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7th day 3 male 9.20.18

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STI & HIV
STI & HIV
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7th day 3 male 9.20.18

  1. 1. DAY 3
  2. 2. Sexually Transmitted Diseases & Infections
  3. 3. STIs and STDs  STI stands for Sexually Transmitted Infections  STD stands for Sexually Transmitted Diseases  An STD is the later stages of a STI.  We want to give you a medically-accurate understanding of the risks of sexual activity by explaining STI transmission and how diseases move through a population.  We aren’t just trying to scare you to death – we want you to know the truth as you make big decisions in your life.
  4. 4. SEX  In the medical community, sex is defined as: ANYTHING that puts you in contact with the blood, body fluids, or skin in the genital area - puts you at risk for STIs and STDs.
  5. 5. SEX  ANYTHING that puts you in contact with the blood, body fluids, or skin in the genital area- puts you at risk for STIs and STDs.  Body Fluids that carry STIs & STDs: Blood Semen Vaginal secretions Saliva Breast milk, in the case of HIV
  6. 6. SEX  ANYTHING that puts you in contact with the blood, body fluids, or skin in the genital area- puts you at risk for STIs and STDs.  This includes: Vaginal sex Oral sex Anal sex Touching in genital area
  7. 7. Who has an STI or STD? 1 in 5 Americans has an STI and you can’t tell by looking at them.
  8. 8. Who has an STI or STD? 1 in 5 Americans has an STI and you can’t tell by looking at them. WATER example
  9. 9. STIs & STDs  In 1950, there were 2 commonly known STIs.  Today, there are 27 significant STIs & STDs. The current risks are much bigger than ever before. We are going to look at 7 of the most common STIs now.  No one just happens upon an STI. In most cases (except babies at birth and tainted blood transfusions) a person has to do something risky to get it. Cannot be spread by casual contact and can be avoided.  A common misperception is that a toilet seat can spread infection; this isn’t likely, since the bacteria or parasite need warm, moist environments to live
  10. 10. Pus Causing Diseases
  11. 11. Chlamydia  The most common reported bacterial STI in the US, with an estimated 3 million new cases/year.  Transmitted by all the body fluids except breast milk.  Bacterial—curable with antibiotics if it is detected.  Can get with or without visible symptoms—up to 50% of men and 75% of women show no symptoms – but they are contagious.  If symptoms show up, it is usually pus and burning in the genital area, especially when urinating. Women also have lower abdominal pain.
  12. 12. Chlamydia
  13. 13. Gonorrhea  Street name: "The Clap”  An estimated 700,00 Americans get new infections annually.  Transmitted by all the body fluids except breast milk  Bacterial—curable with antibiotics if it is detected  Majority of those infected don’t have symptoms.  If symptoms show up, it is usually pus and burning in the genital area (reportedly feels like one is urinating razor blades)  Affects body organ systems other than genital organs
  14. 14. Gonorrhea
  15. 15. Gonorrhea in an Eye
  16. 16. Chlamydia & Gonorrhea Chlamydia and Gonnorhea: hard to spell but easy to get!” No signs No symptoms No babies if left untreated
  17. 17. Pelvic Inflammatory Disease (PID)  Untreated Chlamydia & Gonorrhea cause Pelvic Inflammatory Disease (Up to 40% of women with untreated chlamydia develop PID)  PID is a general term for infection of the uterus lining, fallopian tubes, or ovaries. Most cases of pelvic inflammatory disease are caused by bacteria that move from the vagina or cervix into the uterus, fallopian tubes, ovaries, or pelvis.  Leads to infertility, chronic pain & ectopic pregnancy (Major cause of infertility in women)  The most common cause of PID is sexual contact without protection.
  18. 18. Pelvic Inflammatory Disease (PID) Healthy Uterus Fallopian Tube
  19. 19. Pelvic Inflammatory Disease (PID)
  20. 20. Pelvic Inflammatory Disease (PID) Diaphragm Adhesions Liver
  21. 21.  Street name: “Trick”  Estimated 7.4 milllion cases occur in the US each year.  Transmitted through vaginal, anal and oral sex  Caused by the single-celled protozoan parasite, Trichomonas vaginalis. Can be cured with antibiotics if diagnosed.  One of the most common sexually transmitted diseases, mainly affecting 16-to-35-year old women  About 70% of infected people have no visible symptoms .  If there are symptoms, there may be a mild, frothy, foul- smelling discharge or painful irritation of the urethra. Trichamoniasas
  22. 22. Trichamoniasas
  23. 23. Trichamoniasas
  24. 24. Ulcerative Diseases
  25. 25. Herpes  Two Types:  Herpes Type 1 (HSV-1) - cold sores, fever blisters and chancre sores (not an STI, but can be transmitted sexually)  Herpes Type 2 (HSV-2) – genital Herpes  Transmitted through all fluids (except breast milk) and skin-to-skin contact - without visible symptoms and whether or not taking treatment medication  Viral—INCURABLE. Once infected, the person will have the disease, and be contagious, for the rest of his/her life  Between 85-90% of people with HSV-2 don’t know it, but they are contagious.  Symptoms are small blisters, skin ulcers in the genital area, and a difficulty urinating. Can take medicine to help control the blisters, but can not be cured.
  26. 26. Herpes
  27. 27. Herpes
  28. 28. Herpetic Whitlow of the Finger
  29. 29. Syphillis  Highly contagious  Transmitted through all fluids (except breast milk) & skin-to- skin contact  Bacterial—curable with antibiotics in early stages if detected.  Occurs in three stages, during which the symptoms may advance from small painless chancre sores to fever and lesions, and eventually to brain damage, paralysis and destruction ofarteries and organs.  If not cured by early 2nd stage, irreversible central nervous system damage occurs. People die of syphilis during the third stage.
  30. 30. Syphillis STAGE1
  31. 31. Syphillis STAGE2
  32. 32. Ulcerative Diseases & Pregnancy  Devastating to infants if contracted during vaginal delivery. Pregnant moms must deliver via c/section to protect baby.  Death in 50% of cases  50% chance of being perfectly normal  Severe central nervous system damage possible  Untreated diseases can also be transmitted in the uterus and symptoms show up in children later in their life.
  33. 33. Bloodborne Diseases
  34. 34. Human Immunodeficiency Virus (HIV)  Approximately 1.2 million people living with HIV/AIDS in the US. Over 565,000 have died of AIDS.  Viral  Transmitted through all fluids, including breast milk  Affects immune system – virus invades certain white cells in the blood and destroy them so the body can’t fight off even the simplest infections.  HIV leads to AIDS (Acquired Immune Deficiency Syndrome). People die of AIDS—because their
  35. 35. HIV
  36. 36. HIV
  37. 37. Skin-to-Skin Only Diseases
