1. Sexual HealthSexual Health
Presented by HM1(FMF) Williford Dagher, JessicaPresented by HM1(FMF) Williford Dagher, Jessica
Preventive Medicine TechnicianPreventive Medicine Technician
NMCB-3NMCB-3
2. ObjectivesObjectives
To understand how sexual health is essential forTo understand how sexual health is essential for
Mission and Operational Readiness for everyMission and Operational Readiness for every
Seabee/ sailorSeabee/ sailor
To understand risks and types of SexuallyTo understand risks and types of Sexually
transmitted diseases to every Seabee/ Sailortransmitted diseases to every Seabee/ Sailor
To understand what ways Seabees/ Sailors canTo understand what ways Seabees/ Sailors can
protect themselves from STDsprotect themselves from STDs
To understand how to prevent unplannedTo understand how to prevent unplanned
pregnanciespregnancies
Discuss other Sexual health issues for awarenessDiscuss other Sexual health issues for awareness
SummarySummary
3. TopicsTopics
Mission/ Operational ReadinessMission/ Operational Readiness
Sexually Transmitted Diseases (STDs)Sexually Transmitted Diseases (STDs)
Forms of Protection to STDsForms of Protection to STDs
Birth Control/ Unplanned pregnanciesBirth Control/ Unplanned pregnancies
Other concernsOther concerns
SummarySummary
4. Mission & Operational ReadinessMission & Operational Readiness
It’s “YOU” each Seabee /Sailor that makes theIt’s “YOU” each Seabee /Sailor that makes the
NMCB Mission accomplishedNMCB Mission accomplished
Without a healthy and well force our missionWithout a healthy and well force our mission
cannot be completed.cannot be completed.
Sexual health is important for a healthy and fitSexual health is important for a healthy and fit
forceforce
5. Factors that impact individual SexualFactors that impact individual Sexual
healthhealth
Factors to keep into consideration that relate to individualsFactors to keep into consideration that relate to individuals
Sexual HealthSexual Health
(Source: Health Canada. Framework on Sexual and Reproductive Health. Draft Version, 21APR 06)
6. Sexually Transmitted DiseasesSexually Transmitted Diseases
HIV infection, Chlamydia, Gonorrhea and Trichomoniasis
- Transmitted when infected urethral or vaginal secretions
contact mucosal surfaces
Genital Ulcer DiseasesGenital Ulcer Diseases-- Genital herpes, Syphilis, Chancroid
and Human papillomavirus (HPV) infection
-- Primarily transmitted through contact with infected skinPrimarily transmitted through contact with infected skin
on mucosal surfaceson mucosal surfaces
9. HIV/ AIDSHIV/ AIDS
Signs/symptoms: Initially is mild sickness (fever, rash,Initially is mild sickness (fever, rash,
swollen lymph glands). Some go without symptoms.swollen lymph glands). Some go without symptoms.
(Source: University of South Carolina School of Medicine,
Dr. Richard Hunt )
10. Chlamydia
Signs/symptoms: Many have none. Women- Abdominal and pelvic
pain and burning sensation when urinating. Men -may have a swollen
testicle, discharge and pain with urination
11. GonorrheaGonorrhea
Signs/ symptoms: Many do not show symptoms. Men include a burning sensation when
urinating, or a white, yellow, or green discharge from the penis. Some men get painful
and swollen testicles. Women painful or burning sensation when urinating, increased
vaginal discharge, or vaginal bleeding between periods
12. Trichomoniasis
Signs/ symptomsSigns/ symptoms:: WomenWomen-Yellow-green vaginal discharge, fishy odor,-Yellow-green vaginal discharge, fishy odor,
pain during urination & sexual intercourse, genital itching or irritation.pain during urination & sexual intercourse, genital itching or irritation.
MenMen usually don’t show symptoms; but some may have discharge fromusually don’t show symptoms; but some may have discharge from
the penis or burning during urination or ejaculationthe penis or burning during urination or ejaculation
13. Genital herpes
Signs/ symptomsSigns/ symptoms: can be cause by herpes type 1 (mouth herpes) or: can be cause by herpes type 1 (mouth herpes) or
type 2 (genital herpes). Sometimes there is none. Sore on your genitalstype 2 (genital herpes). Sometimes there is none. Sore on your genitals
especially when it re-occursespecially when it re-occurs
14. Syphilis
Signs/ Symptoms: a single sore marks the first (primary) stage ofSigns/ Symptoms: a single sore marks the first (primary) stage of
syphilis symptoms, but there may be multiple sores. Sore appears at thesyphilis symptoms, but there may be multiple sores. Sore appears at the
location where syphilis entered body. Can cause long-termlocation where syphilis entered body. Can cause long-term
complications and/or death if not treated.complications and/or death if not treated.
