39 Chapter 39: Start of the school year

Alicia P.O.V

We really did it our date night ended with him massaging me all over and oh god was his massages felt good but I still had trouble walking the next morning so we just lazed around all day watching bad B movie I don't know why but Ace like those movies they always make him laugh and from time to time he would stumble upon a gem that people miss because the actor was not known or some other reason, one of Ace favorite is black samurai and I gotta say it was so bad that it turn out flat out amazing (giggles) 

At noon Helena worried about not seeing us all day decided to stop by of course as soon as she saw me she knew what had happened between me and Ace I'm sure the smile she gave me made me blush so much that I thought I might catch a fever from it seeing that the atmosphere wasn't right and maybe a girl talk would do me good Ace decided to go for his daily run that he had skip this morning to stay with me once he left the house Helena sat beside me took my hand and with stars in her eyes and a mischievous smile on her face she start talking

-So ... so ...so how did you feel today ask Helena

-I'm feeling good I'm feeling the jet lag so we stayed here to relax

-Hihihihi as if I'd believe you how was it? 

-How was what? 

-Your first time she said with her tongue out can you walk she finished with concern in her voice

-It... it was magic last night I couldn't walk but Ace messaged me and I can walk today it's just uncomfortable and he doesn't want me to strain myself so he forbade me to move around that why we stayed inside all day before you came he didn't step out of the house at all he didn't even use the gym to train like every morning since I know him he pampered me so much I wish I could have a first time again I said with a shy laugh

-Did it hurt that much Helena said with a surprised face

-No why would you think that?

-Didn't you say you couldn't walk last night Helena asked 

-Oh that well it was not because of pain I said bashfully

-what are you... oooohhhh OOOOHHHH I get it ... he was this good eh?... no never mind don't answer this 

Talking with Helena was fun I would have loved to talk to Emily, my best friend and tell her everything but unfortunately she was doing Ecotourism in Africa she always dreamed of doing this since the start of high school when we got a group of people coming to talk to us about Ecotourism which was a form of tourism marketed as "responsible" travel (using what proponents say is sustainable transport) to natural areas, conserving the environment, and improving the well-being of the local people. She will be back for the start of the school year hehe I bet she will be really surprised to see Ace and hear everything I did this summer I can't wait to see her face hehehe 

-Well I'll let you two alone today

-Wait you do not have to leave right now you can wait until Ace comes back I have questions and I can't really talk about this with my mother

-You know I don't have much experience either but if talk about masturbation then I'm a pro hahaha said, Helena 

-That not what I want to talk about I just want to know what is the best contraception looks I've been reading this on a website but I'm not sure

Contraception is the act of preventing pregnancy. This can be a device, a medication, a procedure or a behavior. Contraception allows a woman control of her reproductive health and affords the woman the ability to be an active participant in her family planning. This review will not address abortion as that is not a way to prevent a pregnancy from occurring. Contraceptive methods are technological advances intended to overcome biology. The 20 century has seen the biggest advancements for female reproductive health expanding medical options, devices, and even procedures. This review will focus on medications, devices, and procedures available to couples to prevent pregnancy. It will not focus on behaviors and barrier methods available. 

When considering contraceptive methods counseling should include efficiency, safety, acceptability and availability (including accessibility and affordability). Voluntarily informing the choice of contraceptive methods is an important guiding principle, and contraceptive counseling, when associable, is a marked contributor to the successful use of contraceptive methods.

Birth control methods are designed to prevent conception or interrupt or nullify implantation and growth. Conception can be prevented by hormonally disrupting the menstrual cycle (Oral contraceptive (OC) pills), by physically blocking the passageway (barrier methods or sterilization), or less successfully, by abstinence during fertile periods or withdrawal method. Implantation is impaired via the use of a foreign body (intrauterine device {IUD}) or surgical removal (Salpingectomy or Vasectomy)[1].

Contraception is best reviewed with the patient when efficacy is the top priority. The following are ordered by the most effective form of contraception to the least effective:

Etonogestrel contraceptive Implant

Levonorgestrel intrauterine system (LNG IUD)

Copper intrauterine device (IUD)

Female sterilization

Vasectomy

Injectables

Combined oral contraceptives

Progestin-only pill

Patch

Hormonal vaginal contraceptive ring

Lactational Amenorrhea

Diaphragm or cervical cap

Sponge

Male condom

Female condom

Spermicides

Fertility awareness-based methods

Withdrawal

Emergency Contraception

Copper IUD

Emergency contraceptive pills

Medical devices used to prevent pregnancy include intrauterine devices or subdermal implants. The intrauterine device may or may not contain progesterone, and the subdermal implants all contain progesterone. These devices are commonly referred to as Long Acting Reversible Contraceptives or LARCs. The failure rate associated with the various forms of devices is less than 1 woman per 100 women per year making them the most effective form of contraception available, rates that are considered better than surgical sterilization. There are few absolute contraindications and relate to uterine anatomic defects or allergy to the medication. Contraceptive procedures involve surgical sterilization of the male and or female. The least invasive is a vasectomy, and then tubal occlusion methods follow. Hysteroscopic sterilization is no longer a practiced method at this time. Procedures are intended to be permanent although surgical reversals are possible. Failure rates are slightly higher than LARC methods but still, less than 1 woman per 100 women per year fails these surgical procedures.

