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Which ancient method involves the use of a ball of wool dipped in a paste?
Which ancient method involves the use of a ball of wool dipped in a paste?
What is the main purpose of the fallopian tubes in the female reproductive system?
What is the main purpose of the fallopian tubes in the female reproductive system?
How long does it typically take for an immature sperm cell to reach maturity?
How long does it typically take for an immature sperm cell to reach maturity?
What is coitus reservatus commonly referred to as?
What is coitus reservatus commonly referred to as?
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Which structure connects the cervix to the fallopian tubes?
Which structure connects the cervix to the fallopian tubes?
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What is a key factor in choosing a method to prevent unintended pregnancy?
What is a key factor in choosing a method to prevent unintended pregnancy?
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What does the failure rate of a contraceptive method typically measure?
What does the failure rate of a contraceptive method typically measure?
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What is the typical failure rate for not using any method of pregnancy prevention?
What is the typical failure rate for not using any method of pregnancy prevention?
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Why is vaginal douching ineffective as a method of preventing pregnancy?
Why is vaginal douching ineffective as a method of preventing pregnancy?
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Which of the following describes fertility awareness methods?
Which of the following describes fertility awareness methods?
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What is a common characteristic of minimally effective methods of pregnancy prevention?
What is a common characteristic of minimally effective methods of pregnancy prevention?
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What do barrier methods of contraception primarily do?
What do barrier methods of contraception primarily do?
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What role do safe days play in fertility awareness methods?
What role do safe days play in fertility awareness methods?
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What is one of the essential components of WHO's definition of healthy sexuality?
What is one of the essential components of WHO's definition of healthy sexuality?
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Which of the following is NOT a reason for using fertility control?
Which of the following is NOT a reason for using fertility control?
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What type of contraception is primarily focused on hormonal methods that do not include estrogen?
What type of contraception is primarily focused on hormonal methods that do not include estrogen?
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Which barrier method of contraception blocks sperm from reaching the egg?
Which barrier method of contraception blocks sperm from reaching the egg?
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What is a reason that many people do not utilize fertility-control methods?
What is a reason that many people do not utilize fertility-control methods?
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Which of the following is a common factor contributing to the acquisition of sexually transmitted diseases (STDs)?
Which of the following is a common factor contributing to the acquisition of sexually transmitted diseases (STDs)?
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What is one of the nine risk factors for acquiring an STD?
What is one of the nine risk factors for acquiring an STD?
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Which of the following STDs is caused by a bacterial infection?
Which of the following STDs is caused by a bacterial infection?
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What is the primary function of the intrauterine device (IUD)?
What is the primary function of the intrauterine device (IUD)?
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Which hormonal contraceptives are classified as combination methods?
Which hormonal contraceptives are classified as combination methods?
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Which of the following is NOT considered a hormonal contraceptive method?
Which of the following is NOT considered a hormonal contraceptive method?
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What is a common unpleasant side effect of hormonal contraceptives?
What is a common unpleasant side effect of hormonal contraceptives?
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What is the failure rate of extremely effective contraceptive methods like IUDs?
What is the failure rate of extremely effective contraceptive methods like IUDs?
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What is a disadvantage associated with the use of an IUD?
What is a disadvantage associated with the use of an IUD?
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How is Neisseria gonorrhea primarily transmitted?
How is Neisseria gonorrhea primarily transmitted?
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Which of the following contraceptive options is designed to kill or weaken sperm?
Which of the following contraceptive options is designed to kill or weaken sperm?
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What is the first noticeable sign of syphilis?
What is the first noticeable sign of syphilis?
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What is considered a beneficial side effect of hormonal contraceptives?
What is considered a beneficial side effect of hormonal contraceptives?
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What stage follows if syphilis is left untreated after the chancre heals?
What stage follows if syphilis is left untreated after the chancre heals?
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What can happen if syphilis reaches the latency period without treatment?
What can happen if syphilis reaches the latency period without treatment?
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What distinguishes HSV-2 from HSV-1?
What distinguishes HSV-2 from HSV-1?
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How long after infection do genital lesions typically appear in HSV-2?
How long after infection do genital lesions typically appear in HSV-2?
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What characteristic feature does the herpes simplex virus exhibit once initially infected?
What characteristic feature does the herpes simplex virus exhibit once initially infected?
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Which of these infections is primarily transmitted through breaks in the skin?
Which of these infections is primarily transmitted through breaks in the skin?
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What is a common route of HIV infection?
What is a common route of HIV infection?
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What activity necessitates seeking HIV testing?
