Ashley Cardona

Betsy Hernandez
HSC 430
Victoria Bisorca
13 April 2017
Lesson Plan
Grade level: High School, Time: 55 minutes
Content Area: Growth, Development, Sexual Health
Topic: Contraceptives

Standards:
Essential Concepts: 1.1.2G Evaluate the safety and effectiveness (including success and
failure rates) of FDA approved condoms and other contraceptives in preventing HIV,
other STDs, and pregnancy
Assessing Valid Info: 3.2.G Identify local resources concerning reproductive and sexual
health, including all FDA-approved contraceptives, HIV/STD testing, and medical care.

Objectives:
1. Identify local resources for availability of contraceptives.
2. Explain step-by-step proper use of male condom
3. Compare the effectiveness of different contraceptives

Anticipatory Set: 10 minutes

Introduce topic that will be covered: Contraceptives
Set up message box for anonymous questions to answer at the end of class
Handout Pop-Quiz to assess knowledge
Questions:
T/F Contraceptives are only for males
T/F The Doctor's office is the only place to get contraceptives
Check all that apply for the proper use of condoms:
Expiration date
Holes
Air bubble
Lubrication
Tie it in a knot after use
 Instructional Student Activities Materials/Resources Time
Strategies

1. Play video to 1. Contraceptive 1. Computer and 20 minutes

inform about the Bingo: projector to play the
different types of categorize/match the video; All kinds of
contraceptives and different contraceptives; bingo
how they work, and contraceptives and cards with bingo
display different the corresponding chips; Handouts:
contraceptives, and methods (emergency, Types of
provide handouts barrier, hormonal) Contraceptives,
with related Effectiveness of
information Family Planning
Methods, and Local
Resources

2. Step by step use of 4. Paper Activity: 4. Paper, Scissors, 10 minutes

male condom with flow list for step by Computer, Printer
paper activity step use with
sentences on cut
pieces of paper, to be
put in order

3. Demo of step by 5. Ask students to 5. Styrofoam penises 8 minutes

step use of male demonstrate how to and condoms
condom on styrofoam use a condom on a
penis Styrofoam penis after
teacher demonstrates

