How to Prevent Pregnancy and Sexually Transmitted

VOLUME 10, NUMBER 7 Health Bulletin NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Talk to Your Parents #90 in a series of Health Bulletins on issues of pressing interest to all New Yorkers • Try to talk openly with your parents about sex and other things. VOLUME 10, NUMBER 7 Be ready to talk if they ask. Try not to shut them out. Health BulletinVOLUME 10, NUMBER 7 • If you feel you can’t talk with your parents, find an adult you trust, NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE

like an older brother or sister, a relative or a family friend. Or talk #90 in a series of Health Bulletins on issues of pressing interest to all New Yorkers to a counselor or health care provider. New York City Department of Health and Mental Hygiene Gotham Center, 42-09 28th Street L.I.C., New York 11101-4134

Michael R. Bloomberg, Mayor Thomas Farley, M.D., M.P.H., Commissioner

Bureau of Communications John P.L. Kelly, Associate Commissioner George De Stefano, Director, Publications and Language Access More Information and Help June L. Schwartz, Deputy Director, Publications and Language Access Call 311 or visit nyc.gov and search for NYC Teen for Prepared in cooperation with How to Prevent information and referrals, including free or low-cost: Division of Health Promotion and Disease Prevention • Health insurance from neighborhood health care providers Bureau of Maternal, Infant and Reproductive Health Pregnancy and • Birth control, including condoms • Emergency contraception (you can also visit not-2-late.com) • Abortion services Sexually Transmitted • HIV counseling and testing, and testing and care for other How to Prevent sexually transmitted infections Pregnancy and Infections • Sexual assault (rape) services Sexually Transmitted Infections New York City Domestic Violence Hotline: 311 or 800-621-HOPE (800-621-4673) For Non-Emergency NYC Services What You Need to Know For help with depression or alcohol or drug problems: Telephone Interpretation in 170 Languages Call 311 or LifeNet: 800-LifeNet (800-543-3638), 877-AYUDESE (Spanish) or 877-990-8585 (Mandarin, Cantonese and Korean)

ALWAYS CALL 911 IN AN EMERGENCY.

For copies of any Health Bulletin Free or Low-Cost Confidential Health Services All Health Bulletins are also available at nyc.gov, search for Health Bulletins. Snap this code with your smartphone’s QR reader. Visit nyc.gov/health/email for a free e-mail subscription. Available in Spanish, Chinese and French: call 311 or visit nyc.gov

