1. Sexually Transmitted Diseases

2. Statistics 1 in 4 is likely to contract an STI in their life.
2/3 of STI’s are in people under 25 years old
HPV (cause of genital warts) is present in 1 of 5 Americans over 12 years old, and in 1/3 of college women!

3. Divide into groups of two
Take a minute to answer the questions on the next slides.

4. What may they have?

5. What may they have?

6. What may they have?

7. What may they have? AIDS HPV (warts) Herpes Chlamydia Syphilis
Gonorrhea
Remember: Anyone may look normal and have any of these or more … you can not tell.

8. Main things to remember:
1. They can look normal and have many diseases
2. They actually do not know they have one or more disease.

9. Case #1
Jim has noticed that lately it burns when he urinates. Otherwise, he feels fine. He asked his girlfriend, and she said she feels fine. She tries to be careful by being on the pill and douching every time they have sex.
What could Jim have?
How could you treat it?
Why didn’t his girlfriend have symptoms?
What symptoms might she have later?

10. Case #2
Janet is 23 years old and has a boyfriend (Pat) she met on the job. Janet recently had a red rash on her arm and some problem “down there” (see photo-next slide). Fortunately, the rash went away after about a week.
What does Janet have?
Why didn’t Pat have anything unusual?
How could Janet treat this?

11. Case #2 photo

12. Case #3
John has itching in his pubic hair and hair on his head after visiting a prostitute he picked up on Aurura in Seattle.
What is John’s problem(s)?
How can it be treated?

13. Case #4 Ms. Nguyen noticed “bumps” in her genital area (see photo).
What does she have?
How can it be treated?
What can be used to cure it?

14. Case #5
Jack and Jill met at a party about 8 months ago. They are 23 & 24 years old and are thinking they want to start having sex. In the past Jack had sex with a prostitute about 7 years ago and Jill has had three other sexual partners.
What should they do to avoid getting any diseases from each other?

16. What can you do to avoid getting any diseases from each other?
Abstinence or monogamy
Be knowledgeable about risks
Many underestimate personal risks
Negative attitude toward condom use
Myth of personal invulnerability
Remain sober
Inspect yourself and your partner

17. Talking with partner about STD’s
How do you start?
E.g. “I brought something I want us to use.”
“I know this is clumsy, but the world is not as safe as it used to be, and I think we should talk about pregnancy and STD’s before we do anything.”
“I don’t know him/her well enough to talk about this.”