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Q: "I have a patient that I suspect is in an abusive relationship. She actually brought CycleBeads to my attention and told me that she has been using them for the past few months. I'm a little concerned that this is not a good choice for her."
A: You are right to be concerned! CycleBeads require that a woman be able to plan with her partner what they will do to protect themselves from an unplanned pregnancy on her fertile days. If your patient is in an abusive relationship, that indicates that she may not always decide when she has intercourse and what, if any, protection they will use. In addition to helping her get the support she needs to change this relationship, you should encourage her to use a family planning option over which she has more control. One that does not require her partner's commitment for it to be successfully used.
To read answers to other Frequently Asked Questions...
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Click here.
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The Institute for Reproductive Health offers healthcare providers a range of training options on CycleBeads. All of the trainings provide a comprehensive overview of the scientific basis of the method, simulated counseling sessions, and a variety of resources available to providers. They also provide CEU's (2.4 to registered nurses, and 2.0 to nurse midwives), and many are free.
The types of trainings offered include:
1) Online Training: The online training has been updated so that it's even easier to use and navigate. It takes approximately 2 hours to complete and can be done at the health professional's convenience. To find out more about the FREE online training, click here.
2) Live Trainings at Conferences: Live trainings are available at a number of healthcare conferences. These trainings are free, but limited to conference attendees. The next live training on CycleBeads will be conducted at:
CFHC Women’s Health Update Conference San Francisco Airport Marriott Burlingame, CA October 19 – 21, 2005
3) Customized Trainings: Customized trainings on CycleBeads can be tailored to an organization's needs. This option usually requires a small fee.
To find out more about trainings contact:
Institute for Reproductive Health 4301 Connecticut Ave. NW Washington DC, 20008 Phone: +1(202)687-1392 www.irh.org
To see a complete schedule of upcoming conferences including trainings...
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Check out some of the healthcare providers and retailers that are making this important family option available:
HEALTHCARE PROVIDERS
Birth Care 1180 Dry Wells Road Quarryville, PA 17566
Deschutes County Health Department Various Clinics Bend, OR
Family Tree Clinic 1619 Dayton Ave., Suite 205 St. Paul, MN 55104
Miami Dade County Health Department Various Clinics Miami, FL 33056
RETAILERS
Earth Fare Eastgate Shopping Center 1800 East Franklin Street Chapel Hill, NC 27514 www.earthfare.com
Whole Foods 405 North Pacific Coast Highway Redondo Beach, CA 90277 www.wholefoods.com
To find out about other retailers or healthcare providers in your area...
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Healthcare providers can get CycleBeads for their patients in the following ways:
1) Directly: Many healthcare providers choose to have CycleBeads in their clinics to give or sell to patients. Cycle Technologies has discounted pricing for these providers. For complete pricing information, healthcare providers should email: info@cyclebeads.com.
* Note that members of the CFHC Cooperative Purchasing Program may be eligible for further discounts. To find out more about this program, see the information at the bottom of this newsletter.
2) Via Online/Mail Order: Some providers counsel patients in their offices, but have patients order online or by mail order. The cost to patients is $12.95 per set plus shipping & handling.
3) Via Select Retailers: Some providers prefer to send their patients to a local retailer. To find a retailer near you, click here.
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Please let us know if you have questions or feedback on CycleBeads, this newsletter, or any other related topic...Email us at: info@cyclebeads.com
Visit the Website at:
www.CycleBeads.com
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Plan or Prevent Pregnancy Naturally
Welcome!
This edition of the CycleBeads newsletter focuses on the resources available to help healthcare providers offer this family planning option to patients. While many of you are not healthcare providers (at least not professionally), most of you know one. You may only know the one that you go to for your annual check up. But, given the lack of experience that many healthcare professionals have with natural family planning methods, we think it's important for everyone to know about the resources available to help providers counsel patients appropriately and effectively.
Therefore, this newsletter includes information on training opportunities for healthcare providers, responds to an important question from a provider counseling a patient she suspects is in an abusive relationship, and shares stories about how some providers have integrated CycleBeads into their programs.
We also want to address the concerns that we occasionally hear from women and even healthcare providers regarding natural family planning. Statements like, "natural family planning is ineffective", it's "too complicated", and "only a small number of women are likely to be interested".
Unfortunately, these concerns have some validity.
