Sexual Health Program at SRHS

1. Sexual Health Program at SRHS • Every Monday • Office across from Guidance area • Confidential • Speak to your teacher or guidance counsellor, call 432-2691 or just drop in. • 1st and 3rd Tuesdays and most Fridays at Sussex Health Centre-2nd floor

2. Healthy Relationships • You know, like, and respect each other • You trust each other • You’re there for one another • You feel good when you’re together • You can talk about anything • You encourage each other

3. Healthy Relationships I have the right to: To be in a happy relationship To always be treated with respect To not be hurt Physically or emotionally To have friends and activities apart from my partner To refuse sex or sexual contact at any time. To end a relationship when I choose 3

4. Facts About Technology Abuse 19% of teens in relationships say their partner has used a cellular device or the internet to spread rumors about them 1 in 3 teens say they are texted 10, 20, 30 times an hour by a partner keeping tabs on them Nearly 1 in 4 teens in a relationship communicated with their partner via cell phone or texting HOURLY between 12 am & 5 am 68% of teens say boyfriends/girlfriends sharing private or embarrassing pictures/videos on cell phones and computers is a serious problem Technology is a means of constant control 1 in 4 teens in a relationship say they have been called names, harassed, or put down by their partner through texting 71% of teens regard boyfriends/girlfriends spreading rumors about them on cell phones and social networking sites as a serious problem

5. KNOW the Red Flags • Acts JEALOUS and frequently accuses you of things • Constantly CHECKS UP on you by calling or texting • Calls you names or PUTS YOU DOWN • Tells you WHAT TO DO, what to wear or how to act • THREATENS to harm themselves if you ever break up with them 5

6. What is the age of consent for sexual activity? Age when teens can make their own decisions about sexual activity. In Canada –the age was recently changed from 14 to 16- with some exceptions. Youth age 14-15 are able to consent with partners who are not more than 5 years older

7. What IS NOT consent ? There are times when consent is NOTlegally possible A child under age 12 can NEVER give legal consent to sexual activity. There can be no legal consent when a person is drunk, drugged, asleep, or passed out Someone under age 18 cannot legally consent to have sex with a person in a position of authority such as a teacher, health care provider, coach, minister, family member

8. How long is the average Canadian teenager sexually active before initiating the use of contraception? a) 1 - 3 months b) 3 - 6 months c) 6 - 12 months d) most teens start using contraception before starting to have sexual intercourse

9. Pregnancy Prevention

10. What is the only Birth Control method that is 100% effective? Abstinence Postpone Just say “NO

11. Which hormonal contraceptives have you heard of? the Pill the Patch the Ring the Shot

12. Oral Contraceptives (A.K.AThe Pill) What are they? • Prescription pill taken once a day • Many different makes and brands How do they work? • Stop the release of a mature egg • Thicken the cervical mucus making it difficult for sperm to get to egg • Change the lining of the uterus making implantation difficult Failure rate: 1 per 100 women Effectiveness: 97-99%

13. Birth Control Patch - EVRA What is it? • A patch worn on the skin • A new patch is applied once a week for three weeks followed by one week without a patch How does it work ? • Same as other hormonal methods Failure rate: 1 per 100 women per year Effectiveness – 99%

14. Vaginal Ring (Nuvaring) What is it? • A flexible, nearly transparent ring (5.5 cm across) • Inserted into vagina • 3 weeks inside vagina - removed for one week How does it work? • Same way as pill and patch Failure rate: 1 per 100 women per year Effectiveness- 97-99%

15. Depo-provera (Injection) What is it? • The injection is given in the upper arm or buttocks every 12 to 13 weeks (four times a year) • Progesterone only- no estrogen How does it work? Same way as other hormonal methods Failure rate: 30 per 1000women per year Effectiveness: 99.7 %

16. What would improve the effectiveness of hormonal birth control? Condoms FACE it…a “no-brainer”

17. The Emergency Contraception(a.k.a. “the morning after pill) • Female hormones to prevent or delay ovulation and therefore prevent pregnancy • Works as late as 5 days after unprotected intercourse • The sooner its taken the more effective it is • Convenient (2 pills at the same time) and few side effects • Available from a pharmacist or local sexual health clinics