Closure: 7 minutes
Post-quiz
Ask the same questions from the beginning of class outloud and have all students
respond
Question and Answer time
Go through message box of anonymous questions to answer
 Content outline
I. Introduction: Topic + Pop quiz
A. Contraceptives
Activity: Video: How do contraceptives work? (NWHunter, 2016)
Handout: Effectiveness of Family Planning Methods (Contraception, 2017)
i. Different types of contraceptives
1. Male
a) Condom
(1) thin sheath designed to cover the penis during
sexual intercourse (Insel, 2015)
(2) They prevent sperm for entering the vagina
(pregnancy), and provide protection against STIs
(sexually transmitted infections) (Insel, 2015)
(3) they are the most widely used barrier method and
the third most popular of all contraceptive methods
in the USA, after the pill and sterilization (Insel,
2015)
b) Sterilization
(1) Vasectomy
(a) Prevent sperm from being released
c) Abstinence: no sex
2. Female
a) Implant
(1) placed under the skin of the upper arm and deliver a
small but steady dose of progestin over a period of
years (Insel, 2015)
(a) Implanon/Nexplanon; effective for 3 years
(Insel, 2015)
b) Diapgragm
(1) latex disc a woman places into her vagina (Types of
Contraception, n.d.)
(2) diaphragm blocks a man's semen from entering the
cervix (Types of Contraception, n.d.)
(3) spermicide placed onto the diaphragm kills sperm
(Types of Contraception, n.d.)
c) Injection
 (1) shot most used is called Depo-Provera, given every
three months (Types of Contraception, n.d.)
(2) is a hormone, much like the progesterone a woman
produces during the last two weeks of each monthly
cycle (Types of Contraception, n.d.)
(3) Injectables stop the woman's ovaries from releasing
an egg and have other contraceptive effects (Types
of Contraception, n.d.)
d) Pill
(1) Plan B(Morning After Pill) - one time use, no
prescription necessary
(2) There are two types of Birth Control Pills:
Combined Oral Contraceptive Pills and Progestin-
Only Pills. (Types of Contraception, n.d.)
(a) Prescribed by a doctor, use everyday
e) Female condom
(1) previously known as Reality Condoms (Types of
Contraception, n.d.)
(2) The condom is placed into the woman's vagina; It is
open at one end and closed at the other; Both ends
have a flexible ring used to keep the condom in the
vagina (Types of Contraception, n.d.)
f) Patch
(1) lightweight, thin, flexible, beige-colored patch
(Types of Contraception, n.d.)
(2) can be applied to the skin of the buttock, abdomen,
upper torso (but not the breasts), or the outside of
the upper arm (Types of Contraception, n.d.)
(3) Each patch lasts seven days (Types of
Contraception, n.d.)
(a) Women replace the patch each week for
three weeks, then have a seven-day patch-
free week, during which time they begin
their menstrual bleeding (Types of
Contraception, n.d.)
 g) Ring
(1) (NuvaRing) small, flexible device that a woman
inserts into her vagina once a month (Types of
Contraception, n.d.)
(2) She leaves it in place for three weeks and takes it
out for the remaining week of her menstrual cycle
(Types of Contraception, n.d.)
(3) The ring releases combined hormones (estrogen and
progestin) to protect against pregnancy (Types of
Contraception, n.d.)
h) IUD
(1) Intrauterine device, small device which is placed
into the uterine cavity (Types of Contraception,
n.d.)
i) Sponge
(1) Sponges are easy to use, relatively inexpensive, and
available without prescription (Types of
Contraception, n.d.)
(2) the sponge acts as a barrier to prevent semen from
entering the cervix (Types of Contraception, n.d.)
(3) they may help in preventing some sexually
transmitted infections (Types of Contraception,
n.d.)
j) Sterilization
(1) Hysterectomy
(a) Removal of uterus
(2) Tubal Ligation
(a) Fallopian tubes are tied; egg cannot travel to
uterus
k) Abstinence: no sex
ii. Methods
Activity: Bingo - match contraceptives to the method
1. Abstinence: no sex
a) 100 % protection from HIV, STIs, and pregnancy
2. Sterilization
a) Surgical procedure; permanent
(1) Vasectomy, hysterectomy, tubal ligation
3. Emergency
a) Plan B
(1) Over the counter
(2) Effectiveness= 88% (Emergency contraception,
2017)
(3) can prevent pregnancy up to five days (120 hours)
after unprotected sex (Types of Contraception, n.d.)
(4) Best used within 24 hours following unprotected
sex. (Types of Contraception, n.d.)
4. Barriers
a) work by physically blocking the sperm from reaching the
egg (Insel, 2015)
(1) Condoms are the most popular method based on this
principle (Insel, 2015)
(2) Diaphragm
(3) Sponge
(4) Spermicide
(a) kill sperm and come in several forms
foam, gel, cream, film, suppository, or tablet
(Contraception, 2017)
(i) placed in the vagina no more than
one hour before intercourse
(Contraception, 2017)
(ii) leave them in place at least six to
eight hours after intercourse
(Contraception, 2017)
(b) Diaphragm, sponge and condom, can be
used with spermicide
5. Hormonal
a) alters the biochemistry of a womans body, preventing
ovulation (release of the egg) and making it more difficult
for the sperm to reach an egg if ovulation does occur (Insel,
2015)
b) no protection against STIs (Insel, 2015)
(1) oral contraceptives, i.e. birth control pills (Insel,
2015)
(2) Ring, patch, injection
 (3) intrauterine devices (IUDs), are long-acting
reversible contraception (LARC) (Insel, 2015)
(a) ParaGard; Mirena; Skyla
iii. How to use
1. Paper Activity: put steps of male condom use in order
a. Read expiration date; Carefully open package and remove condom
from wrapper; Pinch the air out of tip of the condom; Place
condom on the head of the erect penis; Unroll condom down to
base of the penis; After sex, hold the condom before pulling out;
Carefully remove condom and throw it in the trash (Male Condom
Use, 2016)
2. Male condom demo
B. Local Resources
Handout: Names, addresses and contact information of Long Beach resources
i. Planned Parenthood (Birth Control, 2017)
ii. FPA Womens Health (Long Beach, n.d.)
iii. Family PACT - Long Beach Health Department (Family Planning, n.d.),
(Provider Search, n.d.)
II. Conclusion: Closing
A. Post-quiz
B. Q and A time
 Video Transcript

