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St. Cloud State University

St. Cloud State University

Student Health Services

Buzz - Student Health Services Newsletter (Vol. 1)

Sexual Health and Sexual Responsibility Week

The following information is provided through a brand new website: www.smartersex.org and also information provided by the Bacchus Gamma Peer Education Network. For additional information please go to the website.

Contents

  1. The Bacchus Gamma Statement on Sexual Responsibility
  2. Do’s and Don’ts about Condoms
  3. Ten tips for safe and smart sex
  4. STI Myths and Facts
  5. Contraceptive Quiz
  6. Abstinence Advantages and Disadvantages
  7. Relating and Dating
  8. Additional Websites

The Bacchus Gamma Statement on Sexual Responsibility

Sexual Responsibility begins with values, communication and knowledge. First and foremost, one must define his/her personal values with regards to engaging in sexual activity. These values are supported by maturity, self esteem, knowledge, self-control and healthy attitudes and behaviors. The values of a sexually responsible person include:

  • understanding that sexuality is a natural and healthy aspect of human life
  • communicating personal thoughts and feelings to one’s partner, and seeking to know and understand a partner’s thoughts and feelings
  • working to achieve consensual, healthy relationships through honesty and openly valuing the rights and limits of self and others
  • being non-manipulative and only practicing safe and mutually consensual sexual behaviors

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Do's and Don'ts About Condoms

No matter what kind of sex you decide to have -- oral, vaginal, or anal -- a condom is your best protection against STIs. But if you don't know how to use a condom correctly, it can't protect you or your partner as well. It's not as simple as you think, and it's a good idea to practice before you find yourself "on the spot."

  1. Check the expiration date to make sure the condom is "good." Most condoms have a shelf life of four years if kept in a cool, dry place.
  2. Carefully rip open an edge of the packaging, making sure not to damage the condom. Teeth and scissors are not optimal.
    Hint: For a condom to really be useful, it needs to be put on before there has been any penetration.
  3. Hold the tip of the condom and roll it down while the penis is erect, leaving a "receptacle" reservoir at the end of the condom for sperm to collect. The rolled "lip" of the condom should be on the outside as it is being rolled down. If rolling it seems difficult, you might have the condom inside out. Condoms don't work if they are inside out!!!
  4. Make sure you withdraw the penis while it is still erect so that the sperm stays inside the condom.
  5. Hold base ring of condom as you withdraw so condom doesn't slip off.
  6. Before disposing of the condom, check it for rips or holes, wrap it in tissue paper and throw it away in an appropriate place. Condoms clog toilets, so don't put them there.
  7. If you notice tears or holes, you should alert your partner so you know what type of action to take. If a condom breaks or leaks, women can use emergency contraception as a back-up - but she needs to start emergency contraception within five days of the "accident" for EC to work. Remember, the sooner EC pills are taken, the better your chances of preventing pregnancy.
  8. Use a new condom for each act of intercourse!

Other condom caveats:

  • Use only water-based lubricants with latex condoms. Any type of oil - petroleum jelly, baby oil, bath oil, etc. - will destroy the latex and make the condom useless.
  • It's always a good idea to carry around more than one condom, in case the first one rips or breaks while you are putting it on.
  • Condoms can be used in the water (i.e., the shower, etc.). However, if water gets under or in the condom, it can't offer protection.
  • If you are allergic to latex, look for condoms made with polyurethane or synthetic rubber. Animal skin condoms aren't a good idea - they won't protect against HIV.
  • Condoms come in different shapes, colors, sizes, flavors - so have some fun with them.


www.justrubbers.com; adapted from Contraceptive Technology, 17th revised edition (1998), by Robert Hatcher, M.D., MPH, James Trussell, Ph.D., Felicia Stewart, M.D., et. al.

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Ten Tips for Safe & Smart Sex

 

Condoms

Who's "Covering Up" Under the Covers?:

Smarter Sex Survey reports that 48 percent of students say they used condoms when they had intercourse in the last year.

Click here for more survey results.

Sex has always been a popular topic. Who's having it, who's not, where they are having it and how often. But in all that sex talk, the basics sometimes get lost. Talking about sex - with your partner, a peer educator or a healthcare professional - before you actually have sex is smart. Here are 10 simple things you can do, say and think about now before you have sex:

