4389cbc0-adea-42ad-b09b-88e5714a23ec < Back Ending A Pregnancy There are two ways of ending a pregnancy: in-clinic abortion and the abortion pill. Both are safe and very common. If you’re pregnant and thinking about abortion, you may have lots of questions. We’re here to help. Is abortion the right option for me? Abortion is very common, and people have abortions for many different reasons. Only you know what’s best for you, but good information and support can really help you make the decision that is best for your own health and well-being. Why do people decide to have an abortion? If you’re thinking about having an abortion, you’re so not alone. Millions of people face unplanned pregnancies every year, and about 4 out of 10 of them decide to get an abortion. Some people with planned pregnancies also get abortions because of health or safety reasons. Overall, 1 in 4 women in the U.S. will have an abortion by the time they’re 45 years old. Sometimes, the decision is simple. Other times, it’s complicated. But either way, the decision to have an abortion is personal, and you’re the only one who can make it. Everyone has their own unique and valid reasons for having an abortion. Some of the many different reasons people decide to end a pregnancy include: They want to be the best parent possible to the kids they already have. They’re not ready to be a parent yet. It’s not a good time in their life to have a baby. They want to finish school, focus on work, or achieve other goals before having a baby. They’re not in a relationship with someone they want to have a baby with. They’re in an abusive relationship or were sexually assaulted. The pregnancy is dangerous or bad for their health. The fetus won’t survive the pregnancy or will suffer after birth. They just don’t want to be a parent. Deciding to have an abortion doesn’t mean you don’t want or love children. In fact, 6 out of 10 people who get abortions already have kids — and many of them decide to end their pregnancies so they can focus on the children they already have. And people who aren’t already parents when they get an abortion often go on to have a baby later, when they feel they are in a better position to be a good parent. The bottom line is, deciding if and when to have a baby is very personal, and only you know what’s best for you and your family. What can I think about to help me decide? Family, relationships, school, work, life goals, health, safety, and personal beliefs — people think carefully about these things before having an abortion. But you’re the only person walking in your shoes, and the only person who can decide whether to have an abortion. The decision is 100% yours. Here are some things to consider if you are thinking about an abortion: Am I ready to be a parent? Would I consider adoption? What would it mean for my future if I had a child now? What would it mean for my family if I had a child now? How would being a parent affect my career goals? Do I have strong personal or religious beliefs about abortion? Is anyone pressuring me to have or not have an abortion? Would having a baby change my life in a way I do or don’t want? Would having an abortion change my life in a way I do or don’t want? What kind of support would I need and get if I decided to get an abortion? What kind of support would I need and get if I decided to have a baby? Decisions about your pregnancy are deeply personal. You hold the power to make decisions that are best for you in order to stay on your own path to a healthy and meaningful life. There are lots of things to consider, and it’s totally normal to have many different feelings and thoughts when making this decision. That’s why it’s important to get factual, non-judgmental information about abortion. Support from family, friends, partners, and other people you trust can also be helpful. But at the end of the day, only you know what’s right for you. Who can I talk with about getting an abortion? Lots of people lean on others to help them with their decision. It’s good to choose people who you know are understanding and supportive of you. Your local health center has caring professionals that can answer any questions you may have. They'll give you expert care, accurate information about all your options, and non-judgmental support along the way — no matter what you decide about your pregnancy. Other family planning centers and private doctors may also talk with you about your decision. But be careful when looking for a reliable health center, because there are fake clinics out there that claim to offer information about pregnancy options and abortion. They’re called Crisis Pregnancy Centers, and they’re run by people who don’t believe in giving you honest facts about abortion, pregnancy, and birth control. Crisis pregnancy centers are often located very close to Planned Parenthood health centers or other real medical centers, and have similar names — they do this to confuse people and trick them into visiting them instead. No one should