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Preparing for Pregnancy - Tesco

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Getting help and more in<strong>for</strong>mation:<br />

Your <strong>Tesco</strong> Pharmacist will always be able to<br />

advise you about planning your family. But <strong>for</strong><br />

some contraceptive methods and fertility help<br />

you’ll need to visit your GP or family planning<br />

clinic. You can also get help from NHS Direct<br />

(0845 4647, www.nhsdirect.nhs.uk), NHS drop-in<br />

centres and your local sexual health clinic.<br />

These organisations can also help. They all handle<br />

enquiries confidentially and won’t get embarrassed!<br />

Contraception &<br />

Sexual Health support<br />

fpa (Family Planning Association)<br />

www.fpa.org.uk<br />

England: 0845 310 1334<br />

Scotland: 0141 576 5088<br />

Northern Ireland: 028 90 325 488 (Belfast)<br />

and 028 71 260 016 (Derry)<br />

Natural Family Planning:<br />

www.fertilityuk.org<br />

Support if you have an STI<br />

Sexual Health In<strong>for</strong>mation Line:<br />

0800 567 123<br />

Support <strong>for</strong> conception<br />

Infertility Network UK:<br />

www.infertilitynetworkuk.com<br />

The Human Fertilisation and<br />

Embryology Authority:<br />

www.hfea.gov.uk/ForPatients<br />

CQ16998/0<br />

Family Planning<br />

What’s best<br />

FOR YOU<br />

Choices <strong>for</strong><br />

contraception<br />

When you’re ready <strong>for</strong> pregnancy<br />

<strong>Preparing</strong> <strong>for</strong> pregnancy<br />

10 TIPS<br />

<strong>for</strong> would-be<br />

mums & dads<br />

Planning a baby<br />

Sources of advice & in<strong>for</strong>mation


Family<br />

Planning<br />

Contents<br />

3 The best way <strong>for</strong> you<br />

4 What are your choices?<br />

5 Choosing a condom<br />

9 Other contraceptive methods<br />

Natural methods<br />

10 USING HORMONES<br />

12 Problem infections<br />

13 Unplanned pregnancy<br />

14 WHEN YOU’RE READY<br />

16 <strong>Preparing</strong> <strong>for</strong><br />

pregnancy<br />

19 10 TIPS FOR WOULD-BE<br />

MUMS AND DADS<br />

20 Sources of advice and in<strong>for</strong>mation<br />

2<br />

FAMILYPLANNING<br />

“Nowadays, if you wish, you can<br />

usually plan your family. You can<br />

choose to conceive when the time’s<br />

right - then confidently prepare <strong>for</strong><br />

conception and usually have a happy,<br />

healthy pregnancy.<br />

“Perhaps the best feeling in the world is to<br />

want a baby - and then find out you’re going<br />

to have one.<br />

“Perhaps the worst feeling in the world is to<br />

find out you’re pregnant when you don’t<br />

want to be.<br />

“This booklet gives some in<strong>for</strong>mation on the<br />

choices open to you and contains some of<br />

the details you need to make the decisions<br />

that are right <strong>for</strong> you.<br />

“If you’re ready to have a child right now, the<br />

booklet will help you choose the best time<br />

and prepare in the best way. It’ll advise you<br />

how to find out whether you’re pregnant and<br />

how to get support when conceiving isn’t easy.<br />

“I hope that you find it a useful guide to<br />

make the decisions that are right <strong>for</strong> you.”<br />

Susan Quilliam<br />

Susan Quilliam is an<br />

author,‘agony aunt’ and a<br />

member of the editorial<br />

board of the Journal of<br />

Family Planning and<br />

Reproductive Health Care.<br />

<strong>Tesco</strong> would like to thank<br />

the fpa (Family Planning<br />

Association) <strong>for</strong> their help<br />

in compiling this booklet.<br />

The best way <strong>for</strong> you<br />

“I’m delighted <strong>Tesco</strong><br />

Pharmacies provide family<br />

planning advice and my<br />