18. Condom Sense Info Have condoms available Latex condom –lubricated Put condom on before skin to skin contact –genitals touch Open carefully –do not tear Tip facing up Leave 1 cm at tip Squeeze out air Unroll to the bottom Pull out penis immediately after ejaculation before penis gets soft Hold on to rim at the bottom when pulling out Throw it out

19. Chance/ No Birth Control • 25% of young women who have intercourse without birth control will get pregnant within ONE month • 85% will become pregnant within ONE year

20. Lets Roll the Dice Do you know the risks??? Are you ready to take the risk????

21. Before we start lets have a little quiz to see how much you know… True or False Using latex condoms protects you 100% from STIs Afraid not – condoms provided excellent protection but not 100% - they break sometimes Some STIs are spread by skin to skin contact- (more about that later………)

22. True or False Birth control pills protect you from STIs FALSE The pill doesn’t protect you from STIs. It provides very good protection from pregnancy ONLY Using a condom every time protects you against STIs

23. True or False STIs are curable Yes and No Many can be cured but some can’t – notably Herpes, HPV, Hepatitis B, HIV/AIDS And even if an STI is cured , you can be re-infected

24. True or False “I am too young to get an STI” False No one is too young to get an STI – 15- 24 yr olds have the highest rates of infection 15- 19 year old females are especially at risk

25. How to Know if you have an infection ??? Some people with an STI have few or No symptoms at all Discharge Burning feeling when urinating (peeing) Sores, lumps and bumps. These symptoms might appear alone, or in combination. Seek a health professional.

26. 2 7 19 42 88

27. What is the NUMBER ONE reportable STI in Canada?

29. COMPLICATIONS

30. Who will know ? 5 of 10 guys have no signs or symptoms

31. How about her????? 8 of 10 girls will have no signs or symptoms

32. Chlamydia- easy to test ,easy to treat

33. Gonorrhea • Second most common reported STI in Canada • Symptoms similar to Chlamydia • Rates highest in males 20-24 years of age and females 15-19 years of age

34. Syphilis • Bacterial • On the Rise • Tested through Blood • Treatable with Antibiotics

35. HPV Human Papilloma Virus In Canada, approx 75% of adult population will have at least one HPV infection in their lifetime Highly contagious: transmitted via vaginal, oral, anal sex, and skin-to-skin contact 80% of HPV infections resolve spontaneously within 18 months to two years of exposure Persistent infection with “high-risk” HPV leads tocervical cancer

36. HPV IMMUNIZATION Prevent infections with the four types of HPV (6, 11, 16 and 18) Approved for females between 9 and 26 years of age Vaccine given in 3 doses within a six month period Women still require routine pap smears

37. Herpes Simplex Virus HSV Viral STI- painful blisters 1:5 sexually active people will have an HSV infection 7/10 times being transmitted with no symptoms Type I (oral) an II Treatable no cure

38. HIV AIDS HIV is the germ (virus) that causes AIDS: average time from HIV to AIDS is 10 years Transmitted via anal/vaginal sex (high risk), oral sex (low risk), direct blood-to-blood contact, contaminated needles, and from mother to child during pregnancy Most affected- MSM, injection drug users, and YOUNG Women aged 15-19

39. When should you get an STI TEST? Once you become sexually active you should have a yearly check-up and STI test If you have sex without a condom or condom breaks If you find out if your current or past partner has an STI If you have sex under the influence of alcohol and drugs If you have a new sexual partner If you or your partner have symptoms If you have been raped or assaulted If you or your partner have ever injected drugs If you or your partner have piercings or tattoos

40. Reduce Your Risk Choosenot to have sex If you choose to have sex, to use a condom If you choose to have sex, get tested Low risk activities ( kissing, hugging, holding hands) Spend time together- develop the relationship Have one faithful partner DON’T have sex with someone who has had a lot of partners Avoid having sex when you are drunk or on drugs

41. Where to Go For Help Sexual Health Centre Family Physician High school Sexual Health Nurse Guidance Counselor St Joseph’s Urgent Care Centre STI Information Line 1-877-784-1010