pressure you into making any decision about your pregnancy, no matter what. So it’s important to get the info and support you need from people who give you the real facts and won’t judge you. If you’re having a hard time finding someone in your life to talk with, check out All-Options. All-Options has a free hotline that gives you a confidential space to talk about making decisions about a pregnancy. They’ll give you judgment-free support at any point in your pregnancy experience, no matter what you decide to do or how you feel about it. When do I have to make a decision? It’s important to take the time you need to make the best decision for you. It’s also a good idea to talk to a nurse or doctor as soon as you can so you can get the best medical care possible. The staff at your local Planned Parenthood health center is always here to provide expert medical care and support, no matter what decision you make. Previous Next

e60af237-32f8-4921-be14-d5d3b7aed5bf < Back Planned Parenthood There are two ways of ending a pregnancy: in-clinic abortion and the abortion pill. Both are safe and very common. If you’re pregnant and thinking about abortion, you may have lots of questions. We’re here to help. Previous Next

What Is Sexual Orientation? It’s not completely known what causes someone to be lesbian, gay, straight, or bisexual, but your sexual orientation probably started at a very young age. This doesn’t mean that you had sexual feelings, just that you had feelings about who you were attracted to. As you get older these feelings get stronger and shape your sexual identity. Sometimes sexual orientation changes over time. And sometimes it stays the same throughout your life. But sexual orientation isn’t a choice, and can’t be changed by therapy, treatment, or pressure from family or friends. You also can’t “turn” a person gay. For example, a girl who plays with toys traditionally made for boys isn’t going to become a lesbian because of that. Sexual orientation can feel incredibly simple — you’re a girl who’s always liked both guys and girls and you identify as bisexual — or it can feel way more complex. It may take several years to understand your sexual orientation or come out. Some people call themselves questioning, which means they aren’t sure about their sexual orientation or gender identity. This is common — especially for teens.

Human Papillomavirus (HPV) Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. Some health effects caused by HPV can be prevented by the HPV vaccines. What is HPV? Should I get the HPV vaccine? HPV is the most common sexually transmitted infection (STI). HPV is a different virus than HIV and HSV (herpes). 79 million Americans, most in their late teens and early 20s, are infected with HPV. There are many different types of HPV. Some types can cause health problems including genital warts and cancers. But there are vaccines that can stop these health problems from happening. How is HPV spread? You can get HPV by having vaginal, anal, or oral sex with someone who has the virus. It is most commonly spread during vaginal or anal sex. HPV can be passed even when an infected person has no signs or symptoms. Anyone who is sexually active can get HPV, even if you have had sex with only one person. You also can develop symptoms years after you have sex with someone who is infected. This makes it hard to know when you first became infected. Does HPV cause health problems? In most cases, HPV goes away on its own and does not cause any health problems. But when HPV does not go away, it can cause health problems like genital warts and cancer. Genital warts usually appear as a small bump or group of bumps in the genital area. They can be small or large, raised or flat, or shaped like a cauliflower. A healthcare provider can usually diagnose warts by looking at the genital area. Does HPV cause cancer? HPV can cause cervical and other cancers including cancer of the vulva, vagina, penis, or anus. It can also cause cancer in the back of the throat, including the base of the tongue and tonsils (called oropharyngeal cancer). Cancer often takes years, even decades, to develop after a person gets HPV. The types of HPV that can cause genital warts are not the same as the types of HPV that can cause cancers. There is no way to know which people who have HPV will develop cancer or other health problems. People with weak immune systems (including those with HIV/AIDS) may be less able to fight off HPV. They may also be more likely to develop health problems from HPV. How can I avoid HPV and the health problems it can cause? You can do several things to lower your chances of getting HPV. Get vaccinated. The HPV vaccine is safe and effective. It can protect against diseases (including cancers) caused by HPV when given in the recommended age groups. (See “Who should get vaccinated?” below) CDC recommends HPV vaccination at age 11 or 12 years (or can start at age 9 years) and for everyone through age 26 years, if not vaccinated already. For