patients like it. <strong>Tesco</strong> Pharmacies<br />

are open until at least 8pm and<br />

have confidential consulting<br />

rooms. Do<br />

pharmacists get<br />

embarrassed?<br />

Not at all -<br />

they are just<br />

happy to help.”<br />

Dr Hilary Jones<br />

With a new partner, it’s important<br />

to discuss family planning well<br />

be<strong>for</strong>e you get to the bedroom.<br />

That way you don’t have to stop<br />

lovemaking to talk - and you can<br />

relax, knowing you’re on the<br />

same wavelength as a couple!<br />

3<br />

FAMILYPLANNING<br />

Use this checklist to work out what’s<br />

important to you. Then use the grid over<br />

the page as a guide to which method may be<br />

best <strong>for</strong> you. Remember that your choices<br />

and options might change as you get older.<br />

✔ Effectiveness: do I need<br />

complete reliability?<br />

✔ Protection: do I need to protect<br />

against infections?<br />

✔ Spontaneity: how easy and<br />

convenient?<br />

✔ Whose role: mine or my partner’s to<br />

use the contraceptive concerned?<br />

✔ Side effects: what are the<br />

possible side effects?<br />

✔ Reversibility: is it OK to wait<br />

to conceive?<br />

✔ Under my control: or with the<br />

help of a doctor?<br />

Talking it through<br />

An easy way to start the conversation is<br />

“I always use a condom. If you don’t have<br />

one, I do.” And if your partner won’t use<br />

protection? Don’t have sex with them!<br />

Even in a long-term partnership, make<br />

time to discuss contraception so you’re<br />

both happy with your choice.


What are your choices?<br />

Talk to your GP, practice nurse, Family Planning Clinic or pharmacist <strong>for</strong> advice on what <strong>for</strong>m<br />

of contraception will suit you best and what side effects you may encounter.<br />

Condom<br />

Female condom<br />

Latex /<br />

Diaphragm / Cap<br />

Natural family<br />

planning methods<br />

Combined pill<br />

Progestogen<br />

only pill<br />

Injection<br />

Implant<br />

IUD<br />

IUS<br />

Patch<br />

Male vasectomy /<br />

Female sterilisation<br />

98% most no his rarely immediate yes<br />

95% most no hers rarely immediate yes<br />

92-96% some no hers rarely immediate<br />

up to<br />

98%<br />

effectiveness<br />

when used<br />

correctly<br />

no yes both no immediate yes<br />

over 99% no yes hers sometimes<br />

99% no yes hers sometimes<br />

over 99% no yes hers sometimes<br />

over 99% no yes hers sometimes<br />

around<br />

99%<br />

protection<br />

against STIs<br />

spontaneity<br />

whose role<br />

no yes hers sometimes<br />

over 99% no yes hers sometimes<br />

over 99% no yes hers sometimes very quick<br />

over 99% no yes his or sometimes<br />

hers<br />

4<br />

FAMILYPLANNING<br />

side effects<br />

very<br />

quick<br />

very<br />

quick<br />

reversibility<br />

yes but needs<br />

a little time<br />

needs removing<br />

but then<br />

immediate<br />

needs removing<br />

but then<br />

immediate<br />

needs removing<br />

but then<br />

immediate<br />

designed to be<br />

irreversible<br />

under your<br />

control<br />

needs initial<br />

fitting by a<br />

practitioner<br />

prescription<br />

only<br />

needs prescription fitting<br />

by a only doctor<br />

needs renewing<br />

every 3 months<br />

- doctor’s visit<br />

needs replacing<br />

needs fitting<br />

every 3 years<br />

- by doctor’s a doctor visit<br />

needs replacing<br />

every 3-10 years<br />

- doctor’s visit<br />

needs replacing<br />

every 5 years<br />

- doctor’s visit<br />

prescription<br />

only<br />

needs an<br />

operation<br />

Source: fpa (Family Planning Association) February 2005 N.B. If it’s important to you and your partner to avoid pregnancy,<br />

