Teen safe sex module julen harris


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Teen safe sex module julen harris

  1. 1. By Julen N. Harris
  2. 2. <ul><li>Having sex or thinking about starting? </li></ul><ul><li>Not sure what safer sex is? </li></ul><ul><li>Not sure how to talk to your partner about it? </li></ul><ul><li>Worried about a friend having unsafe sex? </li></ul>
  3. 3. <ul><li>You will learn: </li></ul><ul><ul><li>The facts about safer sex </li></ul></ul><ul><ul><li>How to protect yourself </li></ul></ul><ul><ul><li>How to talk to your partner about safer sex </li></ul></ul><ul><ul><li>Where to find teen-friendly sexual healthcare in your neighborhood </li></ul></ul>
  4. 4. <ul><li>The Facts </li></ul>
  5. 5. <ul><li>Vaginal sex (penis in vagina) </li></ul><ul><li>Oral sex (mouth on penis, vagina, or anus) </li></ul><ul><ul><li>a.k.a. “going down”, “blow job”, “eating out” </li></ul></ul><ul><li>Anal sex (penis in butt) </li></ul>
  6. 6. <ul><li>Safer sex is consensual . That means you and your partner both want to have sex without feeling pressured. </li></ul><ul><li>Safer sex is with someone you feel comfortable with and trust. </li></ul><ul><li>Safer sex means that you and your partner are protected from sexually transmitted infections ( STIs ) and unwanted pregnancy. </li></ul><ul><li>Safer sex means that you and your partner talk about sexual choices together. </li></ul>
  7. 7. <ul><li>Not having sex is the only sure way to prevent pregnancy and STIs. </li></ul><ul><li>It’s okay to wait. </li></ul>
  8. 8. <ul><li>Safe sex is great sex! </li></ul>
  9. 9. ?
  10. 10. <ul><li>Chlamydia </li></ul><ul><li>Gonorrhea </li></ul><ul><li>Genital Herpes </li></ul><ul><li>HPV (can cause genital warts) </li></ul><ul><li>HIV </li></ul>
  11. 11. <ul><li>Semen (cum) </li></ul><ul><li>Vaginal fluid </li></ul><ul><li>Blood </li></ul><ul><li>Skin-to-skin contact with a herpes blister or genital wart </li></ul>And YES , you can get STIs from oral sex!
  12. 12. <ul><li>Itching in your genital area </li></ul><ul><li>Burning when you pee </li></ul><ul><li>Discharge that smells or is yellow/green in color </li></ul><ul><li>Bumps, sores, blisters or rashes in your genital area </li></ul><ul><li>These may be signs of a STI. </li></ul><ul><li>You should get checked out and get treated right away! </li></ul><ul><li>AND , you could have a STI without any signs! </li></ul><ul><li>So…. </li></ul>
  13. 13. <ul><li>Because it is the only way to know for sure if you have a STI! </li></ul><ul><li>You should get tested every 3-6 months. </li></ul><ul><li>For more info about STIs, go to: Teens Health - All about STIs </li></ul><ul><li>(We’ll tell you where you can go get tested at the end) </li></ul>
  14. 14. <ul><li>I’ve had sex lots of times without a condom and I’ve never been pregnant or gotten someone pregnant. </li></ul><ul><li>So far, you’ve been lucky. </li></ul><ul><li>You are taking a chance every time you have unprotected sex. </li></ul><ul><li>Don’t depend on “pulling out” because pre-cum can get a girl pregnant! </li></ul>
  15. 15. <ul><ul><li>1 out of 9 </li></ul></ul><ul><ul><li>teen girls from Washington Heights/Inwood </li></ul></ul><ul><ul><li>gets pregnant ² </li></ul></ul><ul><ul><li>That’s one of the highest rates in NYC! </li></ul></ul>
  16. 16. <ul><li>How do you protect yourself and your partner? </li></ul>
  17. 17. <ul><li>A male condom is placed on a guy’s penis when it is hard, BEFORE any sex happens </li></ul><ul><li>A condom covers the penis and catches semen </li></ul>
  18. 18. <ul><ul><li>Check out these websites! </li></ul></ul><ul><ul><li>For easy steps to use a male condom, click here: </li></ul></ul><ul><ul><ul><li>How to use a male condom </li></ul></ul></ul><ul><ul><li>To watch a video demo of these steps, click here: </li></ul></ul><ul><ul><ul><li>Video- How to use a condom </li></ul></ul></ul>