(Source: Center for Disease Control and Prevention, Division of STD Prevention)
15. ChancroidChancroid
Signs/ symptomsSigns/ symptoms: Within 1 day - 2 weeks after getting chancroid, a: Within 1 day - 2 weeks after getting chancroid, a
person will get a small bump in the genitals. The bump becomes anperson will get a small bump in the genitals. The bump becomes an
ulcer within a day of its appearance and progress.ulcer within a day of its appearance and progress.
16. Human Papilloma Virus (HPV)Human Papilloma Virus (HPV)
Signs/ symptomsSigns/ symptoms: Most people have no symptoms but when they do: Most people have no symptoms but when they do
they are often around the genitalia regions. HPV warts can spread tothey are often around the genitalia regions. HPV warts can spread to
vagina, panis, scrotom, lips, mouth, tongue, throat. Genital itching andvagina, panis, scrotom, lips, mouth, tongue, throat. Genital itching and
vaginal bleeding, increased discharge and moisture around warts canvaginal bleeding, increased discharge and moisture around warts can
occuroccur
17. Sexually Transmitted DiseasesSexually Transmitted Diseases
Prevalence in Japan:Prevalence in Japan:
Scientists have discovered a new strain of drug-Scientists have discovered a new strain of drug-
resistant gonorrhea in Japan 2011.resistant gonorrhea in Japan 2011.
Currently 300,000 cases of gonorrhea (aka clap)Currently 300,000 cases of gonorrhea (aka clap)
occur annually in the U.S. reported as of 2011occur annually in the U.S. reported as of 2011
18. When to get seen at MedicalWhen to get seen at Medical
If you see signs and symptoms; it’s better to getIf you see signs and symptoms; it’s better to get
seen by Medical (even if it’s embarrassing) thenseen by Medical (even if it’s embarrassing) then
not!not!
Some STDs can be deadly if treatment isn’tSome STDs can be deadly if treatment isn’t
receivedreceived
If you find out you have had a sexual encounterIf you find out you have had a sexual encounter
with someone who had a STD you should getwith someone who had a STD you should get
seen by Medicalseen by Medical
19. Forms of Protection from STDsForms of Protection from STDs
Condoms (has limitations)Condoms (has limitations)
AbstinenceAbstinence
Having a long term monogamous relationshipHaving a long term monogamous relationship
20. QuestionQuestion
What is the first and second most effectiveWhat is the first and second most effective
methods to control for Sexually transmittedmethods to control for Sexually transmitted
diseases?diseases?
22. Conscious checksConscious checks
Conscious checksConscious checks ARE NOTARE NOT performed at theperformed at the
Battalion Aide Station!Battalion Aide Station!
We do STD testing when signs/ symptomsWe do STD testing when signs/ symptoms
occur or when a partner finds out they have aoccur or when a partner finds out they have a
STD after sexual encounters with you and tellsSTD after sexual encounters with you and tells
you.you.
23. Birth Control/ UnplannedBirth Control/ Unplanned
PregnanciesPregnancies
Male latex Condoms (temporary)Male latex Condoms (temporary)
Male & Female Sterilization (permanent)Male & Female Sterilization (permanent)
Tubal litigation for females or Vasectomy forTubal litigation for females or Vasectomy for
males (permanent Surgical procedures)males (permanent Surgical procedures)
Birth control pills for females (temporary)Birth control pills for females (temporary)
Depo-Provera shot for females (temporary)Depo-Provera shot for females (temporary)
AbstinenceAbstinence
24. QuestionQuestion
What is the most effective method of birthWhat is the most effective method of birth
control?control?
