SEXUALLY TRANSMITTED DISEASES

1. SEXUALLY TRANSMITTED DISEASES *28 DIFFERENT TYPES IDENTIFIED *13 MILLION NEW CASES ANNUALLY *75% OF ALL WOMEN HAVE NO SYMPTOMS *SUSCEPTIBILITY RISES FROM 40 TO 90% WITH PILL *2/3 OF CASES ARE UNDER THE AGE OF 25/ 15-19 HIGHEST *25-40% CASES ADVANCE TO PID CAUSING PERMANENT DAMAGE OUR ACTIONS PUT US AT RISK; NOT THE GROUPS WE BELONG TO HIGH RISK IS 2 OR MORE PARTNERS PER YEAR MYTH: IF SYMPTOMS DISAPPEAR , YOU ARE CURED MOST COLLEGE STUDENTS DO NOT PRACTICE SAFER SEX

2. …ALTERS JUDGMENT & COMMUNICATION SKILLS …REMOVES ANXIETY … ALTER IMMUNE SYSTEM …SUSPEND ACCOUNTABILITY ….PRODUCES VULNERABILITY DRUGS/ ALCOHOL WOMEN GET DRUNK FASTER THAN MEN

3. DRUGS/ ALCOHOL ALCOHOL LOWERS YOUR T-CELL COUNT FROM A NORMAL 100-1200 TO 500…AIDS IS 200 WOMEN GET DRUNK FASTER THAN MEN HIGHER BODY FAT MEANS LESS WATER TO DILUTE THE ALCOHOL

4. Guidelines for Responsible Sexual Behavior • Communication about intentions • Sexual activities are agreed upon, valued, and preferred by both partners • The use of contraception • The use of safer sex practices • Taking responsibility for the consequences of sexual behavior

5. The Major STDs • HIV/AIDS • Chlamydia • Gonorrhea • Pelvic inflammatory disease (PID) • Genital warts ( HPV) • Genital herpes (HSV-2) • Syphilis • Vaginal Infections

6. Prevention of STDs • Abstinence is the only sure way to avoid STDs • Communication between partners is essential • Assume responsibility for safer sex practices • have sex with one mutually monogamous uninfected partner • use latex condoms-…-vaginal spermicides(nonoxynol 9) • wash before and after sex…….-urinate after sex • Responsible sexual behavior means protecting oneself and others against STDs • -You Deserve RESPECT…Any partner who does not respect your rights, does not deserve to be intimate with you

7. Young people are more likely to be killed by HIV than by drunk drivers or hand guns

8. 7. Must value Your Health and Life over other peoples “feelings”

9. Transmission of HIV • HIV is transmitted via blood & blood products, semen, vaginal & cervical secretions, and breast milk • Routes of transmission are: • From oral, vaginal, & anal sexual contact • From direct exposure to infected blood • From IV drug use….Steriods are IV Drugs • From an HIV-infected mother to her fetus during pregnancy or childbirth, or to an infant during breastfeeding

10. AIDS TIMELINE Infected 3-6months 7-20years ARC symptoms AIDS Death T_Cell 200 or below INFECTIOUS IN 24 HRS Elisa Test> 99% test + After 6months May lie dorment No Symptoms Mild to severe 1-2years> Women &children Die sooner ***5-15% will test positive and die of other causes **Anonoymous vs Confidentiality- In Ca information cannot be given without written permission

11. AIDS DEFINING CONDITIONS HEF ORAL CANDIDIASIS Kaposi’s Sarcoma

12. CHLAMYDIA A BACTERIUM THAT ATTACKS MUCOUS MEMBRANES IN VAGINA,ANUS,MOUTH, EYE MOST COMMON STD 5-10 MILLION / YEAR 1 IN 8 ARE TEENS 70% UNDER AGE 25 SYMPTOMS VAGUE/50%NO SYMPTOMS DIFFICULT TO DIAGNOSIS CURRENT TESTING DETECTS ONLY 75% OF THE TIME

13. CHLAMYDIA SYMPTOMS IN WOMEN VAGINAL DISCHARGE LOWER ABDOMINAL DISCOMFORT PAINFUL URINATION/INTERCOURSE SYMPTOMS IN MEN OFTEN CONFUSED W/GONORRHEA DISCHARGE FROM PENIS PAINFUL/FREQUENT URINATION EASILY TREATED /ANTIBIOTICS STERILITY IF UNTREATED CAN LEAD TO ARTHRITIS NEWBORNS-EYE INFECTIONS PNEUMONIA

