1. STIs and Safer Sex! Nicole Elliott, Health Educator Henry School Based Clinic Room 212

2. Clinic Location Cost Services Registration Safer Sex Program

3. THE Council –join us! Teen Health Empowerment Council – Advise the clinics! – Meet students from across the city! – Be a peer educator – Learn about health topics – Gift cards! – Free food! (Chipotle! Pizza! You name it!) – Service hours! – Great on resumes, applications

4. We’re going to talk about STIs – How you get them – How to prevent them – How to get tested and treat them

5. We’re NOT going to talk about Scary stuff – No gross or graphic pictures! Shaming people Having an STI does not make you “dirty” STIs are pretty common -1 in 4 teens have one! 50% of all people will have had an STI by age 25

6. Talking about sex can be uncomfortable. It’s ok! We want you to learn so you can make healthy best choices! We don’t know the experiences or preferences of everyone in the room, so it is very important to be respectful.

7. Why does everyone need to know about STIs? Teens are at higher risk than most people for STIs It’s an important part of healthy sexuality Show care/responsibility Less stress Make sure you and partner(s) are protected Help friends

8. What are some important conversations to have with your partner about sex? Boundaries/comfort levels/consent What you like! Or don’t like STI & pregnancy (if applicable) protection methods STI testing

9. STI = STD

10. Trivia! True or False?

11. Hormonal birth control helps prevent STIs. False.

12. 2 Condoms is better than 1. False.

13. What is the most common symptom of a Sexually Transmitted Infection? No symptom!

14. Chlamydia is one of the most common STIs for teens in MN. What is the test for this infection? Urine test

15. 1 in 4 How common is it for teens to have an STI?

16. Which type of STI can be cured: viral or bacterial? Bacterial

17. Name a sexual activity that can put someone at risk of getting an STI. All partner sex where there is contact with skin and/or fluids

18. Can I get an STI if I… Sat on a toilet seat? From birth? From kissing? From gym mats? What if…

19. Continuum of Risk Alcohol and drug use during sex No sexual contact Sharing needles Kissing Not using condoms or other barrier methods

20. Reducing Risk Choose low-risk activities Lower your # of partners Get tested– ONCE A YEAR AT LEAST! – Get partner(s) tested –same deal Get HPV & Hepatitis A & B vaccines Use barrier methods consistently & correctly Use lube!

21. 2 types of STIs Curable (Bacterial and others) Chlamydia Gonorrhea Syphilis Trich Pubic lice / crabs Chancroid Treatable/Manageable (Viruses) HIV HPV / warts Herpes Hepatitis

22. CHLAMYDIA Bacteria Get from: – Vaginal sex – Anal sex – Oral sex – Childbirth Symptoms: – Most common: none! – Discharge – Pain or burn when peeing Could cause infertility if untreated Curable with antibiotics

23. GONORRHEA Bacteria Get from: – Vaginal sex – Anal sex – Oral sex – Childbirth Symptoms: – Most common: none! – Discharge – Pain or burn when peeing Could cause infertility if untreated Curable with antibiotics

24. HERPES Virus 2 kinds –HSV 1 and HSV 2 Get from: – Kissing – Touching area with herpes sores – Vaginal sex – Anal sex – Oral sex – Childbirth Symptoms: – Blisters/sores Many treatment options to prevent outbreaks and prevent spread to partners

25. HIV/AIDS HIV is a virus that can lead to AIDS Attacks immune system Get from: – Blood – Semen or vaginal fluid – Shared needles – Pregnancy, childbirth or breastfeeding Treatment options: – Taking medicine every day reduces illness and risk of spreading to partners! – PREP (pre) and PEP (post)

26. SYPHILIS Bacteria Get from direct contact with a syphilis sore during – Vaginal sex – Anal sex – Oral sex – Pregnancy or childbirth Symptoms: – Painless sore(s) Easily curable if caught early If untreated, could cause blindness, dementia, paralysis, and even death

27. Getting tested What does it mean to get tested for everything? Each new partner + at least once a year If you/partner have symptoms Urine vs. blood School Based Clinic

28. Protect yourself!

29. Condoms Type/size/material/texture/flavor/lubrication Allergies to latex or lube– do a skin test! Where to get them How to store them How to talk with your partner about using them

30. How to use a condom! Tell us how to do it & we’ll show you!

31. Inside condom (Female condom) How to use For which acts Where to get them

32. Dental dams How to use For which acts Where to get them Alternatives – Cutting a condom – Non-microwave safe saran wrap

33. Lube! How to use Increases condom effectiveness! Flavors Water- or silicone-based with a condom, NOT oil-based Look at ingredients– sugars like glucose can cause yeast infections

34. Not having sex Can choose this any time, with any person, for any amount of time 100% effective if there is no genital contact or exchange of fluids

35. Why choose not to have sex? Many reasons…. To spend more time getting to know partner To not worry about pregnancy To not worry about STIs Religious or cultural reasons Because you don’t want to! It is always your right to choose not to have sex!

36. What are your sexual health rights as a teen in Minnesota? Minor Consent Law: people under 18 can consent to their own health care services in emergency situations & regarding reproductive/sexual health – Birth control & condoms – STI testing & treatment – Pregnancy testing & counseling – Need parent’s consent for abortions unless obtain judicial bypass – All clinics in MN follow this law, including your school clinic!

37. How can the clinic help you be healthy? Nurse Health Educators Condoms Birth control STI tests STI treatment (medication for yourself and/or your partner) Pregnancy test Pregnancy counseling Help enroll in health insurance programs Referrals You consent to these services!

38. Any more questions? Thank you!