SEX
SENSATIONAL . . .
SEDUCTIVE . . .
DESTRUCTIVE???
First comes love . . .
Then comes marriage . . .
Then comes pushing the baby carriage . . .
Where do babies come from?
What were you told???
Let’s be anonymously honest . .
.
Most of my early “sexual” knowledge came
from my:
A. Mother
B. Father
C. Siblings
D. Friends
E. Movies/books/magazines
I feel like that my sexual attitudes have been
affected mostly by:
A. My peers
B. My parents
C. My religious or spiritual beliefs
D. My own sense of self respect
E. My environment and society
In my lifetime, I have had sexual intercourse
with:
A. No one
B. Only one person
C. 2-3 people
D. 4-5 people
E. More than 5
In the past month, I have had sexual
intercourse with:
A. No one
B. Only one person
C. 2-3 people
D. 4-5 people
E. More than 5
I have had participated in oral sex at some
point in my life:
A.
B.
C.
Yes
No
Can’t remember
I consider oral sex “sex”
A.
B.
C.
Yes
No
Not sure
When I have been sexually engaged alcohol
or marijuana or some other drug was part
of the scene.
A.
B.
Yes
No
The most common type of protection that I
use when sexually active is:
A.
B.
C.
D.
E.
Birth control pills
Patch
Condoms
Other
I am not sexually active
I think that practicing abstinence is just for
virgins.
A.
B.
Yes
No
I have personally experienced some type of
sexually transmitted disease.
A.
B.
C.
Yes
No
Don’t know for sure
If I were to become pregnant as a single
person or if I were to get someone
pregnant, I would most likely take the
following option:
A.
B.
C.
D.
Keep the baby and raise it myself
Keep the baby and let a relative help
raise it
Put the baby up for adoption
Get an abortion
In case we lose sight of the real
“purpose” of sex . . .
here are some factual reminders
Sensational Sexual Reproductive Facts
about the Male



Beginning around age12 to 13 testosterone
causes the beginning of sperm production in the
testicles suspended from the body in the
scrotum so that the temperature is kept lower
than body temperature.
A healthy young male will produce about
100,000,000 sperm each day!!! One thousand
sperm per second!!!
A single ejaculation may contain up to 500
million sperm!
Sensational Reproductive Facts
about the Female
Typically around age 11 to 14 estrogen will
cause the breasts to begin forming, hips
will widen and menstruation and ovulation
will begin
 The menstrual cycle occurs about every
28 days as the uterus continually prepares
to nurture a fertilized egg
 A woman will typically menstruate 400
times in a lifetime usually until her 40’s or
50’s when menopause sets in

More female fascinating facts
Each month about 14 days before the next
menstrual cycle a ripened egg from one or
both ovaries is released (ovulation)
 Females do not continue to produce new
eggs
 An unborn baby girl will have about five
million eggs in her ovaries
 By early teenage years, she will have
about 300,000 eggs . . . Still more than
needed for the 400 ovulations

Females often have irregular cycles
making ovulation unpredictable and
meaning she could become pregnant
almost any time she has intercourse
 The released egg in the fallopian tube
must be fertilized by the sperm within 24
hours
 The millions of sperm racing to fertilize the
egg can actually live for 3 to 5 days

The “Race” for life
http://www.youtube.com/watch?v=jvanNDQhlYI&feature=re
lated
http://www.youtube.com/watch?v=aRQa_LD2m4&feature=related
BINGO – Conception!!
When the head of a single winning sperm
penetrates the egg the chemical
composition changes immediately making
it impossible for other sperm to penetrate
 The 23 chromosomes from the sperm and
the egg are instantly joined together and
the child’s genetic makeup determined
 A sperm carrying a Y chromosome = boy
 A sperm carrying an X chromosome = girl

Signs of Pregnancy
Home tests are fairly reliable if done
correctly. They are designed to detect the
presence of human chorionic gonadotropin
(HCG).
 Missed menstrual period
 Slight bleeding
 Nausea
 Breast tenderness
 Increased urination
 Sleepiness, fatigue, increased emotion

