Presented at Govt Boys College Nazimabad-2 Karachi

1. PRESENTED BY:
MBBS, DHMS, DPA, MAS, MRSH
PROVINCIAL BCC COORDINATOR
ENHANCED HIV / AIDS CONTROL PROGRAM
Health Department, Government of Sindh

2. Dr Munawar Khan Bcc SACP

3. Reproductive health
Reproductive health is a state of complete physical,
mental, and social well being and not merely the
absence of disease or infirmity, in all matters related to
the reproductive system and to its functions and
processes.
adapted from FWCW Platform 94, 97; ICPD 7.2
Sexual health
Sexual health means having a responsible, satisfying,
and safe sex life, that is free from disease, injury,
violence, disability, unnecessary pain, or risk of death.
expanded upon FWCW Platform 94; ICPD 7.2

4. Reproductive and Sexual Rights
Reproductive rights include the rights of couples and individuals to:
• Make free and informed decisions about their reproductive
lives, including the number, timing, and spacing of their
children
• Attain / achieve the highest standard of sexual and reproductive
health
Sexual rights include the rights of all individuals to:
• Make free and informed decisions on all matters relating to
their sexuality
• Be free of discrimination, coercion/force, or violence in their
sexual lives and decisions
• Expect and demand equality, full consent, mutual respect,
and shared responsibility in sexual relationships
adapted from the ICPD, ICPD+5 and FWCW documents

5. Female Genital
Mutilation/injury
(FGM)

7. The ways of life
lead through death
Community Puberty
approval &
Support
The Life Cycle
In RH

8. Gender, gender equality,
and gender equity
Gender
socially defined roles and responsibilities
of men and women, boys and girls
Gender equality
equal treatment of women and men
Gender equity
fairness and justice in the distribution of benefits and
responsibilities between women and men

10. PUBERTY
Understanding your changing Body
• What is puberty?
• When changes happen to boys?
• What are the sex organs?
• What are erections and why do they happen?

11. PUBERTY
Understanding your changing Body
What is Puberty?
• It is the time when our bodies change toward an
adult body.
– Start to develop new feelings – Or start to make egg cells
and interests
– Start to make sperm cells

12. PUBERTY
Understanding your changing Body
What is Puberty?
• The cells necessary to make a new human
egg + sperm = baby

13. PUBERTY
Understanding your changing Body
Changes that happen that others can see
And
Changes that are private

14. PUBERTY
Understanding your changing Body
What’s Happening?

15. PUBERTY
Understanding your changing Body
What Physical changes happen to
boys?
• Grow taller and heavier
• Bones grow bigger and heavier
• Nose and jaw get bigger and face gets longer
• Get more muscles
• Hair and skin can become oily and you may get pimples
• Body sweats more
• Hair grows on the face, under the armpits, around the
genitals (pubic hair).

16. What Physical changes happen to
boys?
• May get more hair on arms, legs and chest.
• Voice gets deeper
• Penis and testicles grow
• Scrotum changes
• May have mood swings, sexual thoughts & feelings
• Breasts may grow

17. PUBERTY
Understanding your changing Body
When we talk about these things
IT IS NORMAL to feel
(Behavioural Changes)
Curious/ Disgust Comfortable
inquiring
Shy Embarrassed/ Excited/
uncomfortable energized

18. PUBERTY
Understanding your changing Body
When do changes happen?
 anywhere between 8 and 17
 most people begin between the ages of 10 and
14
 when you start makes no difference to how
you develop
 no age is better any other one

19. PUBERTY
Understanding your changing Body
When do changes happen?
• For some, most of the changes happen
in a few years
• For some, changes happen slowly over
lots of years
THIS IS NORMAL

20. What causes these changes?

21. What causes these changes?
• It is the sex hormones that make the changes that cause
children’s bodies grow into adult bodies.
• Both boys and girls make the same sex hormones. The
main ones are testosterone and estrogen
• Boys make lots of testosterone, not so much estrogen
• Girls make lots of estrogen, not so much testosterone

22. What will I look like when I grow up?
• That depends mostly on your HEREDITY, the GENES you got when an egg
cell and a sperm cell from your birth parents came together to make the
cells that developed into you

23. What will I look like when I grow up?
• Genes mostly determine how tall you will grow, the colour of your hair,
the size and shape of your penis or breasts and your overall body shape.
• Other things that affect our body are the foods we eat, how active we are
and how much sleep we get.

24. What are the sex organs?
These parts are also called the reproductive organs and genitals.
The parts are:
• Urethra
• Penis
• Testicles or Testes
• Scrotum

25. What happens on the inside?
• Hormones from the pituitary make the testicles grow and
they start making more testosterone and producing sperm
• After puberty you make 200,000 - 400,000 sperm cells a
day for the rest of your life
• Sperm build up in tubes around the testicles
– They travel along some tubes and mix with fluids from glands
• Sperm + fluids = semen

26. How does the semen come out?
• If semen is going to come out, the penis is likely
to be erect
• A penis gets erect when blood rushes into it
• Muscles push the semen into the urethra and
out the penis
• This is called an ejaculation.

27. What can cause an erection?
• Boys get erections for all kinds of reasons – they might
happen if you :
– Are thinking about something sexy
– When you wake in the morning and have to pee
– When you are relaxed
– When you are anxious or frightened
– For no reason at all

28. What can cause an erection?
Boys get their first erections
before they are born!

29. When does ejaculation happen?
• If a boy wakes up and finds a wet, sticky spot on his
bedclothes semen came out when he was sleeping.
This is called a “wet dream”
• If a boy touches or rubs his penis and it gets erect
and semen comes out. This is called masturbation.
• Some boys have wet dreams, some don’t
• Some boys masturbate, some don’t
• However it happens is okay

30. Does penis size matter?
• Testicles grow first so your penis may look as if it is shrinking.
• It isn’t
• It can take a while for your penis to grow.
• Penises, like noses and ears and hands, come in all sizes and
shapes and colours. They vary how they curve and stick out
when erect.
• Penises, when erect, are more alike in size than when they are
soft.
• They all work.

31. So what are normal feelings?
• Some guys think about girls and kissing and touching
• Some guys think about other guys and kissing and
touching
• Some guys don’t think about any of this stuff
• Some have crushes and fall in love
• Some don’t
• Some get angry at parents

33. Family planning is a
basic human right that
benefits everyone

34. GOAL OF FAMILY PLANNING
The objective of family planning is to enable young
couples and individuals to freely choose how many
children to have and when to have them.
This can best be done by making a full range of
safe and effective contraceptive methods available
and by Giving men and women sufficient
information to ensure they are able to make
informed choices

35. Myriad of Methods
Ring Patch
Implant Condoms Cap
Diaphragm
Spermicides
Abstinence
Pills
Injection (“shot”) IUD

36. Which one you can choose?

37. Non-Hormonal/Barrier
Condoms
Condoms

38. Advantages / Disadvantages

39. Non-Hormonal / Barriers
Advantages Disadvantages
• No hormones • Event based use
• Fewer or no medical • Some need a
contraindications* doctor’s visit
• Can prevent STD

40. Thanks