  38. 38. Human Papillomavirus (HPV)  Street name: genital warts  Transmitted by skin-to-skin contact only—condom effectiveness against HPV is inconclusive. There is some indication that they can help reduce infection, but that’s only if the disease is living in skin cells covered by a condom (and there’s really no way of knowing that for sure).  Only 2 strains cause warts (types 6 & 11). There are 15 high-risk strains of HPV. Three of the 15 cause 75% of the cancer that results from HPV (types 16, 18, 45).  Leading cause of cancer-related death in women - 99% of cases of cervical cancer are caused by HPV  It’s almost impossible to detect HPV infection in men, unless warts show up.  90% of HPV cases resolve on their own. The other 10% causes warts or cancer.  It can take up to 18 months to remove all of the HPV warts, but the
  39. 39. Human Papillomavirus (HPV)
  40. 40. Human Papillomavirus (HPV)
  41. 41. HPV Polyp on Vocal Chords
  42. 42. HPV Vaccine  Two HPV vaccines are licensed by the FDA and recommended by CDC. These vaccines are Cervarix and Gardasil.  Both vaccines protect against HPV types 6, 11, 16 and 18, which are the worst strains. Types 16 and 18 cause 70% of cervical cancer. Together, the 4 types cause 90% of genital warts.  Both vaccines are safe.  Both vaccines are made with very small parts of the human papillomavirus (HPV) that cannot cause infection.  Both vaccines are given as shots and require 3 doses.  So far, it can only guarantee protection for up to 5 years, and only for the 4 strains for girls and 2 strains for boys. And, like all vaccines, there are some who have severe reactions to it. More studies are ongoing.  While this is a good step to help reduce HPV infection, it is not a cure, and it is not 100%.
  43. 43. STI & STD Frequency  There are 27 significant STIs.  There are 19 million new cases of STIs in the US each year.  Of those, nearly half (9.1 million) are 15-25 year olds.  That’s one young adult every 3.3 seconds. Count it off!  Half of sexually active teens will get an STI.  Do you know where in the USA has the highest rate of STDs?
  44. 44. STI & STD Frequency  There are 27 significant STIs.  There are 19 million new cases of STIs in the US each year.  Of those, nearly half (9.1 million) are 15-25 year olds.  That’s one young adult every 3.3 seconds. Count it off!  Half of sexually active teens will get an STI.  Do you know where in the USA has the highest rate of STDs? MISSISSIPPI – right where you live! (and the highest chlamydia & gonorhea rates are in Lee & Itawamba Counties)  Contracting an STI can have life-altering consequences. Some people die. Most don’t – but many live with consequences that change their lives, and the lives of their spouses and children, forever.
  45. 45. What is the Only Fool-Proof Way to Avoid Pregnancy & STDs? ABSTINENCE Abstinence is just saying “NO”. “I am going to WAIT until the best time to say YES.”
  46. 46. ABSTINENCE  Abstinence – is a lifestyle choice, not a birth control method.  Abstinence is NOT:  Periodic abstinence  Sequential monogamy  Mutual masturbation  Genital contact, oral or anal sex  Any physical contact for the purpose of sexual arousal  WHY? Any of these behaviors can put you at risk for STIs
  47. 47. ABSTINENCE  Abstinence is 100% effective against STDs & STIs.  There are no failure rates.  You have no risk of contracting an STI or having an unwanted teenage pregnancy.  No worries!  More teens are choosing abstinence. Over 50% of teens in high school are not having sexual intercourse.  About 2/3 of those who are sexually active wish they had waited.
  48. 48. Secondary Virginity  If you have already had sex, you can choose today, to say NO to sex from now on till marriage.  A new beginning can prevent new diseases and non-marital pregnancies.  You can’t change the past, but you can always decide what’s next.  No judgment. No shame. Just a fresh start!  A brighter, healthier future can result.
  49. 49. Relationship Ladder
  50. 50. Relationship Ladder Meet Text Date Hold Hands Kiss Making Out Sex Hug
  51. 51. Relationship Ladder Meet Text Date Hold Hands Kiss Making Out Sex Hug  Where would you stop on the ladder to avoid getting pregnant?
  52. 52. Relationship Ladder Meet Text Date Hold Hands Kiss Making Out Sex Hug  Where would you stop on the ladder to avoid getting pregnant?  Where would you stop on the ladder to avoid getting an STI/STD?
  53. 53. Relationship Ladder Meet Text Date Hold Hands Kiss Making Out Sex Hug  Where would you stop on the ladder to avoid getting pregnant?  Where would you stop on the ladder to avoid getting an STI/STD?  Where would you stop on the ladder to avoid getting your heart broken?
  54. 54. Relationship Ladder Meet Text Date Hold Hands Kiss Making Out Sex Hug  Where would you stop on the ladder to avoid getting pregnant?  Where would you stop on the ladder to avoid getting an STI/STD?  Where would you stop on the ladder to avoid getting your heart broken?  Where on the ladder should marriage enter in?
  55. 55. Setting Boundaries 101
  56. 56. Setting Boundaries 101  Set It You must first SET their boundaries. Set specific physical boundaries: “I will not go past holding hands, etc.” Also personal commitments need to be made such as modesty in dress, the type of date you want to BE and the type of person you will date, etc.
  57. 57. Setting Boundaries 101  Set It You must first SET their boundaries. Set specific physical boundaries: “I will not go past holding hands, etc.” Also personal commitments need to be made such as modesty in dress, the type of date you want to BE and the type of person you will date, etc.  Say It You must communicate their boundaries to your dates and friends. Tell dating partners where your boundaries are, and if they don’t respect them, give them the boot! Know ways to effectively communicate “no” when someone is pushing you beyond their boundaries. Tell friends your boundaries so that they can hold you accountable! The boundaries discussion needs to happen with a dating partner BEFORE the first date.
  58. 58. Setting Boundaries 101  Set It You must first SET their boundaries. Set specific physical boundaries: “I will not go past holding hands, etc.” Also personal commitments need to be made such as modesty in dress, the type of date you want to BE and the type of person you will date, etc.  Say It You must communicate their boundaries to your dates and friends. Tell dating partners where your boundaries are, and if they don’t respect them, give them the boot! Know ways to effectively communicate “no” when someone is pushing you beyond their boundaries. Tell friends your boundaries so that they can hold you accountable! The boundaries discussion needs to happen with a dating partner BEFORE the first date.  Show It You must live out your boundaries by the things you do, where you go, what you wear, how you represent yourself. No wishy- washiness allowed! If someone is pushing you to go further than you want to, get up and leave! Communicate clearly “NO!!” Scream and run if you must!
  59. 59. TrustYourself
  60. 60. Post-Survey Answer honestly. No names, please. These surveys are confidential .

