Condom Bingo Questions and Answers

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Condom Bingo Questions and Answers
Presenter’s Version
Taken from the University of West Florida’s Peer Education Program
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
Inform class of our location & contact information, who we are and what we do.
Say name & title
Aims to promote a respectful understanding of sexual health. Sexual Responsibility begins with values,
communication and knowledge. These values are supported by maturity, self-esteem, knowledge, selfcontrol, and healthy attitudes and behaviors. Why do you think we’re here?
o 50% of pregnancies in the United States are unplanned
o 1 in 2 sexually active young people will get an STD by 25 and most of them won’t know it
 …Speaking of maturity-This program does deal with topics related to sexual health. If this makes you
feel uncomfortable please feel free to leave at anytime. We would not want you staying through
something if it made like you were going against your morals or values. We will need your maturity
tonight!
 Raise your hand if you think everyone on campus is doin’ it
o Our latest research shows that about 20% of UWG students are abstinent
o Although most college students are sexually active we have a large percentage on this campus
that chose to refrain from sexual activity and we support them
o Maybe when those get married or chose to start having sex they can use this information to
sexually safer
 Before we go on we just need to make something clear- We are not embarrassed to talk about sex- it’s
a natural thing that is engrained in us a humans but we realize that some of you may be embarrassed
talking about it- we invite you to be open minded & talk about it with us! Just to help break the ice,
let’s all say penis 3X and Vagina 3X and for all the abstinence people- no cookie, no cookie, no cookie
 Also we are proud to serve UWG’s diverse population including those who are heterosexual,
homosexual, transgender, and questioning- so don’t be shocked!
Instructions:
 We will read the question for bingo & they will match the word that they think is the answer. Ask
someone from the class to answer & then discuss it. Warn the class that after each answer discussion
will follow in order to inform them on sexual health issues.
 The class can pick how they want to claim a ‘winner’ (diagonal, 4 corners, edges etc.)
1. What is the Primary symptom of syphilis?
a.
Chancre (pronounced Shanker) – A chancre is a sore, usually painless, that occurs in the first
stage of syphilis around three weeks after exposure to syphilis. The chancre usually appears on the
vagina, cervix, vulva, mouth, or penis. It can also appear on the fingertips, mouth, breast, anus, or
anywhere else you and your partner have had intimate sexual contact. Females may have trouble
noticing a chancre because it is painless and may be deep inside the vagina.
What is it?
Syphilis is a sexually transmitted infection that progresses in stages. The disease is curable and its
progression is preventable, but if untreated, it can cause heart disease, neurological problems and
blindness. Syphilis causes genital ulcers, which increase the likelihood of sexual HIV transmission.
Syphilis is passed from person to person through direct contact with a syphilis sore. Sores occur mainly
on the external genitals, vagina, anus, or in the rectum. Sores also can occur on the lips and in the
mouth. Transmission of the organism occurs during vaginal, anal, or oral sex.
Prevalence According to the Centers for Disease Control and Prevention in 2006, half of all P&S syphilis
cases were reported from 20 counties and 2 cities; and most P&S syphilis cases occurred in persons 20
to 39 years of age. The incidence of P&S syphilis was highest in women 20 to 24 years of age and in
men 35 to 39 years of age.
Symptom
Many people infected with syphilis do not have any symptoms for years, yet remain at risk for
late complications if they are not treated. Although transmission occurs from persons with sores who
are in the primary or secondary stage, many of these sores are unrecognized. Thus, transmission may
occur from persons who are unaware of their infection.
A myriad of symptoms can occur during various stages of this disease. Early symptoms can
range from a single chancre sore to a rash on the body that does not itch. Other symptoms are fever,
swollen lymph nodes, sore throat, weight loss, hair loss, muscle aches and fatigue.
Prevention
Syphilis is usually passed from person to person through direct contact with a syphilis sore. Wearing
condoms and avoiding having multiple sexual partners can help prevent the spread of syphilis. Other
preventative measures are limiting the number of sex partners, practicing sexual abstinence and
avoiding sexual contact if you think you are infected.
Treatment
A single dose of penicillin can cure someone who has had the disease less than a year. Larger doses
are needed to cure someone who has had syphilis for longer than a year. For people who are allergic to
penicillin, other antibiotics are available to treat syphilis.
2. This is an issue considered to be a sign of dating violence?
a. Isolation – often an indicator of power and control when one partner prohibits the other from
friends or family members. Some other forms of dating violence are verbal abuse, pushing,
kicking, choking, jealous behavior, threatening to hurt you or others, and forcing unwanted
sexual actions.
3. What is the slang term for gonorrhea?
a. Drip or Clap –
What is it?
Gonorrhea is caused by sexually transmitted bacteria. The bacteria that cause this disease can affect
the genital tract, mouth and rectum. Gonorrhea remains a major cause of pelvic inflammatory disease,
infertility and tubal pregnancies in women. This disease can facilitate HIV transmission.
Prevalence
An estimated 650,000 cases of gonorrhea occur each year in the United States.
