Safe

Sex
 Safe Sex
A mutually
monogamous
relationship with an
uninfected partner
 Sexual Health
Intimate personal relationships free
from coercion, violence, or risk of
negative outcomes such as sexually
transmitted disease or unplanned
pregnancy.
Sexual Responsibility
• Consider outcomes
• Respect others
• Plan for safety
• Avoid STIs/HIV & unplanned
pregnancy
Sexual Behavior Risks
SAFE
• Abstain or Delay sex
• “Outercourse” rather than
Intercourse
• Long-term, mutual monogamy
• Intercourse
– oral-vaginal-anal (protected) RISKY
– oral -vaginal-anal (unprotected)
Sexually Transmitted Infections
and Diseases (STI/STD)

Sexually transmitted
diseases are infections
you acquire through
sexual contact
Sexually Transmitted Infections
and Diseases (STI/STD)
• Chlamydia
• HPV/Genital Warts
• Herpes Simplex (HSV)
• Molluscum
• Contagiosum
Sexually Transmitted Infections
and Diseases (STI/STD)
• Hepatitis B (HBV)
• Syphilis
• HIV/AIDS
• Gonorrhea
• Chancroid
• Nongonnococcal Urethritis
What is the Human
Immunodeficiency Virus (HIV)?
• HIV is the virus that
causes AIDS
• A person can be infected
with HIV and not know it
• Knowing if you have HIV
can save your life!
 HIV versus AIDS
• HIV is the virus that • HIV weakens the body’s
causes AIDS. ability to fight infection,
making a person very
• A person can look and
sick. This is called AIDS.
feel healthy even if they
have HIV. • It can take years for a
person infected with HIV
• A person with HIV can
to develop AIDS
pass the virus to
others. • A person with AIDS can
still pass HIV to others.
HIV is not like
a cold…

You can’t just

“catch it”
How is HIV transmitted?
 Unprotected oral, vaginal or
anal sex. Anal sex is the
riskiest.
 Sharing needles for drugs,
tattoos or body piercing.
 Pregnancy, childbirth or
breast feeding.
HIV is passed through the
following BODY FLUIDS:

• SEMEN (cum)
• BLOOD
• VAGINAL FLUID
• BREAST MILK
How do we pass body fluids?
BLOOD VAGINAL FLUIDS &
• Sharing Needles SEMEN (cum)
• Pregnancy & • Unprotected vaginal,
Childbirth oral or anal sex
• Sex - If there are BREAST-MILK
open cuts or blood in
the vagina, mouth, Breast-Feeding
penis, or rectum
 HIV TESTING
• The test for HIV is not a
routine blood test
• Before getting tested, a
person must receive
counseling & sign a
special HIV consent form
ABCs of Safe Sex

Abstinence from sex. This is the only

100% safe way to prevent HIV.

Best to have only one partner.

Condom use if you have sex.

Protective Measures

Female condom

Male condom
 Correct Use
• New condom each and every
time
• Put on as soon as erection
occurs
• Hold tip and unroll onto penis
• Use water-based lubricants
• Withdrawal while erect
 Correct Use

The outer ring covers the area

Open the Female condom
around the opening of the
package carefully; tear at the
vagina. The inner ring is used for
notch on the top right of the
insertion and to help hold the
package. Do not use scissors
sheath in place during
or a knife to open.
intercourse.
 Correct Use

While holding the Female condom at the closed

end, grasp the flexible inner ring and squeeze it
with the thumb and second or middle finger so
it becomes long and narrow.
 Correct Use

Choose a position that is comfortable for insertion –

squat, raise one leg, sit or lie down.
 Correct Use

Gently insert the inner Place, the index finger on the inside
ring into the vagina. of the condom, and push the inner
Feel the inner ring go ring up as far as it will go. Be sure the
up and move into sheath is not twisted. The outer ring
should remain on the outside of the
place. vagina.
 Correct Use

When you are ready, gently

guide your partner’s penis into
The female condom is the condom's opening with your
now in place and ready for hand to make sure that it enters
use with your partner. properly – be sure that the penis
is not entering on the side,
between the sheath and the
vaginal wall.
 Correct Use

To remove the Female Wrap the condom in the

condom, twist the outer package or in tissue, and
ring and gently pull the throw it in the garbage.
condom out. Do not put it into the
toilet.
Oral Contraceptives
• 99.5% effective (perfect use)
• 95% effective (typical use)
• Taken daily
• Positive and negative health
effects possible
• Does not protect against
STIs
Contraceptive Injection
• 99.7% effective
• Once every 3 months
• Requires no other
Depo- actions
• After stopping, may
Provera

take 6 or more
months to get
pregnant
• Does not protect
against STIs
 Diaphragm
• 94% effective (perfect use)
• 80% effective (typical use)
• Can be inserted up to 6 hours before
and must remain for 6 hours after
intercourse
• Use spermicides for each intercourse
• Simple to use and non-invasive
• Does not protect vaginal wall or penis
from STIs
 Withdrawal Method
• 96% effective (perfect use)
• 81% effective (typical use)
• Requires trust and control
• Not a highly reliable
“method”
• Does not protect against
STIs
 Fertility Awareness
Methods
Rhythm Method
• 75-99% effective
• Avoid sex during
fertile period
• Requires careful
planning and
motivation
• Does not protect
against STIs
Emergency Contraception
• Morning after Pill
• Same hormones used in birth
control pills
• Use for accidents
• Use up to 72 hours after
intercourse
• Does not protect against STIs
• Available at every military
medical clinic
Condoms + Other Contraceptives
• If you or your partner are using one of
the many forms of birth control which
do not protect against STIs, use
condoms also to reduce the chance of
acquiring or transmitting disease.
What is Important to You?
• Health
• Career
• Finances
• Relationships
• Personal Values
• Secure future
 Safe Sex Benefits
 Protect yourself
 Protect your partners
 Protect your baby (if you’re pregnant)
 Peace of mind
 Stay Healthy!
•Use condoms every time you have
vaginal, oral or anal sex.

•Limit the number of sexual partners

you have.

•Never share needles or equipment if

you do use drugs.
STAY SAFE!
 Reference
New York Presbyterian Hospital Family Planning Center
Center for Community Health & Education
Mailman School of Public Health, Columbia University,
HIV AIDS Counseling

http://www.ripnroll.com/reality2.htm, Female Condoms -

How to use

www.jamaica-nyp.org, Ministry of Health