STD or STI (Infection)

1. Sexually Transmitted Diseases STD or STI (Infection)

2. What are the effects of deciding to have sex on … • Physical Health • Emotional Health • Social Health • Finances?

3. Objective 1: Define STD Communicable _________that is spread from _______ to person, through _______ contact.

4. Questions to ask before considering to engage in ANY sexual contact! • ______________________________ • _______________________________ • ________________________________ • _________________________________ • _________________________________ • _________________________________ • _________________________________

6. Objective 2: Know the statistics on STD’s. • 4 million ___________ contract STD’s each year! • 1 in ____ sexually active teens will contract an STD before graduating from high school! • _____% of STD’s occur in teenagers • WHY? 1._______________________________ 2._______________________________ 3.________________________________

7. Objective 3: List the names of the most Common STD’s • G__________ • Syphilis • H__________ • C___________ • H_______ • H__________ • Pelvic Inflammatory Disease (PID) • H____________

8. Objective 4: Identify ways to transmit STD’s/have sex • Through sexual contact which includes: • penis to ___________ • penis to ___________ • penis to ___________ • mouth to _____________ • **Does Having sex prove love?**____________ • What other ways can one show affection/love? • ________________________________________ • ________________________________________

9. Objective 5: Identify the symptoms of Gonorrhea (drip, clap, strain) • May not always be _____________________ • Symptoms appear between ___________________________ after sexual contact with an infected person Female • discharge from the vagina • Burning with _________________________ • Abnormal ____________________________ • Abdominal pain or tenderness Male • Whitish __________________________________ • _________________________________ • Lymph nodes in groin may become enlarged & _______________ Diagnosis: lab smear Treatment: Antiobiotics

10. Objective 6: Identify the symptoms of Pelvic Inflammatory Disease (PID) • Painful infection of the fallopian _________, ovaries, and/or ___________ • Results from common STD’s such as ____________ and _____________ • Can lead to infertility – _________________________________ • Symptoms: pain & tenderness of lower abdomen, high temp, & chills (Many go undiagnosed due to no symptoms) • Chronic PID can also lead to ectopic pregnancy (implants outside of uterus) • Diagnosis:_________________ or _____________ to view internal organs • Treatment: ___________________ (these will not cure internal damage already done)

11. Objective 7: Identify the symptoms and stages of Syphilis “One of most dangerous of STDs” • Symptoms: 4 stages • Primary stage: ___________ (10-90 days after infection) • Secondary stage: circulates through blood, _______, _____________symptoms (disappear and reappear) • Latent stage: (____________________) all signs disappear, attacks the heart, blood vessels, CNS, sores may reappear • Neuro-syphilis stage: (_________________________) heart, skin, brain, and spinal cord are affected resulting in a loss of mental abilities

12. Syphilis • TREATMENT: • Most common: _______________ (or other antibiotics if allergic) CONGENITAL SYPHILIS: ____________________________________

13. Objective 8: Explain the difference between Herpes 1 & 2 Herpes Simplex 1 is a virus that causes _________________________________ simplex 2 is a virus that causes ____________________________________________________________________Both types may be found in the genital areas • Transmitted by sexual CONTACT • VIRUS – Curable or Incurable?

14. Objective 9: Identify the symptoms of HERPES 2 SYMPTOMS: • Painful, itching sores • Sores appear _____________days after contact • Sores may last up to _________________ • Fever & burning sensation during urination • Can spread to other areas of the body due to ____________ & ____________…. “DO NOT RUB SKIN”… “KEEP SKIN DRY” • Do you have to have intercourse to get it? _________

15. Objective 10: Describe the diagnosis and treatment of HERPES DIAGNOSIS: • Lab tests, examination of sores TREATMENT: • Medications to treat outbreaks ***When can sores be spread?***

16. Objective 10 cont. HERPES • STAGES: • After initial outbreak, rashes may reappear or become _____________ for an undetermined amount of time • While dormant, virus moves to nerve-cell bodies near spinal cord, can stay in this state indefinitely w/o causing damage • Various factors contribute to prevalence of outbreaks including ___________ • If pregnant and not treated Herpes may cause _______________________________________

17. Objective 11: Identify the symptoms of Chlamydia Called the “______ ________” because ¾ of infected women have no symptoms FEMALES: • Initially infects cervix (which can spread to rectum) and urethra • Symptoms not ______________ _______________ • May include: unusual __________________ • Pain in pelvic area • Painful ______________ • If not treated can cause ___________ or ______________ • Can spread to child during delivery (blindness, eye infection, pneumonia) **Can also be found in the throats – contracted through oral sex** MALES: ½ of men have no symptoms; if they do (1-3 weeks after) • Affects ____________________ • Burning and pain during _________________ • Discharge from penis; burning and itching around opening • If not treated can cause chronic inflammation of ____________and ______________________

18. Objective 12: Identify the symptoms of Pubic Lice & Scabies • PUBIC LICE • Tiny __________ (lice) attach to skin and hair • Intense itching, small spots of blood in underwear • Treatment? ___________________________ SCABIES • Mites cause red swollen bites • Itching (_______________) • Can spread to f_________or f____________

