is prevented by jumping up and down or placing seeds in the vagina
20 Myths continued Having sex standing up works as contraceptive
21 More Myths Busted Not having an orgasm can be a great method of birth control
22 More Myths Busted The tighter the condom, the more protection
23 What to Consider: Frequency of sexual relations Number of partners Communication with partner Availability of contraceptive options Overall health and family history
24 A Few More Items to Consider Health risks & side effects Does it fit your lifestyle? What are your intentions? Your comfort level
25 What Are My Choices? Tubal Ligation Tubal Microinserts Male Sterilization (Vasectomy) Diaphragm Cervical Cap Vaginal Sponge Male Condom Female Condom Spermicides Withdrawal Outercourse
26 Failure Rates for Birth Control Methods When Used Correctly (Number of pregnancies per 100 women per year) Male condom alone 11 Female condom alone 21 Diaphragm with spermicide 17 Cervical cap with spermicide 17 to 23 Sponge with spermicide 14 to 28 Spermicide alone 20 to 50 Oral contraceptives 1 to 2 Contraceptive patch* 1 to 2 Vaginal contraceptive ring 1 to 2 Hormone shots less than 1 IUD less than 1 Periodic abstinence 20 *Contraceptive patch is less effective in women weighing more than 198 pounds. Information from U.S. Food and Drug Administration. Birth Control Guide.
28 Male Condom Made of a thin sheath of latex or natural animal membrane and place over penis. Prevents pregnancy and STIs. Available readily in stores and clinics.
29 Advantages of Male Condom 85%- 98% effective No adverse health effects Available OTC/ low cost Easy to use Protects against diseases and pregnancies Easily reversible
30 Disadvantages of Male Condom Lower efficacy than other non-barrier methods Lack of spontaneity Depends on cooperation of male partner
31 Counseling Message Counseling on condom use should be tailored to each patient s individuals needs, risk factors, and lifestyle.
32 Female Condom FDA approved First woman-controlled birth control method that protects against STIs. Lubricated inside and out 79%- 92% effectiveness One time use only Do not use with male condom
33 Risks and Side Effects Female Condom Safe to use (better for latex allergies) Made of polyurethane Sensitivity to spermicides
34 Advantages of Female Condom Protects against STIs and pregnancy Available OTC Less interruption Less allergies Easily reversible
35 Disadvantages of Female Condom Less discreet Uncomfortable insertion Noisy Somewhat lower effectiveness than other non-hormonal methods
36 Counseling Message Just like any birth control method, counseling on condom use should also be tailored to each patient s individual needs, risk factors, and lifestyle.
37 Vaginal Sponge Covers the cervix One time use only Effective about 24 hours Risk of TSS 60%-91% effective
38 Risks and Side Effects of Vaginal Sponge Sensitivity to spermicide TSS if left inserted too long Yeast infection may occur Vaginal dryness
39 Advantages and Disadvantages of Vaginal Available OTC Relatively discreet Easily reversible Sponge Disadvantages Not for parous women Risk of TSS and yeast infection
40 Counseling Message This method is best for nulliparous women. Women should be aware of risk of TSS and should be counseled on protecting themselves against STIs.
41 Gas, foam, cream, or suppositories that kill sperm Purchased in grocery store or drug store About 70%- 75% effective used alone Often combined with other methods Spermicide
42 Risks and Side Effects Not effective against STDs when used alone May irritate vagina and surrounding skin Recurrent UTIs for females
43 Advantages and Disadvantages of Disadvantages Does not protect against STDs Messy Allergies/ irritations Spermicides Advantages Can be obtained easily Relatively discreet Easily reversible
44 Counseling Message Can be used alone for pregnancy prevention. Are easy to use & are available without prescription. Do not protect against STIs & can increase the risk of vulvovaginal irritation and vaginal infection.