more information on the recommendations, please see: https://www.cdc.gov/vaccines/vpd/hpv/public/index.html Get screened for cervical cancer. Routine screening for women aged 21 to 65 years old can prevent cervical cancer. If you are sexually active: Use latex condoms the right way every time you have sex. This can lower your chances of getting HPV. But HPV can infect areas not covered by a condom – so condoms may not fully protect against getting HPV; Be in a mutually monogamous relationship – or have sex only with someone who only has sex with you. Who should get vaccinated? HPV vaccination is recommended at age 11 or 12 years (or can start at age 9 years) and for everyone through age 26 years, if not vaccinated already. Vaccination is not recommended for everyone older than age 26 years. However, some adults age 27 through 45 years who are not already vaccinated may decide to get the HPV vaccine after speaking with their healthcare provider about their risk for new HPV infections and the possible benefits of vaccination. HPV vaccination in this age range provides less benefit. Most sexually active adults have already been exposed to HPV, although not necessarily all of the HPV types targeted by vaccination. At any age, having a new sex partner is a risk factor for getting a new HPV infection. People who are already in a long-term, mutually monogamous relationship are not likely to get a new HPV infection. How do I know if I have HPV? There is no test to find out a person’s “HPV status.” Also, there is no approved HPV test to find HPV in the mouth or throat. There are HPV tests that can be used to screen for cervical cancer. These tests are only recommended for screening in women aged 30 years and older. HPV tests are not recommended to screen men, adolescents, or women under the age of 30 years. Most people with HPV do not know they are infected and never develop symptoms or health problems from it. Some people find out they have HPV when they get genital warts. Women may find out they have HPV when they get an abnormal Pap test result (during cervical cancer screening). Others may only find out once they’ve developed more serious problems from HPV, such as cancers. How common is HPV and the health problems caused by HPV? HPV (the virus): About 79 million Americans are currently infected with HPV. About 14 million people become newly infected each year. HPV is so common that almost every person who is sexually-active will get HPV at some time in their life if they don’t get the HPV vaccine. Health problems related to HPV include genital warts and cervical cancer. Genital warts: Before HPV vaccines were introduced, roughly 340,000 to 360,000 women and men were affected by genital warts caused by HPV every year.* Also, about one in 100 sexually active adults in the U.S. has genital warts at any given time. Cervical cancer: Every year, nearly 12,000 women living in the U.S. will be diagnosed with cervical cancer, and more than 4,000 women die from cervical cancer—even with screening and treatment. There are other conditions and cancers caused by HPV that occur in people living in the United States. Every year, approximately 19,400 women and 12,100 men are affected by cancers caused by HPV. *These figures only look at the number of people who sought care for genital warts. This could be an underestimate of the actual number of people who get genital warts. I’m pregnant. Will having HPV affect my pregnancy? If you are pregnant and have HPV, you can get genital warts or develop abnormal cell changes on your cervix. Abnormal cell changes can be found with routine cervical cancer screening. You should get routine cervical cancer screening even when you are pregnant. Can I be treated for HPV or health problems caused by HPV? There is no treatment for the virus itself. However, there are treatments for the health problems that HPV can cause: Genital warts can be treated by your healthcare provider or with prescription medication. If left untreated, genital warts may go away, stay the same, or grow in size or number. Cervical precancer can be treated. Women who get routine Pap tests and follow up as needed can identify problems before cancer develops. Prevention is always better than treatment. < Previous Next >