  19. 19. <ul><li>A female condom goes inside the vagina </li></ul><ul><li>The closed end lines the inside of the vagina </li></ul><ul><li>The penis goes into the open end outside of the vagina </li></ul>
  20. 20. <ul><ul><li>Check out these websites! </li></ul></ul><ul><ul><li>For easy steps to use a female condom, click here: How to Use the Female Condom </li></ul></ul><ul><ul><li>To watch a video demo of these steps, click here: Video- How to use the female condom </li></ul></ul>
  21. 21. <ul><li>The male and female condom should NOT be used at the same time because they can break from rubbing together. </li></ul><ul><li>Condoms can protect you during oral sex too! Try flavored ones! </li></ul><ul><li>For oral sex on a girl, dental dams can protect you. </li></ul><ul><ul><li>For more info, click here: Dental Dams </li></ul></ul>
  22. 22. <ul><li>Well, not always. </li></ul><ul><li>In Washington Heights/Inwood </li></ul><ul><li>less than half </li></ul><ul><li>of adults who had sex with more than 1 person last year </li></ul><ul><li>used a condom </li></ul><ul><li>the last time they had sex ³ </li></ul><ul><li>That’s a lot of people having unsafe sex! </li></ul>
  23. 23. <ul><li>They must be used </li></ul><ul><li>the right way </li></ul><ul><li>every time </li></ul><ul><li>you have sex! </li></ul>You can get FREE condoms here in the resource center!
  24. 24. <ul><li>DO check the expiration date. </li></ul><ul><li>DON’T unroll the condom before putting it on. </li></ul><ul><li>DON'T keep condoms in your wallet or back pocket too long– keep them away from heat in a drawer, purse, or backpack. </li></ul><ul><li>DO use plenty of water-based or silicone-based lube. </li></ul><ul><li>DON'T use baby oil, lotion, or Vaseline as lube—they can make condoms break! </li></ul><ul><li>DO carry condoms so that you'll always be ready. </li></ul><ul><li>(It’s OK for girls to carry condoms too!) </li></ul><ul><li>DON’T just rely on your partner to have condoms. Share the responsibility! </li></ul>
  25. 25. <ul><li>For a funny video of some these do’s and don’ts, click here: </li></ul><ul><ul><li>Marvin and Lisa - Condom Do's and Don'ts </li></ul></ul>
  26. 26. <ul><li>You can also prevent pregnancy with hormonal birth control until you are ready to have a baby. </li></ul><ul><li>3 types teen girls use most: </li></ul><ul><ul><li>“ The pill” </li></ul></ul><ul><ul><li>“ The shot” – Depo Provera </li></ul></ul><ul><ul><li>“ The ring” – Nuva Ring </li></ul></ul><ul><li>But remember! Birth control DOES NOT prevent STIs! </li></ul><ul><ul><li>Use condoms AND birth control for double safety! </li></ul></ul><ul><li>For more info about birth control options, click here: Birth Control Info </li></ul>
  27. 27. <ul><li>You used a condom but it broke or slipped off? </li></ul><ul><li>You got caught up in the “heat of the moment” and had sex without a condom? </li></ul><ul><li>You or your partner forgot to take a birth control pill? </li></ul>
  28. 28. <ul><li>Plan B (a.k.a. emergency contraception or “the morning-after-pill”) is the ONLY way to prevent pregnancy AFTER sex. </li></ul><ul><li>It is a pill that can work up to 5 days after unprotected sex, but it works best the sooner you get it. </li></ul><ul><ul><li>It is not the abortion pill! </li></ul></ul><ul><li>If you are 17 or older, you can get Plan B from a drug store or clinic. If you are under 17, you will need to go to a clinic. </li></ul><ul><li>Click here for more info: Plan B Info </li></ul><ul><ul><li>Or call: 1-888-NOT2LATE </li></ul></ul><ul><ul><li>Click here for videos with more info: ec123.org </li></ul></ul>
  29. 29. How do you talk to your partner about using protection?