spermicides alone or withdrawal are unlikely to be effective enough.<br />

Choosing a condom<br />

If people are having sex, or planning<br />

to, they need to be aware of the risks<br />

they’re taking and how to avoid them.<br />

Condoms are the ONLY <strong>for</strong>m of<br />

contraception to help protect against<br />

sexually transmitted infections as well as<br />

unplanned pregnancy.<br />

They’re easy to use, com<strong>for</strong>table and can<br />

be fun. <strong>Tesco</strong> healthcare department<br />

stocks the major brands and there are<br />

lots of different types to choose from<br />

<strong>for</strong> added enjoyment and safer sex!<br />

Even in a long-term relationship,<br />

where you’re sure of your partner’s<br />

sexual health, condoms can be a good<br />

contraception choice to avoid pregnancy.<br />

Where are they available?<br />

You can get male condoms free from<br />

family planning clinics, most sexual health<br />

clinics, NHS walk-in clinics and some<br />

general practices. Or you can buy them<br />

from supermarkets (such as <strong>Tesco</strong><br />

healthcare department), chemists,<br />

garages, vending machines and by mail<br />

order. Female condoms aren’t as widely<br />

available but some family planning clinics<br />

provide them and <strong>Tesco</strong> Pharmacies can<br />

order them <strong>for</strong> you. You can speak to<br />

your pharmacist in a discreet consulting<br />

room if you wish.<br />

5<br />

FAMILYPLANNING<br />

How to approach<br />

safer sex:<br />

BE CONFIDENT … Explain why it’s<br />

important to you that you and your partner<br />

use a condom.<br />

BE ASSERTIVE … If your partner won’t<br />

use a condom then say that you won’t have<br />

sex without one. You know what’s best <strong>for</strong><br />

your body, so say exactly how you feel!<br />

BE OPEN … If you find the subject<br />

awkward (a lot of people do) say so and<br />

persevere because it’s important you make<br />

your views clear.<br />

BE PRACTICAL … Don’t leave the<br />

discussion until the last minute. Talk about<br />

your views be<strong>for</strong>e you get carried away.<br />

Explain that you are concerned about your<br />

health and your partner’s.<br />

BE FUN … Remember sex should be<br />

enjoyable and condoms can be fun and sexy!


Problems<br />

If you get itchy or uncom<strong>for</strong>table<br />

using male or female condoms,<br />

diaphragms, caps, lubricants or<br />

spermicides - get advice from your<br />

doctor, practice nurse or pharmacist.<br />

The condom checklist:<br />

✔ DO always carry condoms with you so<br />

that you can enjoy sex without worrying.<br />

✔ DO explain why it’s important to you<br />

that your partner uses a condom.<br />

✔ DO make sure you know the right way<br />

to put on a condom - read the<br />

instructions in the packet.<br />

✔ DO open the foil carefully. Beware of<br />

jewellery, sharp or ragged fingernails or<br />

piercings which could tear the condom.<br />

✔ DO put the condom on be<strong>for</strong>e there is<br />

any sexual contact between you and your<br />

partner, and take it off carefully be<strong>for</strong>e the<br />

erection fades.<br />

✔ DO store condoms carefully in a cool,<br />

dry place away from direct sunlight.<br />

✔ DO make sure you use a new condom<br />

every time you have sex.<br />

Pure Pleasure from Mates<br />

For the ultimate<br />

pleasure, why<br />

not try the<br />

sensual new<br />

range from<br />

Mates condoms?<br />

✗<br />

✗<br />

✗<br />

✗<br />

✗<br />

✗<br />

6<br />

FAMILYPLANNING<br />

DON’T be tempted to take risks if a<br />

condom isn’t available.<br />

DON’T use a condom which has<br />

passed the expiry date printed on<br />

the back.<br />

DON’T use oil-based lubricants with<br />

latex condoms. Check the instructions<br />

that come with the lubricant to see if it<br />

is safe to use with condoms. The oil will<br />

damage the condom.<br />

DON’T use a condom more than once.<br />

DON’T have sex with a new partner if<br />

they won’t use a condom.<br />

DON’T put the used condom in the<br />

toilet - it might block it. Wrap it and<br />

put it in the bin.<br />

Advertisement Promotion<br />

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This exciting selection pack offers you the<br />

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products - available in selected <strong>Tesco</strong> stores.<br />

Have more fun<br />

with safer sex!<br />

Durex Pleasuremax has an array of ribs<br />

and dots and Per<strong>for</strong>ma is designed <strong>for</strong><br />

longer lasting pleasure, while Durex<br />

Sensation has a multitude of raised<br />

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Other additions to the<br />

Durex pleasure enhancing<br />

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Play Heat and Play Feel -<br />

making sex better <strong>for</strong><br />

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Remember, safer sex<br />

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so always use<br />

a condom!<br />

www.durex.co.uk<br />

Ask your pharmacist<br />

<strong>for</strong> the product that<br />

suits you best.<br />

Try a tingle!<br />

A new pleasure enhancing<br />

condom from Durex is<br />

ensuring that safer sex is<br />

fun, sexy and sensual!<br />

New Durex Tingle is coated in<br />

a minty lubricant on both the<br />

inside and outside of the<br />

condom, to create a hot<br />

and cold tingling sensation,<br />

<strong>for</strong> mutual heightened pleasure.<br />

Tingle is also ‘easy-on’, meaning<br />

it is shaped to be easier to use<br />

and more com<strong>for</strong>table to wear.<br />

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You may choose to use<br />

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different occasions to add<br />

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Using condoms can be fun<br />

and, when used regularly<br />

they can become a<br />

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For extra security<br />

Pasanté Regular condoms<br />

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Pasanté Mixed Flavours<br />

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Each pack contains six<br />

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To find out more about<br />

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and our full range of<br />

products please<br />

visit us at<br />

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or ask your <strong>Tesco</strong><br />