Symptoms
Usually appear within 2 to 10 days after sexual contact with an infected partner. Men have symptoms
more often than women. Symptoms include bleeding associated with vaginal intercourse, a painful or
burning sensation when urinating; and/or vaginal discharge that is yellow or bloody, pus from the penis
and pain, or a burning sensation during urination that may be severe. Symptoms of rectal infection
include discharge, anal itching, and occasional painful bowel movements with fresh blood on the feces.
If left untreated, gonorrhea can cause arthritis, dermatitis, heart problems, PID. It could also be
transmitted to infants at birth.
Treatment
Health care providers usually prescribe a single dose of one of several antibiotics. However if the
infection is complicated, more than one antibiotic and hospitalization may be necessary (put in
Chlamydia as well). If you have gonorrhea, all of your sexual partners should get tested and then
treated if infected, whether or not they have symptoms of infection.
(information from www.smartersex.org)
Testing at UWG Health Services for $20 includes a urine sample test for chlamydia and gonnorhea.
4. What is a regimen of oral contraceptive pills taken up to 120 hours after unprotected
intercourse to prevent pregnancy?
a. Emergency Contraception –
What is the morning-after pill?
The morning-after pill stops you from becoming pregnant if contraception failed
or wasn't used. Although lots of people talk about the morning-after pill, this term is actually
misleading. In reality, the pill works for up to 72 hours (three days) after sex. But the earlier you take it,
the better: the morning-after pill works best if taken within 24 hours of unprotected sex. Medical
professionals will often call it the post-coital pill (PCP) or emergency contraceptive (EC).
 Plan B® One-Step is a single tablet, single dose emergency contraception - a backup
method of preventing pregnancy - and is not for routine use. It can reduce the chance of
pregnancy when taken as directed up to 72 hours (3 days) after unprotected sex (if your
regular birth control method fails, or if you've had sex without birth control).
How does it work?
The active ingredients in morning-after pills are similar to those in birth control pills, except in higher
doses. Some morning-after pills contain only one hormone, progestin (Plan B), and others contain two,
progestin and estrogen. Progestin prevents the sperm from reaching the egg and keeps a fertilized egg
from attaching to the wall of the uterus (implantation). Estrogen stops the ovaries from releasing eggs
(ovulation) that can be fertilized by sperm.
Effectiveness
According to the Food and Drug Administration, the morning-after pill is 89 percent effective in
preventing pregnancy after a single act of unprotected sex.
Side Effects
Side effects may include nausea, vomiting, abdominal pain, fatigue and headache.
Availability
Plan B is available to women 18 years and older without a prescription at most pharmacies. Women
must show proof of age to purchase Plan B. For women 17 years old and younger, Plan B is available
with a doctor's prescription. Available at drugstores and clinics with costs varying from $10 to $70.
UWG Health Services makes it available for $25.
Note:
Morning-after pills aren't the same thing as the so-called abortion pill, or mifepristone (Mifeprex).
Emergency contraceptive pills prevent pregnancy. The abortion pill terminates an established
pregnancy — one that has attached to the uterine wall and has already begun to develop. Morning
after pills will not cause an abortion.
(information from www.mayoclinic.com)
5. Where is the best place to store a condom?
a. A cool, dry place –
Condoms should be stored in a cool, dry place to reduce the likelihood that a condom will break
or fail during intercourse. Dresser drawers and night stands are ideal. Where is the worst place
to store a condom? (wallet and glove compartment)
6. What is the best kind of lubricant to use with a condom?
a. Water-based lubricant –
Types of lube
Water-Based-- This is pretty self-explanatory, water-based lubricants are composed of water
and glycerin. They can be sticky and the water tends to evaporate quickly, so make sure you
have some extra lube handy. It washes away easily with soap and water. Ex- astroglide; Slippery
Stuff Liquid Silk ,ID Lube Spit is still one of the most convenient and reliable lubricants.
Silicone-Based-- Most condoms that come already lubricated, use a silicone-based lubricant.
This type, like the water-based, is safe to use with all types of condoms, yet won't evaporate
like water does. Excellent lube for sex in water. Many popular manufactures say that silicone
lube is easily removed with soap and water. However, many people feel a residue after
washing. This can be greatly reduced by wiping excess lube from the skin before showering. Any
residue will be absorbed into your skin after a brief time. Can be used as a skin moisturizer to
soften the skin. Has been known to stain sheets.
Oil-Based-- DO NOT USE OIL-BASED LUBRICANTS WITH
LATEX CONDOMS Oil-based lubricants will break down latex condoms, thus making them prone
to breakage and ineffective. Baby oil, lotion, and Vaseline are all types of oil-based lubricants
and will eat through latex quickly. These are much slicker than other types of lubricants and will
help soften the skin. With the creation of polyurethane condoms which are not destroyed by oil
based lubricant. , oil-based lubricants have recently become more popular.
Flavored-- Flavored lubricants are a quick and easy way to spice up your sex life. Flavored
lubricants are generally water-based and some contain sugar.
Use flavored condoms for oral sex only. They can cause yeast infections if used for
vaginal intercourse
Lotions and vaginal creams should not be used with a condom. Don’t ever use sunscreen.