  30. 30. <ul><li>You should talk to your partner about using a condom BEFORE you start having sex. </li></ul><ul><ul><li>It’s OK to be nervous! </li></ul></ul><ul><ul><li>Choose a time and place where you feel relaxed. </li></ul></ul><ul><ul><li>DO NOT wait until the “heat of the moment” to talk about using a condom for the first time. </li></ul></ul><ul><li>Speak up! This is no time to be shy. Be clear that you will only have sex with a condom. </li></ul><ul><li>Follow through! Live up to your choice to have safe sex every time . </li></ul>
  31. 31. <ul><li>Even if you have been with your partner for a long time, using condoms DOES NOT mean that you love or trust each other any less! </li></ul><ul><ul><li>You are still at risk for pregnancy and STIs! </li></ul></ul>
  32. 32. <ul><li>Talking to your partner about safe sex might feel awkward. </li></ul><ul><li>Talking to you partner can be even harder if... ⁴ </li></ul><ul><ul><li>He/she wants to have a baby when you don’t </li></ul></ul><ul><ul><li>He/she is a few years older than you </li></ul></ul><ul><ul><li>Either of you is drunk or high </li></ul></ul><ul><li>If your partner does not agree with you about using condoms, it can be hard to stand up for yourself. </li></ul>
  33. 33. <ul><li>Many teens feel pressured to have sex without a condom </li></ul><ul><li>Many teens want to use condoms, but don’t tell their partner because they worry that their partner will think they do not trust them or are cheating ⁵ </li></ul><ul><li>If you’re afraid that your partner will get very angry or break up with you because you ask to use a condom, you should think about whether this is a good relationship for you. </li></ul><ul><li>Check out these sites for more info about healthy relationships: </li></ul><ul><ul><li>Is your relationship healthy? </li></ul></ul><ul><ul><li>More Info on Healthy Relationships </li></ul></ul>
  34. 34. <ul><li>If your partner says they don’t want to use a condom, have these comebacks ready to pull out of your back pocket…. </li></ul>
  35. 35. <ul><li>Your partner says: “Condoms suck. They are so uncomfortable.&quot; </li></ul><ul><ul><li>You say: “They might feel weird at first, but you’ll get used to it. Plus, we can have fun trying different kinds.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “Well I only feel comfortable having sex with a condom.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “How about we try a different brand? Maybe if it feels tight, you need a Magnum.” </li></ul></ul>
  36. 36. <ul><li>Your partner says: “I can’t feel anything with a condom on.” </li></ul><ul><ul><li>You say: “Let’s try putting more lube on the inside and outside of the condom t0 make it feel better.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “But we’ll both be able to enjoy sex more knowing that we’re being safer.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “You really won’t feel anything if we don’t use a condom because there won’t be any sex.” </li></ul></ul>
  37. 37. <ul><li>Your partner says: “Stopping to put on a condom totally kills the mood.” </li></ul><ul><ul><li>You say: “It won’t if you let me put it on for you.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “Worrying about getting pregnant totally kills my mood.” </li></ul></ul>
  38. 38. <ul><li>Your partner says: “We don’t need a condom. I always pull out in time, don't worry.&quot; </li></ul><ul><ul><li>You say: “But if we use one you don’t have to think about pulling out and we can enjoy it more.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “But you can’t control pre-cum, and that can get me pregnant too.” </li></ul></ul>
  39. 39. <ul><li>Your partner says: “Can we do it without a condom just this once?” </li></ul><ul><ul><li>You say: “Once is all it takes to get pregnant.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “I always use a condom, just to be safe.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “I don’t want to take any chances.” </li></ul></ul>