45 Emergency Contraception For emergency situation only Rape, unplanned sex, contraception malfunction Definition Morning after pill Prevents pregnancy Reduces pregnancy risk by 75-95%
46 2 3 1 Adapted from
47 EC: Regimens Progestin-only (Plan B two doses of 0.75 mg levonorgestrel taken 12 hrs apart) Combined estrogen-progestin (Yuzpe regimen - two doses of 100 mcg ethinyl estradiol plus 0.5 mg levonorgestrel taken 12 hrs apart) Alesse Nordette Levlen Levlite 5 pink pills 100 mcg EE 0.50 mg LNG 4 light-orange pills 120 mcg EE 0.60 mg LNG 4 light-orange pills 120 mcg EE 0.60 mg LNG 5 pink pills 100 mcg EE 0.50 mg LNG
48 Emergency Contraception Plan B Only Emergency Contraceptive pill in U.S. Sold to women over age 18 without prescription Alternative Yuzpe regimen EC Sold in pharmacies and clinics without a prescription if over age 18. Emotional duress of patient No restrictions on quantities Wont terminate pregnancies
49 Risks and Side Effects of EC No long term effects Nausea/ Vomiting Abdominal pain Fatigue Headache Tender breasts Break through bleeding, Menstrual cycle changes SE greater with Yuzpe Vomiting meclizine
50 Advantages of EC Back up plan Available OTC any time Prevents abortion/ costs less 75% -95% effective Not abortifacients
51 Disadvantages of EC Does not prevent STDs Under 18 needs prescription Costly $45 - $65 Side effects such as nausea, vomiting, and fatigue, etc.
52 Counseling Message Counseling Message Patient is under stress Supportive attitude and respect for patient Need to convey that EC is for emergency use only and should not be used on a regular basis. After counseling, may be obvious that referral to family planning, social services, law enforcement. STD concerns EPT after 3 weeks Pharmacist - Last resort
53 Conclusion Choose contraception wisely Understand the facts Counseling should be tailored to individual Seek info from healthcare provider
54 Life is tough enough without having someone kick you from the inside. ~Rita Rudner
55 Who s s The Daddy? What You Should Know About OTC Contraception
Birth Control Methods Chart Method Definition Type Typical Use Failure Rate (percentage of females who experience an unintended pregnancy during the 1st year of typical use.) Birth Control Pill A hormone
Choosing a Birth Control Method What is birth control? Birth control is any method used to prevent pregnancy. Another word for birth control is contraception. If you have sex without birth control, there
Medicines To Help You Birth Control Guide This guide gives the basic facts about the different kinds of FDA-approved medicines and devices for birth control. Ask your doctor to tell you about all of the
POSTNATAL CONTRACEPTION INTRODUCTION There are a number of methods available to help prevent pregnancy, with some of the most popular including condoms and birth control pills. Deciding which method is
What is contraception? Contraception, or birth control, is designed to prevent a woman from getting pregnant. The methods of contraception can be broken down into several different types: Barrier methods,
1 of 5 6/2/2014 9:46 AM Return to Web version Birth Control Options What is contraception? Contraception means preventing pregnancy, also called birth control. Most people know about options such as birth
Birth Control Options HORMONAL INTRAUTERINE SYSTEM (IUS) THE PILL (combined pill) A small T-shaped frame containing levonorgestrel, a progestin hormone. Once inserted into the uterus by a physician, the
DECIDING ON BIRTH CONTROL: A guide for women with epilepsy For many women, decisions about starting birth control and picking a birth control method can be challenging. For the over one million women and
Contraception Methods (Birth Control) Chemical Methods of Contraception Type Description Effectiveness Effects Spermicidal Foams, Jellies, Creams Must be inserted deep in the vagina and must be used every
Thought about sterilization? Think different! The intrauterine system as an alternative to sterilization. Oh, but this seems so final. What non-surgical, effective, long-acting birth control options are
Effective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion. After the abortion I started re-thinking my birth control method. I am looking
Birth Control - Contraception Introduction Birth control is designed to prevent pregnancy. It is also known as contraception. There are many different birth control methods. Each method has its advantages
