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ETHICAL

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Keeping Sex Safe<br />

getting sick. You'll still need barriers against all the rest of the microscopic<br />

nasties.<br />

Birth Control<br />

Mother Nature is called that for a reason-sometimes it seems like<br />

she wants everybody to be a parent. Even when you utterly know that<br />

you don't want to get pregnant this time, some deeper urge can easily<br />

lead you to forget a pill or count the days wrong. Birth control involves<br />

tricking the busy little eggs and sperm into not doing their jobs and<br />

tricking your own instincts into letting you do the trick right.<br />

Birth control technology is, alas, far from perfect: reliable, reversible,<br />

easy, side-effect-free contraception is still a dream. Unwanted pregnancies<br />

need no longer be the life-shattering tragedies of yesteryear, but they<br />

are still awful, and we hope that none of you ever has to have one.<br />

If you are female, have intercourse with men, and could possibly be<br />

fertile, you must take active steps to ensure that you won't get pregnant<br />

until and unless you choose to. The possibilities include birth-control<br />

pills, longer-term chemical birth control like Norplant and Depo­<br />

Provera, diaphragms and cervical caps, condoms, IUDs, sponges and<br />

foam, and tubal ligation, among others. Some women with regular<br />

menstrual cycles succeed at the rhythm method, particularly if they<br />

and their partners learn to enjoy outercourse during their fertile periods.<br />

There is a lot of good information available about the risks and<br />

reliability of all these methods; your physician, clinic, or Planned Parenthood<br />

can help you make a good choice.<br />

For men who have intercourse with women, the choices are (unfortunately)<br />

quite limited. If you know you are unlikely to want to father<br />

children in the future, a vasectomy is minor surgery that will relieve<br />

you of a great deal of worry. If you hope to be a father someday, use<br />

those condoms-and lobby for research into better male contraception.<br />

The surgery to sterilize women is more involved: the surgeon<br />

will cauterize the fallopian tubes-this requires a hospital, and a little<br />

recovery, but nothing dreadful. Remember, you'll still need protection<br />

from infectious diseases.<br />

When someone gets pregnant unintentionally, this can be, to put<br />

it mildly, difficult. If everyone involved agrees that an abortion is the<br />

97

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