Here's what has to happen for pregnancy to occur after sexual intercourse. Sperm must swim up
the vagina, through the cervical opening, upwards through the uterus, and into one of the two
fallopian tubes. If an egg, released during that month's ovulation, is in the tube, one sperm has a
chance to fertilize it. Contraceptives are designed to prevent this process, and they work in three
basic ways. They block the sperm, disable sperm before they reach the uterus, or suppress
ovulation. Block is the simplest. Male and female condoms prevent sperm from coming into
contact with the vaginal space. That barrier is also why they, unlike other contraceptive methods,
are able to prevent transmission of certain sexually transmitted diseases. Meanwhile, the
diaphragm, cervical cap, and sponge work by being placed over the cervix, barricading the
entrance to the uterus. These contraceptives are sometimes called barrier methods and can be
used with spermicides, an example of the second category, disable. A spermicide is a chemical
that immobilizes and destroys sperm. Today's spermicides come as foam, cream, jelly,
suppositories, and even a thin piece of translucent film that dissolves in the vagina. These
products can be inserted directly into the vagina before intercourse, or can be combined with
block methods, like a diaphragm or condom, for added protection.The third category for
preventing pregnancy works by suppressing the action of an egg maturing in the ovary. If there
isn't an egg available in the fallopian tube, there's nothing for sperm to fertilize. Hormonal
contraceptives, including the pill, the patch, the Depo shot, and the vaginal ring, all release
synthetic versions of various combinations of progesterone and estrogen. This hormone cocktail
suppresses ovulation, keeping the immature egg safely sequestered in the ovary. Synthetic
progesterone also has a block trick up its sleeve. It makes cervical mucus too thick and sticky for
sperm to swim through easily. There are other contraceptives that use multiple approaches at the
same time. For example, many IUDs, or intrauterine devices, contain synthetic hormones which
suppress ovulation. Some also contain copper, which disable sperm while also making egg
implantation in the uterus difficult. Block, disable, or suppress: is one strategy better than the
other? There are differences, but a lot of it has to do with how convenient and easy it is to use
each contraceptive correctly. For example, male condoms would be about 98% effective if
everyone used them perfectly. That 98% means if 100 couples correctly used condoms for a
year, two women would get pregnant. But not everyone uses them correctly, so they're only 82%
effective in practice. Other methods, like the patch and pill, are 99% effective when they're used
perfectly. But in practice, that's 91%. Spermicide is only 85% effective, even with perfect usage,
and just 71% effective with typical usage. Another important consideration in the choice of
contraceptives are side effects, which almost exclusively affect women rather than men.
Hormonal methods in particular can cause symptoms like headaches, nausea, and high blood
pressure, but they vary from woman to woman. That's why these methods require a prescription
from a doctor. The choice of contraceptive method is a personal one, and what works best for
you now may change later. Scientists also continue to research new methods, such as a male pill
that would prevent sperm production. In the meantime, there are quite a few options to block
sperm, disable them, or suppress eggs and keep them out of reach.
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Directions: Circle your answer for the true or false questions.

1. Contraceptives are only designed for males. True / False

2. The doctors office is the only official place to get contraceptives. True/ False

Directions: Check all that apply

3. These are methods for effective use of condoms:

____ Check for expiration date on the package

____ Check for any holes that could have been made
____ Always wear a condom with air bubbles
____ Always tie the condom in a knot after use
____ Only use condom with oil-based lubrication

Bingo
Directions: Place a bingo chip on the contraceptive(s) that match the method mentioned

FREE
 Paper Activity

Directions: Put the events of using a male condom in order from beginning to end.