26. Other Sexual Health ConcernsOther Sexual Health Concerns
Cancer of Prostate, breasts, Ovaries, TesticlesCancer of Prostate, breasts, Ovaries, Testicles
Cancers, cysts and tumorsCancers, cysts and tumors
Male Female
27. Other Sexual Health ConcernsOther Sexual Health Concerns
Infection of Urinary tract, Bladder and KidneysInfection of Urinary tract, Bladder and Kidneys
28. SummarySummary
To understand how sexual health is essential forTo understand how sexual health is essential for
Mission and Operational Readiness for everyMission and Operational Readiness for every
Seabee/ sailorSeabee/ sailor
To understand risks and types of SexuallyTo understand risks and types of Sexually
transmitted diseases to every Seabee/ Sailortransmitted diseases to every Seabee/ Sailor
To understand what ways Seabees/ Sailors canTo understand what ways Seabees/ Sailors can
protect themselves from STDsprotect themselves from STDs
To understand how to prevent unplannedTo understand how to prevent unplanned
pregnanciespregnancies
Discuss other Sexual health issues for awarenessDiscuss other Sexual health issues for awareness
SummarySummary
29. ReferencesReferences
CDC (2013). Center for Disease and Control, Sexual HealthCDC (2013). Center for Disease and Control, Sexual Health
http://www.cdc.gov/sexualhealth/http://www.cdc.gov/sexualhealth/
Sexual Health for First Line Supervisors, Joint Knowledge OnlineSexual Health for First Line Supervisors, Joint Knowledge Online
Mission Pharmacal Company (2013). Trichomoniasis,Mission Pharmacal Company (2013). Trichomoniasis,
http://www.trichomoniasis.orghttp://www.trichomoniasis.org
Gonorrhea Superbug in JapanGonorrhea Superbug in Japan
http://www.globalpost.com/dispatches/globalpost-blogs/the-rice-http://www.globalpost.com/dispatches/globalpost-blogs/the-rice-
bowl/sexually-transmitted-disease-gonorrhea-japan-healthbowl/sexually-transmitted-disease-gonorrhea-japan-health
Etymologia: Syphilis, U.S. National Library of Medicine NationalEtymologia: Syphilis, U.S. National Library of Medicine National
Institute of Health,Institute of Health,
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673317/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673317/
30. References Continued…References Continued…
Hunt, R. (2009). University of North Carolina School of Medicine,Hunt, R. (2009). University of North Carolina School of Medicine,
Human Immunodeficiency virus and the course of the disease, Ch 7,Human Immunodeficiency virus and the course of the disease, Ch 7,
Part 3. http://pathmicro.med.sc.edu/lecture/HIV3.htmPart 3. http://pathmicro.med.sc.edu/lecture/HIV3.htm
PubMed Health (2012). Genital Warts, National Center forPubMed Health (2012). Genital Warts, National Center for
Biotechnology Information,Biotechnology Information,
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001889/http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001889/
Introduce myself, I’m HM1 Williford Dagher Preventive Medicine Technician for NMCB3. Aside from working in Medical I also oversee public health matters that include health and sanitation of public used facilities to include food, berthing and recreation as well as any water as applies. In addition, I would conduct contact investigations if there are Sexually transmitted diseases if discovered at our battalion. So, in turn I am going to present here on Sexual health and why it is important for the wellness of each and everyone here.
And these are the objectives (read them)
Here are the topics we till discuss, (read topics)
Each member in our organization is a key part to complete the mission and can do so through
There are a variety of factors that contribute to overall health and wellbeing of individuals including their sexual health.
Sexually transmitted diseases are spread through sexual intercouse through Vaginal, anal or oral sex. Condoms, one of the most widely used forms of protection for STDs but do not guarantee complete protection if exposed.
HIV is still growing in the United States and according to CDC 1 out of every 5 people don’t know they have it.
HIV is more prevalent in men and Men who have sex with men.
HIV like other STDs doesn’t always effect just the reproductive organs but spreads to other areas as well as shown here. HIV Face rash and Aids showing on tongue. It takes about 8-10 years for AIDS to develop in people who are infected and develops in 2-3 years in some. When symptoms initially begins they something similar to fever, rash, swollen lymph glands but none considered life threatening all while the virus multiplies in millions throughout the body. Its in the latter phase of AIDs when people begin to lose weight and get fungal infection of the mouth, finger and toes.