  40. 40. <ul><li>Your partner says: “But we’ve been together for so long already and you’re the only one I’m having sex with.” </li></ul><ul><ul><li>You say: “And I’m only having sex with you too, but let’s go get tested together first. Plus, we can get birth control to make sure we don’t get pregnant.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “I know it’s been awhile, but why stop using condoms now? Let’s just keep playing it safe.” </li></ul></ul>
  41. 41. <ul><li>Your partner says: “Don’t you trust me? I’m not gonna give you anything.” </li></ul><ul><ul><li>You say: “Of course I trust you, but we should still be safe and use a condom.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “It’s not that I don’t trust you, but we could get pregnant and I’m not ready for that.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “It’s not that I don’t trust you, but I always use condoms no matter what.” </li></ul></ul>
  42. 42. <ul><li>Your partner says: “But I love you. And if you love me, we don’t need to use condoms.” </li></ul><ul><ul><li>You say: “I love you, but love doesn’t protect against getting pregnant. Condoms do.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “I love you, and if you love me, you’ll put on a condom.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “I do love you, so that’s why I want to use a condom to protect us both.” </li></ul></ul>
  43. 43. <ul><li>Your partner says: “Even if we get pregnant, we can raise the baby together.” </li></ul><ul><ul><li>You say: “That would be great when we are both ready to be parents, but I’m just not ready for that right now.” </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “I am glad you feel that way, but I still think that for right now, it is better for us to use condoms.” </li></ul></ul>
  44. 44. <ul><li>Your partner says: “But we’ve already been doing it without a condom. Why should we start using one now?” </li></ul><ul><ul><li>You say: “But we shouldn’t have been. I was worried about getting you pregnant. And I don’t want to go through that stress again. </li></ul></ul><ul><ul><li>or </li></ul></ul><ul><ul><li>You say: “I didn’t know until now how big a risk we were taking. Using a condom will protect both of us. It might feel different but it will still feel good!” </li></ul></ul>
  45. 45. <ul><li>You always have the right to say NO to sex! </li></ul><ul><li>Be prepared! Don’t let sex “just happen” without a condom. </li></ul><ul><li>Be strong! Don’t let your partner convince you that you don’t need a condom. </li></ul><ul><li>You never know till you ask! Your partner could feel the same way you do about safe sex! </li></ul><ul><li>Here’s one guy who knows how to play it safe: </li></ul><ul><ul><li>Safer Sex with a Condom </li></ul></ul>
  46. 46. So wrap it up! ⁶
  47. 47. <ul><li>You can’t just talk to your partner about safe sex once. Remember that talking to your partner about sexual choices is part of a healthy relationship . </li></ul><ul><li>Be aware of your body and your partner’s – if something seems wrong, don’t ignore it! Go get a check-up! </li></ul><ul><ul><li>But don’t forget that you might not know something is wrong without getting tested first! </li></ul></ul><ul><li>Make using condoms and getting tested part of your health routine! </li></ul>
  48. 48. <ul><li>Project STAY Clinic (at Farrell) </li></ul><ul><ul><li>610 W. 158 th St. at Riverside Dr. </li></ul></ul><ul><ul><li>(646)-284-9739 </li></ul></ul><ul><ul><li>http://hhpc.chyden.com/STAYweb/web/stay/ </li></ul></ul><ul><li>Young Men’s Clinic (Males only) </li></ul><ul><ul><li>21 Audobon Ave. at 166 th St. </li></ul></ul><ul><ul><li>(866)-463-2778 </li></ul></ul><ul><ul><li>www.youngmensclinic.org </li></ul></ul><ul><li>Dyckman Clinica de las Americas </li></ul><ul><ul><li>175 Nagle Ave. at Dyckman St </li></ul></ul><ul><ul><li>(212)-544-2001 </li></ul></ul>Outside of the Project STAY Clinic
  49. 49. <ul><li>For more info, check out these great websites for teens: </li></ul><ul><ul><li>www.facebook.com/chataboutthat </li></ul></ul><ul><ul><li>www.amplifyyourvoice.org </li></ul></ul><ul><ul><li>www.sexetc.org </li></ul></ul><ul><ul><li>www.itsyoursexlife.com/ </li></ul></ul><ul><ul><li>www.kidshealth.org/teen </li></ul></ul>Thanks for watching! Stay safe!