Hinweis der Redaktion

  • Review the last 2 days of WAIT Training-
    Wednesday: The hallway of life
    Thursday: The facts about puberty and the science of reproduction
     
  • The definition should include vaginal, oral, and anal sex, and mutual masturbation. Usually by this age, they know slang for these terms, which usually will come up in class. The presenter will correct slang and give the students a working definition of sex, which appeases curiosity for those who do not know and presses the point home to those who are more experienced. The definition is "Anything that puts you in contact with the blood, bodily fluids or skin in the genital area puts you at risk.” Those who are experienced with different sex acts will understand the emphasis on ANYTHING.
  • Beforehand, prepare salt water & sugar water in microwave to dissolve. Pour in a container separately with lid to transport.
    Have 5 small white cups prepared ahead of class – 4 have sugar in them, 1 has salt. Add water. Say, “I want you to throw back whatever is in your cup and tell us what you get – I promise it’s edible and won’t hurt you.”
    Make it fun! Make it a game! Countdown….3,2,1….go! Students do this – the one with the salt is usually pretty apparent! Talk about how you can’t tell if a person has an STI just as none of the students could tell if they had salt or sugar. (Make sure none of the students are diabetic….just to be safe!)

  • Healthy Female – this is a view from above
  • Infected Female

    The blue dye should have travelled from the ovary through the fallopian tube to the uterus but it collected in the ovary.
  • Infected Female – the scar tissue spreads throughout the body
  • Often women with Trichomonas think they just have a yeast infection.
  • HIV virus is relatively difficult to transmit because the viruses are so small and because a certain viral load must be present in order to actually become infected.
  • Be sure to discuss secondary virginity for those who already have been involved in sex. You can’t change the past, but you can always decide what’s next. No judgment. No shame. Just a fresh start! No matter where you are or what you’ve done, you can always set yourself up for a brighter future!

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