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P. 102

The Female Reproductive System


             Jellies, Cream,  Spermicidal products        Kills large number of  About 75%     UTI, allergy to
             Foams           inserted before intercourse  sperm                                spermicides
                                                          Avoid sexual
             Natural Family  Keep record of ovulation     intercourse near     About 70%       None known
             Planning        using various methods
                                                          ovulation
                             Vagina cleansed after
             Douche                                       Washes out sperm     Less than 70% None known
                             intercourse
                                                          Prevents release of
                                                          egg, fertilization of                Same as oral
             Plan B Pill     Pill taken after intercourse                      About 89%
                                                          egg, or egg from                     contraceptive
                                                          attaching to uterus


            Sexually Transmitted Diseases


                 Sexually transmitted diseases (STDs) are diseases or infections that have a significant probability
            of transmission between humans by means of sexual contact: vaginal intercourse, oral sex, and/or anal
            sex. Many STDs are (more easily) transmitted through the mucous membranes of the penis, vulva, and
            (less often) the mouth. The visible membrane covering the head of the penis is a mucous membrane,
            though, for those who are circumcised it is usually dry and produces no mucus (similar to the lips of the
            mouth). Mucous membranes differ from skin in that they allow certain pathogens (viruses or bacteria)
            into the body (more easily).


                 The probability of transmitting infections through sex is far greater than by more casual means of
            transmission, such as non-sexual contact—touching, sharing cutlery, and shaking hands. Although
            mucous membranes exist in the mouth as well as in the genitals, many STDs are more likely to be
            transmitted through oral sex than through deep kissing. Many infections that are easily transmitted
            from the mouth to the genitals or from the genitals to the mouth, are much harder to transmit from one
            mouth to another. With HIV, genital fluids happen to contain a great deal more of the pathogen than
            saliva. Some infections labeled as STDs can be transmitted by direct skin contact. Herpes simplex and
            HPV are both examples. Depending on the STD, a person who has has the disease but has no
            symptoms may or may not be able to spread the infection. For example, a person is much more likely
            to spread herpes infection when blisters are present than when they are absent. However, a person can
            spread HIV infection at any time, even if he/she has not developed symptoms of AIDS.


                 All sexual behaviors that involve contact with the bodily fluids of another person should be
            considered to hold some risk of transmission of sexually transmitted diseases. Most attention has
            focused on controlling HIV, which causes AIDS, but each STD presents a different situation.

                 As may be noted from the name, sexually transmitted diseases are transmitted from one person to
            another by certain sexual activities  rather  than being actually caused by  those  sexual  activities.
            Bacteria, fungi, protozoa or viruses are still the causative agents. It is not possible to catch any sexually
            transmitted disease from a sexual activity with a person who is not carrying a disease; conversely, a
            person who has an STD received it from contact (sexual or otherwise) with someone who is infected.


                 Although the likelihood of transmitting diseases by sexual activities varies a great deal, in general,
            all sexual activities between two (or more) people should be considered as being a two-way route for
            the transmission of STDs (i.e. "giving" or "receiving" are both risky).





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