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This chapter delves into the complexities of contraception and birth control in the United States, where half of all pregnancies are unintended. It emphasizes the shared responsibility between men and women in preventing pregnancy and sexually transmitted diseases. Various methods are discussed, including hormonal methods, barrier methods, fertility awareness, emergency contraception, and abortion. The chapter also addresses the efficacy of these methods and the ongoing abortion debate, including pro-life and pro-choice perspectives, highlighting the importance of informed choices and personal responsibility in reproductive health.
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Chapter Eleven Contraception and Birth Control
Risk and Responsibility • In the United States, half of all pregnancies are unintended • Women, men, and birth control: who is responsible? • Preventing sexually transmitted diseases
Methods of Contraception and Birth Control • Birth control - any means of preventing a birth from taking place; includes contraception and abortion • Contraception - the prevention of conception
Choosing a Method • Best method is the one you will use consistently • Theoretical effectiveness • User effectiveness
Sexual Abstinence and Outercourse • Abstinence • Celibacy • Outercourse
Hormonal Methods • The pill - oral contraceptives • Implants - Norplant • Injectable contraceptives - • Depo-provera (DMPA) • Lunelle
Barrier Methods • Condom • Female condom • Diaphragm • Cervical cap • Contraceptive sponge
Spermicides Spermicide - substance toxic to sperm • Bioadhesive gel • Contraceptive foam • Contraceptive film (VCF) • Creams and jellies • Vaginal suppositories
Intrauterine Device (IUD) • Tiny plastic or copper device inserted into uterus • Two currently available in the United States: • ParaGard • Progestasert
Fertility Awareness Methods • Calendar (rhythm) method • Basal body temperature (BBT) method • Cervical mucus method • Symptothermal method
Women: laparoscopy minilaparotomy culpotomy culdoscopy hysterectomy Men: vasectomy Sterilization
Emergency Contraception • Emergency contraceptive pill (ECP) • Copper IUD
Abortion • Mifepristone (RU-486) • Surgical methods: • vacuum aspiration • dilation and evacuation • hysterotomy • Prostaglandins • Saline solutions • Urea
The Abortion Debate • The pro-life argument • The pro-choice argument • Abortion and religion • Constitutional issues