Effectiveness rates using 2 methods of birth control

Effective contraceptive methods


I’m posting this because: Some of the students at St Lucy’s have begun to read this Blog and since summer vacation will be here soon I want to give them a familiar site they can bookmark if they have questions about the effectiveness of combining two different methods of contraception. Ideally a girl would insist on using condoms to protect against STIs during hookups or as added protection if she isn’t using her primary method perfectly, but we all know that the world of contraception is not ideal and neither men nor women like to use condoms so all we as their teachers and mentors can do is provide them with the information to make an informed decision.

The Buddy System: Effectiveness Rates for Backing Up Your Birth Control With a Second Method

Scarleteen
By Heather Corinna

You already know that no method of contraception is 100% effective (save permanent sterilization) to prevent pregnancy when you're engaging in sexual activity - read: genital intercourse -- which presents a risk of pregnancy. You probably also know, however, that there are reliable methods which are very effective when used properly, and that if you use contraception correctly and consistently, pregnancy becomes a whole lot less likely. But did you know that by doubling up and using two methods, with almost any combination you use, you can get mighty close to that 100% with many combos?

Hormonal methods of contraception are currently the most effective, reversible methods of birth control with perfect use. But with most of them, we can goof up -- maybe we skipped a couple pills or got a new prescription late, maybe we're not so timely about getting our injections or don't have consistent healthcare to get a new one on time, maybe we didn't realize our patch fell off. Oops. But if we're consistently backing up with a secondary method, even if our primary one fails, we're covered. As well, not everyone can use or wants to use a hormonal method: some of us prefer non-hormonal methods or those are our only safe or affordable options. While they aren't as effective in perfect use, if we add a backup method to the mix, we can be just as protected or even more protected from pregnancy as we could be with a more effective single method.

You'll see that some combinations can increase your level of protection substantially, while with other pairs -- especially where user error is a non-issue, like with an IUD or an implant -- the difference is so slight that backing up is just overkill. Regardless, there is no single combination of any two methods here which would leave you with less than 92% effectiveness, and most combinations will bump you up to over 95% protection. The highest combined methods' typical use effectiveness -- condoms paired with an implant - is 99.99% effective, while the lowest -- withdrawal buddied up with spermicide - is 92.17% effective. But no matter how you slice it, adding a second method always bumps up your protection against unwanted pregnancy.

The Caveats: This is a mathematical application. That doesn't mean it's not accurate -- it is, and I've got the migraine and a pile of paper covered with my chicken scratches to prove it -- but it does mean that these rates are arrived at through math, based on the combined effectiveness rates of single methods, not through specific study or clinical trials of the combined methods. The sources of our efficiency rates for single methods can be found on the Birth Control Bingo pages linked for each method.

In some cases, combining any two or more methods may possibly slightly reduce the effectiveness of one in actual use. For example, because oral contraceptive pills thicken cervical mucus, condoms, when not used with additional lubricant, can be more inclined to break due to increased friction. Using withdrawal with condoms may make it more likely to forget to hold the base of the condom and create a condom slip which may not have been as likely to happen without adding withdrawal to the mix. Without specific study on these things, we can't predict how much it may reduce the effectiveness of one method in those cases nor account for that possibility in the math. However, we have only listed combinations of methods which are safe and sound to use together and make for good mates. For instance, it would not be safe to combine Depo-Provera with another hormonal method. The vaginal effects of combining a ring and spermicides could cause a good deal of vaginal irritation . Using more than one condom is something we know makes condoms less effective, not more. Natural family planning can't be combined with oral contraceptives since a person using oral contraceptives no longer has a natural fertility cycle to chart in the first place.

We've also not done the math for using more than two methods. If you are properly and consistently using two reliable methods of contraception, the risk of pregnancy is incredibly small, and adding a third method is not likely to increase your protection by very much. The difference between a combined method that is 99.8% effective with typical use of both and three methods which are 99.78% effective together, for instance, is so small a statistical difference that adding a third method is likely to just be a needless expense and pain in your butt.

