Category: Sexual Health

  • Trichomoniasis

    Sexual Health

    Sexually transmitted infections (STIs) are ones that pass from one person to another through sexual contact. This can be from vaginal, anal, or oral sex, and from genital-to-genital contact. STIs are also called sexually transmitted diseases (STDs).

    Signs & Symptoms

    For Females

    Symptoms may not be present for years. If they do occur, symptoms include:

    *  Vaginal itching and burning.

    *  A yellow-green or gray vaginal discharge with an odor.

    *  Burning or pain when passing urine.

    *  Pain during sex.

    For Males

    Symptoms are not usually present. Males can infect their sexual partners and not know it. When present, symptoms in males include:

    *  Discomfort when passing urine.

    *  Pain during sex.

    *  Irritation and itching of the penis.

    Causes

    A protozoan.

    Treatment

    *  The oral medication metronidazole (Flagyl).

    *  Treating sexual partners to prevent spreading the infection and getting it again.

    Questions to Ask

    Self-Care / Prevention

    Safer Sex To Help Prevent STIs

    *  The only sure way to avoid STIs is not having sex. This includes intercourse, oral sex, anal sex, and genital-to-genital contact. Caressing, hugging, dry kissing, and masturbation are no risk or extremely low-risk practices. So is limiting your sexual contact to one person your entire life. This is if your partner does not have an STI and has sex only with you.

    *  Latex and polyurethane condoms can help reduce the risk of spreading HIV and other STIs (i.e., chlamydia, gonorrhea, and trichomoniasis). To do this, they must be used the right way for every sex act. They do not get rid of the risk entirely. Barriers made of natural membranes, such as from lamb, do not give good protection against STIs.

    *  Females and males should use latex or polyurethane condoms every time they have genital-to-genital contact and/or oral sex. Use polyurethane condoms if either partner is allergic to latex. You don’t need condoms to prevent STIs if you have sex only with one partner and neither of you has an STI.

    *  For oral-vaginal sex and oral-anal sex, use latex dams (“doilies”). These are latex squares.

    *  Latex condoms with spermicides, such as nonoxynol-9 (N-9) are no better than other lubricated condoms for preventing HIV/STIs. Spermicides with N-9 do not prevent chlamydia, cervical gonorrhea, or HIV. on’t use spermicides alone to prevent HIV/STIs. Using spermicides with N-9 often has been linked with genital lesions which may increase the risk of spreading HIV. Also, N-9 may increase the risk of spreading HIV during anal intercourse.

    *  Use water-based lubricants, such as K-Y Brand Jelly. Don’t use oil-based or “petroleum” ones, such as Vaseline. They can damage latex barriers.

    *  To lower your risk for HPV, use latex or polyurethane condoms. These work best at covering areas of the body that HPV is most likely to affect. A diaphragm does not prevent the spread of HPV.

    *  Don’t have sex while under the influence of drugs or alcohol. You are less likely to use “safer sex” measures.

    *  Limit sexual partners. Sexual contact with many persons increases the risk for STIs, especially if no protection is used.

    *  Discuss a new partner’s sexual history with him or her before you start having sex. Know that persons are not always honest about their sexual past.

    *  Avoid sexual contact with persons whose health status and health practices are not known.

    *  Follow your doctor’s advice to check for STIs.

    For Trichomoniasis

    Don’t drink alcohol for 24 hours before, during, and 24 hours after taking metronidazole. The combination causes vomiting, dizziness, and headaches.

    Resources

    American Social Health Association (ASHA)

    www.ashastd.org

    CDC National STD Hotline

    800.CDC.INFO (232.4636)

    www.cdc.gov/STD

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Chlamydia

    Sexual Health

    Sexually transmitted infections (STIs) are ones that pass from one person to another through sexual contact. This can be from vaginal, anal, or oral sex, and from genital-to-genital contact. STIs are also called sexually transmitted diseases (STDs).

    Signs & Symptoms

    For Females

    In females, chlamydia can cause pelvic inflammatory disease (PID). This can cause infertility. 75% of females have few or no symptoms, but can still transmit the infection. When present, symptoms show up 2 to 4 weeks after infection. They include:

    *  Slight yellowish-green vaginal discharge. Abnormal vaginal bleeding.

    *  Vaginal irritation or pain.

    *  Need to urinate often and pain or burning feeling when passing urine.

    *  Pain in the abdomen.

    For Males

    25% of males have few or no symptoms. When present, symptoms show up 2 to 4 weeks after infection. They include:

    *  Watery, mucous discharge from the penis.

    *  Burning or discomfort when passing urine.

    *  Pain in the scrotum.

    Causes

    A specific bacterial infection.

    Treatment

    *  Oral antibiotics for the infected person and his or her partner(s).

    *  Avoiding sex until treatment is finished in the infected person and his or her partner(s).