  1. Talk smart sex first. Have smart sex later. STIs and unintended pregnancies affect both partners, not just one person. If you feel uncomfortable discussing sex and birth control with your partner, then you shouldn't be having sex! Be straightforward and talk about sex beforehand so both partners know what to expect. It's easier to be rational and reasonable before you're in the "heat of the moment!"
  2. Two are better than one! To help prevent both pregnancy and STIs, you should correctly and consistently use a birth control method like the Pill, Depo-Provera Contraceptive Injection or diaphragm (for pregnancy prevention) and a condom (to prevent STIs). Condom use is essential, especially in relationships that are not monogamous. If your partner says no to contraceptives that may prevent STIs, like condoms, it's probably time to rethink your relationship. Nothing is worth the potential lifetime consequences of a few minutes of unprotected fun.
  3. Don't feel pressured to have sex. Or have sex out of fear - fear of hurting someone's feelings by saying no or fear of being the "only one" who isn't doing it. Virtually everyone wants to fit in with his or her friends, but you should never compromise your values to be "part of the crowd." If you don't want to have sex, be honest, discuss the reasons behind your decision with your partner and stay true to you.
  4. Don't abuse alcohol/use drugs if you think things could get physical. Drug use or alcohol abuse interferes with decision-making, which can lead to date rape, forgetting to use contraceptives or contracting an STI. The lowering of inhibitions that often accompanies alcohol use might make you think you'll enjoy sex more, but in fact, for a variety of biochemical reasons, too much alcohol actually makes sex less enjoyable for both men and women.
  5. Use the buddy system. If you go to a party or a bar, go with friends and keep an eye out for each other. Agree that you won't leave with another person without telling someone. Sometimes a friend's "second opinion" could help prevent you from making decisions that you might regret later.
  6. Remember that "no" means NO and passed out doesn't mean YES. Being drunk isn't a defense for committing sexual assault or a reason for being a victim of sexual assault. If you are too drunk to understand a person trying to say no; if you are too drunk to listen and respect a person saying no; or if you have sex with somebody who is passed out or incapable of giving consent, it can be considered rape. Click here to read about how men and women can avoid the consequences of date rape.
  7. Respect everyone's right to make his/her own personal decision - including yourself. There is no imaginary "deadline," no ideal age, no perfect point in a relationship where sex has to happen. If your partner tells you that he or she is not ready to have sex, respect his/her decision, be supportive and discuss the reasons behind it. It is everyone's ultimate right to decide when and how they have sex - be it the first time or the tenth time.
  8. Be prepared for a sex emergency. Consider carrying two condoms with you just in case one breaks or tears while it's being put on. Both men and women are equally responsible for preventing STIs, using contraceptives and both should carry condoms. Sometimes things go wrong even when you try to do everything right. Maybe the condom broke or you forgot to take your birth control pill. Whatever the reason, women should know about emergency contraception or EC. Taken within 72 hours of intercourse, EC may prevent pregnancy. Click here for more information about EC.
  9. The best protection doesn't mean less affection. Abstinence is actually the most effective way to protect against STIs and prevent pregnancy. But practicing abstinence doesn't mean you can't have an intimate physical relationship with someone - it just means you don't have vaginal or anal intercourse. There are many other ways to be intimate and not have intercourse - just be aware that alternatives, like oral sex, carry their own risks. Click here to read more about practicing abstinence and risks of oral sex.
  10. Make sexual health a priority. Whether you are having sex or not, both men and women need to have regular check-ups to make sure they are sexually healthy. Women should have annual gynecological exams. In fact, most campus doctors book months in advance - make your appointment today! Click here to find and contact your college health center.


Depo-Provera® doesn't protect you from HIV/AIDS or other sexually transmitted diseases. As with other forms of hormonal birth control, some women using DEPO-PROVERA experience side effects. The most common side effects are irregular periods or spotting. Many women stop having periods altogether after a few months and some may experience a slight weight gain. You shouldn't use DEPO-PROVERA if you think you could be pregnant, if you have had any unexplained periods, or if you have a history of breast cancer, blood clots, stroke, or liver disease. When using Depo-Provera, there may be a possible decrease in bone density.

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STI Myths and Facts

  • One in five people in the United States has an STI
  • Two-thirds of all STIs occur in people 25 years of age or younger
  • Cervical cancer in women is linked to Human Papillomavirus
  • Hepatitis B is 100 times more infectious than HIV
  • STIs, other than HIV, cost about $8 billion each year to diagnose and treat
  • One in five Americans have genital herpes, yet at least 80 percent of those with herpes are unaware they have it
  • At least one in four Americans will contract an STI at some point in their lives
  • Human Papilloma virus is the most common STI in the United States
  • More than 5 million people are infected with HPV each year
  • Less than half of adults ages 18 to 44 have ever been tested for an STI other than HIV/AIDS
  • At least 15 percent of all infertile American women are infertile because of tubal damage caused by pelvic inflammatory disease (PID), the result of an untreated STI
  • Two-thirds of Hepatitis B (HBV) infections are transmitted sexually and are linked to chronic liver disease, including cirrhosis and liver cancer

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Contraceptive Quiz

1. Which of the following contraceptive methods provides protection against sexually transmitted infections (STIs)?
a. Condom
b. Sponge
c. Oral Contraceptives
d. Intrauterine Device
e. Spermicide

2. How many times a year do you have to take each of the following types of contraceptives?

2A. Oral Contraceptives
a. approximately 40 times
b. approximately 12 times
c. approximately 280 times
d. once
e. 4 times

