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Contraceptive CONTRACEPTIVE METHODS

We use condoms to prevent sexually transmitted diseases, but what is your backup plan? What if the condom breaks? Obviously, if the condom breaks, it should be thought of contracting sexual diseases from the client. At the same time, how should you protect yourself from accidental pregnancy? The New Zealand Prostitutes Organization (NZPC) often hears anxious requests from sex workers that emergency contraceptives are needed after the condom breaks (afterwards

Pill), or a pregnancy test. You can consider making a future plan for yourself to avoid this from happening. As a sex worker, you must use condoms with every client. It is wise to have backup contraceptives. In this way, in the event of a condom rupture, you are protected from unintended pregnancy. This is a double contraceptive method, called double insurance, to reassure yourself. You should look at the following note, second life control, use dual contraception.

Progesterone

The progesterone injection is to stop the monthly ovulation of the ovary

Advantages: Normally no menstruation (menstruation); one injection lasts for 12 weeks.

Disadvantages: Menstruation and fertility can be restored after an average of 6 months after stopping the injection. Progesterone is related to the reduction of bone density. It is believed that stopping the use of medroxyprogesterone may reverse the situation.

Health effects: There is a very slight increase in the risk of breast cancer; it may decrease bone density. There may be side effects, such as weight gain, depression, etc.

Compound pill

This pill is composed of two hormones, estrogen and progesterone, which prevent the ovaries from releasing eggs every month

Advantages: The menstrual cycle is generally normal, the amount of menstruation is small, and the chance of dysmenorrhea is reduced, and the chance of uterine and ovarian cancer is less. If you are healthy and non-smoker, you can take this method to menopause.

Disadvantages: It needs to be re-prescribed by a doctor every 3 months and should not be used for smoking women over 35 years old.

Health effects: no serious harm.

Intrauterine device (contraceptive ring) or hormonal birth control system (intrauterine hormonal device)

Intrauterine device: The doctor puts a small plastic and copper device into the uterus.

Intrauterine hormone IUD: A small plastic intrauterine progesterone device is placed in the uterus. This process is operated by a doctor. Two methods prevent the combination of sperm and egg.

Advantages: it can stay in the uterus for 5 years; it is mostly suitable for women with children; the intrauterine hormonal IUD is suitable for women with menorrhagia. The intrauterine hormonal contraceptive device reduces menstrual flow or stops menstruation.

Disadvantages: Intrauterine contraceptive devices may cause increased menstrual flow or uterine cramps. The IUD may cause irregular bleeding in the first few months; it should not be used for female sexual partners who have other sexual partners at the same time because it increases the risk of sexually transmitted infections, pelvic infections and infertility. However, safe sex, using (condoms and liquid lubricants) or having an IUD (IUD or IUS) (intrauterine hormonal device) placed by an experienced doctor, can reduce these risks.

Health effects: Intrauterine contraceptive devices increase the chance of pelvic infection, or if you have a sexually transmitted disease. Pelvic infection can cause infertility.

Double insurance

Dual contraception is a very wise choice. There is an important advantage to using birth control pills and condoms together. If the condom fails, at least you will not be in danger of getting pregnant. The advantage of oral contraceptives is that you can control your menstrual cycle. This may prevent you from having menstruation. However, if you do this, you should have three menstrual cycles at least a year to prevent breakthrough bleeding. The post-mortem pill, another hormonal contraceptive, is an injection that is given by injection and lasts for 12 weeks. Most women do not have menstruation after using the after pill, which is very safe.

more information

Contact New Zealand prostitutes, your local sexual health clinic or family planning committee

                                                         

We all use condoms to protect us against sexually transmitted infections, but what's your backup plan if the condom breaks? Obviously if a condom breaks there is concern of catching a STI from the client, but what are you doing to protect yourself from an unwanted pregnancy ? The New Zealand Prostitutes Collective (NZPC) frequently hears from anxious sex workers who, following a broken condom need the emergency contraceptive pill (The Morning After Pill) or need a pregnancy test. You can avoid finding yourself in this situation by thinking and planning ahead. As a sex worker it is imperative you are using condoms with every client and wise to also be using a back-up contraceptive. This way, in the unlikely event of a condom breaking you are protected against an unwanted pregnancy. This doubling up of contraceptives is sometimes called Double Dutch and for your own peace of mind you should look into the following forms secondary birth of control to use “double dutch” with condoms.

An injection of progesterone hormones that stops the ovaries from releasing an egg each month.

Advantages: Usually no period (menses); one injection lasts 12 weeks.

Disadvantages: Periods and fertility take an average of 6 months to return after stopping the injection. Depo Provera has been associated with a reduction in bone density. It is thought that this is likely to reverse on stopping Depo Provera use.

Health concerns: very slight increased risk of breast cancer; may reduce bone density; may have side effects eg weight gain, depression.

COMBINED PILL

Pill made of two hormones, oestrogen and progesterone that stop the ovaries from releasing an egg each month.

Advantages: Periods usually regular, lighter and less painful; less chance of cancer of uterus and ovaries; can be taken up to menopause if you are healthy and don't smoke.

Disadvantages: Need to get a renewed prescription from the doctor every three months; should not be used by women over 35 years of age who smoke

Health concerns: No serious risks.

INTRA UTERINE DEVICE (IUD) OR HORMONE INTRA UTERINE SYSTEM (IUS)

IUD: Small plastic and copper device put in uterus by a doctor.

IUS: Small plastic system to place progesterone inside uterus. This procedure is done by a doctor.

Both stop sperm reaching the egg.

Advantages: can stay in place for 5 years; more suitable for women who have already had children; IUS – suitable for women with heavy periods; IUS

– Causes lighter periods or no periods at all.

Disadvantages: The IUD may cause heavier periods or cramping. The IUS may cause irregular bleeding in the first few months; should not be used if the women or her partner has other sexual partners because of increased risk of STIs, pelvic infections and infertility. However , these risks are reduced when safer-sex practices are used (condoms and water-based lube). Either device (IUD or IUS) must be fitted by an experienced doctor.

Health concerns: Increased chance of pelvic infection when the IUD is put in or if you get an STI. Pelvic infection could cause infertility.

BE SAFE, DOUBLE UP

Double contraception is a very sensible idea. Using the pill along with condoms has one important advantage. If the condom fails at least you won't be in danger of pregnancy. An advantage of oral contraception is that you can

control your periods. It is possible to run the packets together so you don't have a period. However, if you do this, you should have at least three periods a year to prevent breakthrough bleeding. Depo Provera, another hormonal contraceptive, is administered by injections and lasts 12 weeks. Most women on Depo don't have periods. This is quite safe.

MORE INFORMATION?

Contact NZPC, your local Sexual Health Clinic or Family Planning Association.

CONTRACEPTIVE METHODS

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