1. Where to Go for Help / Sexual Health
Lesson 4
September 28th, 2010

2. What Is Sexual Health?
Sexual health is a state of physical, emotional, mental and social well-being.
In relation to sexuality; it is not merely the absence of disease, dysfunction, or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence.” (World Health Organization)

3. Today we will look at staying physically healthy
Choosing the right Contraceptive device (Avoiding STD’s Only)
Self Examinations
Medical checkups

4. Choosing a contraception that’s right for u
w w w . s e x u a l i t y a n d u . c a

5. • Placed in the vagina before intercourse
F e m a l e c o n d o m
s e x u a l i t y a n d u . c a
What is it?
• Soft, disposable, polyurethane sheath
• Available in drugstores without a prescription
How does it work?
• Placed in the vagina before intercourse
• Lines the vagina completely, preventing direct contact between the penis and the vagina and preventing the exchange of body fluids
• Sperm is trapped in the condom, which is thrown away
after intercourse
• A new condom should be used for each repeated
act of intercourse
Failure rate: 210 per 1000 women per year

6. 2. No daily contraceptive routine or continued use required
F e m a l e c o n d o m
s e x u a l i t y a n d u . c a
What are the advantages?
1. Available widely without a prescription
2. No daily contraceptive routine or continued use required
3. Woman remains in charge of placement and use
4. Protects against some STIs

7. 2. Requires proper insertion technique
F e m a l e c o n d o m
s e x u a l i t y a n d u . c a
What are the disadvantages?
1. Must be available at time of intercourse
2. Requires proper insertion technique
3. Flexible inner ring may cause discomfort for some
4. More expensive than the male condom and not available in all stores
5. Makes a noise during intercourse
6. May slip or break during intercourse
7. May be considered messy by some

8. • Fits over the erect penis
M a l e b a r r i e r m e t h o d s
s e x u a l i t y a n d u . c a
Male Condom
What is it?
• A soft disposable sheath
• Available in various shapes, sizes, thicknesses, colours and flavours
• Most are latex, but non-latex condoms are also available in polyurethane, silicone, and lambskin
How does it work?
• Fits over the erect penis
• Acts as a physical barrier preventing direct genital contact and the exchange of genital fluids, so the
sperm does not enter the uterus and fertilize the egg
• A new condom is used for each repeated act of intercourse
Failure rate: 150 per 1000 women per year

9. 3. Latex condoms protect against STIs
M a l e b a r r i e r m e t h o d s
s e x u a l i t y a n d u . c a
What are the advantages?
1. Available widely without a prescription
2. Inexpensive
3. Latex condoms protect against STIs
4. Allows the male partner to assume some responsibility for birth control
5. Both partners can participate in their use
6. May help the wearer avoid premature ejaculation

10. M a l e b a r r i e r m e t h o d s
s e x u a l i t y a n d u . c a
What are the disadvantages?
1. Must be available at time of intercourse
2. May slip or break during intercourse
3. Must be stored and handled properly
4. People with latex allergies cannot use latex condoms, but may be able to use non-latex condoms
5. May reduce sensitivity for either partner
6. May interfere with the maintenance of an erection
7. May reduce spontaneity
8. Lambskin condoms do not protect against STIs

11. Dental dams and gloves S T I p r e v e n t i o n
s e x u a l i t y a n d u . c a
Dental dams and gloves
A dental dam is a small piece of latex similar to the material used for latex condoms.
• It can be used during oral sex. The dental dam is stretched across a woman’s vagina to prevent the exchange of bodily fluids.
• It can also be used in other activities where a barrier is desired.
• Latex surgical gloves can also be used in activities where a barrier is desired.
General tips
• When using latex dental dams, gloves, or condoms, apply only water based lubricants. They are available at drugstores.
• Use new dental dams, gloves, or condoms for each partner.
• Do not re-use latex barriers or turn them over and use the other side.

12. Cutting a condom to make a dental dam
S T I p r e v e n t i o n
s e x u a l i t y a n d u . c a
Cutting a condom to make a dental dam
• When a dental dam is not available, a latex condom can be cut to create a latex barrier.
1. Unroll a new condom.
2. Using scissors, cut off both ends of the condom, removing the closed tip and the round loop at the base.
3. Cut the condom lengthwise so that it opens up into a rectangle.
• If you are going to use the barrier for oral sex, you may wish to select a condom without spermicide or lubrication. A flavoured condom may be a good choice. 1 2 3

13. yes with latex condoms*
S T I p r e v e n t i o n
s e x u a l i t y a n d u . c a
Method
STI protection
Oral contraceptives no
Transdermal patch
Vaginal Ring
Injectable contraceptive
Intrauterine system (IUS)
Intrauterine device (IUD)
Female sterilization
Female condom
yes*
Diaphragm and cervical cap
limited
Sponge and spermicides
Male condom
yes with latex condoms*
Male sterilization
* Remember that no method of protection from STIs is perfect. Some STIs can be passed through skin-to-skin contact.

15. Self Examinations : Testicular self exam (tse)
The best time to conduct a monthly TSE is after a warm bath or shower, then the skin of the scrotum is relaxed. How to do it:
Standing in front of a mirror, inspect the scrotum visually for swelling

16. Self Examinations : Testicular self exam (tse)
For each testicle: hold the testicle between the thumb and fingers of both hands; roll it gently between the fingers, looking out for any hard lumps or nodules or for any change in size, shape, or consistency.
Feel the epididymis, a cord-like structure on the top and back of each testicle, noting any changes

17. Self Examinations : Vulvar self-examinations
Vulvar self-examinations are best performed between periods, every month.  You’re looking for anything else that wasn’t there before, such as changes in colour (dark, white, red), bumps, blisters, lesions, ulcers, warts, and sores.  Feel for swelling, soreness, irritation or itching. How to do it:
With a mirror in one hand, sit with your legs spread using your free hand to separate the labia majora, the outer lips of the vagina, exposing the vagina’s opening.
Check for visible changes to the mons pubis, the area above vagina where pubic hair is located. 

18. Self Examinations : Vulvar self-examinations
Examine the labia minora, by spreading the small folds of skin surrounding the opening of your vagina, like you did for the labia majora.
Check the perineum, the skin right between the vagina and anus.
Lastly, look at the area surrounding the anal opening.
If you’re concerned about anything you see, make an appointment with your doctor immediately. 

19. Medical Check ups
Pap Smears
Physical Examinations

20. Local Services Weeneebayko Health Ahtuskaywin http://www.wha.on.ca/
Location: The Hospital
Services Offered:
Ontario Telehealth Network
Patients in Moose Factory can be seen by medical staff over a secure video conference session for various medical consultations / follow up appointments.
Including
Gynaecology
Visiting Specialists
Surgery
General hospital care

21. Moose Factory Public Health Location :Moose Cree Complex Services:
Immunizations
Well baby clinics
Elderly health program

22. Health Services Counseling
The Health Services Counseling Program works closely with other various social services agencies within the community.
Counselling services

23. Moose Cree Healing Centre
The program was established in the early seventies under the auspices of a volunteer Board of Directors. This program provides counseling services to the whole community and works in conjunction with the Shagastawow Healing Lodge in Moosonee, Ontario.

24. Moosonee Health Clinic
Atims St, Moosonee, Ontario P0L 1Y0 (705)