HPD592190E – 12.11 How to Prevent Pregnancy and Sexually Transmitted Infections: Volume 10 – Number 7 First Printing: April/May 2009 – Revised/Reprinted: 1 2 / 1 1 The best ways to prevent pregnancy and sexually transmitted infections BYOC = Bring Your Own Condom You Can Decide 1. Don’t have sex. • Always have condoms available, just in case. It’s your choice whether or not to have sex. • The only sure way to prevent pregnancy and sexually • Use one every time, no matter what kind of birthand anal control sex. you use. • If you decide to have sex, be prepared with birth control and condoms. transmitted infections is not to have sexual intercourse. • It’s important to use condoms for vaginal • Forced sex is rape, and rape is a crime. • You won’t be the only one; more than half of public high (Anal sex carries a high risk of spreading HIV.) and protect against HIV and other • For help and support, call 311 or 800-621-HOPE (800-621-4673). school students say they have not had sex. • Condoms prevent pregnancy • CALL 911 IF YOU ARE IN IMMEDIATE DANGER. • Even if some of your friends have sex, it doesn’t mean sexually transmitted infections, including chlamydia and gonorrhea. you have to. • It’s easy to find free condoms. Here’s how: call 311. If you become pregnant, you can decide what to do: and search for condoms, or • If you’re not sure you’re ready for sex, it’s better to wait. • Visit nyc.gov Continue the pregnancy, end the pregnancy with an abortion Someone who really cares for you won’t pressure you. • If you go to a public high school, get free condoms from or choose adoption. • You can say “no” now – even if you said “yes” before. your health resource room. If your school has a health center, you can get free condoms there, too. You have the right to confidential services. 2. If you’re sexually active, use birth control People 17 and younger have a legal right in New York to and condoms every time. get any of these health services without the permission • If you’re sexually active, or think you will be soon, be prepared Emergency contraception can or knowledge of their parents, guardians or anyone else: with birth control and condoms. • Birth control, including condoms • Hormonal birth control methods are almost 100% effective prevent pregnancy after unprotected sex. • Emergency contraception when used correctly – and very safe for most girls: But you have to act fast. • Pregnancy tests • Birth control pills (“The Pill”) • Emergency contraception is sometimes called the “morning-after pill.” • HIV tests • A patch Plan B and Next Choice are common brands. Ask your pharmacy what’s • Testing and treatment for sexually transmitted infections • A vaginal ring available. Both are effective, but one may cost less. • Pregnancy care • An injection you get every 3 months (Depo Provera) • Emergency contraception prevents pregnancy after unprotected sex or if a condom breaks. It can also be used after forced sex (see You • Abortion • An implant that lasts up to 3 years (Implanon) Can Decide). For free or low-cost confidential health services, call 311 • An IUD (intrauterine device) that works up to 5 years (Mirena) • Emergency contraception will not cause an abortion. If you’re already or visit nyc.gov and search for NYC Teen. If your school has (A non-hormonal, copper IUD, ParaGard, is also available pregnant, emergency contraception won’t work. a health center, you can get services there, too. and works up to 10 years.) • The most common emergency contraception, such as Plan B and Next Always use a condom (see BYOC = Bring Your Own Condom). • Choice, works best when taken within 72 hours (3 days or fewer) after Condoms prevent HIV and other sexually transmitted infections, unprotected sex. It may work up to 5 days after sex. including chlamydia and gonorrhea. • Emergency contraception is not as effective as regular birth control in preventing pregnancy. If you’re sexually active, the best way to prevent pregnancy is to use regular birth control and a condom every time. Keep emergency contraception around just in case. • Ask your health care provider for a pill-pack in advance. You may need it if your pharmacy or provider’s office is closed. Get Tested for Chlamydia • Where to Get Birth Control • Health Department STD clinics offer emergency contraception at no Chlamydia is very common in New York City, especially among teens. • You can have chlamydia and not know it – so it’s important to get • Get birth control from your health care provider, cost within 72 hours (3 days or fewer) after unprotected sex. Call 311 tested once a year and before having sex with someone new. community health center or family planning clinic. for a clinic near you. and search for NYC Teen • Anyone 17 or older can get emergency contraception pills from • For information about where to get tested for chlamydia and other • Call 311 or go to nyc.gov a pharmacist without a prescription. sexually transmitted infections, to find out how to get free or low-cost birth control for call 311 and other confidential health services. • For a list of pharmacies where emergency contraception is available, NYC Teen. or visit nyc.gov and search go to not-2-late.com. Call before you go, to make sure the pharmacy has it in stock. • Women 16 and younger still need a prescription, but laws are changing. For up-to-date information, talk to your provider, visit your clinic or see More Information and Help. How to Prevent Pregnancy and Sexually Transmitted Infections: Volume 10 – Number 7 First Printing: April/May 2009 – Revised/Reprinted: 12/11 The best ways to prevent pregnancy and Condom sexually transmitted infections BYOC = Bring Your Own ust in case. You Can Decide ave condoms available, j 1. Don’t have sex. • Always h control you use. It’s your choice whether or not to have sex. atter what kind of birth • The only sure way to prevent