(information obtained from www.personallubricant.org)
7. What body fluid in women can transmit HIV?
a. Vaginal fluids, breast milk & blood –
a woman with HIV can infect a male when vaginal secretions enter the urethra through small
pores in the skin of the penis, which allows HIV to travel into the bloodstream. During oral sex,
a woman can infect the partner if the partner performing oral sex stimulation has a break in the
tissues of the mouth or gums through which bodily fluids can enter. A woman can also transmit
HIV via breast milk. Formula is recommended for HIV infected mothers.
8. What is the only sure way to know your HIV status?
a. Get tested –
The sooner an HIV-infected individual is diagnosed, the sooner that person can make
adjustments in his/her lifestyle so that the spread of HIV can be minimized. In addition, with an
earlier diagnosis of HIV, medical treatment can be initiated more quickly, and the greater the
chance that the progression of the symptoms can be treated/slowed. The tests used for HIV
are the ELISA and the Western Blot, both of which show if HIV antibodies are present.
There is a 3-6 month window of testing positive from the time of infection. Therefore it is best
to get tested every 6 months.
It is important to remember that even if you are in a ‘committed’ relationship that both
individuals get tested. Committed can mean different things to different people.
If you do test positive for HIV or any STI and don’t feel comfortable telling your partner face to
face inspot.org is a website that will send them an e-card letting them know. It can be done
without them knowing it was you.
Discuss UWG Health Center HIV testing for free
9. What kind of condom provides the best protection against STIs?
a. Latex –
What it is: Polyurethane or latex sheath that covers the penis; some come with lubricant or
spermicide added.
How it works: Placed on the penis prior to intercourse, the male condom prevents pregnancy
by blocking the passage of sperm.
Effectiveness: With perfect use, three out of 100 women (97% effectiveness) will become
pregnant within the first year of use. With typical use, 14 out of 100 (86% effectiveness) women
will become pregnant within the first year.
Benefits: Provides the best protection against STIs and HIV. Do not require a prescription, and
are inexpensive and easy to find.
Important things to consider:
 Can break and leak if not withdrawn correctly.
 Animal skin (lambskin) condoms do not prevent the transmission of HIV. They are made
from the intestinal lining of lambs. They are very porous, which can allow viruses and
bacteria to leak through.
 Latex condoms can only be used with certain types of lubricants (KY, Astrogilde, etc.) or
they will literally fall apart. Polyurethane condoms don't have the same problems.
 Polyurethane condoms are great for people who are allergic to latex.
Free condoms available in Health Services (limit of 12 per week in the pharmacy) and through
the Peer Educator’s presentations or Condom Crew cart around campus.
(information obtained from www.smartersex.org)
10.What is the primary reason that condoms fail?
a. Human error –
Human error includes using condoms past the expiration date, using petroleum based products,
and misuse of the condom, before, during, and/or after intercourse. To be effective, a condom
must be put on correctly, stay in place during intercourse, not break during use, and be
removed correctly.
11.How often does a woman need a Depo-Provera shot?
a. Every 3 months –
What is it?
Depo-Provera is an injectable progestin that is given intramuscularly in the arm or buttocks
every three months, 4 times a year. It must be administered every 11-13 weeks.
How does it work?
It inhibits ovulation and thickens cervical mucus reducing sperm penetration.
Effectiveness
It is 99.7% effective in preventing against pregnancy once you’ve had the shot the first 5 days of
your period.
Benefits
Little to no periods.
Free from thinking about birth control every day.
Things to consider
It will not prevent STIs.
Some women experience extreme side effects: Osteoporosis, acne, weight gain, moodiness.
(information obtained from www.depoprovera.com
Available at UWG Health Services for $40.
12.What is the most common viral STI?
a. HPV –
What is it?
Human papillomavirus, or HPV as it is often called, is one of the most common STIs in the
world. Health experts estimate that there are more cases of genital HPV than any other STI in
the United States. HPV sometimes causes genital warts, but, in many cases, it infects people
without causing noticeable symptoms. HPV is likely the most common STI among young,
sexually active people. There are more than 30 distinct types of HPV that can infect the genital
area. Concern about HPV has increased in recent years because some types of HPV infection
may cause cervical cancer. HPV Types 16 and 18 cause 70% of cervical cancer cases, and HPV
Types 6 and 11 cause 90% of genital warts cases (the Gardasil vaccine offers protection against
these 4 strains).
Prevalence:
An estimated 5.5 million people become infected with HPV each year in the United States, and
an estimated 20 million Americans are living with the disease at any one time.
Symptoms:
Genital warts (condylomata acuminata or venereal warts) are the most easily recognized sign of
genital HPV infection. Many people, however, have a genital HPV infection without genital
warts. Genital warts are very contagious and are spread during oral, genital, or anal sex with an
infected partner. In women, most HPV infections are asymptomatic and only picked up by a Pap
test of the cervix.
Treatment:
Genital warts often disappear even without treatment. In other cases, they eventually may
develop a fleshy, small raised growth that looks like cauliflower. There is no way to predict
whether the warts will grow or disappear. Therefore, if you suspect you have genital warts, you
should be examined and treated, if necessary. Depending on factors such as the size and
location of the genital warts, a doctor will offer you one of several ways to treat them, including
trichloroacetic acid (TCA) and various topical creams. HPV infections of the cervix, if associated
with a high-grade squamous epithelial lesion (HGSEL) of the cervix, are treated by cutting away,
freezing or otherwise destroying the abnormal cells.
