1. Sexual Health Joy Schaubhut, MPH Public Health Educator
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2. Overview
Myths
STI (sexually transmitted infection) Contraction Reduction
Condom Use
Increased Risk
Statistics
Contraceptives
Protect Yourself
Choices
Navy/Marine Guidelines

3. Myths About Sex
If I’ve had an STI once and have been treated, I don’t have to worry about getting it again
Withdrawal or pulling out is a good protection for STIs and pregnancy
If I don’t show symptoms after a few weeks of sexual contact, I must not have an STI
If I used a condom, I am not at risk for STIs or unplanned pregnancy
If my partner has never shown any symptoms of an STI, it is ok to engage in unprotected sexual behaviors

4. STIs - Contraction Reduction
Abstinence  100% effective
Assess your partner’s risk status
Obtain prior medical examinations
Use condoms (correctly)
Monogamy
Common sense
Assess your partner’s risk status –> for example, is your partner having sex with multiple partners

5. Proper Condom Use – there is more than one step to putting on a condom
Condom Demonstration video

6. Sex and Alcohol – Think Before You Drink
Statistics: From Georgia Health Sciences University -
Almost 50% of unplanned sexual encounters are under the influence of alcohol
80% of first sexual experiences occur under the influence of alcohol
Alcohol impairment often leads to not knowing your partner, not having a condom available, not using a condom or not using it correctly

7. Be Honest With Yourself

8. Unplanned Pregnancy Discuss birth control with partner/PCM Spermicides
There are numerous contraceptive choices available at the NBHCBC:
Oral contraceptives
Depo Provera
NuvaRing
Spermicides
Condoms
Diaphragm
IUD
Norplant
Tubal ligation and Vasectomy

9. Protect Yourself Abstinence Monogamy
Open communication (a must for responsible sex)
You and your partner should be tested
Finding the best methods for you
Finding the best method for you:
What are the potential health risks/side effects associated birth control methods?
How well does it prevent pregnancy?

10. If You Choose To Have Sex
Use CONDOMS and other barriers (proper protection)
Reduce the number of sexual partners
Do not have sex with “high-risk” people
Stay sober
If you choose to have sex, there are things you can do to reduce the risk of acquiring a sexually
transmitted disease, including HIV:
Monogamy
Monogamy is sex between two people, who only have sex with each other, as part of a long-term relationship. If
neither partner is infected, there is no risk of disease transmission. A series of short-term relationships is not as
safe because of the increased risk that one of those partners will be infected.
Use Condoms and other barriers
Although not as safe as abstinence or monogamy, the correct and consistent use of latex condoms during sexual
intercourse - vaginal, anal, or oral - can greatly reduce a person’s risk of acquiring or transmitting many STIs,
including HIV infection. In fact, recent studies provide compelling evidence that latex condoms are highly
effective in protecting against HIV infection when used for every act of intercourse. A variety of male condoms
are available. Female condoms and oral barriers are also available. Condoms can reduce both the risk of pregnancy
and the risk of disease transmission. Put the condom on before any vaginal, anal, or oral contact.
Condoms can be expected to provide different levels of risk reduction for different STIs. There is no one
definitive study about condom effectiveness for all STIs. Several studies have demonstrated that condoms can
reduce the risk of acquiring chlamydia, gonorrhea, trichomoniasis, syphilis, chancroid, herpes, Humanpapilloma Virus
(HPV) and cervical cancer.
Plastic Condoms. Studies show that the new polyurethane condoms have the same barrier qualities as latex. Lab
testing has shown that particles as small as sperm and HIV cannot pass through this polyurethane material.
Polyurethane condoms offer an alternative for condom users who are allergic to latex. Also, polyurethane condoms
can be made thinner than latex, have no odor, and are safe for use with oil-based lubricants.

11. Navy/Marine Guidelines
HPV – female and male beneficiaries age 11-26
Cervical Cancer Screening same with or w/out vaccine
Plan B – emergency contraception
Rx at MTF (must see provider)
Limited to 2 pack in 6 months
Chlamydia screening for sexually active women aged 25 and younger
HPV –
1st Dose (NOW)
2nd Dose (1-2 months after 1st DOSE)
3rd Dose (6 months after 1st DOSE)
HPV vaccine is recommended for girls and boys 11 or 12 years of age and may be given starting at age 9.
Catch –up dose
Females 13-26
Males (this vaccine may be given to men years of age who have not completed the 3-dopse series)

12. Navy/Marine Guidelines Continued
Cervical Cancer Screening
1st screening at age 21
Women younger than 30 every 2 years
Women age 30 or older who have had three consecutive normal screenings may be screened every 3 years
Women infected with HIV should be screened 2 times in the 1st year of diagnosis and then annually
Well Woman exam - annually

13. Navy/Marine Guidelines Continued
Mammogram
Woman age 40-45

14. Health Promotion Counseling may include: Diet & exercise
Sleep management
Stress management
Disease prevention
Risk reeducation (tobacco, alcohol/drugs, sexual health, etc.)

15. Summary
Myths
STI (sexually transmitted infection) Contraction Reduction
Condom Use
Increased Risk
Statistics
Contraceptives
Protect Yourself
Choices
Navy/Marine Guidelines

16. Resources: http://www.cdc.gov/std/default.htm
Manual of the Medical Department U.S. Navy (NAVMED P-117)
Department of the Navy Bureau of Medicine and Surgery (NAVMED POLICY and )