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. ​

Power To Decide Having the power to decide if, when, and under what circumstances to get pregnant and have a child increases young people’s opportunities to be healthy, to complete their education, and to pursue the future they want. ​

emergency contraception 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. LEARN MORE

Hepatitis B Hepatitis B can be a serious liver disease that results from infection with the Hepatitis B virus. What is hepatitis? “Hepatitis” means inflammation of the liver. The liver is a vital organ that processes nutrients, filters the blood, and fights infections. When the liver is inflamed or damaged, its function can be affected. Heavy alcohol use, toxins, some medications, and certain medical conditions can cause hepatitis. However, hepatitis is most often caused by a virus. In the United States, the most common types of viral hepatitis are Hepatitis A, Hepatitis B, and Hepatitis C. The only way to know if you have Hepatitis B is to get tested. What is Hepatitis B? Hepatitis B can be a serious liver disease that results from infection with the Hepatitis B virus. Acute Hepatitis B refers to a short-term infection that occurs within the first 6 months after someone is infected with the virus. The infection can range in severity from a mild illness with few or no symptoms to a serious condition requiring hospitalization. Some people, especially adults, are able to clear, or get rid of, the virus without treatment. People who clear the virus become immune and cannot get infected with the Hepatitis B virus again. Chronic Hepatitis B refers to a lifelong infection with the Hepatitis B virus. The likelihood that a person develops a chronic infection depends on the age at which someone becomes infected. Up to 90% of infants infected with the Hepatitis B virus will develop a chronic infection. In contrast, about 5% of adults will develop chronic Hepatitis B. Over time, chronic Hepatitis B can cause serious health problems, including liver damage, cirrhosis, liver cancer, and even death. How is Hepatitis B spread? The Hepatitis B virus is spread when blood, semen, or other body fluids from an infected person enters the body of someone who is not infected. The virus can be spread through: • Sex with an infected person. Among adults, Hepatitis B is often spread through sexual contact. • Injection drug use. Sharing needles, syringes, and any other equipment to inject drugs with someone infected with Hepatitis B can spread the virus. • Outbreaks. While uncommon, poor infection control has resulted in outbreaks of Hepatitis B in healthcare settings. • Birth. Hepatitis B can be passed from an infected mother to her baby at birth. Worldwide, most people with Hepatitis B were infected with the virus as an infant. Hepatitis B is not spread through breastfeeding, sharing eating utensils, hugging, kissing, holding hands, coughing, or sneezing. Unlike some forms of hepatitis, Hepatitis B is also not spread by contaminated food or water. What are the symptoms of Hepatitis B? Many people with Hepatitis B 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 an acute infection, they usually appear within 3 months of exposure and can last up to 6 months. If symptoms occur with chronic Hepatitis B, they can take years to develop and can be a sign of advanced liver disease. How would you know if you have Hepatitis B? The only way to know if you have Hepatitis B is to get tested. Blood tests can determine if a person has been infected and cleared the virus, is currently infected, or has never been infected. Who should get tested for Hepatitis B and why? CDC develops recommendations for testing based upon a variety of different factors. Here is a list of people who should get tested. The results will help determine the next best steps for vaccination or medical care. All pregnant women are routinely tested for Hepatitis B. If a woman has Hepatitis B, timely vaccination can help prevent the spread of the virus to her baby. Household and sexual contacts of people with Hepatitis B are at risk for getting Hepatitis B. Those who have never had Hepatitis B can benefit from vaccination. People born in certain parts of the world that have increased rates of Hepatitis B. Testing helps identify those who are infected so that they can receive timely medical care. People with certain medical conditions should be tested, and get vaccinated if needed. This includes people with HIV infection, people who receive chemotherapy and people on hemodialysis. People who inject drugs are at increased risk for Hepatitis B but testing can tell if someone is infected or could benefit from vaccination to prevent getting infected with the virus. Men who have sex with men have higher rates of Hepatitis B. Testing can identify unknown infections or let a person know that they can benefit from vaccination. How is Hepatitis B treated? For those with acute Hepatitis B, doctors usually recommend rest, adequate nutrition, fluids, and close medical monitoring. Some people may need to be hospitalized. People living with chronic Hepatitis B should be evaluated for liver problems and monitored on a regular basis. Treatments are available that can slow down or prevent the effects of liver disease. Can Hepatitis B be prevented? Yes. The best way to prevent Hepatitis B is by getting vaccinated. The Hepatitis B vaccine is typically given as a series of 3 shots over a period of 6 months. The entire series is needed for long-term protection. Who should get vaccinated against Hepatitis B? All infants are routinely vaccinated for Hepatitis B at birth, which has led to dramatic declines of new Hepatitis B cases in the US and many parts of the world. The vaccine is also recommended for people living with someone infected with Hepatitis B, travelers to certain countries, and healthcare and public safety workers exposed to blood. People with high-risk sexual behaviors, men who have sex with men, people who inject drugs, and people who have certain medical conditions, including diabetes, should talk to their doctor about getting vaccinated. < Previous Next > ​

Cost Of Condoms and Birth Control They are A LOT Cheaper than having a baby... Birth Control: Prices vary depending on whether you have health insurance, or if you qualify for Medicaid or other government programs that cover the cost of birth control pills. For most brands, 1 pill pack lasts for 1 month, and each pack can cost anywhere from $0-$50. But they’re totally free with most health insurance plans, or if you qualify for some government programs. Condoms: Affordable or free condoms are often available at health centers, family planning clinics, your local health department, community centers, college health centers, or your doctor’s office.

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.

