Transcript Slide 1

Lesson 4
September 28th, 2010
What Is Sexual Health?
 Sexual health is a state of physical, emotional,
mental and social well-being.
 In relation to sexuality; it is not merely the absence of
disease, dysfunction, or infirmity. Sexual health
requires a positive and respectful approach to sexuality
and sexual relationships, as well as the possibility of
having pleasurable and safe sexual experiences, free of
coercion, discrimination, and violence.” (World Health
Organization)

Today we will look at staying
physically healthy
 Choosing the right Contraceptive device (Avoiding
STD’s Only)
 Self Examinations
 Medical checkups
Choosing a contraception that’s right for u
www.sexualityandu.ca
Femalec
sexualityand u.ca
ondom
What is it?
• Soft, disposable, polyurethane sheath
• Available in drugstores without a prescription
How does it work?
• Placed in the vagina before intercourse
• Lines the vagina completely, preventing
direct contact between the penis and the
vagina and preventing the exchange of
body fluids
• Sperm is trapped in the condom, which is
thrown away
after intercourse
• A new condom should be used for each
repeated
act of intercourse
Failure rate: 210 per 1000 women per year
Femalec
ondom
sexualityand u.ca
What are the advantages?
1. Available widely without a prescription
2. No daily contraceptive routine or continued
use required
3. Woman remains in charge of placement
and use
4. Protects against some STIs
Femalec
ondom
sexualityand u.ca
What are the disadvantages?
1. Must be available at time of intercourse
2. Requires proper insertion technique
3. Flexible inner ring may cause discomfort for some
4. More expensive than the male condom and not
available in all stores
5. Makes a noise during intercourse
6. May slip or break during intercourse
7. May be considered messy by some
Maleb
a r r i e rmethods
sexualityand u.ca
Male Condom
What is it?
• A soft disposable sheath
• Available in various shapes, sizes, thicknesses,
colours and flavours
• Most are latex, but non-latex condoms are also
available in polyurethane, silicone, and lambskin
How does it work?
• Fits over the erect penis
• Acts as a physical barrier preventing direct genital
contact and the exchange of genital fluids, so the
sperm does not enter the uterus and fertilize
the egg
• A new condom is used for each repeated act
of intercourse
Failure rate: 150 per 1000 women per year
Maleb
a r r i e rmethods
sexualityand u.ca
What are the advantages?
1. Available widely without a prescription
2. Inexpensive
3. Latex condoms protect against STIs
4. Allows the male partner to assume some
responsibility for birth control
5. Both partners can participate in their use
6. May help the wearer avoid premature
ejaculation
Maleb
a r r i e rmethods
sexualityand u.ca
What are the disadvantages?
1. Must be available at time of intercourse
2. May slip or break during intercourse
3. Must be stored and handled properly
4. People with latex allergies cannot use latex condoms, but may be able
to use non-latex condoms
5. May reduce sensitivity for either partner
6. May interfere with the maintenance of an erection
7. May reduce spontaneity
8. Lambskin condoms do not protect against STIs
STIp
revention
sexualityand u.ca
Dental dams and gloves
A dental dam is a small piece of latex similar to the
material used for latex condoms.
• It can be used during oral sex. The dental dam is
stretched across a
woman’s vagina to prevent the exchange of bodily fluids.
• It can also be used in other activities where a barrier is
desired.
• Latex surgical gloves can also be used in activities where
a barrier is
desired.
General tips
• When using latex dental dams, gloves, or condoms,
apply only waterbased lubricants. They are available at drugstores.
• Use new dental dams, gloves, or condoms for each
partner.
• Do not re-use latex barriers or turn them over and use the
other side.
STIp
revention
sexualityand u.ca
Cutting a condom to make a dental dam
• When a dental dam is not available, a latex condom
can be cut to create
a latex barrier.
1. Unroll a new condom.
2. Using scissors, cut off both ends of the condom,
removing the
closed tip and the round loop at the base.
3. Cut the condom lengthwise so that it opens up
into a rectangle.
• If you are going to use the barrier for oral sex, you
may wish to select a
condom without spermicide or lubrication. A flavoured
condom may be
a good choice.
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2
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STIp
sexualityand u.ca
revention
Method
STI protection
Oral contraceptives
no
Transdermal patch
no
Vaginal Ring
no
Injectable contraceptive
no
Intrauterine system (IUS)
no
Intrauterine device (IUD)
no
Female sterilization
no
Female condom
yes*
Diaphragm and cervical cap
limited
Sponge and spermicides
limited
Male condom
Male sterilization
yes with latex condoms*
no
* Remember that no method of protection from STIs is perfect. Some STIs can
be passed through skin-to-skin contact.
Self Examinations : Testicular self
exam (tse)
 The best time to conduct a monthly TSE is after a warm
bath or shower, then the skin of the scrotum is relaxed.
How to do it:
 Standing in front of a mirror, inspect the scrotum
visually for swelling
Self Examinations : Testicular self
exam (tse)
 For each testicle: hold the testicle between the
thumb and fingers of both hands; roll it gently
between the fingers, looking out for any hard
lumps or nodules or for any change in size,
shape, or consistency.
 Feel the epididymis, a cord-like structure on the
top and back of each testicle, noting any changes
Self Examinations : Vulvar selfexaminations
 Vulvar self-examinations are best performed
between periods, every month. You’re looking for
anything else that wasn’t there before, such as changes
in colour (dark, white, red), bumps, blisters, lesions,
ulcers, warts, and sores. Feel for swelling, soreness,
irritation or itching. How to do it:


With a mirror in one hand, sit with your legs spread
using your free hand to separate the labia majora, the
outer lips of the vagina, exposing the vagina’s opening.
Check for visible changes to the mons pubis, the area
above vagina where pubic hair is located.
Self Examinations : Vulvar selfexaminations
 Examine the labia minora, by spreading the
small folds of skin surrounding the opening of
your vagina, like you did for the labia majora.
 Check the perineum, the skin right between the
vagina and anus.
 Lastly, look at the area surrounding the anal
opening.
 If you’re concerned about anything you see,
make an appointment with your doctor
immediately.
Medical Check ups
 Pap Smears
 Physical Examinations
Local Services
 Weeneebayko Health Ahtuskaywin
http://www.wha.on.ca/
 Location: The Hospital
 Services Offered:
 Ontario Telehealth Network
 Patients in Moose Factory can be seen by medical staff over a secure
video conference session for various medical consultations / follow
up appointments.
 Including

Gynaecology
 Visiting Specialists
 Surgery
 General hospital care
Moose Factory Public Health
 Location :Moose Cree Complex
 Services:
 Immunizations
 Well baby clinics
 Elderly health program
Health Services Counseling
 The Health Services Counseling Program works closely
with other various social services agencies within the
community.
 Counselling services
Moose Cree Healing Centre
 The program was established in the early seventies
under the auspices of a volunteer Board of Directors.
This program provides counseling services to the
whole community and works in conjunction with the
Shagastawow Healing Lodge in Moosonee, Ontario.
Moosonee Health Clinic
 Atims St, Moosonee, Ontario P0L 1Y0
(705) 336-2341