Pharmacist<br />

Other contraceptive<br />

In addition to condoms, there are<br />

methods: other types of barrier protection:<br />

Diaphragm and cap<br />

Diaphragms and caps are both barrier<br />

methods to stop sperm. They need to be<br />

fitted at a GP practice or family planning<br />

clinic - the doctor or nurse will demonstrate<br />

how to use it and arrange a further<br />

appointment to check the fit, particularly<br />

after having a baby.<br />

Spermicide<br />

Spermicide comes in several <strong>for</strong>ms - tablets,<br />

foam, gel, creams, films - and you can buy it<br />

from <strong>Tesco</strong> Pharmacy <strong>for</strong> use as extra<br />

protection with condoms, diaphragms and<br />

caps. It helps to kill sperm but isn’t effective<br />

enough to use on its own. Spermicides are<br />

also available free on prescription.<br />

Natural methods<br />

Natural family planning (NFP)<br />

There are times in the month when it’s safer<br />

to have sex because pregnancy’s unlikely -<br />

you can tell these by carefully watching<br />

certain female body signs such as<br />

temperature, cervical mucus and the length<br />

of her menstrual cycle. These body signs<br />

may alter, so you need to be taught this<br />

method by a specialist Natural Family<br />

Planning (NFP) teacher. NFP is particularly<br />

welcomed by some faiths that don’t support<br />

other kinds of family planning.<br />

Withdrawal<br />

A man pulling out be<strong>for</strong>e he ejaculates<br />

is very natural and spontaneous. But it’s<br />

also very unreliable because sperm may leak<br />

out even be<strong>for</strong>e climax. If you absolutely<br />

can’t af<strong>for</strong>d a pregnancy, avoid this method!<br />

9<br />

FAMILYPLANNING<br />

None of the<br />

contraceptive<br />

methods on this page<br />

protect against<br />

sexually transmitted<br />

infections.<br />

Lubricants<br />

Lubricants - like petroleum jelly, lotions and<br />

body oils - make intercourse more<br />

com<strong>for</strong>table. But oil based lubricants may<br />

weaken male latex condoms, diaphragms and<br />

caps - so keep these well away from each other.<br />

Vasectomy and Sterilisation<br />

When you’ve completed your family, or<br />

decided you don’t want children, you may<br />

wish to talk to your GP about male<br />

vasectomy or female sterilisation.<br />

After the menopause<br />

If you’re a woman who’s past the menopause,<br />

it’s very unlikely you’ll conceive if you’ve not<br />

had a period <strong>for</strong> two years - one year if you’re<br />

over 50. (But remember that you’ll still need<br />

protection against infections. Check with your<br />

GP to be sure you will not conceive.)<br />

If you're having Advertisement Promotion<br />

problems in<br />

planning <strong>for</strong> a<br />

family, there’s a<br />

slight chance<br />

you could be<br />

experiencing the<br />

first stage of the menopause.<br />

Vielle Menopause Home Test Kit, available at<br />

<strong>Tesco</strong>, allows women to quickly, discreetly and<br />

accurately determine <strong>for</strong> themselves whether<br />

or not they are approaching the menopause<br />

in their own homes, without having to visit<br />

their doctor. However do talk to your doctor,<br />

practice nurse or pharmacist if you have<br />

any concerns.