pregnancy and sexually se one every time, no m • U nd anal sex. • If you decide to have sex, be prepared with birth control and condoms. use condoms for vaginal a transmitted infections is not to have sexual intercourse. • It’s important to .) igh risk of spreading HIV • Forced sex is rape, and rape is a crime. • You won’t be the only one; more than half of public high (Anal sex carries a h r tect against HIV and othe event pregnancy and pro ea. • For help and support, call 311 or 800-621-HOPE (800-621-4673). school students say they have not had sex. •Condoms pr g chlamydia and gonorrh itted infections, includin • CALL 911 IF YOU ARE IN IMMEDIATE DANGER. • Even if some of your friends have sex, it doesn’t mean sexually transm ndoms. Here’s how: you have to. • It’s easy to find free co ndoms, or call 311. If you become pregnant, you can decide what to do: yc.gov and search for co • If you’re not sure you’re ready for sex, it’s better to wait. • Visit n oms from Continue the pregnancy, end the pregnancy with an abortion igh school, get free cond Someone who really cares for you won’t pressure you. • If you go to a public h ealth m. If your school has a h or choose adoption. your health resource roo • You can say “no” now – even if you said “yes” before. condoms there, too. center, you can get free You have the right to confidential services. 2. If you’re sexually active, use birth control People 17 and younger have a legal right in New York to and condoms every time. get any of these health services without the permission • If you’re sexually active, or think you will be soon, be prepared Emergency contraception can or knowledge of their parents, guardians or anyone else: with birth control and condoms. • Birth control, including condoms • Hormonal birth control methods are almost 100% effective prevent pregnancy after unprotected sex. • Emergency contraception when used correctly – and very safe for most girls: But you have to act fast. • Pregnancy tests • Birth control pills (“The Pill”) • Emergency contraception is sometimes called the “morning-after pill.” • HIV tests • A patch Plan B and Next Choice are common brands. Ask your pharmacy what’s • Testing and treatment for sexually transmitted infections • A vaginal ring available. Both are effective, but one may cost less. • Pregnancy care • An injection you get every 3 months (Depo Provera) • Emergency contraception prevents pregnancy after unprotected sex or if a condom breaks. It can also be used after forced sex (see You • Abortion • An implant that lasts up to 3 years (Implanon) Can Decide). For free or low-cost confidential health services, call 311 • An IUD (intrauterine device) that works up to 5 years (Mirena) • Emergency contraception will not cause an abortion. If you’re already or visit nyc.gov and search for NYC Teen . If your school has (A non-hormonal, copper IUD, ParaGard, is also available pregnant, emergency contraception won’t work. a health center, you can get services there, too. and works up to 10 years.) • The most common emergency contraception, such as Plan B and Next Always use a condom (see BYOC = Bring Your Own Condom). • Choice, works best when taken within 72 hours (3 days or fewer) after Condoms prevent HIV and other sexually transmitted infections, unprotected sex. It may work up to 5 days after sex. including chlamydia and gonorrhea. • Emergency contraception is not as effective as regular birth control in preventing pregnancy. If you’re sexually active, the best way to prevent pregnancy is to use regular birth control and a condom every time. Keep emergency contraception around just in case. • Ask your health care provider for a pill-pack in advance. You may need Get Test it if your pharmacy or provider’s office is closed. ed for Chlamydia Birth Control • Chlamyd Where to Get • Health Department STD clinics offer emergency contraception at no ia is very commo provider, n in New York Cit rol from your health care cost within 72 hours (3 days or fewer) after unprotected sex. Call 311 • You can y, especially amo • Get birth cont inic. have chlamydia ng teens. ter or family planning cl for a clinic near you. tes and not know it – community health cen ted once a year a so it’s importan n nd before having t to get ov and search for NYC Tee • Anyone 17 or older can get emergency contraception pills from • Fo sex with someo • Call 311 or go to nyc.g r information abo ne new. r low-cost birth control a pharmacist without a prescription. ut where to get t ind out how to get free o sexually transm ested for chlamy to f es. itted infections, dia and other onfidential health servic • For a list of pharmacies where emergency contraception is available, for NYC Te call 311 or visit n and other c en. yc.gov and searc go to not-2-late.com . Call before you go, to make sure the pharmacy h has it in stock. • Women 16 and younger still need a prescription, but laws are changing. For up-to-date information, talk to your provider, visit your clinic or see More Information and Help. How to Prevent Pregnancy and Sexually Transmitted Infections: Volume 10 – Number 7 First Printing: April/May 2009 – Revised/Reprinted: 12/11 The best ways to prevent pregnancy and Condom sexually transmitted infections BYOC = Bring Your Own ust in case. You Can Decide ave condoms available, j 1. Don’t have sex. • Always h control you use. It’s your choice whether or not to have sex. atter what kind of birth • The only sure way to prevent pregnancy and sexually se one every time, no m • U nd anal sex. • If you decide to have sex, be prepared with birth control and condoms. use condoms for vaginal a transmitted infections is not to have sexual intercourse. • It’s important to .) igh risk of spreading HIV • Forced sex is rape, and rape is a crime. • You won’t be the only one; more than half of public high (Anal sex carries a h r tect against