Certainly, if you prefer more than two methods, so long as they don't interfere with one another, you can choose to do that, but we'd also encourage you to evaluate your feelings. If two methods with something like a less than 2% chance of pregnancy in typical use -- and that still allows for room when it comes to user error -- still doesn't leave you feeling safe enough, you might want to consider that you're not comfortable enough with the small amount of risk which will always be a part of sexual activities that can result in pregnancy. It would probably be a good idea in that case to revisit your readiness, and either stick with activities which don't carry those risks, or hold off on heterosex (genital intercourse with an opposite-sex partner) until you're feeling more prepared for some small level of risk. When you're so freaked about the possibility of pregnancy that no amount of birth control feels like enough, it's unlikely that even with four methods, that level of anxiety is not going to leave room for actually enjoying the sex you're having (which is the whole point). Your enjoyment is going to be seriously hindered if you're taking a pill, putting in a diaphragm, having your partner put on a condom, using withdrawal and then taking EC. It's ideal and laudable to be smart and to be safe, but if your contraceptive practices start to feel like you're building a bomb shelter in preparation for a nuclear war every time you have sex, you or your partners are probably better off when it comes to your pleasure and mental health to recognize that you're not up to any risk of pregnancy, even a very statistically unlikely one, and to choose to engage in activities where your risks are far lower or nonexistent.

Listings for each single method are alphabetical. The combinations are listed from most to least effective with typical use, since typical use tends to be the most accurate measure for real people in real -- and frequently imperfect -- life. For more information on any of the single methods listed, just click on the links in their titles.


Cervical Barriers (Diaphragm)
94% effective alone with perfect use - 86% effective alone with typical use
Cervical Barriers + The Contraceptive Implant = 99.99% effective with perfect use - 99.98% effective with typical use
Cervical Barriers + Intrauterine Devices = 99.99% effective with perfect use - 99.89% effective with typical use
Cervical Barriers + Depo-Provera = 99.98% effective perfect use - 99.58% typical use
Cervical Barriers + Combination OCP ("The Pill") = 99.98% effective with perfect use - 98.88% effective with typical use
Cervical Barriers + The Contraceptive Patch = 99.98% effective with perfect use - 98.88% effective with typical use
Cervical Barriers + Minipills = 99.98% effective with perfect use - 98.6% effective with typical use
Cervical Barriers + Male Condoms = 99.88% effective perfect use - 97.9% effective with typical use
Cervical Barriers + Fertility Awareness = 99.88% effective with perfect use - 97.2% effective with typical use
Cervical Barriers + Female Condoms = 99.7% effective with perfect use - 97% effective with typical use
Cervical Barriers + Emergency Contraception = 99.34% effective with perfect use - 96.5% effective with typical use
Cervical Barriers + Withdrawal = 99.76% effective with perfect use - 96.22% effective with typical use

Spermicides with cervical barriers are not listed because spermicide is supposed to be used with them, so effectiveness rates for barrier methods already include the addition of a spermicide. Since the sponge already contains a spermicide, spermicide was also excluded from combination with the sponge.

Combination Oral Contraceptives ("The Pill")
99.7% effective alone with perfect use - 92% effective alone with typical use
Combination OCP + Cervical Barriers = 99.98% effective with perfect use - 98.88% effective with typical use
Combination OCP + Male Condoms = 99.99% effective with perfect use - 98.8% effective with typical use
Combination OCP + The Sponge = 99.97%effective with perfect use - 98.72% effective with typical use
Combination OCP + Female Condoms = 99.98% effective with perfect use - 98.32% effective with typical use
Combination OCP + Emergency Contraception* = 99.97% effective with perfect use - 98% effective with typical use
Combination OCP + Withdrawal = 99.98% effective with perfect use - 97.84% effective
Combination OCP + Spermicide = 99.94% effective with perfect use - 97.68% effective with typical use

Female Condoms
95% effective with perfect use - 79% effective with typical use
Female Condoms + The Contraceptive Implant = 99.99% effective with perfect use - 99.97% effective with typical use
Female Condoms + Intrauterine Devices = 99.99% effective with perfect use - 99.37% effective with typical use
Female Condoms + Depo-Provera = 99.99% effective with perfect use - 99.37% effective with typical use
Female Condoms + Combination OCP = 99.98% effective with perfect use - 98.32% effective with typical use
Female Condoms + The Contraceptive Patch = 99.98% effective with perfect use - 98.32% effective with typical use
Female Condoms + the Vaginal Ring = 99.98% effective with perfect use - 98.32% effective with typical use
Female Condoms + Minipills = 99.98% effective with perfect use - 97.9% effective with typical use
Female Condoms + Cervical Barriers = 99.7% effective with perfect use - 97% effective with typical use
Female Condoms + the Sponge = 99.55% effective with perfect use - 96.64% effective with typical use
Female Condoms + Fertility Awareness = 99.9% effective with perfect use - 95.8% effective with typical use
Female Condoms + Emergency Contraception = 99.45% effective with perfect use - 94.75% effective with typical use
Female Condoms + Withdrawal = 99.8% effective with perfect use - 94.33% effective with typical use
Female Condoms + Spermicide = 99.1% effective with perfect use - 93.91% effective with typical use

Don't forget! The addition of condoms to any method always carries the joint benefit of both allowing men a part in birth control and greatly reducing the risks of sexually transmitted infections.