31cbe5db-89f4-4152-9d76-287f9c86c8a7 < Back Emergency Contraception Emergency contraception consists of methods that can be used by women after sexual intercourse to prevent pregnancy. Emergency contraception methods have varying ranges of effectiveness depending on the method and timing of administration. Types of Emergency Contraception Intrauterine Device Cu-IUD ECPs UPA in a single dose (30 mg) Levonorgestrel in a single dose (1.5 mg) or as a split dose (1 dose of 0.75 mg of levonorgestrel followed by a second dose of 0.75 mg of levonorgestrel 12 hours later) Combined estrogen and progestin in 2 doses (Yuzpe regimen: 1 dose of 100 µg of ethinyl estradiol plus 0.50 mg of levonorgestrel followed by a second dose of 100 µg of ethinyl estradiol plus 0.50 mg of levonorgestrel 12 hours later) Initiation of Emergency Contraception Timing Cu-IUD The Cu-IUD can be inserted within 5 days of the first act of unprotected sexual intercourse as an emergency contraceptive. In addition, when the day of ovulation can be estimated, the Cu-IUD can be inserted beyond 5 days after sexual intercourse, as long as insertion does not occur >5 days after ovulation. ECPs ECPs should be taken as soon as possible within 5 days of unprotected sexual intercourse. Comments and Evidence Summary. Cu-IUDs are highly effective as emergency contraception (283) and can be continued as regular contraception. UPA and levonorgestrel ECPs have similar effectiveness when taken within 3 days after unprotected sexual intercourse; however, UPA has been shown to be more effective than the levonorgestrel formulation 3–5 days after unprotected sexual intercourse. The combined estrogen and progestin regimen is less effective than UPA or levonorgestrel and also is associated with more frequent occurrence of side effects (nausea and vomiting). The levonorgestrel formulation might be less effective than UPA among obese women. Two studies of UPA use found consistent decreases in pregnancy rates when administered within 120 hours of unprotected sexual intercourse. Five studies found that the levonorgestrel and combined regimens decreased risk for pregnancy through the fifth day after unprotected sexual intercourse; however, rates of pregnancy were slightly higher when ECPs were taken after 3 days. A meta-analysis of levonorgestrel ECPs found that pregnancy rates were low when administered within 4 days after unprotected sexual intercourse but increased at 4–5 days (Level of evidence: I to II-2, good to poor, direct). Advance Provision of ECPs An advance supply of ECPs may be provided so that ECPs will be available when needed and can be taken as soon as possible after unprotected sexual intercourse. Comments and Evidence Summary. A systematic review identified 17 studies that reported on safety or effectiveness of advance ECPs in adult or adolescent women. Any use of ECPs was two to seven times greater among women who received an advance supply of ECPs. However, a summary estimate (relative risk = 0.97; 95% confidence interval = 0.77–1.22) of five randomized controlled trials did not indicate a significant reduction in unintended pregnancies at 12 months with advance provision of ECPs. In the majority of studies among adults or adolescents, patterns of regular contraceptive use, pregnancy rates, and incidence of STDs did not vary between those who received advance ECPs and those who did not. Although available evidence supports the safety of advance provision of ECPs, effectiveness of advance provision of ECPs in reducing pregnancy rates at the population level has not been demonstrated (Level of evidence: I to II-3, good to poor, direct). Initiation of Regular Contraception After ECPs UPA Advise the woman to start or resume hormonal contraception no sooner than 5 days after use of UPA, and provide or prescribe the regular contraceptive method as needed. For methods requiring a visit to a health care provider, such as DMPA, implants, and IUDs, starting the method at the time of UPA use may be considered; the risk that the regular contraceptive method might decrease the effectiveness of UPA must be weighed against the risk of not starting a regular hormonal contraceptive method. The woman needs to abstain from sexual intercourse or use barrier contraception for the next 7 days after starting or resuming regular contraception or until her next menses, whichever comes first. Any non hormonal contraceptive method can be started immediately after the use of UPA. Advise the woman to have a pregnancy test if she does not have a withdrawal bleed within 3 weeks. Levonorgestrel and Combined Estrogen and Progestin ECPs Any regular contraceptive method can be started immediately after the use of levonorgestrel or combined estrogen and progestin ECPs. The woman needs to abstain from sexual intercourse or use barrier contraception for 7 days. Advise the woman to have a pregnancy test if she does not have a withdrawal bleed within 3 weeks. Comments and Evidence Summary.The resumption or initiation of regular hormonal contraception after ECP use involves consideration of the risk for pregnancy if ECPs fail and the risks for unintended pregnancy if contraception initiation is delayed until the subsequent menstrual cycle. A health care provider may provide or prescribe pills, the patch, or the ring for a woman to start no sooner than 5 days after use of UPA. For methods requiring a visit to a health care provider, such as DMPA, implants, and IUDs, starting the method at the time of UPA use may be considered; the risk that the regular contraceptive method might decrease the effectiveness of UPA must be weighed against the risk of not starting a regular hormonal contraceptive method. Data on when a woman can start regular contraception