SELF AWARENESS SEXUALLY TRANSMITTED INFECTIONS/DISEASES (STD/STI) SANTA MONICA COLLEGE HEALTH SERVICES SELF AWARENESS PERSONAL HEALTH AND WELLBEING SEXUAL AWARENESS SEXUALLY TRANSMITTED DISEASES DRUGS AFFECT ON SEXUAL CONDUCT PERSONAL HEALTH AND WELLBEING GOOD HYGIENE HEALTHY DIET Hand washing and cleaning your genitals with soap and water. Balanced meals consisting of fruits, veggies, carbohydrates and protein. EXERCISE 30 minutes a day of moderately intense activities that give a cardio workout. SEXUAL AWARENESS Know your body Understand the normal flora of your body. 1. Do self breast exams 2. Do testicular exams 3. Know the normal condition of the vagina and penis. 4. Perform an annual pap smear and pelvic exam SEXUAL AWARENESS KNOW YOUR BODY BSE (Breast Self Exam) BSE helps familiarize you with the normal look and feel of your breasts. This knowledge enables you to identify any changes that may require immediate follow up with your primary Physician or Gynecologist. It is recommended that a monthly BSE be done immediately post your menses. You can perform your BSE while lying down, standing or sitting in front of a mirror or in the shower. SEXUAL AWARENESS KNOW YOUR BODY There are 3 patterns to choose from for BSE 1. The up and down method 2. The circle/circular method 3. The wedge method SEXUAL AWARENESS KNOW YOUR BODY Lie on your back, put your right arm behind your head, using the pads of your left hand fingers, press lightly, then with medium intensity and finally firmly on the breast tissue using one of the patterns. Cover the entire breast and armpit region. Checking for lumps or thickening. Repeat for the left breast. Examine each underarm with your arms slightly raised. In front of a mirror with your hands firmly on your hips examine your breast for changes in texture, contour or size. Examine your nipples for any discharge or discoloration or any abnormality. SEXUAL AWARENESS KNOW YOUR BODY Self Testicular Exam (TSE) TSE is best done post a warm shower as this relaxes the scrotal muscles. Slowly roll each testicle between thumb and forefinger applying slight pressure. Check for hard painless lumps or any changes in color, contour, texture and size. Examine your epididymis for lumps. Located behind each testicle. Examine your vas (the sperm carrying duct that runs up from the epididymis). Perform test on both testicles. SEXUAL AWARENESS KNOW YOUR BODY Testicular Self Exam (TSE) Sexually Transmitted Infections/Diseases (STI, STD) Types 1. Bacterial These are treatable with early diagnosis. 2. Viral These may or may not be treatable. They do stay in your system for life. 3. Parasitic These are caused by little creatures that inhabit either your skin or hair in and around the genitals. Sexually Transmitted Infections/Diseases Bacterial Chlamydia Gonorrhea Syphilis Viral Parasitic Scabies Crabs Genital Warts Herpes HIV Hepatitis B Bacterial Sexually Transmitted Infections/Diseases Chlamydia: can be acquired from having vaginal, anal (rectal) or oral sex with someone who has Chlamydia. Men have white or clear watery drip from the penis and burning with urination. Women may have burning with urination, milky, white or yellow discharge. Symptoms may come and go usually starting one week to three weeks post exposure to an infected individual. Some individuals may not have any symptoms at all and are unaware that they are infected yet they can still give Chlamydia to anyone they have sex with. If not treated it can lead to infertility, PID or also known as pelvic inflammatory disease and damage to reproductive organs. Bacterial Sexually Transmitted Infections/Diseases Gonorrhea: White, yellow or green drip from your penis, vagina or anus. Burning or pain with urination. Frequent urination. Women could be asymptomatic. Symptoms may come and go and appear two days to a few weeks after having sex with someone who has gonorrhea. Complications include PID, infertility, heart problems, blindness. Sexually Transmitted Infections/Diseases Bacterial Syphilis: Has four stages: Primary: A painless sore on or around your penis, vagina, mouth or anus