What activity necessitates seeking HIV testing?
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Which of the following is NOT a sign of pubic lice infection?
Which of the following is NOT a sign of pubic lice infection?
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How are pubic lice primarily transmitted?
How are pubic lice primarily transmitted?
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Which method is effective in eliminating pubic lice infestation?
Which method is effective in eliminating pubic lice infestation?
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What type of organism causes scabies?
What type of organism causes scabies?
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Where do scabies mites primarily inhabit within the human body?
Where do scabies mites primarily inhabit within the human body?
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Which of the following is associated with pubic lice transmission?
Which of the following is associated with pubic lice transmission?
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Study Notes
Chapter 8: Healthy Sexuality - Preventing Unintended Pregnancy and STDs
- This chapter covers healthy sexuality, focusing on preventing unintended pregnancies and sexually transmitted diseases (STDs).
- Learning objectives include listing reasons for fertility control, defining failure rates for various methods, describing combination hormonal contraception and progestin-only contraception, and explaining IUD use.
- Additional objectives cover barrier methods, fertility-awareness methods, reasons for not using fertility control, and the five most common STDs in North America.
- Further objectives involve identifying risk factors for STDs, safer sex practices, and treatments for specific STDs (trichomoniasis, gonorrhea, chlamydia, genital herpes, and anogenital warts).
Healthy Sexuality Definition
- The World Health Organization (WHO) defines healthy sexuality as a state of physical, mental, and social well-being in relation to sexuality.
- It's more than just the absence of disease, dysfunction, or infirmity.
- A positive and respectful approach, pleasurable and safe experiences, and freedom from coercion, discrimination, and violence are crucial aspects of healthy sexuality.
- Personal health perspective represents aspects of life individuals control, emphasizing the importance of responsible sexuality for overall well-being.
Preventing Unintended Pregnancy
- Ancient methods included using acacia bark, dates, honey, douching, and forcing the woman to jump or sneeze after intercourse.
- Modern methods still in use include coitus reservatus and coitus interruptus ("pulling out").
- Approximately 65 million women in the US are in their most fertile stage; about 65% of these women use contraception.
How Pregnancy Occurs
- Pregnancy begins with fertilization.
- Sperm are continually produced in the testes, taking about 73 days to mature.
- Sperm mix with seminal fluids.
- Females produce a fertilizable ovum (released from the ovary about every 28 days), maintaining fertility for about 24 hours after release.
- Fertilization takes place in the fallopian tubes.
- The fertilized ovum travels to the uterus, where it implants and develops into a fetus.
- The cervix acts as a barrier to sperm and microorganisms.
- Most ejaculated sperm becomes trapped and dies
- The majority of ejaculated sperm moves through the cervix & into fallopian tubes
- Only one sperm penetrates the ovum's outer covering
- The zygote travels to uterus for implantation
The Menstrual Cycle
- Menstruation is the process of uterine lining and blood vessels sloughing off and exiting the vagina if fertilization doesn't occur.
- The menstrual cycle involves near-monthly periods of ovum production; cycle lengths typically range from 24 to 35 days, though irregularities are common.
- Symptoms like cramps, headaches, and backache can accompany the cycle.
Methods for Preventing Unintended Pregnancy
- Choosing a method depends on weighing the benefits and drawbacks of each method.
- Couples choosing a method must ensure both partners are comfortable with its use.
- Key factors include typical user failure rate (TFR) (percentage of women likely to get pregnant during the first year of use) and lowest user failure rate (most consistent).
- Also, typical user failure rate (TFR) estimates how well a method performs when all errors and problems encountered during use are taken into account.
Ineffective Methods
- Vaginal douching is ineffective as thousands of sperm enter the uterus and are not impacted by the process.
- Douching can actually push sperm further up into the uterus.
Minimally Effective Methods
- Includes fertility awareness methods, which attempt to determine the days in a woman's menstrual cycle when ovulation is most likely to occur.
- Safer days are the days in the menstrual cycle when a woman is least likely to be fertile, though fertilization is still possible due to natural variations in reproductive processes.
Barrier Methods
- Barrier methods aim to block sperm movement or prevent sperm from contacting spermicide.
- Common barrier methods: male condoms, female condoms, diaphragms, cervical caps, contraceptive sponges, and spermicidal contraceptives.
Highly Effective Methods
- Hormonal contraceptives are convenient, low-cost, reversible, and effective.
- Combination estrogen/progesterone methods (like birth control pills, skin patches, and vaginal rings) exist, along with progestin-only methods (like the minipill, injectables, and implants).