    Questions to Ask

    Self-Care / Prevention

    Safer Sex To Help Prevent STIs

    *  The only sure way to avoid STIs is not having sex. This includes intercourse, oral sex, anal sex, and genital-to-genital contact. Caressing, hugging, dry kissing, and masturbation are no risk or extremely low-risk practices. So is limiting your sexual contact to one person your entire life. This is if your partner does not have an STI and has sex only with you.

    *  Latex and polyurethane condoms can help reduce the risk of spreading HIV and other STIs (i.e., chlamydia, gonorrhea, and trichomoniasis). To do this, they must be used the right way for every sex act. They do not get rid of the risk entirely. Barriers made of natural membranes, such as from lamb, do not give good protection against STIs.

    *  Females and males should use latex or polyurethane condoms every time they have genital-to-genital contact and/or oral sex. Use polyurethane condoms if either partner is allergic to latex. You don’t need condoms to prevent STIs if you have sex only with one partner and neither of you has an STI.

    *  For oral-vaginal sex and oral-anal sex, use latex dams (“doilies”). These are latex squares.

    *  Latex condoms with spermicides, such as nonoxynol-9 (N-9) are no better than other lubricated condoms for preventing HIV/STIs. Spermicides with N-9 do not prevent chlamydia, cervical gonorrhea, or HIV. on’t use spermicides alone to prevent HIV/STIs. Using spermicides with N-9 often has been linked with genital lesions which may increase the risk of spreading HIV. Also, N-9 may increase the risk of spreading HIV during anal intercourse.

    *  Use water-based lubricants, such as K-Y Brand Jelly. Don’t use oil-based or “petroleum” ones, such as Vaseline. They can damage latex barriers.

    *  To lower your risk for HPV, use latex or polyurethane condoms. These work best at covering areas of the body that HPV is most likely to affect. A diaphragm does not prevent the spread of HPV.

    *  Don’t have sex while under the influence of drugs or alcohol. You are less likely to use “safer sex” measures.

    *  Limit sexual partners. Sexual contact with many persons increases the risk for STIs, especially if no protection is used.

    *  Discuss a new partner’s sexual history with him or her before you start having sex. Know that persons are not always honest about their sexual past.

    *  Avoid sexual contact with persons whose health status and health practices are not known.

    *  Follow your doctor’s advice to check for STIs.

    Resources

    American Social Health Association (ASHA)

    www.ashastd.org

    CDC National STD Hotline

    800.CDC.INFO (232.4636)

    www.cdc.gov/STD

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Genital Herpes

    Sexual Health

    Sexually transmitted infections (STIs) are ones that pass from one person to another through sexual contact. This can be from vaginal, anal, or oral sex, and from genital-to-genital contact. STIs are also called sexually transmitted diseases (STDs).

    Signs & Symptoms

    For Females and Males

    *  Painful sores and/or blisters on the genital area, anus, thighs, and/or buttocks.

    *  Itching, irritation, and tingling can occur 1 to 2 days before the outbreak of the blisters.

    *  Outbreaks may be triggered by stress, other illnesses, or vigorous sexual intercourse.

    After a few days, the blisters break open and leave painful, shallow ulcers. These can last from 5 days to 3 weeks.

    With outbreaks, especially the first one, there may be flu-like symptoms (swollen glands, fever, body aches). Outbreaks that follow are usually milder and shorter. Once infected, the virus lives in nerve cells. New outbreaks can occur even without contact.

    Causes

    *  Herpes simplex virus (HSV-1 or HSV-2). HSV-2 is the common cause. HSV-1 most often affects the oral area as cold sores.

    *  The virus is spread by direct skin-to-skin contact from the site of infection to the contact site. It can be spread when no symptoms are noticed. Oral sex can spread herpes from the mouth to the genital area and from the genital area to the mouth.

    Treatment

    *  There is no cure. Antiviral medicines can help prevent and shorten outbreaks. During delivery, an infant may need protection from infection if the mother has active herpes.

    *  Self-care measures.

    Questions to Ask

    Self-Care / Prevention

    Safer Sex To Help Prevent STIs

    *  The only sure way to avoid STIs is not having sex. This includes intercourse, oral sex, anal sex, and genital-to-genital contact. Caressing, hugging, dry kissing, and masturbation are no risk or extremely low-risk practices. So is limiting your sexual contact to one person your entire life. This is if your partner does not have an STI and has sex only with you.

    *  Latex and polyurethane condoms can help reduce the risk of spreading HIV and other STIs (i.e., chlamydia, gonorrhea, and trichomoniasis). To do this, they must be used the right way for every sex act. They do not get rid of the risk entirely. Barriers made of natural membranes, such as from lamb, do not give good protection against STIs.

    *  Females and males should use latex or polyurethane condoms every time they have genital-to-genital contact and/or oral sex. Use polyurethane condoms if either partner is allergic to latex. You don’t need condoms to prevent STIs if you have sex only with one partner and neither of you has an STI.

    *  For oral-vaginal sex and oral-anal sex, use latex dams (“doilies”). These are latex squares.