2B. Mirena®*
a. approximately 40 times
b. approximately 12 times
c. approximately 280 times
d. once
e. 4 times

2C. Depo-Provera® Contraceptive Injection
a. approximately 40 times
b. approximately 12 times
c. approximately 280 times
d. once
e. 4 times

2D. Lunelle™ Monthly Contraceptive Injection (medroxyprogesterone acetate and estradiol cypionate injectable suspension)
a. approximately 40 times
b. approximately 12 times
c. approximately 280 times
d. once
e. 4 times

2E. Ortho Evra®* skin patch
a. approximately 40 times
b. approximately 12 times
c. approximately 280 times
d. once
e. 4 times

3. Emergency contraception (EC) must be taken within ____ hours after having unprotected sex to prevent pregnancy.
a. 36
b. 50
c. 72
d. 120

4. True or False: The rhythm method is also known as the withdrawal method.
True
False

5. True or False: Skipping pills or taking them at different times each day can decrease the effectiveness of oral contraceptives.
True
False

6. Once inserted, intrauterine devices (IUDs), such as Mirena®*, can be left in place for ____ years.
a. 2
b. 5
c. 10
d. both b and c
e. none of the above

7. True or False: It is safe for women who smoke to use birth control methods that contain estrogen.
True
False

8. After intercourse, NuvaRing®* should not be removed for ____.
a. 1 hour
b. 3 hours
c. 3 days
d. 5 days

9. Where is the best place to store condoms to ensure their effectiveness?
a. In direct sunlight
b. In the refrigerator
c. In a cool, dark place
d. In your back pocket

10. Which of the following birth control methods can only be prescribed by a doctor?
a. IUD
b. Contraceptive injections
c. Emergency contraception (EC)
d. Contraceptive skin patch
e. All of the above

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Advantages & Disadvatages

Couple Sharing Coffee

No, Not Everyone is Having Sex:

Smarter Sex Survey shows 21 percent of students have practiced abstinence in the last year.

Click here for more survey results.

Advantages

  • Abstinence from vaginal and anal intercourse is free and available to everyone.
  • If adhered to, it is extremely effective at preventing both pregnancy and sexually transmitted infections.
  • It has no medical or hormonal side effects.
  • Abstinence may encourage people to build relationships in other ways.


Disadvantages

  • If you're counting on abstinence, and you change your mind in the "heat of the moment," you might not have birth control readily available to you.
  • If semen spills on or near the vagina, pregnancy is still possible, even without penetration.
  • Even without vaginal or anal penetration, other sexual activity such as oral sex can expose you to STIs, and awareness of this is important.


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Relating, Dating, and Sex

Couple Laughing

One Night Stand or Long-term Love?:

Smarter Sex Survey reports that 90 percent of male students said they would not consider a woman "girlfriend material" if she agrees to have sex on the first date.

Click here for more survey results.

With so many issues to think about as you decide to become sexually active, it's easy to forget about what relationships should be built on. We can all think of one couple who seems to have the "perfect" relationship, one built on mutual respect and care for each other. Unfortunately, the opposite is true as well. Most of us can think of one person who is in a relationship that seems to be built on guilt, defensiveness, or where one person has more control or power than the other. So what's healthy and what's unhealthy? How do we make sure we get what we deserve in both friendships and romantic relationships? Well, it starts with four basic principles:

RESPECT

When two people are in a relationship, there should be mutual respect for each person as an individual, and for the joy that is created when they come together. A healthy partnership means learning about the other person and valuing what is important to him or her. Respect in a sexual relationship asks for each partner to feel valued enough to talk openly about their desires and fears on a sexual level. Each partner should have respect for his or her own body, and should feel comfortable choosing whether or not to be sexually active and if so, at what pace and level.

HONESTY

Most people would agree that honesty is crucial to any relationship. At the same time, true honesty about our thoughts and feelings about what we want to happen in the relationship, is a challenge to accomplish. Certainly in any type of relationship, especially a sexual one, honesty is very powerful, and for some people, down right scary. Men and women hide in a number of ways, from trying to portray themselves as someone they are not, to not listening to their own thoughts or the other person's. A person may not be ready to have sex with their partner, but fear honesty because they don't trust the relationship. This brings us to our next building block.

TRUST

Trust means you can count on each other and that the other person will be there for you. Trust doesn't come easy, and for most people, needs to be earned over time. There is nothing worse than a broken promise to take away trust. Promises should not be taken lightly.

COMMUNICATION

Communication is critical to the other three ingredients. It is how we show our respect, honesty, and trust. Listening to others and really 'hearing them," so we respond and follow through on what they are requesting, is a sign of a strong relationship. In a relationship that may be sexual, communication can't be compromised. Partners need to be able to talk about whether they are comfortable with the level of sexual activity they are considering BEFORE the fact.

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Additional Websites

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