Fabulous Fetal Facts
12 hours after conception the tiny single
cell (smaller than a grain of salt) divides
into two cells and continues to do so every
12-15 hours
 About 5 to 8 days after conception the
fertilized egg will plant itself inside the rich
uterine lining – now about 200 cells
 Days 10 to 14 – misses first menstrual
period

Day 21 – the heart begins to beat
 4 weeks – Embryo is ¼ inch long. The
brain and backbone are forming with blood
pumping to the liver
 5 to 6 weeks – Embryo is just over ½ inch.
The skeleton is complete and the eyes,
nose, and mouth have formed. The arms
and legs are very short at this stage, but
ten fingers are now developing
 8 weeks – Every organ is now functioning
and the embryo is called a fetus (Latin for
young one) 1 ½ inches long, .5 ounce

6 week old embryo
“Hand of Hope”



10-12 weeks – 3 inches long, moves tiny legs
and arms. It sleeps, awakens, sucks its thumb,
gets the hiccups & urinates. It makes facial
expressions. End of first trimester
4 months – 4 inches long, actively kicks, swims,
& turns somersaults. Hands can now grasp
each other and fingernails begin to appear. The
eyes have now closed and won’t open again
until 7 months. It is now obvious whether boy or
girl
Mother is beginning to look pregnant
10 Weeks & 13 Weeks
5 months – pregnancy halfway over, mother
begins to feel movements, outer ear is fully
formed and the fetus responds to sound. It has
colored hair on its head and eyebrows
 6 months – now weighs over 1 pound with a
chance of survival if born
(Second trimester ends at 26 weeks marks
beginning of third trimester)
 7 months – now weighs over 2 pounds & will
gain about .5 pound per week, recognizes
voices

8 months – the delicate skin begins to
thicken. The baby is now about 18 inches
long and weighs almost 4 pounds
 9 months – baby moves to head down
position and movements are more
restricted, average baby weighs about 7
pounds and is 20 inches long

Prenatal Care
Regular checkups
 Blood Tests
 Diagnostic Tests for abnormalities





•
Ultrasonography
Amniocentesis
Chorionic villus sampling (CVS)
Triple marker screen (TMS)
Nutrition

Eating for two is true
Vitamin B Folic Acid to prevent neural tube defects
•
Activity & Exercise (Kegel exercises to

strengthen the pelvic floor)

Avoiding Drugs

Teratogen – an agent or influence that causes physical
defects in a developing fetus
First trimester most critical period
Smoking – increased risk of miscarriage, chromosomal
damage, infant death
Caffeine – increase risk of miscarriage
Getting drunk once during pregnancy can cause fetal
brain damage
Fetal Alcohol Syndrome – result of high level of alcohol
consumption during pregnancy – small head & body,
unusual facial characteristics, congenital heart defects,
joint problems, mental impairment & abnormal behaviors





Childbirth

First Stage – average of 13 hours

Cervical effacement and dilation to 10 centimeters
Contractions last about 30 sec. and occur every 15-20
min.
Small amount of bleeding and amniotic sac may rupture
Transition – stronger and more frequent contractions 6090 sec. every 1-3 min.; dilation is complete; typically
lasts for 30-60 min.



•
Second Stage – involves the actual delivery

Intense pushing/bearing down with contractions forcing
baby through the pelvic area and vagina with the head
“crowning” at the vaginal opening

As the baby is squeezed through the pelvis, cervix and
vagina the fluid in the lungs is forced out and as the baby
emerges the chest expands and fills with air for the first
time
The umbilical cord is not cut until it stops pulsating
The baby is wet and covered with a milky substance
•
Third Stage


5-10 min. when the placenta is expelled
 Baby is assessed with an Apgar score 5 min. after birth
on a scale of 0-10 with 7-10 being normal
Breastfeeding is recommended for at least first 6 months.
Currently 60% of mothers breastfeed.