Prevention:
The only way you can prevent getting an HPV infection is to avoid direct contact with the virus,
which is transmitted by skin-to-skin contact. If you or your sexual partner have warts that are
visible in the genital area, you should avoid any sexual contact until the warts are treated and
gone. Gardisil: GARDASIL is the only cervical cancer vaccine that helps protect against 4 types of
human papillomavirus (HPV): 2 types that cause 70% of cervical cancer cases, and 2 more types
that cause 90% of genital warts cases. GARDASIL is for girls and young women ages 9 to 26.
Studies have not confirmed that male latex condoms prevent transmission of HPV itself, but
results do suggest that condom use may reduce the risk of developing diseases linked to HPV,
such as genital warts and cervical cancer. Other preventative measures are limiting the number
of sex partners, practicing sexual abstinence and avoiding sexual contact if you think you are
infected.
(information obtained from www.smartersex.org and www.gardasil.com)
13.What it is a Soft, flexible, transparent ring that is self-administered and provides
month-long contraceptive protection?
a. Vaginal ring –
What is it?
A comfortable, flexible contraceptive ring that is about two inches in diameter is used to
prevent pregnancy. Ex- Nueva ring
How does it work?
is inserted into the vagina and is designed to release hormones each day for 21 days. The ring
should not be taken out for more than three hours. Contains two types of hormones, estrogen
and progestin (just like the pill), that prevent your ovaries from producing mature eggs.
Effectiveness
Studies indicate that the vaginal ring is 99% percent effective.
Benefits
Highly effective, administered only once a month, offers privacy.
Things to consider
It does not effectively prevent against STIs and HIV. Some women may not like inserting ring
themselves. Intercourse can occur with the ring in place, without the user or partner taking
notice of the ring. Some women may have side effects including mood changes, acne,
headache, breast tenderness, and nausea.
Nuva Ring available in Health Services for $60.
14.What is the primary reason pregnancy can occur even when the man doesn’t ejaculate
inside his partner?
a. Pre-ejaculatory fluid –
it contains sperm (in minimal amounts)!
15.What do we call Acquired Immune Deficiency Syndrome?
a. AIDS –
What is it?
AIDS is caused by a virus (HIV) that attacks the T-helper cells (a type of white blood cell) or
lymphocytes that cause the victim to lose the ability to fight off various infections. A person is
diagnosed with AIDS when their T-cell count is below 200 (a normal T-cell count is 5,00010,000). People with AIDS don’t die from AIDS. They die from an opportunistic infection such
as pneumonia or cancer because of the impaired function of the immune system.
Prevalence
 In the U.S., in the last 20 years, more than 700,000 cases of AIDS have been reported to
the Centers for Disease Control and Prevention (CDC).
 There have been 28,665 cases of AIDS reported for people in the United States aged 2024
Treatment
There is currently no cure for HIV/AIDS although there are a variety of new treatments and
medication cocktails that help people manage the disease and maintain their normal life
activities.
(information obtained from www.smartersex.org)
16.When should a condom be put on?
a. Before any sexual contact –
A condom should be put on before any sexual contact because early application is particularly
important in preventing sexually transmitted infections and lessens the chance of preejaculatory fluid contact. This includes oral, anal, & vaginal sex.
17.What is one question everyone needs to ask prospective sex partners?
a. How many partners have you had? –
- If you are uncomfortable discussing this or if you are uncomfortable discussing anything
having to do with intimate acts, then it is best to wait until you are sure that you are ready and
comfortable.
-When you have sex with someone (oral and/or vaginal/anal), you are “sleeping” with EVERY
person they have been with, EVERY person those people have been with, and so on.
18.What is a practice that you can do to protect yourself from STIs/HIV, and pregnancy?
a. Safer sex – Ask your audience their views on this issue and what it means to them. Does it
mean being abstinent? Does it mean being celibate? Does it mean using a condom? etc.
Our tips for safer sex:
 have a low number of sexual partners
 use a condom properly every time you engage in sexual activity (consistent & effective
use)
 get STI tested between each and every partner
 dental dam usage
 abstinence- talk about what this means to you and your partner
19.What contraceptive in a large soft cup is used with spermicides and is placed over the
cervix?
a. Diaphragm –
What it is:
Dome-shaped silicone or latex cup with a flexible rim.
How it works:
A woman uses spermicide to coat the inside and outer edge of the diaphragm and inserts it into her
vagina prior to intercourse; the dome of the diaphragm covers the cervix and blocks sperm.
Effectiveness:
With perfect use, six out of 100 (94% effective) women will become pregnant within the first year
of use. With typical use, 20 out of 100 (80% effective) women will become pregnant within the first
year.
Benefits:
Can be inserted up to six hours before intercourse and can stay there for up to 24 hours.
Important things to consider:
 Does not effectively protect against STIs and may increase the risk of urinary tract infections
and toxic shock syndrome.