    *  Latex condoms with spermicides, such as nonoxynol-9 (N-9) are no better than other lubricated condoms for preventing HIV/STIs. Spermicides with N-9 do not prevent chlamydia, cervical gonorrhea, or HIV. on’t use spermicides alone to prevent HIV/STIs. Using spermicides with N-9 often has been linked with genital lesions which may increase the risk of spreading HIV. Also, N-9 may increase the risk of spreading HIV during anal intercourse.

    *  Use water-based lubricants, such as K-Y Brand Jelly. Don’t use oil-based or “petroleum” ones, such as Vaseline. They can damage latex barriers.

    *  To lower your risk for HPV, use latex or polyurethane condoms. These work best at covering areas of the body that HPV is most likely to affect. A diaphragm does not prevent the spread of HPV.

    *  Don’t have sex while under the influence of drugs or alcohol. You are less likely to use “safer sex” measures.

    *  Limit sexual partners. Sexual contact with many persons increases the risk for STIs, especially if no protection is used.

    *  Discuss a new partner’s sexual history with him or her before you start having sex. Know that persons are not always honest about their sexual past.

    *  Avoid sexual contact with persons whose health status and health practices are not known.

    *  Follow your doctor’s advice to check for STIs.

    For Genital Herpes

    *  If prescribed an oral antiviral medicine, take it as advised.

    *  Bathe the affected area twice a day with mild soap and water. Pat dry with a towel or use a hair dryer set on warm. Using a colloidal oatmeal soap or bath may be soothing.

    *  Use a sitz bath to soak the affected area. You can buy a sitz bath basin from a medical supply or drug store.

    *  Apply ice packs on the affected genital area for 5 to 10 minutes to relieve itching and swelling.

    *  Wear loose-fitting pants or skirts. Don’t wear pantyhose. Wear cotton (not nylon) underwear.

    *  If pain is made worse when you urinate, squirt tepid water near the urinary opening while you pass urine. Or, urinate while using a sitz bath.

    *  Take a mild pain reliever as directed.

    *  Ask your doctor about using a local anesthetic ointment, such as lidocaine, during the most painful part of an outbreak.

    *  Wash your hands if you touch the blisters or sores. Don’t touch your eyes during an outbreak. Doing this could spread the virus to your eyes.

    *  To help avoid spreading the virus to others, use latex barriers during sex and skin-to-skin contact.

    Resources

    American Social Health Association (ASHA)

    www.ashastd.org

    CDC National STD Hotline

    800.CDC.INFO (232.4636)

    www.cdc.gov/STD

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Gonorrhea

    Sexual Health

    Sexually transmitted infections (STIs) are ones that pass from one person to another through sexual contact. This can be from vaginal, anal, or oral sex, and from genital-to-genital contact. STIs are also called sexually transmitted diseases (STDs).

    Signs & Symptoms

    For Females

    Sixty to 80% of females have no symptoms. If present, they appear in 2 to 10 days and include:

    *  Mild vaginal itching and burning. Thick, yellow-green vaginal discharge.

    *  Burning when passing urine.

    *  Severe pain in the lower abdomen.

    For Males

    Males may have no symptoms, but usually have:

    *  Pain at the tip of the penis. Thick, yellow, cloudy, penile discharge.

    *  Pain and burning when passing urine.

    Causes

    A specific bacterial infection. If it is not treated, it can spread to joints, tendons, or the heart. In females, it can cause pelvic inflammatory disease (PID). This can cause infertility.

    Treatment

    *  Antibiotics.

    *  Pain relievers.

    *  Treating sexual partner(s) to avoid getting infected again.

    *  Follow-up test to find out if the treatment worked.

    Questions to Ask

    Self-Care / Prevention

    Safer Sex To Help Prevent STIs

    *  The only sure way to avoid STIs is not having sex. This includes intercourse, oral sex, anal sex, and genital-to-genital contact. Caressing, hugging, dry kissing, and masturbation are no risk or extremely low-risk practices. So is limiting your sexual contact to one person your entire life. This is if your partner does not have an STI and has sex only with you.

    *  Latex and polyurethane condoms can help reduce the risk of spreading HIV and other STIs (i.e., chlamydia, gonorrhea, and trichomoniasis). To do this, they must be used the right way for every sex act. They do not get rid of the risk entirely. Barriers made of natural membranes, such as from lamb, do not give good protection against STIs.

    *  Females and males should use latex or polyurethane condoms every time they have genital-to-genital contact and/or oral sex. Use polyurethane condoms if either partner is allergic to latex. You don’t need condoms to prevent STIs if you have sex only with one partner and neither of you has an STI.

    *  For oral-vaginal sex and oral-anal sex, use latex dams (“doilies”). These are latex squares.