after ECPs are limited to pharmacodynamic data and expert opinion. In one pharmacodynamic study of women who were randomly assigned to either UPA or placebo groups mid-cycle followed by a 21-day course of combined hormonal contraception found no difference between UPA and placebo groups in the time for women’s ovaries to reach quiescence by ultrasound and serum estradiol; this finding suggests that UPA did not have an effect on the combined hormonal contraception. In another pharmacodynamic study with a crossover design, women were randomly assigned to one of three groups: 1) UPA followed by desogestrel for 20 days started 1 day later; 2) UPA plus placebo; or 3) placebo plus desogestrel for 20 days. Among women taking UPA followed by desogestrel, a higher incidence of ovulation in the first 5 days was found compared with UPA alone (45% versus 3%, respectively), suggesting desogestrel might decrease the effectiveness of UPA. No concern exists that administering combined estrogen and progestin or levonorgestrel formulations of ECPs concurrently with systemic hormonal contraception decreases the effectiveness of either emergency or regular contraceptive methods because these formulations do not have antiprogestin properties like UPA. If a woman is planning to initiate contraception after the next menstrual bleeding after ECP use, the cycle in which ECPs are used might be shortened, prolonged, or involve unscheduled bleeding. Prevention and Management of Nausea and Vomiting with ECP Use Nausea and Vomiting Levonorgestrel and UPA ECPs cause less nausea and vomiting than combined estrogen and progestin ECPs. Routine use of antiemetics before taking ECPs is not recommended. Pretreatment with antiemetics may be considered depending on availability and clinical judgment. Vomiting Within 3 Hours of Taking ECPs Another dose of ECP should be taken as soon as possible. Use of an antiemetic should be considered. Comments and Evidence Summary. Many women do not experience nausea or vomiting when taking ECPs, and predicting which women will experience nausea or vomiting is difficult. Although routine use of antiemetics before taking ECPs is not recommended, antiemetics are effective in some women and can be offered when appropriate. Health-care providers who are deciding whether to offer antiemetics to women taking ECPs should consider the following: 1) women taking combined estrogen and progestin ECPs are more likely to experience nausea and vomiting than those who take levonorgestrel or UPA ECPs; 2) evidence indicates that antiemetics reduce the occurrence of nausea and vomiting in women taking combined estrogen and progestin ECPs; and 3) women who take antiemetics might experience other side effects from the antiemetics. A systematic review examined incidence of nausea and vomiting with different ECP regimens and effectiveness of anti nausea drugs in reducing nausea and vomiting with ECP use. The levonorgestrel regimen was associated with significantly less nausea than a nonstandard dose of UPA (50 mg) and the standard combined estrogen and progestin regimen. Use of the split-dose levonorgestrel showed no differences in nausea and vomiting compared with the single-dose levonorgestrel (Level of evidence: I, good-fair, indirect). Two trials of anti nausea drugs, meclizine and metoclopramide, taken before combined estrogen and progestin ECPs, reduced the severity of nausea. Significantly less vomiting occurred with meclizine but not metoclopramide (Level of evidence: I, good-fair, direct). No direct evidence was found regarding the effects of vomiting after taking ECPs. Previous Next

GONORRHEA TESTIMONIALS Well, it all started when I was 15. I had reunited with my first love at that age. Yes I know, it was a bit early. I really loved this guy and the more time I spent with him, the closer I got to him, and I trusted him even more. He kept pressuring me to show him I love him by letting him "make love" to me. This statement never worked on me though, because I paid attention in too many health classes at school. Finally, I began to relive just how much I desired to feel what it was like. Although I wanted to keep my promise of saving myself to my mother, I wanted to know. At first him and I did a lot of just touching and kissing and intimate things like that. I figured I was going to be with him forever so I decided to let him "make love" to me. He put on the condom and many thoughts raced my mind on that August afternoon. It was a little difficult to get it inside but just as he was getting closer, I stopped him. At that point I didn't know whether or not I had already lost it or not, so I let him continue and I lost it. I had so many feelings… I was happy, sad, and felt really guilty. Since then him and I did it every time I saw him. After, that’s all our relationship developed into, and I broke up with him. I've had sex with 3 other guys after him in lengthy relationships. Now I am in love again, and my boyfriend and I went to get tested. We both were diagnosed with Gonorrhea and treated for it the next week. Now I am afraid and I want to get tested for HIV. I don't think that I have HIV, but I also didn't think I had Gonorrhea. I am now 18 and regret losing my virginity. You don't have to be promiscuous to contract an STI. It only takes one time. So if anyone considers having sex I'm not against it because it's a wonderful thing, but I would just advise that they use condoms no matter how much they know someone and trust them. Remember that same person probably trusted their previous loved ones and would have never suspected that they ever had a disease. So please, be safe and "wrap it up"...really. 10-19 previous nEXT

