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C H A P T E RC H A P T E RO B J E C T I V E SF E A T U R E Ssexuality.jbpub.com/dimensions/4esexuality.jbpub.com/dimensions/4eEthical Dimensions: Abstinence-Only Versus Comprehensive Sexuality EducationEmergency ContraceptionThe Future of ContraceptivesEthical DimensionsAbstinence-Only Versus Comprehensive Sexuality EducationCommunication DimensionsCondom Use and Consistency: Talking About Condom UseMulticultural DimensionsEthnic and Age Differences in Access to Emergency ContraceptionGender DimensionsGender Equality in Contraception UseGender DimensionsMargaret H. Sanger: A Woman of InfluenceGlobal DimensionsEmergency Contraception: How Is NOR-Levo in France Different from Plan B in the United States?Global DimensionsUnmet Need for Contraception in Developing Countries Contraception7??1Discuss the reasons to use contraceptives, ways to choose a contraceptive, and the difference between perfect use and typical use.2Evaluate the nonprescription methods of contraception, including the effectiveness, the reversibility, and the advantages and disadvantages of each. Explain why some have higher rates of user effectiveness than others.3Evaluate the prescription methods of contraception, including the effectiveness, the reversibility, and the advantages and disadvantages of each. Explain why some have higher rates of user effectiveness than others.4Discuss the viability of future contraceptive methods. Consider the impact of gender issues, pharmaceutical industry costs for litigation, federal regulation compliance, and FDA approval.
I N T R O D U C T I O NThroughout life, people’s use of and need for contraceptives change. The case history of Susan presents a typical contracep-tive user. During her first sexual encounter at age 18 years, Susan’s high school boyfriend used withdrawal.During her freshman year at college, she began a steady sexual relation-ship with Jack. Because she was in a monogamous relationship and did not have to worry about sexually transmitted infection (STI) transmission, Susan began to use oral contraceptives (the pill). After she had difficulty remember-ing to take her pill every day, Susan switched to injectable medroxyprogester-one acetate (Depo-Provera). Every 3 months she would receive her birth-control shot at a clinic.After she and Jack broke up, she was abstinent for a year—the most foolproof method of contraception available. Susan graduated from col-lege and was fitted with a diaphragm; she also used condoms with her two partners.By age 25 years she married Stephen and had levonorgestrel (Nor-plant) inserted into her upper arm. The Norplant releases a steady stream of contraceptive into the reproductive system and is effective for up to 5 years. When the company producing the implants withdrew them from the market, she had the Norplant removed. At her doctor’s suggestion, she switched to a non-hormone-based contraceptive (foam and condoms) for 3 months before trying to conceive a child.