Sexuality/Reproduction CALM Summer 2015

Transcription

1 Female Reproduction Sexuality/Reproduction CALM Summer 2015 Male Reproduction Reproduction 1

2 About Sex How to use a condom Set Limits Think about how far you want to go and set your limits. Don t do anything you don t want to do. Use assertive communication. Make sure your partner knows how you feel and is willing to respect the limits you set. Prevent Pregnancy Talk to your partner before you have sex about birth control and choose an effective method that you will use every time you have sex. Protect yourself and your partner If you or your partner has had sex before, get tested for sexually transmitted infections (STI). Use a condom every time you engage in sexual activity. I don t think I m ready for sex. Now what? SAY NO! You have the right to say NOto sex and should not feel guilty about your decision. Saying NO has many advantages. You don t have to worry about unintended pregnancies or STI. You have more time to think about your relationship with your partner. 1. Use a new condom every time you have sex. Keep condoms away from heat (e.g. your pocket) and sunlight. 2. Check the expiration date. 3. Carefully open the condom package. Handle the condom gently. Watch out for fingernails and jewellery! 4. Unroll the condom a little and hold it by pinching the tip of the condom to squeeze out the air. (If it doesn t unroll it may be inside out start with a new condom) 5. Hold the condom oh the tip of the erect penis (still pinching the end) and with the other hand, roll the condom all the way to the base of the penis. 6. Pull the penis out immediately after ejaculation by holding the base of the condom first. Gently pull the condom off of the penis, being careful that the fluid inside doesn't spill out. 7. The condom should be removed away from one s partner. 8. Twist the top of the condom and tie it in a knot if possible, before throwing it in the garbage not the toilet. Sexually Transmitted Infections Overview Definition of STIs: What are they? Transmission: How are they spread? Types of infection: Bacterial (Chlamydia, LGV, Gonorrhea, Syphilis) Viral (HSV, Hepatitis B, HIV, HPV) Parasitic (Pubic lice, scabies, trichomoniasis) Prevention: How can I protect myself? Testing: Where can I go for help? 2

3 Sexually Transmitted Infections Infections that are most commonly passed through sexual contact: Oral Vaginal Anal Skin-to-skin Transmission In order for transmission to occur, it is necessary to have: A bodily fluid containing the infection A way of spreading it from one person to another Body Fluids Semen Vaginal fluid Blood Fluid in sores or blisters Saliva Urine Methods of Transmission Sexual transmission Genital-anal, genital-genital, oral-genital Skin-to-skin Kissing Mixture of infectious body fluids ] Blood Semen Vaginal secretion Saliva Sharing of needles/ drug paraphernalia Mother to child- Pregnancy Infestations Scabies Lice 3

4 High Risk- Transmission Sexual Intercourse vaginal anal oral Blood-to-blood contact Sharing needles or other drug-use equipment Tattoo or body piercing Infected mother to her baby Bacterial Bacterial STI s include Chlamydia, LGV, gonorrhea & syphilis Can be treated and cured with antibiotics Untreated infection can cause PID, infertility, & epididymitis Viral Viral STI s include HPV, HIV, Herpes, & Hepatitis B There is NO cure Medication available to treat symptoms only Can pass onto others for the rest of your life Chlamydia The most common bacterial STI Greatest number of infections found in people 15 to 24 years old Untreated, it can affect the cervix and urethra, and occasionally the rectum, throat and eye 50% have NO symptoms - men and women Can be treated with antibiotics 4

5 Gonorrhea The 2nd most common bacterial STI Most common in people aged 15 to 29 Can affect the cervix, urethra, rectum, throat, and occasionally the eyes Can be treated with antibiotics Often NO symptoms, especially in females Signs/Symptoms Female Increased vaginal discharge Painful urination Lower abdominal pain Bleeding after sex and between periods Pain during sex Sings/Symptoms Male Thick, yellowish-green discharge from penis Painful urination Testicular pain or swelling Rectal pain, discharge or itching Syphilis A bacterial infection that progresses in stages Primary: (3 days 3 months) starts as a small, painless sore called a chancre; goes away on it s own Secondary: (2 24 weeks) rash on the body, palms of hands & soles of feet, hair loss, feeling sick Latent: lesions or rashes can recur 5

6 Complications Untreated syphilis may lead to tertiary syphilis, which can damage: The cardiovascular system (heart & blood vessels) The neurological system Other major organs of the body Complications may lead to death Genital Herpes Two types: HSV-1, causing cold sores, and HSV-2, causing genital herpes Viral infection Causes outbreaks of painful sores/blisters Spread through direct vaginal, oral, or anal sexual contact with an infected partner Transmitted through oral sex from partner with a history of cold sores Symptoms can be treated NO CURE The only thing that lasts longer than love Is herpes Ms. Lis Sings/Symptoms Prior to an outbreak Person may feel tingling or burning sensation at the site of viral entry Painful sores (external or internal) Inflammation/redness Fever Muscular pain Tender lymph nodes Immune system in action 6

7 Hepatitis B Virus that attacks the liver Most infected people (90%) naturally produce antibodies to fight the disease, but some develop chronic HBV and will carry the virus for the rest of their life Chronic infection can lead to liver damage, cirrhosis, and cancer There is NO CURE, but vaccination can prevent infection Human Papilloma Virus or HPV (Genital Warts) One of the most common STIs About 75% of people will have at least one HPV infection during their lifetime There are over 100 types of HPV Low-risk HPV types cause genital warts High-risk HPV types may cause cancer of the cervix There is NO CURE, but vaccination is available to prevent certain types of HPV HPV- Signs/Symptoms Many people with low-risk types have no symptoms Other HPV types may cause: Warts on vulva, cervix, penis, scrotum, anus or in the urethra Itchiness Discomfort and bleeding during sex HIV/AIDS HIV is a virus that destroys the immune system over time, robbing the body of its ability to fight other infections and illnesses Once the immune system is weakened, other infections occur and AIDS develops (the fatal stage of HIV infection) The virus is present in blood, semen, vaginal secretions & breast milk 7

8 Sings/Symptoms 2 to 4 weeks after exposure, some people experience mild flu-like symptoms that last a few weeks, then disappear Many people have NO symptoms until years after exposure The only way to know is to get TESTED! Pubic Lice & Scabies Infections caused by parasitic infestations Pubic lice: tiny crab-like insects that nest in pubic hair & bite their host to feed on blood Scabies: mites that burrow below the surface of the skin to lay their eggs Can live for 1 3 days on bedding, towels and clothing Treated with medicated creams & lotions Prevention Abstain from sexual intercourse (100% effective) Don t share needles or other drug-use equipment Have only 1 mutually, faithful, uninfected sexual partner Get tested before having sex Use a latex condom & spermicide When Should I Get Tested? Once you become sexually active, you need a check-up & STI testing once a year You also need an STI test if: You didn t use a condom or the condom broke Your partner has an STI Your partner is having sex with someone else You have ever injected drugs You or your partner have any STI symptoms You have been raped 8

9 Where Do I Go? Parents Health Teacher Health Unit Clinic Family Doctor or Nurse Practitioner Walk-in-clinic Hospital Emergency Department 9