getting birth control Although the closest Planned Parenthood is in Eugene , there are several clinics in the area that offer similar services. It's easy, you can walk-in, make an appt or call to get more information. Below are links to local providers. Coos Health and Wellness Waterfall Community Health Center Waterfall School Based Health Center Coast Community Health Center

Hepatitis C HCV infection is the most common chronic bloodborne infection in the United States, with an estimated 2.7 million persons living with chronic infection. Hepatitis C Most people who get infected with the Hepatitis C virus develop a chronic, or lifelong, infection. What is Hepatitis C? Hepatitis C is an infection of the liver that results from the Hepatitis C virus. Acute Hepatitis C refers to the first several months after someone is infected. Acute infection can range in severity from a very mild illness with few or no symptoms to a serious condition requiring hospitalization. For reasons that are not known, about 20% of people are able to clear, or get rid of, the virus without treatment in the first 6 months. Unfortunately, most people who get infected are not able to clear the Hepatitis C virus and develop a chronic, or lifelong, infection. Over time, chronic Hepatitis C can cause serious health problems including liver disease, liver failure, and even liver cancer. How is Hepatitis C spread? Hepatitis C is usually spread when blood from a person infected with the Hepatitis C virus enters the body of someone who is not infected. Today, most people become infected with Hepatitis C by sharing needles, syringes, or any other equipment to inject drugs. Before widespread screening of the blood supply in 1992, Hepatitis C was also spread through blood transfusions and organ transplants. While uncommon, poor infection control has resulted in outbreaks in healthcare settings. While rare, sexual transmission of Hepatitis C is possible. Having a sexually transmitted disease or HIV, sex with multiple partners, or rough sex appears to increase a person’s risk for Hepatitis C. Hepatitis C can also be spread when getting tattoos and body piercings in unlicensed facilities, informal settings, or with non-sterile instruments. Also, approximately 6% of infants born to infected mothers will get Hepatitis C. Still, some people don’t know how or when they got infected. What are the symptoms of Hepatitis C? Many people with Hepatitis C do not have symptoms and do not know they are infected. If symptoms occur, they can include: fever, feeling tired, not wanting to eat, upset stomach, throwing up, dark urine, grey-colored stool, joint pain, and yellow skin and eyes. When do symptoms occur? If symptoms occur with acute infection, they can appear anytime from 2 weeks to 6 months after infection. If symptoms occur with chronic Hepatitis C, they can take decades to develop. When symptoms appear with chronic Hepatitis C, they often are a sign of advanced liver disease. How would you know if you have Hepatitis C? The only way to know if you have Hepatitis C is to get tested. Doctors use a blood test, called a Hepatitis C Antibody Test, which looks for antibodies to the Hepatitis C virus. Antibodies are chemicals released into the bloodstream when someone gets infected. Antibodies remain in the bloodstream, even if the person clears the virus. A positive or reactive Hepatitis C Antibody Test means that a person has been infected with the Hepatitis C virus at some point in time. However, a positive antibody test does not necessarily mean a person still has Hepatitis C. An additional test called a RNA test is needed to determine if a person is currently infected with Hepatitis C. Who should get tested for Hepatitis C? Testing for Hepatitis C is recommended for certain groups, including people who: • Were born from 1945 – 1965 • Received donated blood or organs before 1992 • Have ever injected drugs, even if it was just once or many years ago • Have certain medical conditions, such as chronic liver disease and HIV or AIDS • Have abnormal liver tests or liver disease • Have been exposed to blood from a person who has Hepatitis C • Are on hemodialysis • Are born to a mother with Hepatitis C Can Hepatitis C be treated? Yes. However, treatment depends on many different factors, so it is important to see a doctor