 Latex diaphragms can only be used with certain types of lubricants or the latex will break
down and be less effective.
Cost: About $13-25 plus the cost of spermicide, and the medical exam to fit the diaphragm.
Available by prescription only.
(information obtained from www.smartersex.org)
20.What is the technical term for a condom?
a. Prophylactic
21.What is the name of the virus that causes AIDS?
a. HIV (Human Immunodeficiency Syndrome)
– People infected with HIV produce antibodies that keep the virus in check for a period of time,
but for unknown reasons the virus eventually takes over and the person then develops AIDS.
- Being HIV positive is not the same as having full-blown AIDS.
-www.hivtest.org allows you to find the nearest testing cites near where you live
22. What is it called when partners decide to wait until a later time to have sex?
a. Postponement of Abstinence/Postponement of Celibacy
23. What is the name of the latex barrier used when performing oral sex on a woman?
a. Dental Dam –
What is it?
Dental dams are small, thin, square pieces of latex or polyurethane that are used for oralvaginal or oral-anal sex. They get their name from their use in dental procedures. Dental dams
help to reduce the transmission of STIs during oral sex by acting as a barrier to vaginal and anal
secretions that contain bacteria and viruses.
Things to consider
 Be sure to ONLY use one side
 One can also use plastic wrap or saran wrap that is non-microwavable
 Use water-based lube with latex dental dams
(information obtained from Brown University health education website)
24.What is the name for kissing, touching, and oral/genital contact before intercourse?
a. Foreplay –
Genital contact, in the form of holding, stroking, rubbing, licking, or caressing heightens arousal
to a level allowing intercourse.
25.What is the screening test for cervical cancer called?
a. Pap Smear –
- The Pap smear can detect cancerous or precancerous conditions of the cervix .
-This is recommended yearly for women, starting at age 18 and for any female who is or was
sexually active (regardless of their age). The UWG health center provides this service for $60
and an appointment in advance is required.
26.What are things that make a condom more likely to break?
a. Air bubbles, oil-based lubricants, light, age, heat –
- Always check the expiration date on condoms!!!!
-Heat can damage condoms, which is why carrying them around in a walled or pocket is not an
ideal location for them.
-Oil-based lubricants can break down latex and make holes in it reducing its effectiveness.
Always use water-based lubricants such as KY Jelly or Astroglide.
-never double up/ use 2 condoms over one another for “double protection”
27.What is the part of the female anatomy that has the sole function of sexual pleasure?
a. Clitoris –
The sole function of the clitoris is sexual pleasure and is located above the urethra. It has
around 8,000 nerve endings and is highly sensitive. The part of the male that has the same
function is the penis.
28.What is the method of birth control that requires the male to pull the penis out of the
vagina before ejaculation? AKA pull and pray!
a. Withdrawal –
Slang name(s): "Pulling out." ; “Pull & Pray”
What it is:
Scientifically termed coitus interruptus, the withdrawal method is a natural response to the
discovery that ejaculation into the vagina causes pregnancy. With this method, the couple may
have penile-vaginal intercourse until ejaculation is impending, at which time the man withdraws his
penis from the vagina and away from external genitalia of his partner.
Effectiveness:
Although this method has been heavily criticized, its efficacy depends heavily on the man's ability
to withdraw prior to ejaculation and its efficacy is often compared with that of barrier methods.
Among typical users of the method, pregnancy is expected in 19 out of 100 women during the first
year of use; however, use by inexperienced men may result in greater risk of failure.
Benefits:
Some of the very distinct advantages of this method are it requires no devices or chemicals and is
available in all sexual situations. This method comes without some of the side effects associated
with some other contraceptive methods.
Important things to consider:
The major disadvantage is that there is no room for error! The man may experience the urge to
achieve deeper penetration rather than to withdraw, and some men can't tell when they are going
to ejaculate. Additionally, this method does not lower or eliminate the risk of sexually transmitted
infections.
(Information obtained from www.smartersex.org)
29.What is open-mouth, deep kissing called?
a. French kissing –
There is no evidence that HIV can be spread through saliva, but the CDC recommends not
French kissing a person who is known to be infected if there are any open mouth sores, cuts, or
bleeding in either person’s mouth.
30.What is the chance of contracting a STI from a toilet seat?
a. 0%
There is no substantial evidence to prove that you can contract an STI from a toilet seat.
31.Besides for sexual intercourse, during what other activity should a condom be worn?
a. Oral Sex and Oral Anal Sex –
Flavored condoms can be purchased for oral sex or just regular condoms used as well. Avoid
using sperimicide for condom usage during oral sex.
32.What is the form of birth control that has both a male and a female form?
a. Condom –
What it is: Polyurethane or latex sheath that covers the penis; some come with lubricant or
spermicide added. Helps prevent the contraction of STIs, HIV/AIDS, and pregnancy.
How it works: Placed on the penis prior to intercourse, the male condom prevents pregnancy
by blocking the passage of sperm.
Effectiveness: With perfect use, three out of 100 women (97% effectiveness) will become
pregnant within the first year of use. With typical use, 14 out of 100 (86% effectiveness) women
will become pregnant within the first year.