    *  Latex condoms with spermicides, such as nonoxynol-9 (N-9) are no better than other lubricated condoms for preventing HIV/STIs. Spermicides with N-9 do not prevent chlamydia, cervical gonorrhea, or HIV. on’t use spermicides alone to prevent HIV/STIs. Using spermicides with N-9 often has been linked with genital lesions which may increase the risk of spreading HIV. Also, N-9 may increase the risk of spreading HIV during anal intercourse.

    *  Use water-based lubricants, such as K-Y Brand Jelly. Don’t use oil-based or “petroleum” ones, such as Vaseline. They can damage latex barriers.

    *  To lower your risk for HPV, use latex or polyurethane condoms. These work best at covering areas of the body that HPV is most likely to affect. A diaphragm does not prevent the spread of HPV.

    *  Don’t have sex while under the influence of drugs or alcohol. You are less likely to use “safer sex” measures.

    *  Limit sexual partners. Sexual contact with many persons increases the risk for STIs, especially if no protection is used.

    *  Discuss a new partner’s sexual history with him or her before you start having sex. Know that persons are not always honest about their sexual past.

    *  Avoid sexual contact with persons whose health status and health practices are not known.

    *  Follow your doctor’s advice to check for STIs.

    Resources

    American Social Health Association (ASHA)

    www.ashastd.org

    CDC National STD Hotline

    800.CDC.INFO (232.4636)

    www.cdc.gov/STD

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Hiv/Aids

    Sexual Health

    HIV stands for human immunodeficiency virus. AIDS is acquired immune deficiency syndrome. It is caused by HIV. The virus destroys the body’s immune system. This leaves a person unable to fight off diseases. The virus also attacks the central nervous system causing mental problems. One million people in the U.S. have HIV, but about 25% of them do not know they have it. People ages 15 to 65 are advised to be screened for HIV.

    Signs & Symptoms

    Many people have no symptoms when first infected with HIV. Within a month or two, some people have flu-like symptoms. These include fever, fatigue, headache, and swollen glands in the neck and groin. These symptoms usually go away within a week to a month. They are often mistaken for other infections.

    In adults, symptoms of HIV may take a few months to 10 or more years to appear. In children born with HIV, symptoms appear within 2 years.

    Symptoms of HIV Before the Onset of AIDS

    *  Swollen glands.

    *  Fatigue. Weight loss.

    *  Fever and sweating that occur often.

    *  Skin rashes that persist. Flaky skin.

    *  Infections. These include herpes, shingles, and yeast infection.

    *  Short-term memory loss.

    *  Getting sick often. Slow growth in children.

    AIDS is the most advanced stage of HIV. With AIDS, a low level of cells in the blood called T4 cells occurs. Persons with AIDS get many illnesses. These include skin infections, pneumonia, and cancer.

    Symptoms of AIDS

    *  Extreme fatigue. Weight loss.

    *  Severe and chronic diarrhea.

    *  Fever. Severe headaches.

    *  Shortness of breath. Coughing. A hard time swallowing.

    *  Abdominal cramps. Nausea. Vomiting.

    *  Lack of coordination. Vision loss.

    *  Mental status changes. Seizures. Coma.

    Causes

    HIV is spread when body fluids, such as semen and blood, pass from an infected person to another person. This includes having unprotected sexual contact and/or sharing drug needles.

    Infected females can give HIV to their babies during pregnancy, birth, or breast-feeding. The risk of the baby getting HIV is lowered a great deal if the female takes antiviral medicines during the pregnancy and delivery. The baby takes medicine the first six weeks of life, too.

    HIV is not spread from donating blood, touching, hugging, or (dry) kissing a person with HIV. A cough, a sneeze, tears, sweat, or using a hot tub, or public restroom does not spread HIV either.

    Treatment

    A rapid oral HIV test and blood tests detect antibodies to HIV. There is no cure for AIDS, but treatment helps the immune system fight HIV, infections, and cancers that can occur with it. Treatment includes medications (often used in multidrug combinations) and treating infections.

    Questions to Ask

    Self-Care / Prevention

    *  Take medication as prescribed.

    *  Take steps to reduce the risk of getting infections and diseases. Get enough rest. Eat healthy foods. Take vitamins and minerals as advised by your doctor.

    *  Get emotional support. Join a support group for persons infected with HIV. Let your family and friends know how they can help you.

    To Reduce the Risk for HIV

    *  Follow Safer Sex.

    *  Don’t share needles with anyone. Don’t have sex with people who use or have injected illegal drugs.

    *  Don’t share personal items that have blood on them, such as razors.

    *  Don’t have sex with people who are at high risk for HIV:

    – Persons with multiple sex partners or who inject illegal drugs.

    – Partners of persons infected or exposed to HIV.

    – Persons who have had multiple blood transfusions, especially before 1985, unless tested negative for HIV.

    Resources

    AIDSinfo

    800.HIV.0440 (448.0440)

    www.aidsinfo.nih.gov

    CDC National AIDS Hotline (NAH) and National STD Hotline

    800.CDC.INFO (232.4636)

    www.cdc.gov/std

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Human Papillomavirus (Hpv)

    Sexual Health

    Sexually transmitted infections (STIs) are ones that pass from one person to another through sexual contact. This can be from vaginal, anal, or oral sex, and from genital-to-genital contact. STIs are also called sexually transmitted diseases (STDs).