Fact Sheet Women's Birth Control Choices Female contraceptive methods compared Choices in birth control for women today Birth control is an important issue for most women. Being able to control reproductive
Methods of Birth Control The Biology Project Contraception Problem Set There are numerous methods of contraception that can be used to prevent pregnancy fro occurring. They range from abstinence to the
INFORMATION BASICS Birth Control Methods What You Need To Know Family Planning Association of Maine NOT Ready to Get If you are having sex, or thinking about having sex, and you don t want to get pregnant,
Birth Control What things should I think about when choosing a birth control method? Do I need to have a pelvic exam to get birth control from my health care provider? Which birth control methods are the
Barrier Methods of Contraception WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Barrier methods are some of the oldest and safest forms of contraception (birth control). These methods work
Activity 3.3 Birth Control Myth Busting! Purpose The purpose of this activity is to give staff practice in eliciting and addressing common birth control questions and myths in a manner that is clear and
The Correct Use of Birth Control: In order for any method of birth control to be effective, it must be used correctly ALL THE TIME. This means: One condom every time you have sex One pill every day One
Activity 2 Birth Control Student Objectives Students will 1. Identify different birth control options. 2. Build a personal value for making an informed choice about birth control. 3. Shape peer norms that
Palm Beach Obstetrics & Gynecology, PA 4671 S. Congress Avenue, Lake Worth, FL 33461 561.434.0111 4631 N. Congress Avenue, Suite 102, West Palm Beach, FL 33407 Methods of Birth Control Most women can become
WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Hormonal Contraception: Injections, Implants, Rings, and Patches In addition to oral contraceptives (birth control pills), there are several
Birth Control and Safer Sex 2 Table of Contents Typical vs. Perfect Use 4 Internal Organs.5 Hormonal Methods The Pill... 6 Seasonale/Seasonique... 7 The Mini-Pill... 8 The Patch... 9 The Ring... 10 The
Birth Control The Choice is Yours You can decide if and when to have children. If this is not the right time for you and your partner to have a baby, there are ways you can prevent pregnancy. The surest
International Planned Parenthood Federation Statement on Contraception and STI/HIV Protection for Adolescents Introduction The World Health Organization defines adolescence as the period between 10 and
Family Planning Methods 7 Introduction Women, men, or couples can choose from many contraceptive methods to help them plan their family and prevent an unplanned pregnancy. They need to know that if they
Contraception advice for people taking Roaccutane This booklet should only be given to patients who have been prescribed Roaccutane. This booklet has been developed by Roche Products (Ireland) Ltd. Date
It s Your Choice: Birth Control for Teens Discussion Guide AIMS MULTIMEDIA 9710 DeSoto Avenue Chatsworth California 91311 Tel: 800-367-2467 Tel: 818-773-4300 Fax: 818-341-6700 http://www.aimsmultimedia.com
Care Guidelines: Contraception Abstinence : o If ALL sexual activity avoided (including skin to skin contact) 100% effective at preventing pregnancy and STDs o No side effects o No protection if sexual
1 Lesson 16: Birth Control OBJECTIVES 1. Students will be able to categorize all FDA-approved birth control methods according to their level of effectiveness at preventing pregnancy. 2. Students will understand
Contraceptive Counseling Module content: Contraceptive Counseling Script in English Overview The contraceptive counseling script is a tool used to make contraceptive counseling as comprehensive and efficient
page 1 Birth Control Methods Q: What is the best method of birth control (or contraception)? A: There is no best method of birth control. Each method has its pros and cons. All women and men can have control
Choosing A guide to birth control with LILETTA (lye-let-uh) Indication LILETTA (levonorgestrel-releasing intrauterine system) 52 mg is a hormone-releasing system placed in your uterus to prevent pregnancy
Family Planning Healthy Timing and Spacing of Pregnancy Health Manual Contents Healthy Timing and Spacing of Pregnancy p. 2 Family Planning Methods p. 4 Terminating Pregnancy p. 10 Healthy Timing and Spacing