Now that we’ve reviewed the facts on where
babies come from . . . What if?
The
comes
before
So what after a positive pregnancy
test are the options?????
Marriage – increasingly less of a selected
option; one-third of teenage marriages end
in divorce after 5 years
 Single Parenting – as statistics point out
an increasingly acceptable option;
increases likelihood of being economically
disadvantage; many negative implications
for the child; often imposes on extended
families

Consider this . . .
In 2004 1.5 million babies were born to
unwed mothers
 55% of births for ages 20-24 were to
unwed mothers
 Almost 28% for ages 25-29
 Of unwed births 24% were from teens
 Two-thirds of girls ages 15-19 say it’s okay
for an unwed woman to have a child

Adoption – a very positive option
demonstrating strength and sacrificial love
“It’s nice to know that if you’re not ready to
be a mom . . . Someone else is!”
• Abortion – controversial option made legal
in 1973 by the Supreme Court with Roe
vs. Wade


As of May 2005, in Georgia there is a mandated
24 hour waiting period after being informed by a
physician of gestational stage, options,
consequences and parents/legal guardians of
minors must be informed prior to abortion
Abortion Stats

At current rates, about 40% of American
women will have had at least one abortion
by the time they are 45 years old!

The typical American woman having an
abortion is age 20-30, has a previous birth,
has never been married, is poor, lives in a
metropolitan area, and is Christian!
Abortion Methods

Suction curettage (vacuum aspiration)


6th to 12th week of pregnancy
Used in 90% of abortions
•
Manual vacuum aspiration (MVA)

Used in earliest stage of pregnancy
•
Medical Abortion


Drug – mifepristone (UR-486)
Given 49 days following last menstrual period under medical
supervision (a second dose two days later)
Can take between a few hours to several weeks

Dilation and Evacuation (D & E)

Commonly used after 12th week of pregnancy
Involves surgery and aspiration
Partial birth abortion is a type of D & E



Seductive Sex
Music lyrics
 Movies/TV
 Magazines
 Advertisements/Commercials
 Clubs
 Internet
 Sports heroes
 Movie stars
 Fashion

A Quick Glance at Sexy TV
The latest Kaiser Family Foundation survey
reveals:
• 70% of shows have sexual content
• Average of 5 sex scenes per hour
• 68% talked about sex
• 35% demonstrated sexual behaviors
• 11% involved intercourse
This Fall 2008 16 of the lead roles in prime
time TV will be homosexual or bisexual
•
How easy is it to get caught up in the
“sex” trap????
•
Are we playing with “fire”????
•
Walking through a dangerous mine
field????
•
De-sensitization = Destruction
Destructive Sex
The truths about the totally
non-sexy, dark side of sex





18 million Americans get an STD each year,
25% of them are teens
Nearly 2/3rds of all people who acquire STDs
are under 25
20% of all Americans age 12 and older have
genital herpes (estimate).
By age 24, at least one in three sexually active
people are estimated to have an STD.
Up to 85% of those infected with certain STDs
are asymptomatic (no signs – no symptoms – contagious)
UWG Statistics from 2009





74% reported engaging in sexual intercourse
within the past year
16% used alcohol the last time they had
intercourse
46% considered it a “great risk” to consume
alcohol prior to sex
50% considered it a “great risk” to regularly
engage in unprotected sex with a single partner
79% considered it a “great risk” to regularly
engage in unprotected sex with multiple partners
Playing with sex is like playing with
Playing with sex and alcohol is like
playing with
Be careful . . . You might blow up
your future!
What is “Friends With Benefits”?
Are the “benefits” worth the
risks?
Maybe we should be looking
for “Friends With Brains” . . .
A better FWB!!!
Recent Survey of College Students
You all THINK you are more sexually active
than your really ARE!
 34% of the men report being virgins
 18% of the women report being virgins
 76% report no sex or sex with one partner
over the past 12 months while 82% THINK
others have had 2 or more partners.
Is Oral Sex . . . Sex?
Acceptable?
 Trends?
 Risks?

