Let’s Talk Contraception: Emergency Contraception

ECThe Centers for Disease Control and Prevention (CDC) recently reported that 1 in 9 Americans — 11 percent — has used the “morning-after pill.” This means that in the United States, 5.8 million sexually active women between the ages of 15 and 44 have used emergency contraception, an increase in use of 4.2 percent from 2002. Most women say their reasons for using emergency contraception are because they engaged in unprotected sex or feared that their method of contraception failed.


The best way to prevent pregnancy is reliable birth control. But sometimes we need a back-up method.


It has also been reported that half of all pregnancies in the United States are unintended. For that reason, the availability of a range of contraceptive options is very important. Emergency contraception is the last choice for a woman to decrease her chance of becoming pregnant after unprotected sex. There are several products available for emergency contraception in the United States. There are many options, and they include:

  • regular birth control pills in specific doses
  • PlanB One-step
  • Next Choice
  • ella
  • copper IUD or intrauterine device (Paragard)

The Yuzpe regimen, which used ordinary birth control pills in specific combinations, was named after a Canadian physician who developed the method in the 1970s. Several brands of birth control pills are approved for this use to prevent pregnancy. This method uses the combined estrogen and progesterone hormones in your regular birth control pills in certain prescribed combinations.

Research showed the progesterone component of contraceptive pills was most effective at preventing pregnancy, so Plan B was developed as a two-pill regimen of levonorgestrel (a type of progesterone). When Plan B was first released, it consisted of one pill taken as soon as possible and another taken 12 hours later. Plan B One-Step, the newest version of Plan B, now has the same dosage of levonorgestrel in just one pill. It should be taken as soon as possible after unprotected sex. This one-dose regimen has been shown to be more effective with fewer side effects. Continue reading

Over 90 Percent of What Planned Parenthood Does, Part 12: Colposcopy

Welcome to the latest installment of “Over 90 Percent of What Planned Parenthood Does,” a series on Planned Parenthood Advocates of Arizona’s blog that highlights Planned Parenthood’s diverse array of services — the ones Jon Kyl doesn’t know about.

When talking about Pap tests — particularly when discussing abnormal Pap results — one procedure that comes up a lot is the colposcopy.

It can sound intimidating and clinical on its own. And if you’re anything like me, you may have — ahem — occasionally confused it with the significantly more internal colonoscopy. For the sake of everyone’s anxiety levels, it may be best to set the record straight.


What is a colposcopy, and what should you expect from the procedure?


Why am I getting a colposcopy?

The most common reason for undergoing a colposcopy is having an abnormal Pap test result, particularly one that, when tested for DNA of human papillomavirus, yielded a positive result. Effectively, there are some abnormal cervical cells with HPV present. Because this could potentially progress to cervical cancer down the line, this combination makes health care providers want to get a closer look at what’s going on.

That said, colposcopies are sometimes performed for other reasons, such as genital warts on the cervix, cervicitis (inflamed cervix), or benign cervical polyps. Continue reading

Let’s Talk Contraception: Female Condoms, Another Contraceptive Choice

Are you or your partner allergic to latex? Does your male partner not like to use condoms, or does he want to try something that may feel less restrictive? Would you like to decrease the risk of skin-to-skin transmission of viruses, such as those that cause genital warts or herpes? Do you feel that putting on condoms distracts from the spontaneity of sex? You might be interested in learning about female condoms.


September 12 is Global Female Condom Day.


The female condom, available as the brand name FC2, is a barrier contraceptive that was developed with the dual purpose of allowing women contraceptive control and providing  protection against pregnancy and sexually transmitted diseases, including HIV.

You do not need a prescription or to see a health care provider to get the FC2 — it’s available for sale just like male condoms.

As with other contraceptive methods, it is not foolproof, but when used properly and consistently it is 79 to 95 percent effective in preventing pregnancy. Also, its shape and design allows less skin-to-skin contact where diseases may spread.

The first female condoms were made of polyurethane. The new FC2 is now made of a thin, flexible nitrile sheath with an open ring at one end that covers the outside of the genital area and a smaller closed ring on the end that is inserted in the vagina. Inside the sheath is a silicone lubricant. Because the condom is not latex, it can also be used with any kind of additional lubricant and by those allergic to latex. Continue reading

STD Awareness: “Can I Get an STD from Oral Sex?”

As tools to reduce risk for STD transmission, dental dams are not to be ignored.

Editor’s Note: Other posts of interest to readers include: “STD Awareness: Gonorrhea of the Throat,” “STD Awareness: Oral Herpes,” and “Can Oral Herpes Be Spread to Genitals?

Many consider oral sex to be a safer form of sexual activity compared to vaginal or anal intercourse. For this reason, they might put less emphasis on the use of latex barriers, such as dental dams and condoms, during oral sex. Unfortunately, this idea is misguided and can lead to the transmission of preventable infections.

It is generally true that oral sex presents less of a risk for contracting sexually transmitted diseases (STDs) — but this risk is not trivial, especially when people are under the impression that they don’t need to use barrier methods during oral sex. Most sexually transmitted diseases can be passed along by oral sex, including chlamydia, gonorrhea, syphilis, hepatitis B, herpes (which can be transmitted back and forth from the mouth, as cold sores, to the genital region, as genital herpes), human papillomavirus (HPV), and HIV. Even pubic lice can be transferred from the genital region to eyelashes and eyebrows! Additionally, intestinal parasites are more likely to be transmitted via oral sex than through vaginal sex. A microscopic amount of fecal matter containing parasites can be infectious, and can be unknowingly ingested when present on genitals.


Seventy percent of adolescents who reported engaging in oral sex had never used a barrier to protect themselves from STDs during oral sex.


Some bacterial STDs, such as gonorrhea and syphilis, can do permanent damage if not treated in time. Furthermore, gonorrhea of the throat is much more difficult to treat than gonorrhea in the genital or rectal areas. And some viral STDs can’t be cured (such as herpes and HIV), while others can cause chronic infections that have been linked to cancer (such as hepatitis, which is associated with liver cancer, and HPV, which is associated with throat cancer as well as cervical cancer and anal cancer). Continue reading