Chlamydia is the most common STD bacterial infection in the U.S. In 2011, 1,412,791 cases of Chlamydia were reported to CDC from 50 states and the District of Columbia, but an estimated 2.86 million infections occur annually and is known as a ‘silent’ infection because most infected people have no symptoms… but can lead to serious health conditions such as spreading to uterus and fallopian tubes damages reproductive organs and cause Pelvic Inflammatory disease (PID) as well as infertility. Complications are rare in men. Condoms can help but do not completely prevent transmission.
Can be transmitted even with no ejaculation. Annually, 820,000 people in the United States get new gonorrhea infections and less than half of these infections are detected and reported to CDC. Age groups are usually 18-24 year olds. Similar to Chlamydia; Gonorrhea is caused by bacteria and Chlamydia looks alike in symptoms. (The picture above is both Gonorrhea and Chlamydia). mouth, throat, eyes, and anus. When a woman has symptoms, they are often mild and can be mistaken for a bladder or vaginal infection
there are an estimated 7.4 million trichomoniasis cases each year in the United States, with over 180 million cases reported worldwide… caused by a protozoan parasite
commonly called the (that effects men and women that is contagious but curable but can cause infertility if untreated as well as may contribute to pelvic inflammatory disease (PID) in women and nongonococcal urethritis (NGU) and chronic prostatitis in men. According to the World Health Organization's annual estimates, can be prevented through wearing condoms
There is no cure for herpes, but treatment is available to reduce symptoms and decrease the risk of transmission to a partner. Laboratory tests helps determine if you have herpes.
Columbus day is coming our way for a day off- and so did he also bring Syphilis according to rumors in historic literatures. The first recorded syphilis epidemic was in 1495, during the First Italian War when France captured Naples and disbanded and released soldiers. CDC estimates that, annually, 55,400 people in the United States get new syphilis infections. Syphilis is transmitted from person to person by direct contact with syphilis sores. Sores occur mainly on the external genitals, vagina, anus, or in the rectum. About 15% of people who have not been treated for syphilis develop late stage syphilis, which can appear 10–30 years after infection began. The body organs basically begin to shut down at this point and stop functioning properly.
Bacterial infection only spread through sexual contact. About half of infected men have only a single ulcer. Women often have four or more ulcers. Treatment is through antibiotics and sometimes surgical interventions. Lymph nodes will become swollen as well. Condoms help protect
There are more then 70 types of HPV and some can cause cancer to cervix and anus. Genital warts-softs warts that form around the Sometimes HPV goes away on its own. HPV Condoms cannot fully protect you. Using alcohol, tobacco, being stressed and pregnant along with multiple partners will increase chances of HPV. Sometimes warts are hard to see and can be raised or flat and look like the top of cauliflower.
In the news article, Scientists warn us that a drug-resistant strain of the sexually transmitted disease could spread beyond Japan in a few decades. Since antibiotics became the standard treatment for gonorrhea in the 1940s, this bacterium has shown a remarkable capacity to develop resistance mechanisms to all drugs. Since then June of this year 2013 there has been a rise on antibiotic resistant gonorreha throughout the U.S., U.K. and other countries.
(Read them). Sometimes signs and symptoms are also not seen. This has been known to happen for example in males and females with Gonorrhea and Chlamydia. Though and yellow-greenish discharge is a typical symptom sometimes it’s not seen. So know your partner and know what you are doing with your sexual encounters.
Notice how I split up Sexually transmitted disease protection and Birth control? You can still get Sexually transmitted diseases when using birth control methods except for method of abstinence. There are temporary and permanent ways to protect against getting pregnant. When deciding your birth control method, It’s good to know potential side effects or adverse effects it can have on the body.
Some STDs can contribute to cancer of prostate and ovaries. Cancer in general can affect our reproductive organs and health and is good to be aware of. Women can get ovarian cysts as well. Symptoms can include pain in lower abdominal area
Sanitation is important for sexual encounters. This can be done through knowing what is being introduced into the body. If bacteria is introduced then there are higher chances of infection. Women have higher tendency towards urinary tract and bladder infections which can become Kidney infections quickly if not treated. Men can also get infection in these areas but are not as common. Wash on a regular basis to help prevent infections caused by microorganisms or bacteria.
I know everyone wants to see some pictures. These are a few but it’s also important to know that physical signs can vary and also can affect different areas of the body especially when left untreated.