14. GENTIAL HERPES 20 MILLION AFFECTED/500,000 NEW/YR HERPES SIMPLEX VIRUS II / INCURABLE ATTACKS DIMINISH IN FREQUENCY & SEVERITY OVER TIME TINGLINGSENSATION FOLLOWED BY ITCHING/WATERY BLISTERS UP TO 3 WEEKS MAY LIE DORMENT FOR YEARS MAY RETURN DURING STRESS, DEPRESSION, MENSTRUATION, LACK SLEEP, INTERCOURSE ASYMPTOMATIC OR FLULIKE SYMPTOMS

15. GENTIAL HERPES TREATMENT ACYCLOVIR(ZOVIRAX) (ALSO CHICKEN POX NUTRITIONAL / HERBAL TREATMENTS GARLIC-12CAPSULES IMMEDIATELY 3 EVERY 4 HOURS/ 3 DAYS LEMON BALM TEA TREE OIL- (MELALEUCA OIL) LYSINE- (ORAL, POTATOES,FISH, EGGS) VITAMIN C, ZINC, VITAMIN E OINTMENT) AVOID FOODS WITH ARGININE (CHOCLATE, PEANUTS, NUTS)

16. GENITAL HERPES SIMPLEX

17. SYPHILIS SPIRAL BACTERIUM CONTACTED THRU SEXUAL INTERCOURSE, ORAL/ANAL SEX 1ST STAGE SYMPTOMS PAINLESS LEISON ON MOUTH/GENITALS SORES LAST 2-5 WEEKS SORES DISAPPEAR-SYPHILIS STAYS 2ND STAGE FLU-LIKE FEELINGS FEVER, HEADACHE, SWOLLEN GLANDS RASH ANYWHERE ON BODY SYMPTOMS DISAPPEAR-SYPHILIS STAYS

18. SYPHILIS PRIMARY SYPHILIS SECONDARY SYPHILIS

19. GONORRHEA 1 1/2 MILLION NEW CASES/YR SPREAD INTERCOURSE/ORAL/ANAL SEX ASYMPTOMATIC UP TO 80% OF TIME UNTREATED-STERILITY, ARTHRITIS, HEART PROBLEMS, CNS DISORDERS DIAGNOSIS- CULTURES OF CERVIX, THROAT, RECTUM, URETHRA OFTEN FOUND WITH CHLAMYDIA & BOTH TREATED WITH ANTIBIOTICS

20. VAGINAL INFECTIONS ANYTHING THAT DISRUPTS THE PH BALANCE OR BACTERIAL BALANCE OF THE VAGINA…MOST LIKELY AROUND MENSTRUAL CYCLE WHEN MUCOSAL IMMUNITY IS LOWEST TRICHOMONIASIS-SEXUAL INTERCOURSE ITCHING, SPOTTING,FROTHY,SMELLY DISCHARGE MEN RARELY HAVE SYMPTOMS/NEED TREATMENT YEAST INFECTIONS- ALLERGIES,(CLOTHING,SOAP,SPERMCIDES) DOUCHING,ORAL SEX, MENOPAUSE, FORGOTTEN TAMPONS, COLORED TIOLET PAPER

21. VAGINAL INFECTIONS OTHER CAUSES REPEATED INTERCOURSE (SEMEN IS ALKALINE) SYNTHETIC FABRICS BUBBLE BATHS PERFUMED SOAPS LAUNDRY DETERGENTS 90 WOMEN WILL EXPERIENCE VAGINAL INFECTIONS AT LEAST ONCE

22. VAGINAL INFECTIONS MONILIASIS/CANDIDIASIS FUNGUS... CAUSING COTTAGE CHEESE DISCHARGE AND SEVERE ITCHING WOMEN PRONE TO GET IT: TAKING ANTIBIOTICS OR CORTISONE DIABETICS, OBESITY, DOUCHING HIGH PROGESTOGEN BIRTH CONTROL PILLS TREATMENT ANTIBACTERIAL CREAMS,OINTMENTS, VINEGAR AND WATER DOUCHES, BETADINE, YOGURT, EXTRA CALCIUM, WEAR COTTON UNDERWEAR, YEAST INFECTION CREAMS WILL NOT CURE STD’S

23. HUMAN PAPILLOMA VIRUS HPV-VENERAL WARTS ASSOCIATED WITH ABNORMAL PAP SMEARS OR CERVICAL DYSPLASIA PAINLESS WARTY GROWTHS ON OUTSIDE OF THE VULVA-MAY LIE DORMENT FOR YEARS FACTORS IMPLICATED IN HPV: DEPRESSED IMMUNE SYSTEM FROM SUBOPTIMAL NUTRITION, UNHEALTHY RELATIONSHIPS, EXCESS ALCOHOL, SMOKING SOMETIMES NO OBVIOUS WARTS CONDOMS DON’T ALWAYS PREVENT VIRUS CAN EXIST ON AREAS OTHER THAN PENIS