    Signs & Symptoms

    In Females and Males

    Often, there are no visible signs or symptoms. Genital warts can appear several weeks after being infected or may not show up for months or even years. This makes it hard to know when the virus was acquired and which partner was the carrier. Genital warts:

    *  Can be soft or hard; pink, red, or yellow-gray in color.

    *  Are inside the vagina, on the lips of the vagina, or around the anus in females.

    *  Are on the penis, inside the head of the penis, on the scrotum, or around the anus in males.

    Causes

    HPV is spread by direct skin-to-skin contact during vaginal, anal, or (rarely) oral sex with an infected partner. Genital warts are not caused by touching warts on the feet, hands, etc.

    Treatment

    *  HPV vaccine can prevent cervical cancer* and genital warts due to HPV. It is advised for boys and girls 11 to 12 years of age, but can be given from age 9 to age 26.

    *  Genital warts can be treated with topical creams or a gel prescribed by a doctor. You apply these yourself. Medical treatments can remove genital warts.

    Questions to Ask

    Self-Care / Prevention

    Safer Sex To Help Prevent STIs

    *  The only sure way to avoid STIs is not having sex. This includes intercourse, oral sex, anal sex, and genital-to-genital contact. Caressing, hugging, dry kissing, and masturbation are no risk or extremely low-risk practices. So is limiting your sexual contact to one person your entire life. This is if your partner does not have an STI and has sex only with you.

    *  Latex and polyurethane condoms can help reduce the risk of spreading HIV and other STIs (i.e., chlamydia, gonorrhea, and trichomoniasis). To do this, they must be used the right way for every sex act. They do not get rid of the risk entirely. Barriers made of natural membranes, such as from lamb, do not give good protection against STIs.

    *  Females and males should use latex or polyurethane condoms every time they have genital-to-genital contact and/or oral sex. Use polyurethane condoms if either partner is allergic to latex. You don’t need condoms to prevent STIs if you have sex only with one partner and neither of you has an STI.

    *  For oral-vaginal sex and oral-anal sex, use latex dams (“doilies”). These are latex squares.

    *  Latex condoms with spermicides, such as nonoxynol-9 (N-9) are no better than other lubricated condoms for preventing HIV/STIs. Spermicides with N-9 do not prevent chlamydia, cervical gonorrhea, or HIV. on’t use spermicides alone to prevent HIV/STIs. Using spermicides with N-9 often has been linked with genital lesions which may increase the risk of spreading HIV. Also, N-9 may increase the risk of spreading HIV during anal intercourse.

    *  Use water-based lubricants, such as K-Y Brand Jelly. Don’t use oil-based or “petroleum” ones, such as Vaseline. They can damage latex barriers.

    *  To lower your risk for HPV, use latex or polyurethane condoms. These work best at covering areas of the body that HPV is most likely to affect. A diaphragm does not prevent the spread of HPV.

    *  Don’t have sex while under the influence of drugs or alcohol. You are less likely to use “safer sex” measures.

    *  Limit sexual partners. Sexual contact with many persons increases the risk for STIs, especially if no protection is used.

    *  Discuss a new partner’s sexual history with him or her before you start having sex. Know that persons are not always honest about their sexual past.

    *  Avoid sexual contact with persons whose health status and health practices are not known.

    *  Follow your doctor’s advice to check for STIs.

    Resources

    American Social Health Association (ASHA)

    www.ashastd.org

    CDC National STD Hotline

    800.CDC.INFO (232.4636)

    www.cdc.gov/STD

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Sexual Assault

    Sexual Health

    Sexual assault is an unlawful act that may involve the touching of intimate body parts, sexual intimidation, or forced sexual penetration. This includes sexual intercourse, oral sex, and digital penetration. Rape is forced sexual intercourse. Force may be by verbal threats, physical restraint, or violence. Stalking is defined as repeated, obsessive, fear-inducing behavior that makes the victim afraid or concerned for his or her safety.

    A study funded by the Department of Justice found that sexual assault and stalking of college females are widespread and grossly underestimated. U.S. statistics report:

    *  About 3% of coeds are raped during each academic year. Over the course of 5 calendar years, including summers and vacations, 20- 25% may be raped.

    *  Nationally, an additional 15.5% of college females are sexually victimized (e.g., sexual contact is completed with force or threat of non-physical force, threat of rape, or threat of contact).

    *  Nationally, 13.1% of coeds are stalked an average of 60 days during an academic year.

    *  Nationally, less than 5% of completed and attempted rapes of college females are reported to the police or campus officials. About 67% of the victims tell a friend.