- Hormonal contraceptives may cause unpleasant side effects like nausea, breast tenderness, fluid retention, headaches, weight gain, depression, decreased sex drive, and acne.
- Side effects can include the disappearance of menstrual cramps, reduction in menstruation, lower risks of PID, benign breast disease, ovarian cysts, ectopic pregnancy, and anemia.
Extremely Effective Methods
- Intrauterine devices (IUDs) are small, T-shaped plastic objects placed inside the uterus; these prevent pregnancy by killing or weakening sperm, altering ovum/embryo timing, or inhibiting embryo implantation in the uterine lining.
- The IUD and various IUD types remain in place as long as the user desires.
- Injectable hormonal implants ("the shot") provide a 3-month supply of synthetic progestin hormone; these are gradually released into the body over time.
- Injectable hormonal methods are replaced every 12 weeks. These are reversible by ceasing use.
Surgical Sterilization Methods
- Includes tubal ligation and hysterectomy (for females) and vasectomy (for males).
- Surgical methods permanently prevent the possibility of having children.
- A hysterectomy removes the uterus and may also involve removal of the cervix, ovaries, tubes, and lymph nodes.
Emergency Contraception
- Used for situations such as unprotected intercourse or contraceptive misuse.
- Hormonal emergency contraception involves estrogen and progestin types taken in two large doses 12 hours apart within 72 hours of unprotected intercourse.
- Alternative options like Plan B (levonorgestrel) or EllaOne (ulipristal) may be taken within various time frames after unprotected intercourse.
- Emergency contraception reduces pregnancy risk by ~90% by blocking ovulation.
Abortion
- Intentional, premature termination of pregnancy has several safe, medically administered methods.
- These methods include taking medication or undergoing surgical procedures; these methods may differ depending on the week of pregnancy.
Aftereffects of Abortion
- Feelings of anxiety, depression, or disappointment around the time of abortion are common.
- Most women experience relief.
- Some women may still experience trouble or find the experience too upsetting months later.
Preventing Sexually Transmitted Diseases (STDs)
- Eleven common STDs are found in North America.
- Half of STDs occur in people under 25.
- STDs are prevalent throughout history.
- STDs are caused by vectors including bacteria, viruses, parasites, protozoa, etc.
STD Risk Factors
- Multiple partners
- False sense of safety
- Absence of symptoms
- Untreated conditions
- Impaired judgment
- Lack of immunity
- Body piercing
- Value judgements
- Denial
Preventing STDs
- Vaccines for hepatitis B (HBV) and human papillomavirus (HPV) are available, though other STDs require consistent public health programs.
- Infected individuals must seek treatment, take responsibility for not infecting others, practice safer sex, use condoms, and disclose any previous exposure to their partners.
Specific STD Information (Examples)
- Trichomoniasis: Caused by protozoan Trichomonas vaginalis; symptoms typically occur in women and are diagnosed by vaginal fluid testing and treated with medication.
- Bacterial vaginosis (BV): Caused by the overgrowth of certain bacteria; characterized by a fishy vaginal discharge, especially after intercourse; treated with metronidazole.
- Chlamydia: Caused by Chlamydia trachomatis; symptoms can include pain on urination, whitish discharge from the genitals; untreated, it can lead to pelvic inflammatory disease (PID); treated with antibiotics.
- Gonorrhea: Caused by Neisseria gonorrhoeae; symptoms are similar to chlamydia; treated with antibiotics.
- Syphilis: Caused by Treponema pallidum; initial symptom is a painless sore; if left untreated, it advances to secondary and tertiary stages, leading to organ damage; treated with antibiotics.
- Herpes simplex virus type 2 (HSV-2): Caused by herpes simplex virus; organism remains in the body; treated with antiviral medications; symptoms may relapse.
- Human papillomaviruses (HPVs) & anogenital warts: Includes various types; some are non-cancerous, while others are linked to cervical cancer; treated with self-applied medications or by healthcare providers, who may also use cryosurgery, electrocautery, laser exposure, or other methods.
- Hepatitis B: Caused by hepatitis B virus; can cause liver disease, fever, fatigue, headache, loss of appetite, and jaundice. Treatment may not be required.
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Description
This quiz focuses on Chapter 8 of healthy sexuality, emphasizing the prevention of unintended pregnancies and STDs. You'll explore various contraceptive methods, reasons for fertility control, and identify common STDs and their treatments. Test your knowledge on safer sex practices and the importance of healthy sexual practices.