Bill Clinton & Monica Lewinsky
More College Survey Reports
 45%
reported having had oral sex
one or more times in previous 30
days
 93% thought the typical student
had oral sex one or more times in
the previous 30 days
Common Curable STDs
CLAMYDIA –
most common
bacterial STD;
3 million
infected yearly
GONORRHEApus producing
bacteria;
650,000 people
infected each
year in US
Can scar female
organs & leave
infertile; can cause
male infertility but
normally cured with
medication
75% of females &
50% of males are
asymptomatic;
symptoms, if present,
are discharge &
painful burning while
urinating
Can scar female &
leave infertile; can
cause male to be
infertile but normally
cured with medication;
can cause septic
arthritis
Often asymptomatic at
first but both males
and females usually
will develop a
discharge of pus,
severe pain, and
burning while urinating
PID – not an STD Also scars female
but the most
common
complication; one
million females a
year develop PID
SYPHILIS – 3
stages over
several years;
70,000 yearly
Affects only females;
organs and leaves asymptomatic can
result in severe
infertile; increases abdominal pain & pain
chances of tubal
during intercourse
pregnancy
Can cause
permanent
damage and death
if left untreated
Annoying itch and
CRABS/
skin irritation
SCABIES –
pubic lice/mites
Stage1: painless sore
Stage2:rash, fever,
fatigue,
Stage3:permanent
damage to heart,
brain, organs
Intense itching in
the pubic area
resulting in small
sores that ooze
pus
Common Incurable STDs
HERPES – 45
million with 1
million new
infections each
year
No cure; Infected
babies die or have
serious problems;
Condoms cannot
be counted for
prevention
May be
asymptomatic;
common to have
painful blisters in
genital area on
and off for life
HEPATITIS B –
750,000
infected with
77,000 new
cases per year
No cure; vaccine
for prevention;
most common
cause of liver
cancer; kills 5,000
Americans a year
May be
asymptomatic; but
may have
yellowing of the
eyes & skin,
nausea, vomiting
& dark urine
HPV – Human
Papilloma
Virus; most
common;20
million with
5.5mil. per year
AIDS – caused
by HIV(human
immunodefiency virus);
1 million
infected in US;
40 million-World
No cure; over
4,900 women die
each year from
HPV associated
cancer; warts are
highly contagious;
little or no
protection from
condoms
No cure;
considered by
many to be the
perfect “killing”
machine
Many are
asymptomatic, but
some will develop
genital warts
A person may look
and feel healthy for
years, but will be
infected and
contagious for life;
enlarged lymph
nodes, red/purple
blotches on skin,
prone to infections,
eventual death
HIV Infection and AIDS
Since the outbreak in the 1980’s 60 million
people worldwide have been infected with
20 million deaths
 About 10 people are infected every minute
– 5 million per year- half of them between
ages 15-24
 85% of cases are from heterosexual
contact
 2.2 million children are living with AIDS
with 15 million children as AIDS orphans

Did you know . . . .





Only Men, Women & Children get AIDS!
50% of all new infections of HIV occur in young
people 13-24
Over 40 million people around the world are
living with AIDS today, half of them are women &
girls
20-25% of HIV positive mothers will pass the
virus to their children, with medication that can
drop to less than 4%
400,000-500,000 HIV-infected persons may be
untested, untreated or both
HIV/AIDS Quick Facts



Virus attacks the immune system by invading
the cell converting its own genetic material into
DNA taking over the CD4 cells essential for
immunity
Virus replicates itself while inhibiting the natural
function of the CD4 cells
Primary infection stage (first weeks after
infection with large amount of HIV in
bloodstream – greatest infection stage with
majority not knowing they are infected and tests
at this stage show negative)
Chronic Asymptomatic Stage – 2yrs.to
20 yrs. with an average of 11 yrs. – still
transmittable
 Transmitted by:

Blood & blood products
 Semen
 Vaginal & cervical secretions
 Breast milk


For more information read in text
pgs. 328-336

Sexual contact risks






Unprotected anal or vaginal intercourse
Oral-genital contact
Presence of lesions, blisters or inflammation from
other STDs in genital, anal, or oral areas increases
risk 2-9 times
Present in pre-ejaculatory fluid
Sharing of sex toys
Exposure to infected blood



Sharing of needles used to inject drugs
Tattooing and body piercing
All US blood/blood products are thoroughly screened
for HIV now
HIV Testing
Home test kits (FDA approved) $40-60
 Physician/Clinic- health center, public
health department: blood test: ELISA
followed by Western blot to confirm,
Orasure using oral fluid, HIV RNA assay
 False-negatives are common because it
may take 1 month to 6 months for
antibodies to appear
 CDC HIV testing website: www.hivtest.org