experienced in treating Hepatitis C. New and improved treatments are available that can cure Hepatitis C for many people. Testing is the only way to know if you have Hepatitis C. How can Hepatitis C be prevented? Although there is currently no vaccine to prevent Hepatitis C, there are ways to reduce the risk of becoming infected with the Hepatitis C virus. • Avoid sharing or reusing needles, syringes or any other equipment to prepare and inject drugs, steroids, hormones, or other substances. • Do not use personal items that may have come into contact with an infected person’s blood, even in amounts too small to see, such as razors, nail clippers, toothbrushes, or glucose monitors. • Do not get tattoos or body piercings from an unlicensed facility or in an informal setting. < Previous Next >

Talking With Your Partner It's important to communicate with your partner about how you feel about sex and abstinence How do I talk about not having sex? Abstinence only works when both partners are cool with not having sex. So the key to making abstinence work is talking about it with your partner/boyfriend/girlfriend — especially because abstinence can mean different things to different people. It’s important to be honest with each other and make decisions about sex together. Talking about sex, birth control, and abstinence might seem hard, but it’s one of the best ways to keep your relationship happy and healthy. It’s normal to feel awkward or embarrassed, especially if you’ve never talked about sex before. Here are some tips to keep you on track: Know what being abstinent means to you. Think about how far you feel comfortable going and what your sexual limits are. Once you know exactly how you feel and what you need, it’s easier to tell someone else about it. Talk before things get sexual. It’s hard to think and speak clearly when you’re all turned on in the heat of the moment. So think ahead of time about how to say “no” to sex if it comes up. What words are best? What actions or body language will make it clear how you feel? It can help to practice what you’ll say out loud, and think about what your partner may say back. Be straightforward. The talk doesn’t have to be long or complicated. Just be up-front and clear about what you want and what you’re comfortable doing. Be confident. You have the right to decide when and if you have sex, and you can say no to sex at any time, for any reason — even if you’ve already had sex before. (And if your partner doesn’t respect your limits, it could be a sign that your relationship isn’t healthy.) Sex isn’t the only way to show your love and affection. People get to know each other, become close, and build trust by: talking and listening sharing being honest respecting each other's thoughts and feelings hanging out together Talking about sex doesn’t have to be a one-time thing that settles things forever — most couples have lots of talks about sex. Relationships change over time, and you and/or your partner may eventually have different feelings about sex and abstinence. If you want to start exploring sex with your partner, talk about birth control and/or sexually transmitted infections first. No matter what happens in your relationship, keep the conversation going and always be open and honest with each other.

things to think about Women who decide to become pregnant and have a child, rather than having it “just happen,” are better prepared emotionally and financially for the demands of having a baby. But they can’t make that decision if they lack information and access to contraception. As a result, about 80 percent of pregnancies among young women age 18 to 29 are described by the women themselves as unplanned. LEARN MORE Bringing up baby: a cost analysis Cost Of Raising a Kid For a middle-income family to raise a child born in 2015 through the age of 17, the cost of rearing a child has hit $233,610, according to the report. LEARN MORE Cost of Diapers and Formula The average baby goes through six to 10 diapers a day, which, according to the National Diaper Bank Network, can set you back $70 to $80 per month, or about $900 a year. If you choose not to breastfeed, formula can cost up to $150 per month, or about $1,800 a year. Cost Of Condoms and Birth Control They are A LOT Cheaper than having a baby... LEARN MORE

Teen Mom Speaks 15 to 17 "I was 16 and still in high school. One thing I wish I had known was how big of an emotional toll being in separate households from my boyfriend was going to be. I was a single mother and I developed terrible baby blues, which caused me to leave the father of my baby." — Kyndal, 19

749e4d3b-1f7f-4245-a25e-429ed709c9ea < Back Northwest Abortion Access Fund The Northwest Abortion Access Fund is an abortion fund serving Washington, Oregon, Idaho, and Alaska. We help people pay for their abortion care by sending funding directly to the clinic. We also help people get to and from the clinic. And we make sure people traveling for care have a safe place to stay. Previous Next