    *  Nine out of 10 victims knew their assailant. {Note: Almost all sexual assaults on college campuses are acquaintance rapes and, in most cases, at least one of the persons involved is under the influence of alcohol or another drug.}

    *  Between 3 and 6% of male university students reported being raped and up to 25% reported being sexually assaulted. Only about 1% of male rape victims reported it to the police.

    Safety Tips to Reduce the Chances for Sexual Assault

    Be aware of the risks of date rape with drinking alcohol. About 75% of male students who take part in acquaintance rape had been drinking; about 55% of female students had.

    *  The best defense is to not drink. If you drink, limit alcohol intake.

    *  Don’t drink anything you have not brought or opened yourself. Don’t drink from another person’s container, from a punch bowl, beer bong, etc. When at a bar or club, accept drinks only from a bartender or waiter.

    *  Keep your drink in your hand and under your watch at all times. If needed, have a friend watch your drink. Do the same for your friend(s).

    *  Don’t drink alcohol in a high-risk setting for sexual assault (e.g., frat house or team parties or with persons you don’t know and/or trust).

    Be aware of these “date-rape” drugs, which have no odor or color when mixed with drinks:

    *  Rohypnol. The effects of this drug can last 6 to 8 hours. This drug is added to drinks and punches at parties, raves, etc., usually to lower sexual inhibitions in females. When mixed with alcohol or other drugs, Rohypnol can cause death.

    *  GHB and GLB. The effects of this drug can last about 8 hours. If you have had this drug, you may wake up partially clothed with no recollection of a sexual assault. GHB is often made in homes with recipes and ingredients found and purchased on the Internet. GHB can cause death.

    Consider using a coaster or test strip made to detect date rape drugs in drinks before you take a sip. An example is Drink Safe Coaster™ by Drink Safe Technology. For information, contactwww.drinksafetech.com. If you suspect you have been drugged, keep a sample of your drink. Get help immediately. Have a friend help you get medical care. Call EMS, if necessary. Get tested for the drug within 12 hours of the suspected incident at a hospital emergency department.

    Do not have sex with a person who is under the influence of alcohol and/or drugs which compromise consent. Also, look out for the safety of your friends and yourself and don’t put yourself in vulnerable situations.

    *  Alert your female friends (and the authorities)to rumors of guys using date-rape drugs.

    *  Don’t assume that anyone under the influence is “too nice a guy” to commit sexual assault. Intervene on a friend’s behalf (e.g., walk her out of a party, take her to a safe place, etc.).

    *  Know your sexual limitations and communicate them both verbally and nonverbally. If you sense you are being pressured to have sex and don’t want to, state your position clearly. Say “NO” emphatically when you mean “NO!” Be aware, too, that a female/partner does not need to say the word “NO” to mean “NO.” Listen for words like, “I’m just not ready,” “We’re going too fast,” etc. The female/partner may be afraid to say “NO.”

    *  Attend your school’s classes, etc. on preventing acquaintance rape, sexual assault, etc. Take a class in self-defense.

    *  Carry a cell phone with you to call for help, if needed.

    *  Avoid being alone, especially in unsafe situations and with strangers and persons you don’t know well or feel safe with.

    *  Keep the doors to your home and car locked. Don’t open doors to strangers. Don’t tell strangers that you are alone.

    If Rape Occurs

    *  Do not shower, clean or wash up in any way, or change clothing before you go to the hospital emergency department. Doing so could destroy evidence (e.g., blood type, hair samples, etc.) which may not be legally acceptable if collected later than 72 hours after the rape. If you have removed clothes worn at the time of the rape, put them in a paper bag and take them with you to the E.R.

    *  Get medical or police help right away. (Date-rape drugs may not be detectable after 12 hours.) Go to the E.R. Recall and write down as many details as you can. Report the rapist’s age, height, weight, race, hair color, clothing worn, noticeable body marks, tattoos, etc. If a vehicle was involved, report its type, color, license plate, etc. Take a friend with you for comfort and support. At the E.R., you will get information about health care providers in your area who can help you after the E.R. visit. You will likely need their services at some point.

    *  Talk to the emergency care provider about emergency contraception and tests for STIs.

    *  Contact your campus Sexual Assault Crisis Center or call the Rape Crisis Hotline at 800.656.HOPE (4673).

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Sexual Changes With Aging

    Sexual Health

    Physical Changes

    Sexual health can be affected by many conditions. These include:

    *  Certain medicines. Ask your doctor if medicines you take affect your sexual response.

    *  Alcohol

    *  Heart attack

    *  Stroke

    *  Diabetes

    *  Arthritis

    *  HIV and STIs

    *  Multiple sclerosis

    *  Parkinson’s disease

    *  Cancer and side effects of cancer treatment

    *  Surgery that involves the sex organs, such as a hysterectomy

    Physical Changes For Men:

    *  It may take longer to get an erection and to ejaculate.

    *  Erections may not be as hard or as large as in earlier years.

    *  The feeling that an ejaculation is about to happen may be shorter.

    *  After an ejaculation, more time needs to pass to get a second erection.