HIV Treatment







No known cure for HIV infection
Antiviral Drug combinations: HAART – highly
active antiretroviaral therapy
PEP(Postexposure Prophylaxis) – preventive
therapy for 28 days within 72 hours of exposure;
used for health care workers, rape, high risk
exposures
Important for prenatal treatment
Could take 20+ pills a day with serious side
effects
Avg. cost per year = $14,000-35,000
No current vaccine developed but microbicide
being developed to act as a chemical condom
STD Website Resources
http://herpes-coldsores.com/std
 www.afraidtoask.com
 www.hivtest.org
 www.cdc.npin.org
 http://hivinsite.ucsf.edu
 www.unaids.org
 www.who.int/topics/en

Real Life Protection Rates
Pregnancy
HIV
HPV
Emotional
Scars
Withdrawal
74%
None
None
None
Condom
85%
85%
None
None
Birth
Control
Pills
91%
None
None
None
Method
Real Life Protection Rates, con’t.
Method
Pregnancy
HIV
HPV
Emotional
Scars
Norplant
98%
None
None
None
DepoProvera
99%
None
None
None
100%
100%
100%
100%
Abstinence
What form of protection
do you prefer?
No protection
 Limited protection
 Guaranteed protection

Abstinence is the only guaranteed
protection!
What if I have been or currently am
engaged in casual/premarital sex?





It is never too late to regain control!
You can learn to control your sex drive so that it
does not control you and your life!
Get tested! Get treated! Get on track with your
life goals and priorities!
Rewrap your “virginity” and redefine your
boundaries!
If you know you are going to continue to be
sexually active protect yourself and your partner
as wisely and effectively as possible!
Self Control is a Sign of Strength . . . Be . . .
STRONG
FOCUSED
MOTIVATED
DETERMINED
SELF CONFIDENT
HIGHLY DISCIPLINED
RESPECTFUL OF OTHERS
ABLE TO WITHSTAND RIDICULE
ABLE TO WITHSTAND TEMPTATION
ABLE TO WITHSTAND PEER PRESSURE
CONCERNED FOR THE WELL BEING OF OTHERS
UWG Health Services
Contraceptives: condoms & morning after
pill – free; nominal fees for birth control
pills, diaphragm rings, injections & patches
 Pregnancy testing-free
 HIV & syphilis testing-free
 Chlamydia testing - $35
 Herpes - $8
 Sexual Assault Intervention
 770-839-6452
 www.westga.edu/~health

General Website Resources
American College of Obstetricians & Gynecologists
www.acog.org
• American Society for Reproductive Medicine
www.asrm.org
• Center for Young Women’s Health
www.youngwomenshealth.org
• Dr. Drew – frequently asked questions
www.drDrew.com
• Generational Health
www.generationalhealth.com
• LaLeche League International
www.lalecheleague.org

Male Health Center
www.malehealthcenter.com
 The March of Dimes
www.modimes.org
 National Institute of Child Health & Human Development
www.nichd.nih.gov
 Sexuality Information & Education Council of US
www.siecus.org
 Nova/Odyssey of Life
www.pbs.org/wgbh/nova/odyssey/clips
 Visible Embryo
http://visembryo.com

Abortion Law Homepage
http://hometown.aol.com/abtrbng
 Association of Reproductive Health Professionals
www.arhp.org
 Emergency Contraception Web Site & Hotline
www.not-2-late.com
888-NOT-2-LATE
 It’s Your Sex Life
www.itsyoursexlife.com
 National Adoption Information Clearinghouse
http://naic.acf.hhs.gov
 Planned Parenthood Federation of America
www.plannedparenthood.org

National Right to Life Committee
www.nrlc.org
 National Abortion & Reproductive Rights Action League
www.naral.org
 Reproductive Health Online
www.reproline.jhu.edu
 U.S. Food and Drug Administration: Mifepristone
www.fda.gov/cder/drug/infopage/mifepristone

Additional resource used for slides:
Morris, M. 2004. Teens Sex and Choices.