Using hormones<br />

Are hormonal<br />

contraceptives<br />

right <strong>for</strong> you?<br />

✔Hormonal contraceptives<br />

are very reliable providing<br />

they are used properly.<br />

✔They don’t interfere with sex.<br />

Yes<br />

✔They’re under the woman’s control.<br />

✔They can help with painful periods or PMT.<br />

✔Some hormonal contraceptives can protect<br />

against pelvic infections, fibroids, cysts and<br />

some types of cancer.<br />

The Pill<br />

There are two sorts. The progestogen only<br />

pill (POP or mini pill as it used to be called)<br />

contains the hormone progestogen and is<br />

taken every day without a break. The other<br />

is the combined pill (COC) which contains<br />

both oestrogen and progestogen and is<br />

taken <strong>for</strong> three weeks (21 days) out of<br />

every four. During the fourth week when<br />

no pills are being taken a woman will have<br />

her 'pill period' known as a withdrawal<br />

bleed. Some combined pills are known as<br />

Everyday (ED) Pills as they are packaged<br />

with a week of placebo (or dummy pills) to<br />

use in week four. These are helpful <strong>for</strong><br />

women who are worried about<br />

remembering to start a new pack of pills<br />

after the week off. They are in every other<br />

way identical. There are many brands of<br />

combined pills.<br />

Implant<br />

A small tube about the size of a hair grip<br />

is placed under the skin and releases<br />

progestogen over three years. It has<br />

all the advantages of the pill.<br />

10<br />

FAMILYPLANNING<br />

✗ She’ll need to see a doctor or<br />

nurse in order to get them.<br />

✗ They may alter periods - which<br />

does no harm but can be annoying.<br />

✗ Some women may get side effects;<br />

though you can always change to<br />

another hormonal method.<br />

✗ If a woman has certain medical<br />

conditions, or wants to avoid the risk of<br />

certain conditions, she may not be able<br />

to use some hormonal contraceptives.<br />

Check with the doctor.<br />

✗ Hormonal contraceptives don’t protect<br />

against sexually transmitted infections.<br />

Unless both of you have been tested,<br />

you’ll need to use a condom.<br />

No<br />

Injection<br />

A hormonal injection slowly releases<br />

progestogen into the body - the effects last <strong>for</strong><br />

up to 12 weeks. There’s no need to remember<br />

to take pills! But if there are side effects, they<br />

last <strong>for</strong> 12 weeks too - and after injections are<br />

stopped, it may take a while to conceive.<br />

Patch<br />

A small thin patch is stuck on the arm,<br />

stomach or bottom, to release oestrogen<br />

and progestogen. Don’t worry, it won’t slide<br />

off; it’s waterproof! It needs renewing each<br />

week - but one advantage is that it can be<br />

used to postpone the monthly ‘bleed’.<br />

IUD and IUS<br />

The copper IUD and the progestogen IUS<br />

are small devices that are fitted in a woman’s<br />

womb by a doctor or nurse to prevent<br />

pregnancy. They may be uncom<strong>for</strong>table to fit<br />

and there might be a risk of infection around<br />

the time of insertion. They are very reliable,<br />

reversible and the IUD is effective <strong>for</strong> 3-10<br />

years (depending on type), while the IUS is<br />

effective <strong>for</strong> 5 years.<br />

Who can help?<br />

Hormonal contraceptives are free<br />

on prescription, from a GP or family<br />

planning clinic. <strong>Tesco</strong> Pharmacies are<br />

open every day <strong>for</strong> prescription<br />

fulfilment. Some private organisations<br />

also offer paid-<strong>for</strong> advice and<br />

contraception.<br />

Talk to your GP or practice nurse about<br />

which of these may be the right choice<br />

<strong>for</strong> you.<br />

11<br />

FAMILYPLANNING<br />

None of the<br />

contraceptive<br />

methods on this page<br />

protect against<br />

sexually transmitted<br />

infections.<br />

Forgetting<br />

If you know you may <strong>for</strong>get to<br />

take the pill each day, this isn’t<br />

the method <strong>for</strong> you!<br />

If you’ve missed a pill or vomited,<br />

use an extra contraceptive method<br />

like a condom. Certain antibiotics<br />

may also affect the pill’s reliability<br />

so alternative contraception may<br />

be required. The pill packet will<br />

have further instructions on what<br />

to do - or pop in and ask at your<br />

<strong>Tesco</strong> Pharmacy.


