So we are using the same terms to describe the same things, we need to have a brief discussion about… SEXUAL ACTIVITIES Slang for these sexual activities: Rank in order of intimacy: Vaginal sex Holding hands Kissing Anal sex Mutual masturbation Oral sex French kissing Genital contact Identify: ◦ Which count as “Abstinence” ◦ Which count as “Sex” Rank in order of risk: Vaginal sex Holding hands Kissing Anal sex Mutual masturbation Oral sex French kissing Genital contact Write a number 1-8 next to each One is the MOST risky (spread disease) Eight is the least risky What’s being swapped? Ranked in order of risk Holding hands – whatever is on skin Kissing – whatever on the lips French kissing – whatever is on the lips or in the mouth Mutual masturbation – whatever is on skin fluids (vaginal secretions & semen) Genital contact – whatever is on the skin (vagina & penis) and fluids (vaginal secretions & semen) Oral sex – whatever is in the mouth and fluids (vaginal secretions & semen) Vaginal sex - whatever is on the skin (vagina & penis) and fluids (vaginal secretions & semen) ◦ With lubrication there are minimal tears Anal sex whatever is on the skin (anus & penis) and in the rectum, and fluids (semen) ◦ Very delicate tissue that tears very easily! Lubrication a must but doesn’t stop the tearing! ◦ Moist skin can pick up infection easily Cuts or Tears in the skin Mouth – flossing or eating food (such as potato chips) causes small, non-bleeding cuts that take several hours to heal Vagina – anything entering may produce small, non-bleeding cuts, especially of there is not lubrication Urethra – rubbing near the opening may produce small, non-bleeding cuts Rectum – anything entering produces small, non-bleeding cuts, especially of there is not lubrication Abstinence Not engaging in any sexual activity The only way to be sure you will be disease (and pregnant) free Other things you can get… For each disease, list every way it can be spread. For nasty photos of infected genitals go to: http://www.avert.org/std-pictures.htm Chlamydia Bacteria (cured by antibiotics) Infects ◦ Urethra and Rectum in both sexes ◦ Cervix in women ◦ Can also infect throat, lungs, liver and eyes Symptoms (if present): burning, unusual discharge, itching Reproductive damage (esp. women) and increases the risk of other STDs Most people have no symptoms (70% ♀ and 25% ♂) Infection happens when the bacteria comes into contact with another moist, warm area where it can survive Gonorrhea Bacteria (cured by antibiotics) Infects ◦ Urethra, Rectum, Anus, Cervix in women ◦ Can also infect throat (or eyes) Symptoms (if present): burning, unusual discharge (yellow or green) Reproductive damage (esp. women) and increases the risk of other illness Most people have no symptoms Infection happens when the bacteria comes into contact with another moist, warm area where it can survive Syphilis Bacteria (cured by antibiotics) Infects ◦ Vagina, cervix, penis, anus ◦ Mouth Symptoms (initial stage): Small, painless bumps or sores Eventually it can destroy the nervous system (this takes years) Symptoms are very slow progressing Infection happens when the bacteria comes into contact with another moist, warm area where it can survive Human Papilloma Virus (Genital Warts) Virus (no cure) ◦ Vaccine can prevent infection! ◦ Warts can be burned off Infects ◦ Skin around genitals ◦ Occasionally in the urethra, anus, vagina, cervix Symptoms (if present): pink or white lumps that grow and may block passageways Greatly increases the risk of cancer (70% of cervical cancer is caused by HPV) Most people have no symptoms Infection happens with skin to skin contact (more likely when fluids are involved) Hepatitis Virus (no cure) ◦ Vaccine available for some types Infects ◦ Blood & body fluids Symptoms (if present): mild, flu-like Liver damage Most people have no symptoms Infection happens when infected blood enters the body or when infected semen/vaginal secretions enter a cut Herpes/Cold Sore/Fever Blister Virus (no cure) ◦ Drugs can suppress blister outbreak Infect - Two types with preferences ◦ HSV2: Genitals ◦ HSV1: Mouth, lips and nose (may infect other areas) Symptoms: itching, blisters that leave open sores (outbreaks common when first infected and when stress increases) Most people have no symptoms (up to 80%) Infection happens through when there is a blister or sore) skin contact with cells that have the virus (it’s more likely Can be passed even when there are no symptoms Human Immunodeficiency Virus Acquired ImmunoDeficiency Syndrome Virus (no cure) ◦ Drugs can slow the destruction of the immune system Infects ◦ Blood & body fluids ◦ HIV takes over white blood cell and forces it to make copies of the virus Symptoms: Low white blood cells (part of the immune system that fights illness) ◦ When white blood cell count gets low the person has AIDS Most people have no symptoms for (3 to 10) years Infection happens when infected blood, semen/vaginal secretions or breast milk enters a cut in the skin Cuts or Tears in the skin Mouth – flossing or eating food (such as potato chips) causes small, non-bleeding cuts that take several hours to heal Vagina – anything entering may produce small, non-bleeding cuts, especially of there is not lubrication Urethra – rubbing near the opening may produce small, non-bleeding cuts Rectum – anything entering produces small, non-bleeding cuts, especially of there is not lubrication Abstinence Not engaging in any sexual activity The only way to be sure you will be disease (and pregnant) free What’s being swapped? Ranked in order of risk Holding hands – whatever is on skin Kissing – whatever on the lips French kissing – whatever is on the lips or in the mouth Mutual masturbation – whatever is on skin fluids (vaginal secretions & semen) Genital contact – whatever is on the skin (vagina & penis) and fluids (vaginal secretions & semen) Oral sex – whatever is in the mouth and fluids (vaginal secretions & semen) Vaginal sex - whatever is on the skin (vagina & penis) and fluids (vaginal secretions & semen) ◦ With lubrication there are minimal tears Anal sex whatever is on the skin (anus & penis) and in the rectum, and fluids (semen) ◦ Very delicate tissue that tears very easily! Lubrication a must but doesn’t stop the tearing! ◦ Moist skin can pick up infection easily