Benefits: Provides the best protection against STIs and HIV. Do not require a prescription, and
are inexpensive and easy to find.
Important things to consider:
 Can break and leak if not withdrawn correctly.
 Animal skin (lambskin) condoms do not prevent the transmission of HIV. They are made
from the intestinal lining of lambs. They are very porous, which can allow viruses and
bacteria to leak through.
 Latex condoms can only be used with certain types of lubricants (KY, Astroglide, etc.) or
they will literally fall apart. Polyurethane condoms don't have the same problems.
 Polyurethane condoms are great for people who are allergic to latex.
Free in Health Services up to 12 per week and available through Peer Educator presentations
and presence around campus.
(information obtained from www.smartersex.org)
Female Condom
What it is:
FC2 Female condoms are a soft, loose-fitting nitrile sheath, shaped like a sock with flexible
rings at each end. The condoms are lubricated and conform to the vaginal wall.
How it works:
The ring at the closed end covers the cervix and is held in place inside the vagina by the pubic
bone, while the ring at the open end remains outside the vagina covering the vulvae offering
additional protection from infection.
Effectiveness:
With perfect use, 5 out of 100 (95% effectiveness) women will become pregnant within the first
year of use. With typical use, 21 out of 100 (79% effectiveness) women will become pregnant
within the first year.
Benefits:
Can be inserted up to 8 hours before intercourse. Protects against STIs and HIV and pregnancy.
Important things to consider:
Outside ring may slide inside the vagina during intercourse. Must be removed immediately
after intercourse to prevent semen leakage.
Cost: Free at UWG Health Services and through Peer Educator presentations. About $2.50 each.
Available at drugstores or supermarkets.
33.How effective are condoms?
a. 86-97% effective.
86% is typical use (encompasses human error), and 97% is with perfect use.
34.Where is the best place to put additional lubrication?
a. On the outside of the condom –
-may also be placed on and around the female genitalia and/or anus.
-Be careful not to place too much on the penis before putting on the condom because the penis
could become too slippery and cause the condom to fall off during vaginal/anal intercourse.
35.What is the arousal of one’s own genitals to create sexual stimulation?
a. Masturbation –
- Although masturbation has a social stigma attached to it, it is a safe sexual practice.
-While most people don’t admit to masturbating, many people do it.
-Guaranteed an orgasm!
-Always be sure to wash your hands before and after.
-Clean any objects used accordingly.
36.What is desired closeness and confidential communication with another person?
a. Intimacy –
Intimacy is defined as something of a personal and private nature. Too often, people confuse sex
with intimacy. While sex achieves a certain level of physical intimacy, emotional intimacy is often a
much more significant element of a healthy relationship.
Intimacy Without Sex
Sexuality is only one form of intimacy. Non-sexual ways you can be intimate with your partner
include:
Sharing feelings:
Discuss your feelings with your partner. Talking and listening can help you both better understand
each other and may bring you closer.
Participating in common interests:
Couples that play together often stay together, so the saying goes. studying sporting activities, or
hobbies can bring couples closer together when they share interests.
Making time to be alone together:
Try taking a bath together, sharing a candlelight dinner, taking a walk, or just holding each other in
bed.
There are many additional ways of creating non-sexual intimacy. Explore various things that you
and your partner can do together to bring you closer.
37.What is the acronym for “Sex Under the Influence?”
a. SUI –
-Avoid mixing alcohol and other drugs with sexual activity. Alcohol and other drugs lessen one’s
inhibitions and clouds judgment, which may cause a person to make unsafe choices.
-Sex IS NOT considered consensual if one or both partners are under the influence of drugs and
alcohol, Therefore, it can technically be considered rape.
- In the state of Georgia, sexual assault is any type of sexual contact or behavior that occurs by
force or threat of force and without explicit consent of the recipient (can be non-penetrative).
Rape is penetration of a bodily orifice (vagina, anus or mouth) by a body part (penis, finger, or
tongue) or an object by force or threat of force without the victim’s consent. Unfortunately in
Georgia of males over age 18, forced non-consensual male on male sex is considered assault or
battery and not rape.
38. In what instance might others have trouble believing your accusations?
a. Acquaintance Rape –
People might say, “Well, if you didn’t lead him on,” or they may not believe the assault really
took place, or the victim may feel obligated to the assailant because they took them out, etc.
39.How many people in the United States have an STI?
a. 1 in 5
- 1 in 2 sexually active people will have an STD before age 25 and most won’t know it. (CDC
statistic)
-Nearly two-thirds of all STDs occur in people younger than 25 years old
-At least one in four Americans will contract an STD at some point in their lives. This is mostly in
the form of HPV & Herpes (www.coolnurse.com)
40.One in five Americans have this STI, yet at least 80 percent of those with this disease
are unaware they have it?
a. Herpes
More than 80 known viruses exist within the herpes family. Of these, eight are known to cause disease in
humans, the most common being herpes simplex virus 1 and 2. HSV-1 and HSV-2 look identical under the
microscope, and either type can infect the mouth or genitals. Usually, however, HSV-1 occurs above the
waist and HSV-2 below the waist. Herpes simplex virus 1 (HSV-1) commonly causes cold sores or fever
blisters, which are highly infectious open sores that crust over before healing. Although less probable,
HSV-1 can also cause genital herpes. Herpes simplex virus 2 (HSV-2), on the other hand, is a contagious
viral infection primarily causing genital herpes in men and women. Once contracted, herpes is a lifelong
disease.