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LOCAL RESOURCES AND MORE clinics Local Clinics and Providers Although the video is based in Planned Parenthood there are local clinics that can provide you with almost all of the same services with the same respect. Scroll down to find a clinic and way to get there. Local Clinics and Providers Need to get tested? Find a local provider in the list below... Waterfall Community Health Center Confidential and affordable services available for anyone regardless of age, gender identity, or race. Services include: STI screening and treatment, contraceptives, and family planning for both men and women. Call or drop in to make an appointment. Patients are accepted with or without insurance. Waterfall Community Health Center Waterfall Community Health Center School Based Confidential and affordable services available for anyone regardless of age, gender identity, or race. Services include: STI screening and treatment, contraceptives, and family planning for both men and women. Call or drop in to make an appointment. Patients are accepted with or without insurance. Waterfall Community Health Center School Based Bay Clinic An appointment must be made with a provider. Most insurance providers are accepted. Services include all aspects of sexual and reproductive health. Bay Clinic North Bend Medical Center An appointment must be made with a provider. Most insurance providers are accepted. Services include all aspects of sexual and reproductive health. North Bend Medical Center Coast Community Health Center Confidential and affordable services available for anyone regardless of age, gender identity, or race. Services include: STI screening and treatment, contraceptives, and family planning for both men and women. Call to make an appointment. Patients are accepted with or without insurance. Coast Community Health Center Planned Parenthood Eugene-Springfield Planned Parenthood provides complete sexual and reproductive health services regardless of age, race, gender identity or immigration status. Patients are accepted with or without insurance. Planned Parenthood Eugene-Springfield

SAFER Sex TOOLs What's The Right Choice For You? Take the quiz Wrap it before you tap it Condoms: Do's + Dont's SCROLL DOWN FOR MORE WAYS TO PRACTICE SAFER SEX Find More Safer Sex Resources Here Communication MSM Safer Sex Trans Safer Sex How to Choose A Lube STI Screening If you are sexually active, getting tested for STIs is one of the most important things you can do to protect your health. Make sure you have an open and honest conversation about your sexual history and STI testing with your doctor and ask whether you should be tested for STIs. If you are not comfortable talking with your regular health care provider about STIs, there are many clinics that provide confidential and free or low-cost testing. STI Screening Avoiding Injury When we talk about safe sex, we usually mean using protection with a respectful partner. But even if you’re comfortable with consent and contraception, lovemaking still entails some physical risks. Let’s admit it: Passion can quickly turn painful when accidents occur during sex. Even for the most connected couples, one wrong move can replace moans of ecstasy with screams of agony – and leave us sidelined from seduction for the foreseeable future. Trans Resources How to Choose A Lube PrEP Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take daily medicine to prevent HIV. PrEP can stop HIV from taking hold and spreading throughout your body. When taken daily, PrEP is highly effective for preventing HIV from sex or injection drug use. PrEP is much less effective when it is not taken consistently. Learn More HPV Vaccination HPV vaccination is preventing cancer-causing infections and precancers. HPV infections are so common that nearly all men and women will get at least one type of HPV at some point in their lives. Nearly 80 million Americans are currently infected with some type of HPV. About 14 million Americans, including teens, become infected each year. HPV is spread through intimate skin-to-skin contact. You can get HPV by having vaginal, anal, or oral sex with someone who has the virus. Talk to your healthcare provider or visit one of the local clinics to learn more about the vaccination. clinics

common stis Bacterial Vaginosis Bacterial vaginosis (BV) is a condition that happens when there is too much of certain bacteria in the vagina. This changes the normal balance of bacteria in the vagina. Genital Herpes Genital herpes is a common sexually transmitted infection (STI) that any sexually active person can get. Most people with the virus don’t have symptoms. Even without signs of the disease, herpes can still be spread to sex partners. HIV/AIDS HIV is a virus spread through body fluids that attacks the body’s immune system, specifically the CD4 cells, often called T cells. Hepatitis B Hepatitis B can be a serious liver disease that results from infection with the Hepatitis B virus. 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. Pubic Lice "Crabs" Also called crab lice or “crabs,” pubic lice are parasitic insects found primarily in the pubic or genital area of humans. Pubic lice infestation is found worldwide and occurs in all races, ethnic groups, and levels of society. Scabies Scabies is an infestation of the skin by the human itch mite (Sarcoptes scabiei var. hominis). The microscopic scabies mite burrows into the upper layer of the skin where it lives and lays its eggs. Trichomoniasis Most people who have trichomoniasis do not have any symptoms. Chlamydia Chlamydia is a common sexually transmitted infection (STI) that can be easily cured. If left untreated, chlamydia can make it difficult for a woman to get pregnant. Gonorrhea Anyone who is sexually active can get gonorrhea. Gonorrhea can cause very serious complications when not treated, but can be cured with the right medication. Hepatitis A Hepatitis A is a contagious liver infection caused by the hepatitis A virus. Hepatitis A can be prevented with a vaccine. People who get hepatitis A may feel sick for a few weeks to several months but usually recover completely and do not have lasting liver damage. In rare cases, hepatitis A can cause liver failure and even death; this is more common in older people and in people with other serious health issues, such as chronic liver disease. 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. Pelvic Inflammatory Disease (PID) Untreated sexually transmitted infections (STIs) can cause pelvic inflammatory disease (PID), a serious condition, in women. 1 in 8 women with a history of PID experience difficulties getting pregnant. You can prevent PID if you know how to protect yourself. STI Treatment If your sexual history and current signs and symptoms suggest that you have a sexually transmitted infection (STI), laboratory tests can identify the cause and detect coinfections you might also have. Syphilis Syphilis is a sexually transmitted infection (STI) that can have very serious complications when left untreated, but it is simple to cure with the right treatment. MORE STI's