Problem infections<br />

Sadly, sex carries the risk of sexually<br />

transmitted infections (STIs). The<br />

more partners you have, the more<br />

at riskyou are. But you can even catch<br />

an STI the first time you have sex if your<br />

partner’s had sexual relationships with<br />

other partners without protection.<br />

If you have any of these symptoms, get a<br />

check-up. But be careful - many STIs show<br />

no symptoms at all.<br />

• pain or burning when you pass urine<br />

• itches, rashes or lumps on or around<br />

genitals<br />

• unusual discharge<br />

• pain or bleeding during sex or between<br />

periods<br />

• low abdominal pain or pain in your genitals<br />

Breaking the news<br />

It may feel scary to tell a partner<br />

that you have a sexually transmitted<br />

infection - or to be told that your<br />

partner has one. But if you don’t tell<br />

each other, then the STI will never get<br />

treated - and you may well end up<br />

passing it to and from each other.<br />

So tell your partner - and be grateful<br />

to a partner who is honest!<br />

Who can help?<br />

Most STIs can be completely cured if<br />

found early enough. For treatment see<br />

your GP, or <strong>for</strong> alternative confidential<br />

advice, go to a sexual health clinic - <strong>for</strong><br />

details, call NHS Direct (0845 46 47<br />

24hrs) or the Sexual Health Line<br />

(0800 567 123 24hrs) - or contact the<br />

fpa (Family Planning Association).<br />

12<br />

FAMILYPLANNING<br />

How to prevent<br />

✔ Many infections are very<br />

unlikely to be passed on if you<br />

use a condom.<br />

✔ No other <strong>for</strong>m of contraception<br />

helps to protect you.<br />

✔ So with new or irregular<br />

partners, use a condom all<br />

the time, even if you’re using<br />

another <strong>for</strong>m of contraception<br />

like the pill.<br />

✔ Once you are ready to have<br />

unprotected sex, it’s a good<br />

idea <strong>for</strong> both of you to get<br />

tested <strong>for</strong> STIs.<br />

UNPLANNED PREGNANCY<br />

Some things that might mean your<br />

chosen contraception or protection<br />

doesn’t or can’t work are:<br />

• you don’t have contraception with you<br />

• you’re so carried away you <strong>for</strong>get to<br />

use it<br />

• you don’t want to stop making love to<br />

fetch the contraception<br />

• using contraception would upset your<br />

partner so you don’t use it<br />

• the condom, diaphragm or cap splits<br />

or slips<br />

• the pill gets <strong>for</strong>gotten<br />

• you are ill and so the pill doesn’t work<br />

• you miscalculate your dates when using<br />

the natural family planning method<br />

• you actually want to have a baby but<br />

haven’t admitted that to yourself<br />

Some myths<br />

Yes, pregnancy can<br />

still happen even if... it’s<br />

your very first time...<br />

she’s on her period...<br />

she hasn’t<br />

climaxed...<br />

If you choose to have sex without contraception or protection,<br />

askyourself why. Realising the reasons behind your slip will help you<br />

make the right decision next time.<br />

13<br />

FAMILYPLANNING<br />

Emergency<br />

If you have had unprotected<br />

sex, you can still take action to<br />

avoid pregnancy if you act fast.<br />

Emergency contraception can<br />

be used. Askyour pharmacist<br />

or seek advice immediately<br />

from your GP, family planning<br />

clinic, sexual health clinic,<br />

NHS walk-in centre, or the<br />

organisations listed on the<br />

back of this booklet. To check<br />

<strong>for</strong> infection, you can both go<br />

to a sexual health clinic.<br />

Remember, once you’ve given birth,<br />

you still need to use contraception<br />

again as soon as you have sex to<br />

avoid getting pregnant again. Failing<br />

to use contraception just after birth<br />

is a very common cause of<br />

unplanned pregnancy.<br />

If you’re pregnant and don’t want to<br />

be, it’s important to talk to someone<br />

qualified to advise you, like your GP.


When you’re ready<br />

<strong>for</strong> pregnancy<br />

Talking it through<br />

It’s a good idea, particularly when you’re<br />

first starting a family, to swap notes be<strong>for</strong>e<br />

you make a final decision about whether<br />

and when you try <strong>for</strong> a baby.<br />

One good way to do this is to list the<br />

reasons you each have <strong>for</strong> wanting a child.<br />

List the tasks you know will be part of child<br />

rearing and who will do them. List the<br />

additional money and time you’ll need to<br />

spend on a child. List the changes that will<br />

happen to your lives after the birth -<br />

particularly, who will give up paid work.<br />

Then compare notes. Where you find<br />

differences, talk these through until you<br />

understand each other and agree as far<br />

as possible. It’ll also help to read some<br />

parenting books and talk to other parents<br />

to find out what parenting’s really like.<br />

Then make your decision with confidence<br />

that you both have the same attitude to<br />

creating a baby.<br />

Reasons to wait<br />

Sometimes having a baby may<br />

seem the solution to problems<br />

in some people’s lives. But if<br />

you have any of the following<br />

issues, the stress of parenthood<br />

will only make them worse:<br />

• only one of you wants a child<br />

• your relationship’s under strain<br />

• you have financial problems<br />

• you’re unhappy with yourself<br />

or your life<br />

Hold back until you’ve got<br />

things sorted between you.<br />

14<br />

FAMILYPLANNING<br />

Who can help?<br />

When you decide to start trying <strong>for</strong><br />

a baby,<strong>Tesco</strong> Pharmacists can support<br />

by advising you on nutrition, diet and<br />

vitamins, how to stop smoking, how<br />

and why you could use ovulation<br />

tests and pregnancy tests.<br />

Trying <strong>for</strong> a baby<br />

Awoman releases just one egg<br />

each cycle - a process known as<br />

ovulation. This is the 'fertile time',<br />

so if you want to maximise your chances<br />

of conception, you need to make love on<br />

the day be<strong>for</strong>e and the day of ovulation.<br />

However, sperm can live up to 7 days, so<br />

making love within a few days prior to<br />

ovulation can also result in pregnancy.<br />

An ovulation test will help you trackyour<br />

own unique cycle so that you can detect<br />

your most fertile time.<br />

Start well in advance<br />

You probably won't know you are pregnant<br />

until at least a few weeks after conception<br />

has occurred. But those first few weeks of<br />

pregnancy are the ones where your baby’s<br />

most vulnerable. So you both need to start<br />

looking after yourselves well be<strong>for</strong>e trying<br />

to conceive.<br />

15<br />

FAMILYPLANNING<br />

See the doctor<br />

Be<strong>for</strong>e actually trying <strong>for</strong> a baby, it's good<br />