  50. 50. <ul><li>Kaiser Family Foundation. (2006). Sexual health statistics for teenagers and young adults in the United States. Retrieved December 12, 2010. http://www.kff.org </li></ul><ul><li>New York City Department of Health and Mental Hygiene. (2009).Teen pregnancy in New York City: 1997-2007. </li></ul><ul><li>Olson, E.C., Van Wye, G., Kerker, B., Thorpe, L., Frieden, T.R. (2006). Take Care Inwood and Washington Heights. NYC Community Health Profiles, 19, 1-16. </li></ul><ul><li>Bauman, L.J., Karasz, A., & Hamilton, A. (2007). Understanding failure of condom use intention among adolescents: Completing an intensive preventive intervention. Journal of Adolescent Research, 22, 248-274. </li></ul><ul><li>Brown, L.K., et al. (2008). Condom use among high-risk adolescents: Anticipation of partner disapproval and less pleasure associated with not using condoms. Public Health Reports, 123, 601-607. </li></ul><ul><li>Lil Wayne featuring Kanye West and Static Major. 2008. Lolipop Remix. htp://www.youtube.com/watch?v=d_HhAfmuUQQ&feature=related </li></ul><ul><li>Other references consulted: </li></ul><ul><li>Brady, S.S., Tschann, J.M., Ellen, J.M., & Flores, E. (2009). Infidelity, trust, and condom use among Latino youth in dating relationships. Sexually Transmitted Disease, 26, 227-231. </li></ul><ul><li>Gebhardt, W.A., Kuyper, L., & Greunsven, G. (2003). Need for intimacy in relationships and motives for sex as determinants of adolescent condom use. Journal of Adolescent Health, 33 , 154-164. </li></ul><ul><li>Manlove, J., Ryan, S.J., & Franzetta, K. (2007). Contraceptive use patterns across teens’ sexual relationships: The role of relationships, partners, and sexual histories. Demography, 44, 603-621. </li></ul><ul><li>Thomas, R., Cahill, J., & Santilli, L. (1997). Using an interactive computer game to increase skill and self-efficacy regarding safer sex negotiation: Field test results. Health Education & Behavior, 24, 71-86. </li></ul><ul><li>Tschann, J.M., Flores, E., ee Groat C.L., Deardorff, J., & Wibbelsman, C.J. (2010). Condom negotiation strategies and actual condom use among Latino youth. Journal of Adolescent Health, 47, 254-262. </li></ul><ul><li>Websites consulted: </li></ul><ul><li>American Social Health Association. http://www.ashastd.org/condom/condom_negotiation.cfm </li></ul><ul><li>Amplify your voice. http://www.amplifyyourvoice.org </li></ul><ul><li>Australian Government Department of Health and Ageing. http://www.health.gov.au/internet/sti/publishing.nsf/Content/excuses </li></ul><ul><li>CHAT Manhattan. http://facebook.com/chataboutthat </li></ul><ul><li>Maternidad Latina. http://www.nchealthystart.org/aboutus/maternidad/vol3no3.htm </li></ul><ul><li>Scarleteen. http://www.scarleteen.com </li></ul><ul><li>Sexuality and You.ca. http://www.sexualityandu.ca/teens/contraception.aspx </li></ul><ul><li>TeensHealth. http://kidshealth.org/teen/sexual_health/ </li></ul><ul><li>The Pleasure Project. http://www.thepleasureproject.org/ </li></ul><ul><li>TORCH. Doctors for Teens in New York City. http://www.prochoiceny.org/doctors4teens/ </li></ul>