    *  Some males find they need more manual stimulation.

    *  The chances for erectile dysfunction (ED) increase.

    Physical Changes For Women:

    *  The vagina is drier. The walls of the vagina get thinner and less elastic. These can make sex uncomfortable.

    *  It may take longer to feel aroused.

    *  Orgasms can be shorter or less intense than in years past.

    Emotional Changes

    How people feel can affect what they are able to do.

    *  As persons age, they may feel more anxious about their appearance or ability to perform. This can interfere with the ability to enjoy sex.

    *  Not having a partner through choice, divorce, or death may make it difficult to deal with sexual feelings. Masturbation can bring sexual pleasure, but persons who have been taught that it is wrong are reluctant to do it.

    *  A lack of sexual desire can result in having sex less often. This may be due to lower hormone levels or having an illness or a disability.

    Some changes that come with aging can result in positive emotional changes:

    *  After menopause, both men and women may feel less anxious about having sex because they don’t have to worry about a pregnancy.

    *  A woman may get more sexual pleasure due to having a drier, thinner, and smaller vagina which allows her to feel more friction and stimulation during sex.

    *  A couple may have more time and privacy for sex if their children are grown and spend less time at home.

    Self-Care

    Tips for Sexual Health:

    *  Have sex often. Have sex when you are less tired, such as in the morning.

    *  Express your needs. Let your partner express his or her needs, too. Talk about your fears, fantasies, etc.

    *  Spend more time on foreplay. Let your partner know where and how you want to be touched.

    *  Take the pressure off your partner. Tell him or her that you know sex can take longer. Express your need for intimacy, not just performance.

    *  Avoid or limit alcohol. A little alcohol can act as an aphrodisiac. Too much can interfere with sex and lead to unsafe sex.

    *  Ask your doctor or pharmacist if any medicines you take can affect your sex life. Find out if another medicine can be used without this side effect.

    *  Stay as physically fit as you can. This allows more energy for sex.

    *  To help prevent possible problems with sexual satisfaction, follow your doctor’s advice for a chronic illness.

    *   Give each other a massage or take a shower together.

    *  Keep the T.V. out of the bedroom.

    *  Plan time to be alone together and for sex. This promotes intimacy.

    – Make a point to spend at least 15 minutes of uninterrupted time with your partner each day.

    – Express your affection for each other every day.

    – Spend part of a day alone together at least once a week. Make a date to take a walk in the park, go out for dinner, or share other activities you both enjoy. Schedule time away together when you can.

    – Go to bed at the same time.

    Tips for Men:

    *  See “Causes” and “Self-Care/Prevention” for “Erectile Dysfunction (ED)“.

    *  Talk to your doctor about your concerns. Be open and honest.

    Tips for Women:

    *  Discuss hormone therapy with your doctor. Estrogen can help with vaginal dryness. It can help thicken the walls of the vagina.

    *  Use a water-soluble lubricant, such as K-Y Jelly, Replens, etc. Don’t use oil or petroleum-based products. These encourage infection.

    *  Remain sexually active. Having sex often may lessen the chance of having the vagina constrict, helps keep natural lubrication, and maintains pelvic muscle tone. This includes reaching orgasm with a partner or alone.

    *  If you can, avoid using antihistamines. They dry mucus membranes in the body.

    *  Don’t use deodorant soaps or scented products in the vaginal area.

    When to Seek Medical Care

    Contact Doctor When:

    *  You have pain or bleeding during sex.

    *  You have signs and symptoms of an STI.

    *  You have sexual problems due to an illness, surgery, injury, or erectile dysfunction.

    *  You continue to have sexual problems after using self-care.

    Health at Home Lifetime book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Sexual Concerns

    Sexual Health

    Signs & Symptoms

    A lot of people have concerns about their sex life. Common concerns and problems that affect one or both sex partners include:

    *  Little or no desire for sexual relations

    *  Different levels of desire for sex between partners

    *  Disgust or distress with having sex or even thinking about it

    *  Failure to become aroused before sex and/or the inability to stay aroused until the sex act is completed

    *  Impotence in males. This means not being able to sustain an adequate erection.

    *  Premature ejaculation in males. Ejaculation comes too quickly and both partners are not satisfied.

    *  Delay in or absence of orgasm in either the female or male

    *  Pain during intercourse

    *  Painful, sustained erection

    Psychological factors.

    *  Sexual trauma from things, such as rape, incest, past sexual embarrassments or failures

    *  Worry or anxiety about sexual performance

    *  Guilt or inner conflicts about sex, such as when a person’s sexual needs, wishes or thoughts go against family, religious or cultural teachings

    *  Depression

    *  Relationship problems and/or lack of communication of wants and needs between sex partners

    Physical conditions that affect a person’s sexual response. Examples include disorders that involve:

    *  The heart and blood vessels. Less blood can flow to the genitals. Even the arteries and veins in the penis can be involved.