Traditionally, natural family planning methods have been difficult to use and required extensive training. This resulted in a higher level of unplanned pregnancies than other commonly used contraceptives and meant that only a small number of women were willing to use them.
CycleBeads were developed to address this problem. They make natural family planning easy to use and accessible. The section of this newsletter on Contraceptive Comparison: Correct & Typical Use, addresses the concerns related to the effectiveness and complexity of natural family planning. The Provider Stories section shares stories from providers who have successfully integrated CycleBeads into their programs. These programs make it clear that CycleBeads appeal to a range of people for a range of reasons.
While CycleBeads are simple, making them available through the healthcare community is not. It is critical that healthcare providers support their patients in using CycleBeads correctly. However, this requires significant education. Providers need to be aware of the method, understand the scientific basis, and be trained to counsel patients appropriately. That's why we've decided to focus this newsletter on the resources available to healthcare providers who want to offer an easy to use, effective, natural family planning method.
We welcome any feedback!
Sincerely,
Leslie Heyer President Cycle Technologies
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Effectiveness Comparison
CycleBeads compare quite favorably both in Perfect Use and in Typical Use to other family planning methods. This is due to the fact that they were designed to be easy to use and therefore, people tend to use them correctly. The charts below compare the failure rates of different contraceptive options. The different options are listed from most effective to least effective based on their Typical Use failure rates:
Failure Rate Comparison of Commonly Used Family Planning Options**
(% of Women Experiencing An Unintended Pregnancy During the First Year of Use)
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Perfect Use |
Typical Use |
| Oral Contraceptives |
1% |
8% |
| CycleBeads*** |
5% |
12% |
| Condoms |
2% |
15% |
| Diaphragms |
6% |
16% |
| Spermicides |
18% |
29% |
| No Contraceptive |
85% |
85% |
Failure Rate Comparison of Natural Family Planning Methods*
(% of Women Experiencing An Unintended Pregnancy During the First Year of Use)
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Perfect Use |
Typical Use |
| CycleBeads*** |
5% |
12% |
| Ovulation Method |
3% |
22% |
| Symptothermal Method |
2% |
13% - 20% |
* Information adapted from Ch. 15 of Contraceptive Technology, 18th Edition,
** Information adapted from Ch. 9 of Contraceptive Technology, 18th Edition,
*** CycleBeads are based on the Standard Days Method of family planning.
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Provider Stories
The following accounts of how healthcare providers are offering CycleBeads to their patients are paraphrased from interviews and printed with permission:
We like to offer our diverse clientele a full range of birth control options. To encourage our clients to ask questions, we put up a bulletin board in the waiting areas of our clinics. On this bulletin board, we display all of the different contraceptive options available. Clients can then ask questions on anything they see and we try to counsel them on their range of choices. For patients interested in CycleBeads, we'll counsel them and then give them a set to take home with them. We have clients who have been successfully using CycleBeads since we first made them available in 2003.
Joy Brychta, Director Planned Parenthood of South Central Michigan Kalamazoo, MI
I think it's important that a woman chooses a birth control method that suits her, but I also think she should be aware of how her fertility works. I always thought that religion was a major reason women chose to use natural family planning, but from what I've seen, it's more an issue that women are concerned about what they are putting into their bodies. I work in external community services with a range of groups including Hispanic women, teens, etc. We've found CycleBeads to be useful in communicating with these groups.
We have used some interesting ideas to make women in the community aware of CycleBeads. We actually designed coupons for Collar del Ciclo (the Spanish version of CycleBeads). These coupons were handed out at a Hispanic women's conference. Women could then bring the coupons into our clinic and receive a discount on their beads.
Yolanda Chavez, Sexual Health Educator Planned Parenthood of Central and Northern Arizona Phoenix, AZ
If you have a story that you would like to share with us, please send an email to info@cyclebeads.com.
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* The CFHC Cooperative Purchasing Programs are nation-wide and available to all non-profit, licensed locations. They help organizations save on pharmaceuticals, office supplies, medical and surgical supplies, diagnostics, etc. For more information about joining this organization, contact them at:
The Family Planning Cooperative Purchasing Program The Cooperative Purchasing Network Programs of the California Family Health Council, Inc. 3600 Wilshire Boulevard, Suite 600 Los Angeles, CA 90010-2648 Sue A. Speth, Director speths@cfhc.org phone: 800-440-3238, 4582 fax: 213-368-4410 website: http://www.fpcpp.org
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