Overview of Existing State Distribution Mechanisms and Barr s Proposed Educational Program and Distribution for Plan B In most states throughout the US, emergency contraception pills, including Plan B,
Birth Control 100% Deciding to wait Not Having Sex 99% Thin plastic implant inserted under the skin Can leave in for up to 3 years Implant 99% Doctor give injection every 12 weeks Takes 1 week to start
Bayer HealthCare Pharmaceuticals HealthCare Programs Family Planning 13342 Berlin, Germany www.bayerpharma.com www.jadelle.com September 2013 HealthCare Programs Family Planning Contents What is Jadelle?.................................5
FDA-Approved Patient Information PATIENT INFORMATION Mirena (Mur-ā-nah) (levonorgestrel-releasing intrauterine system) Mirena does not protect against HIV infection (AIDS) and other sexually transmitted
Patient Group Direction The Supply of levonorgestrel 1500mcg (Levonelle -1500) for Version: EHC by Community pharmacists/2011.1 CLINICAL CONTENT page 1 of 4 Protocol Details Date comes into effect 1 st
HPV AND CONTRACEPTIVE UPDATE Carla Valdez, MPH HPV Update Presented at The California Association of School Health Educators (CASHE) 28 th Annual Conference. Cal State Long Beach Pyramid Annex, December
6 SAND HILL ROAD SUITE 102 FLEMINGTON, NJ 08822 PHONE 908-782-6700 FAX 908-788-5861 CONTRACEPTION LONG-ACTING REVERSIBLE CONTRACEPTIVES LARCS In 2014 the Academy of Pediatrics recommended that long-acting
Hormonal Contraception: Not Just The Pill OVERVIEW: Oral contraceptives, also known as birth control pills, have been on the market in the U.S. since only 1960. Amazingly, one of the major delays for the
Contact your primary care provider or local clinic for additional family planning information and services. Planning Your Family Developed by: Economic Opportunity Council of Suffolk, Inc. (EOC) & Suffolk
maybe it s time to With Your Current And move on to 100% hormone free, more than 99% effective Paragard (intrauterine copper contraceptive) IUD. Paragard is indicated for intrauterine contraception for
Show Your LOVE! Steps to a Life offers many opportunities Take time to think about your goals for school, for your job or career and for your health Your physical and mental health are important in helping
Birth Control M E T H O D S Adapted and reproduced with permission of Public Health, Region of Peel. Table of Contents z Introduction... 2 z Anatomy... 3 z Effectiveness... 4 z Hormonal Methods of Birth
I Need Birth Control! Practical Aspects of Contraception Update Ashley D. Miller, WHNP-BC, PhD Candidate Owner, Athena Health and Wellness Louisville, KY Session Objectives Review available contraceptives
F REQUENTLY A SKED Q UESTIONS Birth Control Bear in mind that NO method of birth control prevents pregnancy all of the time. Birth control methods can fail, Methods but you can greatly increase a method
FDA-Approved Patient Labeling Patient Information Skyla (sky-lah) (levonorgestrel-releasing intrauterine system) Skyla does not protect against HIV infection (AIDS) and other sexually transmitted infections
Instructions: Click on the buttons at the bottom of the page to move ahead or back in the online instruction. MAKING APPOINTMENTS After you have finished this online instruction, you can call to schedule
CONTRACEPTION INFORMATION PACKET "Birth control, also known as contraception, is designed to prevent pregnancy. Birth control methods may work in a number of different ways. These include: * Blocking sperm
FDA-Approved Patient Labeling Patient Information Mirena (mur-ā-nah) (levonorgestrel-releasing intrauterine system) Mirena does not protect against HIV infection (AIDS) and other sexually transmitted infections
Safe & Unsafe Facts About abortion WHAT IS THE DIFFERENCE BETWEEN UNSAFE AND SAFE ABORTION? What is unsafe abortion? Unsafe abortion is a procedure for terminating an unplanned pregnancy either by a person
your guide to Helping you choose the method of that is best for you raception aception contracept contracepti contracep contracepti Your guide to This leaflet shows the available contraceptive methods,
your guide to Helping you choose the method of that is best for you ontraception ontraception contrac contraceptio ontracept traception Your guide to There are many different contraceptive methods available.
