1. P UTTING IT A LL T OGETHER : P ROTECTING Y OUR S EXUAL AND R EPRODUCTIVE H EALTH S ESSION O NE Chatham County Public Health Department Community and Family Health Connections Division Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Jr. Health Director www.chathamnc.org/publichealth This presentation adapted from “Successfully Teaching Middle and High School Health” developed by the North Carolina School Health Training Center for use in Chatham County School’s by the Chatham County Public Health Department.

2. STD or STI?

3. S EXUALLY T RANSMITTED I NFECTIONS (STI)

4. W HO I S S AFE ? Who do you think is at risk of getting an STI? Describe them. Who do you think is NOT at risk of getting an STI? Describe them.

5. W HO I S S AFE ? Life

6. W HO I S S AFE ? 12 mos. 3 mos. 6 months

7. W HO I S S AFE ? 4 wks.2 wks.1 wk.6 wks.2 wks.

8. Transmission Body fluids; Skin-to-skin genital contact All Preventable Some Treatable Equal Opportunity STI F ACTS

10. H AVE Y OU E VER …..? Had skin-to-skin genital contact with someone? Had sexual intercourse with at least one person ? Drank alcohol or used drugs before sexual intercourse? Did not use a condom during sexual intercourse? Did not use a contraceptive method before sexual intercourse? Were never taught in school about STIs, pregnancy, or HIV? Each of these behaviors puts a person at risk for getting or giving someone an STI and an unintended pregnancy.

11. B EHAVIOR R ISK S PECTRUM No Condom Multiple or Overlapping Partners Getting Tested (both you and your partners) AbstinenceConsistent Condom Use Only One Sexual Partner (who has been tested) HIGHLOW

12. H OW D O I K NOW ? Most common symptom of an STI is: ______________________________

13. COMMON STI SYMPTOMS Burning or itching Painful urination Sores or blisters Lower abdominal pain Unusual vaginal discharge (females) Discharge from the penis (males) Pain during sexual intercourse Unusual odors Remember, many STIs show no symptoms!

14. A CTIVITY

15. 1)What is it? 2)How do you get it? 3)How do you prevent it? 4)Important to note?

16. C HLAMYDIA What is it? Bacteria How do I get it? Anal, vaginal, and oral sex How do I prevent it? Abstain from sex Use condoms during vaginal, anal, and oral sex Have yourself and your partner tested regularly

17. G ONORRHEA What is it? Bacteria How do I get it? Anal, vaginal, and oral sex How do I prevent it? Abstain from sex Use condoms during vaginal, anal, and oral sex Have yourself and your partner tested regularly

18. S YPHILIS What is it? Bacteria How do I get it? Anal, vaginal, and oral sex Skin-to-skin genital contact How do I prevent it? Abstain from sex Use condoms during vaginal, anal, and oral sex Have yourself and your partner tested regularly

19. T RICHOMONIASIS What is it? Parasitic organism: Trichomonas vaginalis How do I get it? Vaginal sex How do I prevent it? Abstain from sex Use condoms during vaginal, anal, and oral sex Have yourself and your partner tested regularly

20. H ERPES o What is it? Virus (I & II) o How do I get it? Anal, vaginal, and oral sex Skin-to-skin genital contact How do I prevent it? Abstain from sex Use condoms during vaginal, anal, and oral sex Have yourself and your partner tested regularly

21. G ENITAL W ARTS /HPV What is it? Family of viruses How do I get it? Anal, vaginal, and oral sex Skin-to-skin genital contact How do I prevent it? Immunization: HPV vaccine Abstain from sex Use condoms during vaginal, anal, and oral sex Have yourself and your partner tested regularly

22. H EPATITIS B What is it? Virus How do I get it? Anal, vaginal, and oral sex Sharing needles Contact with infected blood How do I prevent it? Immunization: Hepatitis B vaccine Abstain from sex Use condoms during vaginal, anal, and oral sex Have yourself and your partner tested regularly Do not share needles

23. HIV AND AIDS What’s the difference?

24. HIV AND AIDS What is it? Virus and syndrome How do I get it? Anal or vaginal sex Blood, semen (pre-cum), vaginal fluids, breast milk Tattoos, sharing needles Contact with infected blood How do I prevent it? Abstain from sex Use condoms during vaginal and anal sex Have yourself and your partner tested regularly Not sharing needles Myth or Fact?

25. S EXUALLY T RANSMITTED I NFECTIONS (STI) HIV/AIDS Genital Herpes ChlamydiaSyphilisGonorrheaTrichomoniasis NON-CURABLE CURABLE Genital Warts HPV Hepatitis B

26. B EHAVIOR R ISK S PECTRUM No Condom Multiple +/or Concurrent Partners Getting Tested (both you and your partners) AbstinenceConsistent Condom Use Only One Sexual Partner (who has been tested) HIGHLOW

27. W HAT C AN I D O T O P ROTECT M YSELF ? The FIVE Ps: 1. Partners 2. Pregnancy Prevention 3. STI Protection 4. Practices 5. STI Past History

28. M ALE C ONDOMS

29. H OW T O U SE A M ALE C ONDOM Open new condom package with hands (not scissors or teeth) Take out condom. There is a correct and an incorrect way to put on a condom. Check to see which direction the condom will roll before contacting the penis. Pinch the tip of the condom. Roll the condom down to the base of the penis. Be sure to leave a reservoir at the tip (space should be left at the tip to hold the ejaculated semen). After ejaculation has occurred, be sure to hold the base of the condom to prevent spilling any semen while withdrawing from the partner's body. Unroll the condom from the penis. Throw used condom away.

30. D ENTAL D AMS

31. F EMALE C ONDOMS

32. Can be inserted up to 8 hours before intercourse Provides protection against STIs Made of polyurethane

33. T HANK YOU !