<strong>for</strong> you both to go to see your GP to have<br />

a sort of 'MOT'. That way you can check<br />

your physical wellbeing and get advice on<br />

a lifestyle that will help you plan a happy,<br />

healthy pregnancy. You are then reassured<br />

that you are both physically and mentally<br />

ready to start trying <strong>for</strong> a baby.<br />

<strong>Pregnancy</strong> testing<br />

When a woman becomes pregnant her<br />

hormone levels change - she produces<br />

a hormone called human chorionic<br />

gonadotrophin (hCG) that can be<br />

detected in urine. If you think you might<br />

be pregnant you can buy a pregnancy<br />

test from <strong>Tesco</strong> - if used correctly it's<br />

just as accurate and reliable as going<br />

to the GP or Family Planning Clinic.


<strong>Preparing</strong> <strong>for</strong> <strong>Pregnancy</strong><br />

Whether you’re trying <strong>for</strong> a<br />

baby or trying to avoid having<br />

one, your local <strong>Tesco</strong><br />

Pharmacist can give you<br />

advice that’s free, immediate,<br />

and confidential; and can also<br />

advise you on the best<br />

supplements to maximise your<br />

health and to help with the<br />

birth of a healthy baby.<br />

16<br />

FAMILYPLANNING<br />

Ahealthy diet and lifestyle and a<br />

relaxed approach to conceiving may<br />

help you more than you first think.<br />

Being stressed about the matter won’t help<br />

at all, so do try to eat well, take gentle<br />

exercise and get plenty of rest and sleep.<br />

Being in the best of health contributes to<br />

your chances of conceiving and will help you<br />

to have a healthy pregnancy. A new baby can<br />

be physically and emotionally exhausting, so<br />

both partners should take good care of<br />

themselves when planning to conceive,<br />

throughout pregnancy and after the birth<br />

of the baby.<br />

Men can try boosting their intake of zinc,<br />

iron, selenium and foods rich in vitamin E,<br />

such as lean red meat, poultry, fish,<br />

wholegrain cereals and green vegetables.<br />

These foods benefit women too, as do foods<br />

rich in vitamin B6 such as wholemeal bread,<br />

bananas and peas. Avoid skipping meals even<br />

if you just have a light, healthy snack. Folic<br />

Acid is very important – ask your <strong>Tesco</strong><br />

Pharmacist <strong>for</strong> advice. For more tips <strong>for</strong><br />

would-be mums and dads, see page 19.<br />

Advertisement Promotion<br />

Testing <strong>for</strong> <strong>Pregnancy</strong><br />

and Ovulation<br />

You can find out easily if you are<br />

pregnant by using a home pregnancy<br />

test. When you are pregnant your<br />

body produces a hormone called human<br />

chorionic gonadotrophin (hCG) that can be<br />

detected in your urine. When per<strong>for</strong>med<br />

correctly most pregnancy tests are over<br />

99% accurate when used from the day your<br />

period is due. Some pregnancy tests have<br />

unique features which help ensure that you<br />

get a reliable result.<br />

Contrary to popular belief women’s<br />

menstrual cycles are not always 28 days,<br />

this is simply an average. Knowing your<br />

usual cycle length means that you’ll know<br />

when your period is due. Count the day<br />

your period starts (first day of full<br />

menstrual flow) as Day 1, and continue<br />

counting through to the day be<strong>for</strong>e your<br />

next period starts. The number of days is<br />

your cycle length <strong>for</strong> that cycle. If you<br />

make a note each time your period starts,<br />

you’ll understand your cycles much better.<br />

If you are trying to get pregnant, having<br />

an understanding of your own unique cycle<br />

becomes even more important. You are<br />

only fertile <strong>for</strong> a few days each cycle and<br />

are most fertile on only 2 of those days –<br />

close to the time that you ovulate (when<br />

your body releases an egg). When these<br />

days occur during the cycle varies<br />

between women and from one cycle to<br />

another. Clearblue Ovulation Test can find<br />

your two days by detecting the increase<br />

(surge) of Luteinising Hormone (LH) in<br />

your urine. The LH surge occurs approximately<br />

24-36 hours prior to ovulation.<br />

You are at your most fertile on the day of<br />

your LH surge and the day after; these are<br />

the best 2 days to conceive your baby.<br />

The tests are easy to use – like a<br />

pregnancy test - and are 99% accurate.<br />

Clearblue Digital <strong>Pregnancy</strong> Test<br />

displays a ‘Pregnant’ or ‘Not Pregnant’<br />