    *  The nervous system, with a condition like multiple sclerosis

    *  The body’s glands, such as with diabetes and/or any that alter the making or release of sex hormones

    *  The use of any substance that alters the sexual response. These include some medications including some anti-depressants, drugs, alcohol and/or smoking. For example, some anti-depressants may lead to impotence or failure to achieve orgasm.

    *  Surgery. For example, prostate surgery can  result in impotence.

    *  Injuries, such as ones that cause damage to nerves used in the sexual response or that result in scar tissue that interferes with sensations felt during sex.

    Treatment

    A medical evaluation is the first step. It can determine if physical conditions, medications, etc. are the cause of the problem(s). A physical exam and certain tests can be done. These include:

    *  Hormonal studies

    *  Ones that check for neurological problems

    *  Ones that measure the flow of blood and the conditions of the veins and arteries in the penis

    *  Blood and urine tests to detect diabetes, urinary tract infections, etc.

    *  X-rays and/or ultrasound, if needed, which can help detect endometriosis, vaginal scar tissue, ovarian tumors, etc. in women

    When a physical condition is found that causes the sexual concern or problem, treating it can get rid of or help with the problem. For example, several treatments exist for impotence. These include:

    *  Oral medications, such as Viagra, Levitra, and Cialis

    *  Special vacuum devices

    *  Self-injections of a prescription medicine and penile implant surgery for men

    If no physical condition is found to be at fault, measures to deal with psychological causes can help. These include therapies of many kinds:

    *  Individual counseling

    *  Counseling with both partners

    *  Sex therapy

    Questions to Ask: MEN ONLY

    Questions to Ask: WOMEN ONLY

    Questions to Ask: MEN & WOMEN

    Self-Help

    *  Follow your doctor’s advice for a chronic illness, if you have one, to help prevent possible problems with sexual satisfaction.

    *  Practice safe sex to prevent sexually transmitted diseases.

    *  Limit alcohol and other drugs. A little alcohol can act as an aphrodisiac. Too much, however, can lead to unsafe sex, an inability to become aroused, violent behavior, etc.

    The following things can help enhance the desire for sex. This is especially important for couples who both work outside the home and also have children. By the time they get into bed each night, sex seems like too much bother.

    *  Make a point to spend at least 15 minutes of uninterrupted time with your partner each day. If you can’t meet face to face, call each other on the telephone.

    *  Remember to express your affection for each other every day.

    *  Plan to spend part of a day alone together at least once a week. Make a date to take a walk in the park, go out for dinner or share other activities you both enjoy.

    *  Schedule a weekend away together every two months or so.

    *  Go to bed together at the same time. Tell yourself that what you haven’t accomplished by 11:00 p.m. can wait until the next day.

    *  Relax by giving each other a massage or taking a shower together.

    *  Keep the television out of the bedroom. Watching TV can be sexual suicide.

    Don’t worry if your sexual encounters occasionally fail. Fatigue and stress are known to cause temporary impotence, a decrease in vaginal lubrication or the inability to have an orgasm. Don’t let yourselves become preoccupied with performance; just take pleasure in being together. Enjoy hugging, kissing and caressing.

    For Premature Ejaculation

    *  The squeeze technique. If a man feels he’s about to ejaculate prematurely, he firmly pinches the penis directly below the head using the thumb and first two fingers of one hand and squeezes for 3 to 4 seconds.

    *  The start/stop method. The couple should abstain from intercourse for two weeks, but focus on touching. The man concentrates on the sensations in his penis as his partner touches his genitals and brings him to an erection. The man asks his partner to stop just before ejaculation. After a few minutes, his partner continues to arouse him, then stops again. This sequence is repeated two more times with ejaculation occurring the fourth time. Then each time the couple has sex, foreplay is prolonged.

    For Lack of Sexual Response in Women

    Couples can practice certain techniques to address sexual unresponsiveness in a woman. A few simple methods follow:

    *  For the first week, limit lovemaking to cuddling, kissing and nuzzling. Don’t touch the genitals or breasts.

    *  During the second week, the partner should gently touch the female’s vaginal area during lovemaking, but stop before she reaches orgasm to increase vaginal lubrication.

    *  During the third week, repeat the first two phases, then proceed with intercourse. If the vagina isn’t adequately lubricated, apply a water-soluble lubricant, such as K-Y Jelly to the penis to facilitate penetration. (Penetration may also be easier if the woman is on top.)

    If a tight vaginal opening still makes penetration painful or impossible, the following exercise may help:

    *  The woman should gently place the tip of her partner’s little finger against her vagina and gently push his finger into her vagina. If this feels uncomfortable, she should stop and wait a few minutes.

    *  The couple should continue this exercise until the partner can insert two fingers in their partner’s vagina without causing pain or discomfort. (It may take several attempts over a period of weeks for this technique to work.)

    (Note: The above techniques do not guarantee success. If they do not help improve your sexual concerns, consider professional help from a sex therapist.)

    Minding Your Mental Health Book. Published by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine