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Sexual Health Unit Introduction This unit focuses on sexual health information for high school health/fitness classes. Overview of Presentations 1. Male & Female Reproductive Systems 2. Responsible Relationships (DVD: When Dating Turns Dangerous) 3. 4. 5. 6. 7. Abstinence STDs HIV/AIDS Contraceptives DVD: Don't Take Love Lying Down with Brad Henning Rules of Play • Be respectful of people’s thoughts & feelings. – Assume there is diversity (race, gender, sexual orientation, life experiences) • If it’s personal, keep it personal. Refrain from comments that would make others think you’re sexually active (no bragging). • Act mature about the subject matter. • Remember: When sharing, use the phrase “Someone I know…” • Opportunities for personal and confidential questions will be provided during the unit. A little joke . . . • Little Billy was playing with some friends and then ran home to ask his mother where he came from. The mother realized it was kind of early to give the birds and the bees speech, but Billy deserved to know the truth. • So she explained about sperm and eggs and the reproduction process. • Billy was quietly listening with big eyes and then finally exclaimed, “My friend Randy said he was from Boston. I just wanted to know where I was from.” SuperShort Assignment #1 • After reviewing the six presentation topics of the unit (reproductive systems, responsible relationships, abstinence, STDs, HIV & AIDS, and contraception) write down 5 reasons why this information is important. • Look over the class rules and list the one you think is the most important to apply during this unit. Explain why in 2-3 sentences. The Reproductive Systems Male and Female Presentation 1 What’s Your Health IQ? (14 true or false questions) 1. Sperm are made in the vas deferens. 2. Testicular cancer is most common in men over 50 years old. 3. Estrogen is the primary hormone in males. 4. Eggs are made in the ovaries. 5. A woman produces several eggs every month. 6. The scrotum’s job is temperature control. What’s Your Health IQ? (true or false) 7. The urethra is a final passageway for semen and urine. 8. The medical term for a “ wet dream” is night projection. 9. A woman’s menstrual cycle is 3-7 days. 10. The penis does not have to be erect for ejaculation. 11. Semen is composed of secretions and sperm. 12. A developing human is called an embryo and fetus. 13. Ova is the same thing as an ovary. 14. The uterus transports the egg. Answers… 1. False, sperm are made in the testes. 2. False, most cases of testicular cancer occur in males 15-35 years old. 3. False, testosterone is the primary hormone in males. 4. True, eggs are made in the ovaries. 5. False, women typically produce and release only one egg per month. Answers… 6. True, The scrotum’s job is temperature control. 7. True, The urethra is a final passageway for semen and urine. 8. F, The medical term for a “ wet dream” is NOT night projection. It’s nocturnal emission. 9. F, A woman’s menstrual cycle is NOT 3-7 days. (Average cycle is 28 days.) 10. F, The penis does not have to be erect for ejaculation. (It does.) 11. True, Semen is composed of secretions and sperm. 12. True, A developing human is called an embryo and fetus. 13. F, Ova is the same thing as an ovary. (ova = eggs) 14. F, The uterus transports the egg. (the fallopian tubes do) Male Reproductive System The male reproductive system works to produce sperm and deliver it to the female reproductive system. How the Male Reproductive System Works: Penis • The penis is responsible for removing urine from the male’s body and delivering sperm to the female reproductive system. • Sperm are sex cells that are produced by the male reproductive organs called the testes and that are needed to fertilize an egg. • The penis is made of soft tissue and blood vessels. • During sexual activity, the penis becomes erect, or firm. This is caused by an increase in blood flow to the blood vessels in the penis. • The penis must be erect for ejaculation to occur. • Semen: a fluid made up of sperm and other secretions from the male reproductive organs How the Male Reproductive System Works: Penis cont. • Ejaculation occurs when sperm are released from the penis after sexual excitement. • *It is normal for males to ejaculate during sleep. This is known as nocturnal emissions or “wet dreams”. • Both sperm and urine leave the body through an opening at the tip of the penis called the urethra. • The tip of the penis is covered by a sheath of skin called a foreskin. When a male baby has this removed it is known as circumcision. Path of the Sperm How the Male Reproductive System Works: Path of Sperm 1. Testes (testicles) produce sperm and testosterone. (Testosterone is the major sex hormone of males.) • The two testes rest in the scrotum, a skincovered sac that hangs from the body. The job of the scrotum muscles is to adjust the position of the testes for temperature control. *Sperm cannot develop properly at the higher temperatures of the body. 2. Epididymis is the temporary storage place for the sperm. The sperm mature and gain the ability to move How the Male Reproductive System Works: Path of Sperm 3. Vas deferens acts as both a passageway for the sperm as they exit the body and as another storing place as the sperm wait to be ejaculated 4. The seminal vesicles are found near the base of the urinary bladder. – They produce thick secretions that nourish the sperm and help sperm move easier. How the Male Reproductive System Works: Path of Sperm 5. The prostate gland encircles the urethra near the bladder. – Secretes a thin, milky fluid that protects the sperm from acid in the female reproductive system 6. The Bulbourethral (Cowper’s) glands are found near the urethra below the prostate. – Prior to ejaculation, this gland secretes a clear fluid the protects the sperm from acid in the male urethra. 7. The Urethra is used as the final passageway for both semen and urine. The prostate closes off the bladder to prevent any urine from joining the semen. Path of the Sperm Problems of the Male Reproductive System Problem Jock Itch What is it? fungal infection of groin area; exposure to moisture and heat increases the risk abnormal division Prostate Cancer of cells in the prostate; may be hereditary Testicular Cancer abnormal division of cells in the testes; may be hereditary Symptoms Treatment itchy rash in groin, mostly in creases of upper thigh keeping area cool and dry; over-thecounter antifungal creams difficulty urinating or defecating, burning during urination, blood in urine, or no symptoms surgery, radiation, and/or chemotherapy lump on testes, enlargement of testes, sense of heaviness in the scrotum, or no symptoms surgery, radiation, and/or chemotherapy 6 Ways to stay healthy: Males 1. Wear appropriate protective gear during sports (a “cup”) 2. Avoid wearing tight clothing 3. Wash the penis and scrotum every day, and dry yourself carefully after showering 4. If you are not circumcised, wash underneath the foreskin 5. Perform a monthly testicular self-exam (ages 14-35) 6. Have an annual checkup with a doctor Testicular Self-Exam Look for the following signs: •an unusual, painless lump • a heavy, dragging feeling in the testes • a dull ache in the groin • a change in the size of one testicle • sudden collection of fluid in scrotum • blood in urine Female Reproductive System: External Organs • Labia majora: They protect the other external reproductive organs. Literally translated as "large lips," the labia majora are relatively large and fleshy. • Labia minora: Literally translated as "small lips," they can be very small or up to 2 inches wide. They lie just inside the labia majora, and surround the openings to the vagina and urethra). • Bartholin’s glands: They are located next to the vaginal opening and produce a fluid (mucus) secretion. • Clitoris: The two labia minora meet at the clitoris, a small, sensitive protrusion. The clitoris is covered by a fold of skin, called the prepuce and is very sensitive to stimulation. Female Reproductive System: External Organs What the Female Reproductive System Does The function of the female reproductive system is to make eggs and to provide a place to support and nourish a developing human. Eggs, or ova, are the sex cells that are produced by the female reproductive organs called ovaries. The process by which a sperm and an egg and their genetic material join to create a new human life is called fertilization. Female Reproductive System: Internal Organs How the Female Reproductive System Works: Ovaries • Ovaries are the female reproductive organs that produce eggs and the hormones estrogen and progesterone. • All of the eggs that a female will ever have are in her two ovaries when she is born (100,000+). Approximately 400 will be released between puberty & menopause. • During puberty: – Estrogen causes the reproductive organs to mature into their adult shape and size, as well as body hair to grow under the arms and pubic area. – Both estrogen and progesterone are responsible for the monthly release of an egg to prepare the body for pregnancy. How the Female Reproductive System Works: Fallopian Tubes & Uterus • The fallopian tubes transport an egg from the ovary to the uterus. • The uterus (womb) provides a place to support a developing human – It is a muscular cavity (the size of a fist) found at the top of the vagina and between the bladder and rectum – The uterus meets the vagina at its lower end, called the cervix. How the Female Reproductive System Works: Vagina • The vagina connects the outside of the female body to the uterus. It receives sperm during reproduction. • This tubular organ runs from the lower end of the uterus to the outside of the body. • The vagina also facilitates menstrual flow in exiting the body, and a birthing canal when a baby is born. • Above (toward the front of the body) is the urethra. It is separate from the vagina and carries urine from the bladder to the outside of the body. Path of the Egg (Ova) Basics of the Menstrual Cycle • Prior to ovulation (the release of an egg), the lining of the uterus thickens to prepare to support a growing human during pregnancy. • Menstruation is the breakdown and discharge of the uterine lining out of the vagina. This occurs if a released egg is not fertilized. Menstruation lasts on average 3 to 7 days. • The average menstrual cycle lasts 28 days. Ovulation usually occurs on the 14th day. However, this length can vary. • Environmental factors, such as stress, diet, travel, exercise, weight gain/loss, and illness can influence the timing of the female cycle. • It is VERY IMPORTANT for a female to check with her healthcare professional if she has any questions about her reproductive system and/or menstrual cycle. The Menstrual Cycle *Most females menstruate during the first 3-7 days of the cycle. The most fertile times are 6-7 days before ovulation and 2-3 days after ovulation. Problems of the Female Reproductive System Problem Cystitis (Bladder Infection) Premenstrual syndrome (PMS) Cervical Cancer What is it? Inflammation of the urinary bladder; usually due to a bacterial infection mental and physical changes related to menstrual cycle, not completely understood abnormal division of cells in the cervix; may also be from an STD Symptoms Treatment Burning during urination, strongsmelling urine, fever, or blood in urine Antibiotics prescribed by a doctor irritability, mood swings, depression, abdominal bloating, and breast tenderness determined by a doctor vaginal bleeding, discharge, or pelvic pain; may not be any symptoms surgery, radiation, and/or chemotherapy 8 Ways to stay healthy: Females 1. Exercise regularly, and maintain a balanced diet. 2. Gently wash the genital area every day with warm water and mild soap. Do not use feminine hygiene sprays and powders. 3. Wipe the vaginal opening from front to back after urination 4. Change sanitary napkins or tampons every 4-8 hours when menstruating. This helps avoid Toxic Shock Syndrome, a rare but dangerous disease. (1-17 cases per 100,000 women, symptoms may include vomiting, diarrhea, fainting, dizziness, or a rash that looks like a sunburn) 5. Avoid wearing tight clothing that can cause discomfort. 6. Have an annual pelvic exam with a health care professional after the age of 18 or earlier if sexually active. Stay Healthy: Females 7. Do a breast self-exam each month after your period (for those that have them.) 1 out of 8 women in the U.S. has a risk of developing breast cancer during her lifetime.) Breast Self-Exam Procedures: • Feel each breast with soapy fingers, in the shower. It is important to check the entire area, even the armpits. • Look at the breasts in the mirror ... First with hands down at the side, then raising them over the head, and finally pressing down on the hips (to flex the chest muscles). • Lie down, with a pillow under the shoulder, to examine each breast. Use the flat parts of the fingers ... and press down firmly. Stay Healthy: Females What should you look for with the BSE? • an unusual, painless lump • changes in the shape of the breast (such as swelling or dimples) • discharge (liquid) from the nipple • change in the direction one nipple is pointing • redness or scaliness Brain Pop • Fetal Development How Life Begins • Sexual intercourse is the reproductive process in which the penis is inserted into the vagina and through which a new human life may begin. • From the vagina, sperm travel through the uterus and into the fallopian tubes, where fertilization normally occurs. • After fertilization, the zygote travels to the uterus and embeds in the uterine wall. • The developing human in the first 8 weeks of development is called an embryo. How a Baby Develops • The placenta is an organ that develops in the uterus. It provides a developing baby with nutrients and removes waste. • The umbilical cord connects the embryo to the placenta. How a Baby Develops (1st Trimester) • In the 1st trimester, first 3 months, the embryo grows rapidly. (Note: 25% of all pregnancies end in miscarriage and they are most common in the 1st trimester.) • By week 4, the heart starts beating, arm and leg buds appear, and the eyes and brain start to develop. • By the end of the first trimester, all the major body parts and organs have formed. How a Baby Develops (2nd Trimester) • Beyond the first trimester, the developing baby is called a fetus. • In the second trimester, the organs continue to develop. By 4 months, the mother can feel the fetus move or kick. • By the end of the second trimester, facial features are apparent, and you can tell if the fetus is male or female. How a Baby Develops (3rd Trimester) • In the third trimester, the fetus gains most of its weight. At the end of 9 months, the baby is born. Development leading up to Birth 14 weeks 4 weeks 8 weeks 28 weeks 40 weeks “Conception to Birth” • http://www.ted.com/talks/alexander_tsiara s_conception_to_birth_visualized.html • Show from 2:00 to 6:00 of video BrainPop • Twins Presentation Resources • This presentation was created using one or more of the following curricula: – – – – – – – – Department of Health, online resources Center for Disease Control, online resources F.L.A.S.H. (Family Life and Sexual Health) Glencoe Health, 2007 Glencoe Human Sexuality 2007 Holt Lifetime Health 2004 KNOW (HIV/STD Prevention) 1997 Prentice Hall Health, 2007