19. Scabies Public Lice

20. Objective 13: HPV (Human Papilloma Virus) • ONLY proven cause of ________ ________ • Most common sexually transmitted std • Implicated to chronic urinary tract infections, vaginosis and vaginitis • Includes more than 100 different strains or types • More than __________of these viruses are sexually transmitted • Most people who become infected with HPV will not have any __________ and will ___________________________________

21. Objective 14: Explain how to get tested for HPV • Most women are diagnosed through ____________ _______ _________ • **NO HPV tests are available for ______** • Approximately 10 of the 30 identified genital HPV types can lead to cervical cancers

22. HPV Facts • Some of these viruses are called "high-risk" types, and may cause abnormal Pap tests. They may also lead to cancer of the cervix, vulva, vagina, anus, penis and even throat. • Others are called "low-risk" types, and they may cause mild Pap test abnormalities or genital warts. • At least ______ of sexually active men and women acquire genital HPV infection at some point in their lives. • By age 50, at least ____ __________of women will have acquired a genital HPV infection • You can have _____ or more at the same time • Gardisil – for girls ages _____; only protects against 4 types of HPV (those that cause cervical cancer) • Condom use – Prevention?

23. Objective 15: Identify the symptoms of HepatitisThere are 4 forms A, B, ___, and ____Only A (most common), B & C can be transmitted sexuallyDisease that causes inflammation of the liver Hepatitis A & B Symptoms • __________________________ • dark urine  • ___________________________ • fatigue • __________________________ • intermittent nausea and possibly vomiting • jaundice, which can make the sclera (whites) of the eyes & skin a yellowish color • ___________________ Treatment • Usually heal ___ ____ • Vaccines needed ____________________________________

24. Objective 16:To identify the symptoms and treatment for AIDS and HIV HIV (___________ Immunodeficiency _______) • Attaches to infection fighting __________________________ • Therefore the body cannot __________________________ • Curable? ______ There are drugs that help fight HIV from replicating and relieve symptoms Symptoms: flu-like; fever, sore-throat, skin rash, diarrhea, swollen glands, ________________________________________________ AIDS (__________ Immunodeficiency _________) • Leads to AIDS dementia (or loss of memory, coordination ability to think and move) • Not everyone who has HIV gets AIDS, _____________. • HIV Wasting Syndrome – substantial loss of body weight with fevers, sweating and diarrhea

25. Objective 17: Identify ways that HIV is spread • Sex • ___________________________________ • Sharing needs for ear piercing or tattoos • ______________________________________ • Organ Transport • Baby born to infected mother including _____________________________and delivery • Open mouth kissing?_________________________________________________________________________

26. Objective 18: List and explain the various methods of contraception 1. The Pill • The Pill is a tablet containing two female hormones – an estrogen and a progesterone. • These two hormones ______________________________________________________________________________________________________________________________________________________________ 2. Mini Pill - it thickens the secretions round the neck of your womb - this makes it very difficult for the sperm to get through it makes the lining of the womb ____________, and so less 'receptive' to ova (eggs) some of the time, _______________________________________. 3. Male condom ** 4. The coil (intra-uterine device or IUD) • they prevent your partner’s sperm from _____________________________________________ • they alter _________________ in your cervix, creating a further barrier for sperm • they affect your womb lining – making it less likely to ‘accept’ an egg.

27. Obj: 18 Contraception Cont. 5. Contraceptive injection • They stop you ___________________________________________. • They thicken the mucus in your cervix – making it difficult for sperm to get through. • They make the lining of your womb thinner, so that if an egg (ovum) became fertilized, it would have difficulty attaching itself to the lining. 6. Mirena (intra-uterine system) – similar to IUD but also uses a hormone with same affects as pills, & injections 7. Skin patchsimilar to the pill, but apply ________________________________ 8. The cap or diaphragm – dome made of rubber that is inserted into your ___________________________________________________ 9. Female condom **

28. Obj: 19 Trichomoniasis • Caused by a _________________ • Affects __________ in women and _________ in men • Most men do not have any symptoms; but if they do includes irritation, discharge and burning with urination • Women have frothy, yellow-green discharge with a strong odor (5-28 days of exposure) • Diagnosis: ______________________________ • Treatment: _________________________

29. Myth or Fact? • Birth control pills will protect you from STDs. • If you wash after sex it could prevent STDs. • You can get an STD from a toilet. • You cannot get 2 STDs at the same time. • Once you have an STD, you won’t get it again. • A person can keep from getting an STD by keeping himself or herself very clean. • Condom use can reduce your chances of getting most STD’s. • The only 100% effective way to prevent getting an STD is through Abstinence.

30. REVIEW If the STD begins with “H” it is a virus….NOT curable, only treatable All others are bacteria, curable by various antibiotics. STDs are not like a cold, you can’t “wait it out”, Why? ________________________ ____________________________________

31. Most Common STD’s • BacterialViralParasitic

33. What to do if there is a chancethat you may be infected • ____________________________________________________________________ • ____________________________________________________________________ • _____________________________________________________________________________________________________________________

34. GO TO www.kidshealth.org for more information about STD's & STI's!