Prevalence: More than one in five Americans - 45 million people - are infected with genital herpes.
Symptoms: Recurrent painful ulcers are a common symptom of herpes. Most people with herpes have no
symptoms and are unaware of their infection. The telltale signs and symptoms of genital herpes include
recurrent clusters of blisters, bumps and rashes in the genital areas. Blister "flares" are unpredictable and
have been attributed to everything from stress to certain types of food to exposure to sunlight
Treatment: Unfortunately, there is no cure for genital herpes - once you have it, you have it for life.
Researchers are working on many fronts that may lead to improved diagnosis and better ways to manage
the disease. Meanwhile, some prescription drugs and various therapeutic methods have been proven
effective in reducing the frequency, severity and duration of outbreaks.
Prevention: If someone has signs of genital herpes, avoid skin-to-skin contact until all of the sores have
healed. If someone has cold sores around the mouth (oral herpes), avoid oral sex until the sores have
healed. Avoid sharing a drinking cup, cigarette, or lipstick while you have a cold sore. There is some
evidence that the virus is still present in saliva and body fluids even when sores have healed, so in general,
it is safest to use a condom or dental dam if you or your partner is infected - even if they aren't in "flare."
Other preventative measures are limiting the number of sex partners, practicing sexual abstinence and
avoiding sexual contact if you think you are infected.
(www.smartersex.org)
Testing is $12 at UWG Health Center with a simple blood draw.
41.What is a disease that can develop if Chlamydia, Gonorrhea, and/or bacterial vaginosis
are not treated?
a.
Pelvic inflammatory disease (PID) –
Pelvic inflammatory disease (PID) is a general term that refers to infection of the uterus (womb), fallopian
tubes (tubes that carry eggs from the ovaries to the uterus) and other reproductive organs. PID can lead to
serious consequences including infertility, ectopic pregnancy (a pregnancy in the fallopian tube or
elsewhere outside of the womb), abscess formation, and chronic pelvic pain.
Prevalence:
it is estimated that more than 1 million women experience an episode of acute PID. More than 100,000
women become infertile each year as a result of PID, and a large proportion of the ectopic pregnancies
occurring every year are due to the consequences of PID.
Symptoms:
Symptoms of PID vary from none to severe. When PID is caused by chlamydial infection, a woman may
experience mild symptoms or no symptoms at all, while serious damage is being done to her reproductive
organs. Because of vague symptoms, PID goes unrecognized by women and their health care providers
about two thirds of the time. Women who have symptoms of PID most commonly have lower abdominal
pain. Other signs and symptoms include fever, unusual vaginal discharge that may have a foul odor, painful
intercourse, painful urination, irregular menstrual bleeding, and pain in the right upper abdomen (rare).
Treatment:
PID can be cured with several types of antibiotics. A health care provider will determine and prescribe the
best therapy. However, antibiotic treatment does not reverse any damage that has already occurred to the
reproductive organs.
Prevention:
-Don’t douche
-Be abstinent/celibate
-Get tested yearly (if sexually active)
(www.cdc.gov)
42. What is the time period called when one may have been exposed to HIV and when it may actually
show up positive in an antibody test?
a. Window Period - The "window period" is the time it takes for a person who has been infected
with HIV to seroconvert (test positive) for HIV antibodies.
The Centers for Disease Control (CDC) says about the window period:
"Antibodies generally appear within three months after infection with HIV, but may take up to
six months in some persons."
This CDC definition of a three to six month window period has been commonly used for a
number of years and is most often used.
What does this mean for you?
The three month window period is normal for most of the population. Many people will have
detectable antibodies in three or four weeks. Very, very rarely (i.e., only a few cases ever), a
person could take six months to produce antibodies.
You may be anxious to be tested soon after an encounter which you perceive to be risky (and in
many cases, the encounter actually isn't risky). You want to know: can I be antibody tested
without waiting three months? How accurate is the test after, say, six weeks?
Unfortunately, they don't know.
Think about this: if you got a negative test at six weeks, would you believe it? Would it make
you less anxious? If so, go for it. But to be certain, you will need to be tested again at three
months.
You may have "heard" that AIDS/HIV can take years to be detectable. Here's the clarification:
AIDS, or the clinical symptoms that define it, takes many years to develop after exposure. HIV -the virus that causes AIDS -- is usually detectable within three months after exposure, and does
not cause symptoms in most people.
43.What is considered a "silent" epidemic of sorts because three quarters of women and
half of men with the disease have no symptoms?
a. Chlamydia
The most commonly reported infectious disease in the United States, chlamydia, also classifies as one of
the most dangerous sexually transmitted infections among women today. The disease is particularly
common among teens and young adults. Genital chlamydia is the leading cause of preventable infertility
and ectopic pregnancy, which occurs when the fertilized egg implants in tissue outside of the uterus and
the placenta and fetus begin to develop there. Because many chlamydia infections are asymptomatic and
probably chronic, widespread screening with appropriate treatment is necessary to control this infection.