usually starting one week to three months post exposure with someone who has syphilis. Later the sore disappears. Secondary: Body rash, hair loss, swollen glands and fever. Latent: No symptom Tertiary: Damage to the cardiovascular and neurological system and various organs of the body. SEXUALLY TRANSMITED INFECTIONS/DISEASES PRIMARY & SECONDARY SYPHILIS Sexually Transmitted Infections/Diseases Parasitic Scabies: Spread by skin to skin contact during sex. Tiny red bumps appear anywhere on the body armpits, buttocks, hands, around the penis and vagina, where mites crawl under skin and lay eggs. Intense itching especially at night. Skin infection from scratching. Takes about 2-6 weeks post exposure for symptoms to occur. Condoms are not effective. SEXUALLY TRANSMITTED INFECTIONS/DISEASES SCABIES INFECTION Sexually Transmitted Infections/Diseases Parasitic: Crabs (pubic lice): Tiny bugs found in the hair around the penis, vagina, underarm or face. Spread by skin to skin contact, or sharing sheets, towels or clothing. Seen as red brown dots or tiny white crab eggs in the hairs or blue spots on the skin where crabs have bitten. Complications are similar to scabies. Condoms are not effective. Sexually Transmitted Infections/Diseases Viral Genital Warts: Over 40 types Small, fleshy, raised or flat bumps, cauliflower type bumps can be located on the penis, anus, scrotum, thighs, mouth, vagina and cervix. Bumps are usually painless. May be seen a few weeks or months post exposure. Condoms are not effective if warts are outside of area covered. Complications include cervical cancer, recurring infections, HPV has no treatment but symptoms can be controlled. SEXUALLY TRANSMITTED INFECTIONS/DISEASES GENITAL WARTS ON A PENIS Sexually Transmitted Infections/Diseases Viral: Herpes: Small painful blisters around the penis, anus, vagina or mouth visible two days to a few weeks post exposure. HSV-1, HSV-2 and Herpes Zoster. Condoms not effective if sores outside of covered area. Herpes can not be cured and can be passed on even when sores are not present. Complications include recurring breakouts 3-4 times a year, herpes encephalitis and meningitis. SEXUALLY TRANSMITTED INFECTIONS/DISEASES FEMALE AND MALE GENITALIA WITH HERPES INFECTION (HSV 2) Sexually Transmitted Infections/Diseases Viral HIV ( Human Immunodeficiency Virus): Transmission via blood, semen or vaginal fluid. Initial symptoms could be fever, fatigue, rash, headache, lymph glands swelling, nausea, vomiting and or night sweats. Complications include multi system failure, opportunistic infections and death. Blood test identifies the antibodies that define the HIV positive status of an individual. An individual could be HIV + for a very long time before they convert to an AIDS (Acquired Immune Deficiency Syndrome) patient. Sexually Transmitted Infections/Diseases Viral Hepatitis B: Inflammation of the liver caused by Hep B virus. The virus is found In the blood, semen and vaginal fluid. Acquired through sex, sharing of needles, bodypiercing or tattoos or by sharing personal items such as razor blades or tooth brushes. Symptoms could be flu like, yellow skin (jaundice), yellow eyes or dark urine two to three months after contact with someone who has hepatitis B. Complications include permanent liver damage or cirrhosis of the liver and tumors. Sexually Transmitted Infections/Diseases Prevention and Care Condoms for oral, anal and vaginal sex. Stick to monogamous relationships. Get screened for STD’s on a yearly basis or every six months if you have sex with multiple partners. Use dental dams. Do not feel pressured to perform any sexual act that you are uncomfortable with. Do not indulge in sexual activities if you suspect you have an STD. Abstinence is a choice and a good option. Inform your partner. Do not share personal items like needles, razors, toothbrushes etc. Seek medical advice and help as soon as possible. Get your pap test and pelvic exams done on a yearly bases. Do self exams to determine abnormalities. Men do your self testicular exams and look out for any abnormal bumps, skin rash, penile