24. HUMAN PAPILLOMA VIRUS TREATMENTAIMED AT REMOVING VISIBLE WARTS AND ENHANCING THE IMMUNE SYSTEM TO REMOVE THE REMAINDER LASER-OFTEN RETURN AFTER THIS PROCEDURE PODOPHYLLIN-TOXIC EFFECTS ON SURROUNDING TISSUE CHEMICAL WASHED OFF AFTER SEVERAL HOURS ACIDS-PAINFUL BURNS TO HEALTHYTISSUE. 1-2 WEEKS TO HEAL CRYOCAUTERY-PAINFUL/TIME CONSUMING…NORTHRUP DOESN’T USE

25. HUMAN PAPILLOMA VIRUS LOOPS-REMOVES WARTS BY ELECTROCAUTERY USING AN ELECTRICALLY WIRE LOOP ALSO USED TO TREAT CERVICAL DYSPLASIA …LATEST …BENEFICIAL NUTRITIONAL APPROACH FOODS HIGH IN ANTIOXIDANTS VIT C, FOLIC ACID, VIT E, BETACAROTENE SELENIUM, GRAPE SEED, MULTIVITAMIN

26. HUMAN PAPILLOMA VIRUS GENITAL WARTS

27. PAP SMEAR SCREENING 70% CANCER DEATHS PREVENTED WITH THIS INEXPENSIVE AND NONINVASIVE TEST 7000 WOMEN DIE ANNUALLY OF CERVICAL CANCER SAMPLE TAKEN FROM CERVIX WITH CYTOBRUSH.. /PRESERVED ON A SLIDE…READ BY PATHOLOGIST …RATED NUMERICALLY 1 TO 4 BY DEGREE OF CELLULAR CHANGE 1 O2 MILD ABNORMALITIES AND WILL GO AWAY BY BODY OWN IMMUMESYSTEM… 3-4 SEVERE…EVEN THEN NOT ALWAYS CANCER FALSE NEGATIVE RUNS FROM 5-50%…APPEARS NEGATIVE WHEN POSITIVE DUE TO SAMPLING ERRORS 2/3 ERRORS MADE IN COLLECTING THE SAMPLE 1/3 LAB

28. PAP SMEAR SCREENING PAP RESULTS AND HOW TO DEAL WITH THEM ***”UNSATISFACTORY” OR “LIMITED”- NOT ENOUGH CELLS ON SLIDE TO INTERPRET PROPERLY “INFLAMED” CELLS MEAN AN INFECTION PRESENT..GET TREATED AND REPEAT PAP SMEAR ASCUS-” ATYPICAL SQUAMOUS CELLS OF UNDETERMINED SIGNIFICANCE”.../10% COME BACK THIS WAY AND 75% OF THOSE NO CERVICAL DISEASE EXISTS ASCUS ASSOCIATED WITH ATROPIC CHANGES WILL DISAPPEAR WITH TREATMENT WHIXH REPLENISHES THE VAGINAL MUCOSA SUCH AS ESTROGEN , ESTRIOL, REMIFEMIN(BLACK COHOSH)

29. PAP SMEAR SCREENING CLASS 3 PAP SMEAR- FOLLOW CAREFULLYWITH REPEAT SMEARS EVERY 4-6 MONTHS…50% GO AWAY ON THEIR OWN HGSIL-HIGH Grade squamous intraepithelial lesion COLPOSCOPY(DIAGNOSTIC AS WELL AS CURATIVE) …biopsies…LEEP PROCEDURE…90% cure rate COMPLEMEMT WITH DIET HIGH IN FOLIC ACID AND B COMPLEX SUPPLEMENTS,ANTIOXIDANT SUCH AS PYCNOGENOL ORAL CONTRACEPTIVES NEED TO BE SUPPLEMENTED W/B VITAMINS ***** NO SMOKING***** PAPNET SCREENING & THINPREP- new technologies that uses computerized readings improving detection by 65% and reduces less than adequate smears by 50%…more costly

30. URINARY TRACT INFECTIONS “HONEYMOON CYSTITIS”-MILKING ACTION OF SEXUAL ACTIVITY CAUSES BACTERIA FROM VAGINAL OR ANAL AREA TO GET INTO THE BLADDER OR URETHRA SYMPTOMS- BURNING URINATION, BLOOD IN URINE, FEVER UNTREATED- KIDNEY INFECTION URINE CULTURE THEN ANTIBIOTIC WILL CURE CHRONIC USE OF ANTIBIOTICS CAN KILL OFF HELPFUL FLORA AND CAUSE RECURRENT UTI