Read expiration date

Carefully open package and remove condom

from wrapper

Pinch the air out of tip of the condom

Place condom on the head of the erect penis

Unroll condom down to base of the penis

After sex, hold the condom before pulling out

Carefully remove condom and throw it in the

trash
 Types of Contraceptives

Contraceptive Male or Female Method

Implant Female Hormonal

Intrauterine device (IUD) Female Hormonal

Birth Control Pill Female Hormonal

Sponge Female Barrier

Diaphragm Female Barrier

Ring Female Hormonal

Injectable Female Hormonal

Patch Female Hormonal

Female Condom Female Barrier

Male Condom Male Barrier

Vasectomy Male Sterilization

Hysterectomy / Tubal Female Sterilization

Ligation

No Sex Male and Female Abstinence

Spermicide Male and Female Barrier

 Local Resources

PLANNED PARENTHOOD - LONG BEACH HEALTH CENTER

2690 PACIFIC AVE -
LONG BEACH, CA 90806
(800) 576-5544

FPA WOMENS HEALTH

2777 LONG BEACH BLVD #200 -
LONG BEACH, CA 90806
(562) 595-5653

SOUTH MEDICAL CLINIC

1126 EAST SOUTH STREET -
LONG BEACH, CA, 90805
(562) 984-9200

MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA

540 EAST ARTESIA BOULEVARD -
LONG BEACH, CA, 90805
(562) 423-3383

WEST COUNTY MEDICAL

100 EAST MARKET STREET -
LONG BEACH, CA, 90805
(562) 428-4222

LONG BEACH MEMORIAL HOSPITAL

2801 ATLANTIC AVENUE -
LONG BEACH, CA, 90806
(562) 933-2000

MY PEDIATRIC MEDICAL CLINIC

2777 PACIFIC AVENUE -
LONG BEACH, CA, 90806
(562) 989-1166
THE CHILDREN'S CLINIC
455 EAST COLUMBIA STREET -
LONG BEACH, CA, 90806
(562) 933-0400

LONG BEACH MEMORIAL MEDICAL CENTER, OB CLINIC

2865 ATLANTIC AVENUE -
LONG BEACH, CA, 90806
(562) 933-0590

CAL-CARE MEDICAL
500 WEST WILLOW STREET -
LONG BEACH, CA, 90806
(562) 427-1700
 References
Birth Control - Long Beach, CA - Methods, Pills, Shot, IUD and more. (2017, March 10).
Retrieved April 06, 2017, from
https://www.plannedparenthood.org/health-center/california/long-beach/90806/long-
beach-health-center-3945-90070/birth-control
Contraception. (2017, February 09). Retrieved April 04, 2017, from
https://www.cdc.gov/reproductivehealth/contraception/
Emergency contraception: Effectiveness of emergency contraceptives. (n.d.). Retrieved April 06,
2017, from http://ec.princeton.edu/questions/eceffect.html
Family Planning. (n.d.). Retrieved April 06, 2017, from
http://www.longbeach.gov/health/services/clinics/family-planning/
Insel, P. M., Roth, W. T., & Insel, C. (2015). Connect core concepts in health: brief. New York,
NY: McGraw-Hill Education.
Long Beach, CA | Family Planning Associates | FPA. (n.d.). Retrieved April 06, 2017, from
http://www.fpawomenshealth.com/locations/long-beach-ca/
Male Condom Use. (2016, July 06). Retrieved April 05, 2017, from
https://www.cdc.gov/condomeffectiveness/male-condom-use.html
NWHunter. How do contraceptives work? (2016, September 19). Retrieved April 08, 2017, from
https://www.youtube.com/watch?v=Zx8zbTMTncs
Provider Search. (n.d.). Retrieved April 06, 2017, from
http://www.familypact.org/Default.aspx?PageID=11719342&A=WebApp&CCID=22016
&Page=31&Items=10&CCQID=10067537
Types of Contraception. (n.d.). Retrieved April 06, 2017, from
http://www.advocatesforyouth.org/topics-issues/contraceptives/1278