Male Condoms
98% effective alone with perfect use - 85% effective alone with typical use
Male Condoms + The Contraceptive Implant = 99.99% effective with perfect use - 99.99% effective with typical use
Male Condoms + Intrauterine Devices = 99.99% effective with perfect use - 99.88% effective with typical use
Male Condoms + Depo-Provera = 99.99% effective with perfect use - 99.55% effective with typical use
Male Condoms + Combination OCP = 99.99% effective with perfect use - 98.8% effective with typical use
Male Condoms + The Contraceptive Patch = 99.99% effective with perfect use - 98.8% effective with typical use
Male Condoms + the Vaginal Ring = 99.99% effective with perfect use - 98.8% effective with typical use
Male Condoms + Minipills = 99.99% effective with perfect use - 98.5% effective with typical use
Male Condoms + Cervical Barriers = 99.88% effective perfect use - 97.9% effective with typical use
Male Condoms + the Sponge = 97.7% effective with perfect use - 97.6% effective with typical use
Male Condoms + Fertility Awareness = 99.96% effective with perfect use - 97% effective with typical use
Male Condoms + Emergency Contraception = 99.78% effective with perfect use - 96.25% effective with typical use
Male Condoms + Withdrawal = 99.92% effective with perfect use - 95.95% effective with typical use
Male Condoms + Spermicide = 99.64% effective with perfect use - 95.65% effective with typical use

The Contraceptive Implant (Implanon)
99.9% effective with perfect use - 99.9% effective with typical use
The Contraceptive Implant + Male Condoms = 99.99% effective with perfect use - 99.99% effective with typical use
The Contraceptive Implant + Cervical Barriers = 99.99% effective with perfect use - 99.98% effective with typical use
The Contraceptive Implant + Emergency Contraception*= 99.99% effective with perfect use - 99.98% effective with typical use
The Contraceptive Implant + the Sponge = 99.99% effective with perfect use - 99.98% effective with typical use
The Contraceptive Implant + Female Condoms = 99.99% effective with perfect use - 99.97% effective with typical use
The Contraceptive Implant + Withdrawal = 99.99% effective with perfect use - 99.97% effective with typical use
The Contraceptive Implant + Spermicide = 99.98% effective with perfect use - 99.97% effective with typical use

The Contraceptive Patch ("The Patch")
99.7% effective with perfect use - 92% effective with typical use
The Contraceptive Patch + Cervical Barriers = 99.98% effective with perfect use - 98.88% effective with typical use
The Contraceptive Patch + Male Condoms = 99.99% effective with perfect use - 98.8% effective with typical use
The Contraceptive Patch + Female Condoms = 99.98% effective with perfect use - 98.32% effective with typical use
The Contraceptive Patch + Emergency Contraception*= 99.97% effective with perfect use - 98% effective with typical use
The Contraceptive Patch + the Sponge = 99.97%effective with perfect use - 98.72% effective with typical use
The Contraceptive Patch + Withdrawal = 99.98% effective with perfect use - 97.84% effective
The Contraceptive Patch + Spermicide = 99.94% effective with perfect use - 97.68% effective with typical use

Depo-Provera ("The Shot")
99.7% effective with perfect use - 97% effective with typical use
Depo-Provera + Cervical Barriers = 99.98% effective perfect use - 99.58% typical use
Depo-Provera + Male Condoms = 99.99% effective with perfect use - 99.55% effective with typical use
Depo-Provera + the Sponge = 99.97%effective with perfect use - 99.52% effective with typical use
Depo-Provera + Female Condoms = 99.99% effective with perfect use - 99.37% effective with typical use
Depo-Provera + Emergency Contraception*= 99.97% effective with perfect use - 99.25% effective with typical use
Depo-Provera + Withdrawal = 99.98% effective with perfect use - 99.19% effective with typical use
Depo-Provera + Spermicide = 99.94% effective with perfect use - 99.13% effective with typical use