HIV and othe event pregnancy and pro ea. • For help and support, call 311 or 800-621-HOPE (800-621-4673). school students say they have not had sex. •Condoms pr g chlamydia and gonorrh itted infections, includin • CALL 911 IF YOU ARE IN IMMEDIATE DANGER. • Even if some of your friends have sex, it doesn’t mean sexually transm ndoms. Here’s how: you have to. • It’s easy to find free co ndoms, or call 311. If you become pregnant, you can decide what to do: yc.gov and search for co • If you’re not sure you’re ready for sex, it’s better to wait. • Visit n oms from Continue the pregnancy, end the pregnancy with an abortion igh school, get free cond Someone who really cares for you won’t pressure you. • If you go to a public h ealth m. If your school has a h or choose adoption. your health resource roo • You can say “no” now – even if you said “yes” before. condoms there, too. center, you can get free You have the right to confidential services. 2. If you’re sexually active, use birth control People 17 and younger have a legal right in New York to and condoms every time. get any of these health services without the permission • If you’re sexually active, or think you will be soon, be prepared Emergency contraception can or knowledge of their parents, guardians or anyone else: with birth control and condoms. • Birth control, including condoms • Hormonal birth control methods are almost 100% effective prevent pregnancy after unprotected sex. • Emergency contraception when used correctly – and very safe for most girls: But you have to act fast. • Pregnancy tests • Birth control pills (“The Pill”) • Emergency contraception is sometimes called the “morning-after pill.” • HIV tests • A patch Plan B and Next Choice are common brands. Ask your pharmacy what’s • Testing and treatment for sexually transmitted infections • A vaginal ring available. Both are effective, but one may cost less. • Pregnancy care • An injection you get every 3 months (Depo Provera) • Emergency contraception prevents pregnancy after unprotected sex or if a condom breaks. It can also be used after forced sex (see You • Abortion • An implant that lasts up to 3 years (Implanon) Can Decide). For free or low-cost confidential health services, call 311 • An IUD (intrauterine device) that works up to 5 years (Mirena) • Emergency contraception will not cause an abortion. If you’re already or visit nyc.gov and search for NYC Teen . If your school has (A non-hormonal, copper IUD, ParaGard, is also available pregnant, emergency contraception won’t work. a health center, you can get services there, too. and works up to 10 years.) • The most common emergency contraception, such as Plan B and Next Always use a condom (see BYOC = Bring Your Own Condom). • Choice, works best when taken within 72 hours (3 days or fewer) after Condoms prevent HIV and other sexually transmitted infections, unprotected sex. It may work up to 5 days after sex. including chlamydia and gonorrhea. • Emergency contraception is not as effective as regular birth control in preventing pregnancy. If you’re sexually active, the best way to prevent pregnancy is to use regular birth control and a condom every time. Keep emergency contraception around just in case. • Ask your health care provider for a pill-pack in advance. You may need Get Test it if your pharmacy or provider’s office is closed. ed for Chlamydia Birth Control • Chlamyd Where to Get • Health Department STD clinics offer emergency contraception at no ia is very commo provider, n in New York Cit rol from your health care cost within 72 hours (3 days or fewer) after unprotected sex. Call 311 • You can y, especially amo • Get birth cont inic. have chlamydia ng teens. ter or family planning cl for a clinic near you. tes and not know it – community health cen ted once a year a so it’s importan n nd before having t to get ov and search for NYC Tee • Anyone 17 or older can get emergency contraception pills from • Fo sex with someo • Call 311 or go to nyc.g r information abo ne new. r low-cost birth control a pharmacist without a prescription. ut where to get t ind out how to get free o sexually transm ested for chlamy to f es. itted infections, dia and other onfidential health servic • For a list of pharmacies where emergency contraception is available, for NYC Te call 311 or visit n and other c en. yc.gov and searc go to not-2-late.com . Call before you go, to make sure the pharmacy h has it in stock. • Women 16 and younger still need a prescription, but laws are changing. For up-to-date information, talk to your provider, visit your clinic or see More Information and Help. VOLUME 10, NUMBER 7 Health Bulletin NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE

Michael R. Bloomberg, Mayor Thomas Farley, M.D., M.P.H., Commissioner

ALWAYS CALL 911 IN AN EMERGENCY.

HPD592190E – 12.11 VOLUME 10, NUMBER 7 Health Bulletin NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE

More Information and Help Call 311 or visit nyc.gov and search for NYC Teen for How to Prevent information and referrals, including free or low-cost: • Health insurance from neighborhood health care providers Pregnancy and • Birth control, including condoms • Emergency contraception (you can also visit not-2-late.com) • Abortion services Sexually Transmitted • HIV counseling and testing, and testing and care for other How to Prevent sexually transmitted infections Pregnancy and Infections • Sexual assault (rape) services Sexually Transmitted Infections New York City Domestic Violence Hotline: 311 or 800-621-HOPE (800-621-4673) For Non-Emergency NYC Services What You Need to Know For help with depression or alcohol or drug problems: Telephone Interpretation in 170 Languages Call 311 or LifeNet: 800-LifeNet (800-543-3638), 877-AYUDESE (Spanish) or 877-990-8585 (Mandarin, Cantonese and Korean)

ALWAYS CALL 911 IN AN EMERGENCY.

HPD592190E – 12.11