The injectable currently on the market is a progesterone only, it does not have an estrogen component and many times results in irregular bleeding. Progesterone only forms alter cervical mucus and endometrial lining preventing conception. The injections are every 12 week and the failure rate is 6 women per 100 women per year. 

The medications commonly thought of for contraception include combined hormonal pills, patches, rings, and progesterone only pills. Combined oral contraceptive pills are monophasic, biphasic and triphasic. They are dispensed monthly, quarterly or annual medications. The common combined oral contraceptive pill mimics the menstrual cycle, 21-24 days of estrogen and progesterone to suppress ovulation, alter cervical mucus and the endometrial lining preventing pregnancy and 5-7 days of placebo resulting in an observed menses. Continuous contraceptive pills use an 84-day continuous exposure of active phase pills and 7 days of placebo, or 365 days of active pills. These forms are equally efficacious and share failure rates regardless of the format. The combined hormonal patch and contraceptive ring offer a different entry point for the medication avoiding first pass effect and decreasing some side effects. The patch is changed weekly with a placebo week to mimic routine menses. The vaginal ring inserts for 3 weeks then removed for a placebo week to mimic menses. These formulations all provide the same failure rates of 9 per 100 women per year. A complete medical history and physical should be performed before starting any form of contraception as there may be relative and absolute contraindications. The CDC offers a medical eligibility criteria for contraceptive use based on the chosen form of contraception and patient medical conditions and is easily accessed by physicians and patients.

-Hum well if it is in order the first one must be the best one but even if this website looks legit I would ask a professional just to be sure do you want me to ask our family doctor we can probably figure something out before you go back to New York I know you do not want your mother to know about it so we can do it this way I'm not really able to help since... well Anthony and I are trying to have children (giggles)

-I would appreciate it thank you Helena I love you I said hugging her this situation was scaring me since it was new to me and I saw too many girls getting pregnant because they just didn't know better I'm not ready to be a mother and I know that Ace isn't ready either 

Ace came back 30 or 40 minutes later but talking sweet nothing with Helena made me forget about the time after a quick kiss he climbed up the stairs toward the bathroom just thinking about the bathroom made me blush seeing Helena laugh maybe thinking I was getting shy because of the kiss... I won't explain myself it's better to keep some things private

2 weeks passed by in a flash Helena did as promised and I was able to meet their doctor I must say this female doctor was really good and knew what she was talking about she didn't make me feel like a pariah or anything I knew some doctors did not shy away from giving a judgemental look one of my friend I had when I was 16 got pregnant and she came out of the doctor office crying after a check-up it was not enough that her parents were really angry and threw her out of the house the doctor had to be a fucking dick and say that girl her age should just stick to playing house instead of thinking about sex... what a jerk at least after we complain to the school he was fired good riddance if you ask me

We had been on the plane for 2 hours already when my phone began to ring the special ringtone I had put in for Emily started playing "I'll be there for you, when the rain starts to pour. I'll be there for you, like I've been there before. I'll be there for you, 'cause you're there for me too." which made Ace laugh

-Shut up we watch every episode of the series together it's our song I said to Ace with my pouting face

-Oh is this the famous Emily i can't wait to meet her said Ace after he stopped laughing 

-HI I MISSED YOU, LICIA I'm back I just got out of the airport say do you want to pick me up 

-Hi I missed you too Emmy unfortunately I'm not in New York right now I can't pick you up 

-What... your lying stop joking with me and come pick me up bitch she said in a joking tone

-Haha I'm not joking bitch I'm with my boyfriend right now and we are coming back to New York as we speak ill be there tomorrow we can meet then

-WAIT WAIT WAIT WAIT WAAAIITT you who had never traveled is one day away from New York and with A BOYFRIEND what is happening right now I must be dreaming ... yes this is it I'm sleeping on the plane dreaming about you '' SLAP'' shit I'm not dreaming 

-Did you just slap yourself hahaha your as crazy as ever I said laughing my ass off just imagining the scene

-I still don't believe you is he beside you right now tell him to say something

-Alright ... '' Ace, say something she doesn't believe that I have a boyfriend'' -Humm she is a Monica so that makes you a Rachel right Ace teased me before taking my phone

-Hi Emily I heard a lot about you but that you don't believe your best friend tsk tsk tsk that's not really nice of you... I'm kidding sorry for kidnapping your bestie like this you can visit us I'm sure Alicia would love to have you for dinner tomorrow night, talk about it with her I'm giving her back the phone, Bye

-aaaahhh... eeeehhh yes yes thank you said a shocked Emily. Ace gave me my phone back before taking me in his arms and making me sit on his lap which made me yelp 

-Stop this don't scare me like that dummy I said before bringing my phone back to my ear i waited for her to say something but after 10 seconds there were still no sounds coming out of the speaker

-Emmy are you still there ...EMMY

-AH sorry Licia I was so shocked i reconnected for a bit what the fuck happen these last 2 months... girl we need to talk 

-Hmm hehe yes we need to talk but now ill need to hangup because Ace told me we are about to enter a zone where my phone could interfere with the plane navigation anyway free your schedule for tomorrow night bye-bye love you Muah I said hanging up before she could say anything I turn off my phone to make sure she wouldn't call back humph it's my turn to tease her hehehe

-You are such a bad girl said Ace before starting to kiss my neck 

-KYAH stop this you big bad wolf 

-Not a Chance he said before he princess carried me into the jet bedroom