Fertility Awareness (FAM)
98% effective with perfect use - 80% effective with typical use
Fertility Awareness + Cervical Barriers = 99.88% effective with perfect use - 97.2% effective with typical use
Fertility Awareness + Male Condoms = 99.96% effective with perfect use - 97% effective with typical use
Fertility Awareness + the Sponge = 99.82% effective with perfect use - 96.8% effective with typical use
Fertility Awareness + Female Condoms = 99.9% effective with perfect use - 95.8% effective with typical use
Fertility Awareness + Emergency Contraception = 99.78% effective with perfect use - 95% effective with typical use
Fertility Awareness + Withdrawal = 99.92% effective with perfect use - 94.6% effective with typical use
Fertility Awareness + Spermicide = 99.64% effective with perfect use - 94.2% effective with typical use

Intrauterine Devices (IUD)
99.9% effective with perfect use - 99.2% effective with typical use
Intrauterine Devices + Cervical Barriers = 99.99% effective with perfect use - 99.89% effective with typical use
Intrauterine Devices + Male Condoms = 99.99% effective with perfect use - 99.88% effective with typical use
Intrauterine Devices + The Sponge = 99.99% effective with perfect use - 99.87% effective with typical use
Intrauterine Devices + Female Condoms = 99.99% effective with perfect use - 99.83% effective with typical use
Intrauterine Devices + Emergency Contraception* = 99.99% effective with perfect use - 99.8% effective with typical use
Intrauterine Devices + Withdrawal = 99.99% effective with perfect use - 99.78% effective with typical use
Intrauterine Devices + Spermicide = 99.98% effective with perfect use - 99.77% effective with typical use

Minipills
99.7% effective with perfect use - 90% effective with typical use
Minipills + Cervical Barriers = 99.98% effective with perfect use - 98.6% effective with typical use
Minipills + Male Condoms = 99.99% effective with perfect use - 98.5% effective with typical use
Minipills + The Sponge = 99.97% effective with perfect use - 98.4% effective with typical use
Minipills + Female Condoms = 99.98% effective with perfect use - 97.9% effective with typical use
Minipills + Emergency Contraception* = 99.97% effective with perfect use - 97.5% effective with typical use
Minipills + Withdrawal = 99.99% effective with perfect use - 97.3% effective with typical use
Minipills + Spermicide = 99.95% effective with perfect use - 97.1% effective with typical use

Spermicide
82% effective with perfect use - 71% effective with typical use
Spermicide + The Contraceptive Implant = 99.98% effective with perfect use - 99.97% effective with typical use
Spermicide + Intrauterine Devices = 99.98% effective with perfect use - 99.77% effective with typical use
Spermicide + Depo-Provera = 99.94% effective with perfect use - 99.13% effective with typical use
Spermicide + Combination OCP = 99.94% effective with perfect use - 97.68% effective with typical use
Spermicide + The Contraceptive Patch = 99.94% effective with perfect use - 97.68% effective with typical use
Spermicide + Minipills = 99.95% effective with perfect use - 97.1% effective with typical use
Spermicide + Male Condoms = 99.64% effective with perfect use - 95.65% effective with typical use
Spermicide + Fertility Awareness = 99.64% effective with perfect use - 94.2% effective with typical use
Spermicide + Female Condoms = 99.1% effective with perfect use - 93.91% effective with typical use
Spermicide + Emergency Contraception = 98% effective with perfect use - 92.75% effective with typical use
Spermicide + Withdrawal = 99.28% effective with perfect use - 92.17% effective with typical use

The Sponge
91% effective with perfect use - 84% effective with typical use
The Sponge + The Contraceptive Implant = 99.99% effective with perfect use - 99.98% effective with typical use
The Sponge + Intrauterine Devices = 99.99% effective with perfect use - 99.87% effective with typical use
The Sponge + Depo-Provera = 99.97%effective with perfect use - 99.52% effective with typical use
The Sponge + Combination OCP = 99.97%effective with perfect use - 98.72% effective with typical use
The Sponge + The Contraceptive Patch = 99.97%effective with perfect use - 98.72% effective with typical use
The Sponge + Minipills = 99.97% effective with perfect use - 98.4% effective with typical use
The Sponge + Male Condoms = 97.7% effective with perfect use - 97.6% effective with typical use
The Sponge + Fertility Awareness = 99.82% effective with perfect use - 96.8% effective with typical use
The Sponge + Female Condoms = 99.55% effective with perfect use - 96.64% effective with typical use
The Sponge + Emergency Contraception = 99.01% effective with perfect use - 96% effective with typical use
The Sponge + Withdrawal = 99.64% effective with perfect use - 95.68% effective with typical use