Prevalence:
An estimated three million people contract chlamydia each year.
Symptoms
: Chlamydia can be considered a "silent" epidemic of sorts because three quarters of women and half of
men with the disease have no symptoms. Possible symptoms include discharge from the penis or vagina
and a burning sensation when urinating. Additional symptoms for women include lower abdominal pain or
pain during intercourse and bleeding between menstrual periods. More advanced symptoms, which
indicate development of pelvic inflammatory disease (PID), include cramps, pain, bleeding between
menstrual periods, vomiting or fever. Men may experience burning and itching around the opening of the
penis and/or pain and swelling in the testicles.
Treatment:
The most commonly used treatments are a single dose of azithromycin or a week of doxycycline. Common
side effects of these treatments include diarrhea, nausea, vomiting, and abdominal pain. If you have
chlamydia, all of your sexual partners should get tested and then treated if infected, whether or not they
have symptoms of infection.
Prevention:
You can get and spread chlamydia through unprotected vaginal, oral and anal sex. Preventing chlamydia
means approaching sexual relationships responsibly: limit the number of sexual partners, use condoms,
and if you think you're infected, avoid any sexual contact and visit a local STI clinic, hospital or health care
provider to seek treatment. Be sure your partner is treated as well to avoid becoming reinfected. Other
preventative measures are limiting the number of sex partners, practicing sexual abstinence and avoiding
sexual contact if you think you are infected.
Urine testing combined with gonnorhea is $20 in UWG Health Center.
44.What virus is a viral disease that attacks the liver, and can cause extreme illness and
even death?
a. Hepatitis B –
Hepatitis B virus (HBV) is a viral disease that attacks the liver, and can cause extreme illness and even
death. In some people, the infection resolves itself and the virus is cleared, while others may remain
chronically infected after the symptoms of the infection have subsided. People who are chronically
infected with HBV face an increased risk of developing liver disease, including scarring and liver cancer.
Prevalence: About five percent of the U.S. population (one out of every 20 people) has ever been infected
with Hepatitis B, with an estimated 200,000 infections occurring each year. About 417,000 people are
currently living with chronic sexually acquired HBV infection.
Symptoms: Although 50 percent of Hepatitis B cases carry no symptoms, the other half of those infected
often experience fever, fatigue, muscle or joint pain, loss of appetite, nausea and vomiting. When infected
with HBV, many people think they have the flu and do not attribute their symptoms to HBV infection. A
very small number, about one percent, develop a life-threatening acute form of hepatitis from the virus.
These people may suddenly collapse with fatigue, have yellowing of the skin and eyes and develop swelling
in their abdomen.
Treatment: Hepatitis B is a preventable disease! There is a safe and effective vaccine against hepatitis B
and you can protect yourself and your loved ones by getting vaccinated. The current vaccine is made from
yeast and is one of the safest vaccines available.
Prevention: Since sex is not the only way you can contract HBV, getting vaccinated for the disease is the
best way to ensure you will not be infected. You can also take other precautions when having sex such as
wearing male latex condoms or having sex with a partner who you are certain is not infected. Other
preventative measures are limiting the number of sex partners, practicing sexual abstinence and avoiding
sexual contact if you think you are infected.
-Hepatitis B is 100x more infectious than HIV
(www.smartersex.org)
45.What is a progestin-only injection women receive in the arm, thigh or buttocks every
three months?
a.
b.
A. Depo-Provera –
What is it?
Depo-Provera is an injectable progestin that is given intramuscularly in the arm or buttocks
every three months, 4 times a year. It must be administered every 11-13 weeks.
How does it work?
It inhibits ovulation and thickens cervical mucus reducing sperm penetration.
Effectiveness
It is 99.7% effective in preventing against pregnancy once you’ve had the shot the first 5 days of
your period.
Benefits
Little to no periods.
Free from thinking about birth control every day.
Things to consider
It will not prevent STIs.
Some women experience extreme side effects: Osteoporosis, acne, weight gain, moodiness.
(information obtained from www.depoprovera.com)
Available in UWG Health Center for $40.
46. What is a once a-week form of birth control that contains both estrogen and
progestin and can be attached to the buttocks, abdomen, upper torso or upper outer
arm?
a. The Patch –
Slang name(s): The "Patch"
What it is: Once-a-week birth control patch containing both estrogen and progestin.
How it works: Attached to the buttocks, abdomen, upper torso or upper outer arm, the patch delivers a
steady stream of hormones through the skin and into the bloodstream to prevent ovulation.
Effectiveness: When used as directed, only one out of 100 women became pregnant within the first year
of use in clinical trials.
Benefits: Non-invasive, easy to use, only need to think about it once a week.
Important things to consider: Does not effectively prevent against STIs and HIV, may cause nausea and
headaches. Some women may have side effects including mood changes, acne, headache, breast
tenderness, and nausea.
Cost: About $30-35 for a month's supply. Requires a visit to a health care provider. Available by
prescription only.
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