discharge, swelling and or burning with urination. CDC NATIONAL STD HOTLINE: 1 800 227 8922. LA COUNTY STD HOTLINE 1 800 758 0880 Drugs Affect on Sexual Conduct When drugs and sex are mixed the result is an increase in sexually transmitted diseases (STD), molestations, sexual assaults, rape and unwanted pregnancies. Drugs in general affect perception, reaction time, feelings, mood etc. Alcohol lowers your reserve and allows you to take risks you would otherwise not have taken if you were not under the influence. Marijuana alters your reaction time and slows down your perception of everything around you while giving you a false feeling of calmness and relaxation. Some drugs can be slipped into your drinks while you are unaware e.g. Rohypnol, Ketamine and ecstasy. These drugs are used either to subdue or sedate persons to allow for sexual assaults, rape and molestations. Drugs Affect On Sexual Conduct Drugs Affect On Sexual Conduct Rohypnol: potent fast acting sedative. It takes 20-30 minutes for the drug effects to occur post ingestion. The drug causes drowsiness, confusion, impaired motor skills, dizziness, disinhibition, impaired judgement, and reduced levels of consciousness. It is most commonly found in tablet form. When slipped in a drink, the pill dissolves and becomes invisible. Street Names: Ruffies, Roofies, Rophies, Roches, Roaches, La Rochas, Rope, Rib, Forget Pill, Poor Man’s Quaalude, Whitey’s, Trip and Fall, Mind Erasers, Mexican Valium, Lunch Money. Drugs Affect On Sexual Conduct Ketamine: It’s a dissociative general anesthetic. Contains hypnotic, stimulant, and hallucinogenic properties. Causes/produces dizziness, confusion, disorientation, agitation, impaired motor skills, amnesia depression, high blood pressure, and respiratory failure. It comes in liquid (slipped in drinks) or powder form (snorted). It is primarily used by veterinarians to anaesthetize animals. It is used to sedate or incapacitate people for the purpose of sexually assaulting them. Street Names: Special K, K, Vitamin K, Blackhole, Bump, Jet, K-Hole, Kit Kat, Psychedelic Heroin, Purple. Drugs Affect On Sexual Conduct Ketamine: It’s a dissociative general anesthetic. Contains hypnotic, stimulant, and hallucinogenic properties. Causes/produces dizziness, confusion, disorientation, agitation, impaired motor skills, amnesia depression, high blood pressure, and respiratory failure. It comes in liquid (slipped in drinks) or powder form (snorted). It is primarily used by veterinarians to anaesthetize animals. It is used to sedate or incapacitate people for the purpose of sexually assaulting them. Street Names: Special K, K, Vitamin K, Blackhole, Bump, Jet, K- Hole, Kit Kat, Psychedelic Heroin, Purple. Drugs Affect On Sexual Conduct Ecstasy: Toxic stimulant and hallucinogenic drug. Increases Street Names: M&Ms, Adam, CK, Clarity, Lover’s pulse, blood pressure and body temperature. It enhances ones sense of touch, positive feelings towards others friend or foe, produces extreme relaxation, involuntary teeth grinding, muscle spasms, chills, sweating, blurred vision, loss of consciousness, strokes and seizures. The most dangerous effect is hyperthermia. Death results from heat stroke or heart failure. Speed, Hug drug, X-TC, E, X Drugs Affect On Sexual Conduct GBH: Acts as a depressant on the central nervous system. Effects felt 15 minutes after ingestion. Causes dizziness, nausea, vomiting, confusion, seizures, respiratory depression and intense drowsiness. In some cases unconsciousness or coma can occur. It is mostly commonly made in a clear liquid form that is colorless and odorless, although it has a slightly salty taste. Street Names: Grievous Bodily Harm (GBH), Liquid X, Liquid E, Liquid Ecstasy, Easy Lay, G, VitaG, G-Juice, Georgia Home Boy, Great Hormones, Somatomax, Bedtime Scoop, Soap, Gook, Gamma 10, and Energy Drink. Drugs Affect On Sexual Conduct THE QUESTION FOR YOU THEN IS : HOW LONG DO YOU WANT TO LIVE? 2. WHAT PRICE ARE YOU WILLING TO PAY FOR A FEW MINUTES TO HOURS OF EUPHORIA? 3. WHAT VALUE HAVE YOU PLACED ON YOUR LIFE. REMEMBER, THE CHOICE IS YOURS !!!! 1.