The Vaginal Ring
99.7% effective with perfect use - 92% effective with typical use
The Vaginal Ring + Male Condoms = 99.99% effective with perfect use - 98.8% effective with typical use
The Vaginal Ring + Female Condoms = 99.98% effective with perfect use - 98.32% effective with typical use
The Vaginal Ring + Emergency Contraception* = 99.97% effective with perfect use - 98% effective with typical use
The Vaginal Ring + Withdrawal = 99.98% effective with perfect use - 97.84% effective with typical use

Withdrawal
96% effective with perfect use - 73% effective with typical use
Withdrawal + The Contraceptive Implant = 99.99% effective with perfect use - 99.97% effective with typical use
Withdrawal + Intrauterine Devices = 99.99% effective with perfect use - 99.78% effective with typical use
Withdrawal + Depo-Provera = 99.98% effective with perfect use - 99.19% effective with typical use
Withdrawal + Cervical Barriers = 99.76% effective with perfect use - 96.22% effective with typical use
Withdrawal + Male Condoms = 99.92% effective with perfect use - 95.95% effective with typical use
Withdrawal + Combination OCP = 99.98% effective with perfect use - 97.84% effective
Withdrawal + The Contraceptive Patch = 99.98% effective with perfect use - 97.84% effective
Withdrawal + the Vaginal Ring = 99.8% effective with perfect use - 97.84% effective with typical use
Withdrawal + Minipills = 99.99% effective with perfect use - 97.3% effective with typical use
Withdrawal + the Sponge = 99.64% effective with perfect use - 95.68% effective with typical use
Withdrawal + Fertility Awareness = 99.92% effective with perfect use - 94.6% effective with typical use
Withdrawal + Emergency Contraception = 99.56% effective with perfect use - 93.25% effective with typical use
Withdrawal + Spermicide = 99.28% effective with perfect use - 92.17% effective with typical use

* EC is not advised for frequent use while using other hormonal contraceptives, or unless the primary hormonal method was known or strongly suspected to fail. Since the effectiveness rate for emergency contraception is variable, we have used Plan B, and used the most effective rate (89%) as perfect use and the least as typical (75%). We do not list EC as a sole method of contraception because due to the amount of hormones in oral EC, the expense and the perfect use effectiveness rate being lower than all other methods perfect use rates, it is not intended nor designed for use regularly, nor is sole use as a habit something we advise.

Special thanks to Scarleteen volunteer Courtenay for the math formula and her assistance! The link to the original article is: http://www.scarleteen.com/article/reproduction/the_buddy_system_effectiveness_rates_for_backing_up_your_birth_control_with_a_s

BDSM while menstrual

A Fasteners SA models spider bra, collar & mask set

BDSM while menstrual: At Fasteners, our Bondage Boutique, Gepettos new Spider set is flying off the shelves! It’s the new must-have for bondage-girls! It looks like a conventional Spider bra, but the bindings are adhesive backed and when wet they shrink remarkably. So when the bra is dipped in water, before slipping it on and the ‘legs’ are adjusted over the breasts (while the wearer is bending over) the bindings will adhere to the flesh of the breasts and will tighten as they shrink while drying. A new thing for Local Doms seem to be to have their menstruating partners experiencing breast pain while havening unprotected menstrual sex thinking that when on their periods women aren’t fertile, but that’s not always the case. So we see a lot of submissives coming in for Mifeprex or a menstrual extraction after having missed their periods and testing positive for hCG a month or so after having unprotected menstrual sex.

I love wearing my Spider set! My situation is complicated by the fact that I’m lactating so not only do the drying bindings of the ‘legs’ tighten but my breasts swell as they fill with milk so it is a fun experience, if you are really into pain like I am! The Spider bra fastens in the back with a band-lock. If you think unhooking a bra by reaching behind you is a problem try unlocking a back mounted band-lock! If you don’t have help getting out of it don’t stand anywhere near the toilet when you are trying to fit the key in the lock.