FDA-Approved Patient Labeling Guide for Using Levonorgestrel and Ethinyl Estradiol Tablets USP (0.15 mg/0.03 mg) and Ethinyl Estradiol Tablets USP (0.01 mg) WARNING TO WOMEN WHO SMOKE Do not use levonorgestrel
Activity 3.1 Birth Control Information Simple and Accurate Purpose The purpose of this activity is to help staff identify and describe basic information for each of the methods of birth control accurately,
Post-Coital Hormonal Contraception Instructions for Use of Plan B, Plan B One-Step, Next Choice One Dose, My Way, Generic Levonorgestrel and Ella Several options for emergency birth control exist for women
The Combined Pill Combined oral contraceptive pill A service provided by What is the combined pill? The combined pill is usually just called the pill. It contains two female hormones, oestrogen and progestogen.
Teen Talk s Sexual Jeopardy Game Goal: To have fun while educating and reinforcing information learned about sexual health topics; including STIs, HIV, birth control, condoms and consent. Have Ready: Sexual
Essential Standard 8.ICR.3 Analyze strategies that develop and maintain reproductive and sexual health. Clarifying Objective 8.ICR.3.2 Evaluate methods of FDA- approved contraceptives in terms of their
Plan B (Levonorgestrel) Tablets, 0.75 mg Rx only for women age 17 and younger For women age 17 and younger, Plan B is a prescription only emergency contraceptive. Plan B is intended to prevent pregnancy
What is birth control? Birth control means things you can do to ensure that pregnancy only happens if and when you want it to. Birth control can mean abstinence. Abstinence is deciding not to do something,
How Misperceptions, Magical Thinking and Ambivalence Put Young Adults at Risk for Unplanned Pregnancy Contraception and Pregnancy: The True and the False QUESTIONS CONDOMS 1. It is okay to use the same
BACKGROUNDER CONTRACEPTION DID YOU KNOW?» Approximately 85 out of 100 sexually active women who are not using any contraceptive method will get pregnant within one year. 1» Worldwide 38% of women who become
Family Planning for Women and Couples following Fistula Repair Fistula Care at EngenderHealth 440 Ninth Avenue, 13th Floor New York, NY, USA 10001 Tel: 212-561-8000 E-mail: firstname.lastname@example.org
Care Planning: This leaflet should only be used with the ongoing advice from your Diabetes Team, as part of your plan of care.. Contraception for Women with Diabetes It is very important to plan your pregnancy
All about the FC2 female condom All about the FC2 female condom for enjoyable safer sex When you talk to people about FC2 female condoms for the first time, they often have many questions about it. And
CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION Your sexual health While every effort has been taken to ensure the accuracy of the information in this publication, it cannot replace
your guide to contraceptive Helping you choose the method of contraception that is best for you ions ections injection njections injection tions 2 Contraceptive Contraceptive contain a progestogen hormone
Information about östradiolvalerat och dienogest This leaflet provides information about your new oral contraceptive, Qlaira. It is important that you read this leaflet before starting to take the tablets.
Birth Control Methods This guide provides useful information to help you and your partner consider pregnancy prevention options. Most options are available through the CHS Pharmacy, Women s Health Clinic,
Birth Control Pill Fact Sheet Very effective when used correctly Makes period cramps better Good for your health for example, it helps prevent cancer of the ovaries and uterus, it makes bones stronger,
Intrauterine Device (IUD) Quick Facts Effectiveness in Preventing Pregnancy: Use: Of 100 women using IUDs for a year, about one may become pregnant. IUDs are better at preventing pregnancy than condoms,
your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you the progestogen rogestogen-only the progestogen-only pill progestogen-only pill stogen-only progestoge
I Choose Dual Protection FAMILY PLANNING Key facts An estimated 222 million women in developing countries would like to delay or stop childbearing but are not using any method of contraception. Some family
Patient Guide to REMS Risk Evaluation and Mitigation Strategy (REMS) Program This guide provides you important information about: The risks of REVLIMID (lenalidomide) Birth defects (deformed babies) or
There are many different forms of birth control available in Canada, many of which we will discuss in this booklet. There is no way to determine which is the best form of birth control, because each person
Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to
Table of Contents Welcome to Mycophenolate REMS... 5 What You Need to Know... 6 Your Role... 7 Your Birth Control Options... 8 Reporting Your Pregnancy... 10 Important Resources... 11 Other Resources...