31. HEPATITUS-B 1 MILLION CARRIERS-70,000 NEW CASES OFTEN ASYMPTOMATIC…VERY CONTAGIOUS TRANSMITTED CONTACT FROM INFECTED BLOOD, BODILY FLUIDS, VAGINAL SECRETATIONS,ORAL SEX TO SEXUAL INTERCOURSE….IV DRUGS…NEEDLES HEALTH CARE WORKERS…CONTAMINATED NEEDLES SYMPTOMS- EXTREME FATIGUE, HEADACHE, FEVER, NAUSEA, LACK APPETITE,DARK URINE, LIGHT-COLORED STOOLS, JAUNDICING OF SKIN AND AND EYES 95% ADULTS RECOVER COMPLETELY CAN CAUSE SEVERE LIVER DAMAGE, CANCER, EVEN DEATH

32. SYMPTOMS- Often occur 6 months after exposure 30% No symptoms EXTREME FATIGUE, HEADACHE, FEVER, NAUSEA, LACK APPETITE,DARK URINE, LIGHT-COLORED STOOLS, JAUNDICING OF SKIN AND AND EYES ABDOMINAL PAIN TREATMENTHepatitis B vaccination, and a shot to boost the immune system, Bed rest, no alcohol, no acetaminophen

33. SY WOMEN AND STD'S WOMEN FREQUENTLY MISDIAGNOSED & UNDIAGNOSED WOMEN HEAR INTELLECTUALLY BUT IGNOR EMOTIONALLY SAYING NO ..OFTEN MEANS BEING ABANDONED OR ISOLATED BY PARTNER WOMEN HAVE DIFFICULTY ESTABLISHING MAINTAINING CLEAR HEALTHY BOUNDARIES

34. WOMEN AND STD'S 1/4 ALL WOMEN ARE SURVIVERS OF ABUSE 1/6 WOMEN VICTIMS OF ASSALT DURING TEEN YEARS WOMEN ARE TWICE AS EASILY INFECTED AND DIE TWICE AS FAST WITH HIV WOMEN ARE SOCIALIZED TO INTIMACY & CONNECTIVENESS…..MEN VALUE AUTONOMY

35. WOMEN AND STD'S CONFLICTUAL MESSAGES WOMEN VALUED BY DOMINENT CULTURAL FOR CLEAN….INNOCENT…VIRGINAL…NICE POPULAR CULTURAL FOR LIBERATIO…FREEDOM.. SENSUALITY…..SEXUALITY WOMEN EMBARRASSED TO “BRING IT UP BEFORE HE GETS IT UP” MEDIA DRIVEN ATMOSPHERE LEADS WOMEN TO BELIEVE ITS BOTH DESIRABLE AND EXPECTED TO HAVE SEX ON FIRST OR SECOND DATE

36. WOMEN AND STD'S IN SELF/OTHER CONFLICTS WOMEN CHOOSE OTHER….MEN CHOOSE SELF SELF ESTEEM AND ASSERTION SKILLS MOST COLLEGE WOMEN NOT DEVELOPED CLEAR SELF IDENTITY/AUDIBLE INNER VOICE TO THE EXTENT THAT WE SEEK AND NEED EXTERNAL VALIDATION FROM MALE PARTNERS WE ARE UNABLE TO ASK ANDINSIST ON SAFER SEX ITS FEMININE TO….. COMMUNICATE DIRECTLY, DEFINE BOUNDARIES……. AND SET LIMITS

37. WOMEN AND STD'S WOMEN NEED TO LEARN TO BECOME“VIRGINS” AT ANY AGE & CHERISH THEIR BODIES WE HAVE TO DISCRIMINATE ABOUT WHAT AND WHO WE PUT IN THEM TO NOT USE OUR BODIES TO “HOLD” A MAN FOR FINANCIAL FEARS OR PHYSICAL INSECURITIES , TO NOT STAY IN RELATIONSHIPS WITH SOMEONE SHE DOESN’T RESPECT OR EVEN LIKE BECAUSE SHE IS AFRAID TO LEAVE ….FOR WHATEVER REASON

38. WOMEN AND STD'S BEST DEFENSE AGAINST STD’S…. SELF RESPECT…SELF ESTEEM EDUCATION…EMPLOYMENT SMART SEX... DISCRIMINATION HEALTHY IMMUNE SYSTEM…