I’m menstrual: I’m CD1 and menstrual today. My cycles are super regular at 28 days so I don’t have any worry about getting preggers from unprotected sex up to CD7. Even so other than when I’m with one of my stallions for unprotected menstrual sex I wear a Reflexions flat spring diaphragm for cervical protection during my period. That’s just in case I have an urge for dive-sex since I can be very spontaneous. Penile-vaginal-intercourse (PVI) during dive-sex is one thing a girl should not do unless she has a gas guard inserted for upper reproductive tract protection. A pregnancy can be easily resolved, but an embolism is a life threatening occurrences from which a woman can not fully recover.

Teens, rhythm and pregnancy

Root boot protection for rhythm encounters

Mayo Clinic.com
Sexually transmitted diseases (STDs)
Safe sex blog
Aug. 6, 2010
By Lois McGuire, R.N., M.S.N., W.H.N.P.

Teens and the rhythm method: Bad news

A growing number of teenagers are trying to use the rhythm method for birth control, according to a survey by the National Center for Health Statistics (NCHS). The rhythm method, also called the calendar method, calendar rhythm method or periodic abstinence, is a type of natural family planning.

To use the rhythm method, you track your menstrual history to predict when you'll ovulate. Once you know when you'll ovulate, you can determine which days to avoid unprotected sex.

Couples who use the rhythm method for birth control generally take classes together for detailed understanding of the menstrual cycle and the factors that control it. Effective use of the rhythm method also requires diligent record keeping. You and your partner both need know what's going on with your reproductive cycle from one day to the next.

Successful use of the rhythm method takes more than just identifying the woman's most fertile days and avoiding intercourse on those days. You also need the discipline to abstain from intercourse for several days before ovulation, as well as during ovulation and for a few more days afterwards. If you and your partner aren't comfortable talking about sex, or if you generally avoid sexual activities other than intercourse, the rhythm method is not right for you. Out of about 100 typical couples who use the rhythm method for a year, 22 will get pregnant. In other words, the rhythm method is about 78 percent effective.

If the rhythm method has a 22 percent failure rate in adults, its performance in teens must be abysmal. No statistics are available on teen pregnancy due to rhythm method failure. But the survey cited at the top of this blog, based on interviews of thousands of teenagers about their sexual behavior, contraceptive use and childbearing, reported that 17 percent of sexually experienced girls said they had used the rhythm method for birth control. That's a striking increase since 2002, the last time this survey was conducted. In 2002, only 11 percent — still too many — reported using the rhythm method.

The rhythm method is a poor birth control choice for teens partly because they lack the emotional maturity to track their fertility and abstain from sex for several days a month. But there's another obstacle that may trip up even the most stable and responsible teen couple favoring the rhythm method: Teenage girls may take several months to establish a regular menstrual cycles, so they might find it particularly hard to calculate their fertile and safer days. This unpredictability may be one reason why teen pregnancy rates rose from 2005 to 2007, after a steady decline starting in 1992. In 2008, teen pregnancies declined again, but only by 2 percent.

Remember, too, that the rhythm method protects neither partner against sexually transmitted diseases. Unless you've both been tested and found to have no STDs — and you're both absolutely committed to your monogamous relationship — you should use a condom every time you have intercourse, preferably along with a hormonal contraceptive, such as birth control pills. Responsible, caring sex partners want reliable birth control as well as protection from STDs. For most young people, the rhythm method fails on both counts.

Personal comment: The rhythm method is not to be confused with the Fertility Awareness Method. The Rhythm method can be disrupted by any number of factors that make it unsuitable for adults much less teens. Fertility Awareness on the other hand where a woman’s fertile signs: basal body temperature, cervical fluid and cervical position are monitored to tell when she is fertile and a barrier method or abstinence must be used, can be extremely effective if all the rules are followed all the time and the woman doesn’t take risks with just-this-once behavior. Even so, I don’t think teens should try using FAM because most lack the emotional maturity to follow the rules

I encourage recreational sex as I think it is a wonderfully healthy way to relax and get to know a ballet partner. It also helps to tone the abs. So I teach my students and the dancers who come to me for advice that the rhythm method should be avoided and an effective method of birth control either barrier, hormonal on implant should be used for contraceptive protection and a condom should always be used if you aren’t certain of a partner’s sexual history.