result in words so it’s very easy to read.<br />

www.Clearblue.info


What else do I need to know?<br />

If you find you do not get pregnant<br />

immediately, don’t panic - 90 out of<br />

every 100 couples become pregnant<br />

by the end of two years. But if this<br />

hasn’t happened after six months of<br />

trying, you may not be having sex at the<br />

fertile time. Try an ovulation kit so that<br />

you can be more accurate - or if you’ve<br />

been using natural family planning<br />

methods <strong>for</strong> contraception, use them to<br />

find out when you’re ovulating.<br />

Ovulation test<br />

An ovulation kit helps you identify your<br />

most fertile time by detecting an<br />

increase (surge) in Luteinising Hormone<br />

(LH) in your urine. The LH surge<br />

occurs prior to the release of an egg<br />

(a process known as ovulation). You<br />

are at your most fertile on the day your<br />

LH surge is detected and the day after.<br />

You can buy an ovulation kit from<br />

<strong>Tesco</strong> Pharmacy.<br />

Really wanting a baby and not already<br />

having become pregnant can put your<br />

relationship under strain. So if you’re<br />

feeling any of these things, remember,<br />

you’re absolutely normal: Losing desire...<br />

wanting to make love all the time...<br />

feeling bad about yourselves and each<br />

other... being angry... feeling some past<br />

mistake has caused the problem... feeling<br />

isolated... thinking you should split up...<br />

being anxious and depressed. The<br />

important thing is to cope together.<br />

18<br />

FAMILYPLANNING<br />

“We did have tests, but<br />

decided not to go <strong>for</strong> IVF.<br />

Then we relaxed - and<br />

three months later, I fell<br />

pregnant with Lucy.”<br />

Moira, 34<br />

Coping together<br />

If things are not going to plan, don’t blame<br />

yourselves or each other. Conception<br />

difficulties are no one’s fault. Keep talking<br />

about your thoughts and feelings.<br />

Get support from outside - family, friends and<br />

one of the organisations listed on the back<br />

cover of this booklet may be able to help you.<br />

If your relationship’s suffering, see a<br />

counsellor to help you get your relationship<br />

back on track.<br />

Who can help?<br />

Your first port of call if you want advice<br />

about conception is your GP or practice<br />

nurse. There are many factors involved in<br />

getting pregnant so you shouldn't<br />

automatically jump to conclusions if it<br />

doesn't happen straight away. If your GP<br />

feels it necessary, he or she may refer you<br />

to a specialist <strong>for</strong> tests. If the tests do show<br />

that you do have a 'medical problem' you<br />

may be able to get treatment through the<br />

NHS or can pay to go to a private clinic.<br />

10<br />

TIPS<br />

<strong>for</strong> would-be<br />

mums & dads<br />

3 Try to<br />

lose weight<br />

be<strong>for</strong>e conception,<br />

to avoid diabetes<br />

and high blood<br />

pressure during<br />

pregnancy.<br />

1<br />

Get fit,<br />

but don’t<br />

overdo it; too much<br />

6<br />

exercise may make<br />

conception harder.<br />

A daily walk will<br />

fit the bill.<br />

Avoid<br />

your cat’s<br />

litter box; it<br />

may contain<br />

harmful<br />

parasites.<br />

9<br />

5<br />

Start eating<br />

a balanced and<br />

nutritional diet<br />

and cut down,<br />

or cut out,<br />

drinking<br />

alcohol.<br />

Wear gloves<br />

while gardening<br />

& wash your hands<br />

afterwards to avoid<br />

infections that may<br />

harm your unborn<br />

baby.<br />

19<br />

FAMILYPLANNING<br />

Folic Acid<br />

and products<br />

like Pregnacare,<br />

which contains a special<br />

blend of 17 vitamins and<br />

minerals, including the<br />

recommended daily intake<br />

of folic acid, can help<br />

throughout your<br />

pregnancy.<br />

Smoking<br />

can affect the<br />

fertility of both<br />

men and women,<br />

and harm the baby.<br />

So try very hard<br />

to stop.<br />

7<br />

Avoid<br />

x-rays,<br />

including<br />

dental<br />

x-rays.<br />

2<br />

4<br />

Men<br />

should avoid<br />

tight trousers and<br />

underwear, especially<br />

made from synthetic<br />

materials, as they<br />

may lower sperm<br />

count.<br />

10<br />

8<br />

Avoid soft<br />

cheeses, paté,<br />

soft-boiled eggs, cold<br />

meats, liver and chilled<br />

foods - they may<br />

contain bacteria or<br />

other harmful<br />

substances.

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