SEXUAL AND REPRODUCTIVE HEALTH BEHAVIOUR

Discover the wonders of the human body, from anatomy and development to sexual identity.

Understanding and Reducing the risks of STIs and HIV/AIDs

Sexually transmitted infections (STIs) are infections (bacteria🧫, virus🦠 or parasites that grow in or on the body) passed primarily by sexual contact with an infected person. They are usually spread by having vaginal, oral, or anal sex. They are also called sexually transmitted diseases (STDs) and are among the most common health illnesses that affect adolescents in Nigeria.

  1. There are other means of transmission of STIs such as
  2. Having skin contact with an infected person or coming in contact with infected body fluids such as semen, blood🩸, breastmilk🍼 and vaginal fluids.
  3. Sharing of sharp objects🪒 that has come in contact with infected body fluids
  4. During pregnancy, birth or breastfeeding.

Types of STIs include gonorrhoea, syphilis, genital herpes, chlamydia, trichomonas, hepatitis B etc

Signs and symptoms of STIs

Females are at more risk of getting infected with STIs than males because their vagina gets infected more easily and they are also less likely to know they are infected because they have fewer signs/symptoms which are easily noticed. When STIs are not treated, it can lead to serious, long-term health problems. Going for regular tests if you are sexually active is therefore important. Some of the signs and symptoms are:

  1. Burning sensation when passing urine
  2. Discharge from the penis in males and vagina in females
  3. Bleeding🩸 after urination
  4. Hair loss, weight loss and fatigue
  5. Painful or painless sores around the genitalia
  6. Itching or swelling of the vulva in females

Complications of STIs

Some of the health complications of STIs include:

  1. Narrowing of the urethra resulting in difficulty in passing urine.
  2. Inability or difficulty in getting pregnant
  3. Health problems of different parts of the body such as the heart🫀, bones🦴 and brains🧠.
  4. Giving birth to babies with low birth weight, mental retardation or even still births
  5. Cancer of body organs such as cervix, liver etc.
Source: https://rxhometest.com/

Factors that increases the risks of having STIs

Many young people engage in risky sexual practices that increases their risk of getting STI as well as other negative, immediate and long term consequences such as

  1. Early sexual initiation
  2. Sex with multiple partners
  3. Transactional sex
  4. Unprotected sex
  5. Sex under the influence of psychoactive substances.

How is HIV🦠 transmitted?

  1. The Human Immuno Deficiency Virus, HIV can be transmitted through unprotected sexual intercourse including vaginal, anal and oral intercourse.
  2. Transmission from mother to child during pregnancy, labour or breastfeeding can also occur
  3. Transmission through contact with blood and body fluids as a result of sharing sharp objects.
  4.  

How to test for HIV

Usually, individuals with HIV infection usually have no symptoms and may not know until they get tested. Blood or saliva tests can be done to know your HIV status. It takes about three months before the test can show if an individual has HIV after they get infected, this period is called the window period. It is important to note that the virus can be passed to other people during the window period. While you can buy a self test kit for a blood test, it is also now possible to buy an oral test kit which allows one to test for HIV anywhere and get the result in a short while. The test kit is affordable. The benefit lies in the ease of the test. No blood and full confidentiality. Remember however that even if the test result is positive, you need to see a professional in a healthcare facility. There are persons living with HIV today who have been living with the virus for over 20 years and some even more. 

People living with HIV/AIDS🧬 with the right care, treatment and support are also able to live productive lives and to have children of their own if they wish to. Therefore, they should not be discriminated against or stigmatised. They have the right to equal love, care, respect and support just as everyone.

Prevention of STIs

STIs can be prevented through the following:

  1. Abstinence from oral, vaginal or anal sex
  2. Having sexual intercourse only with an uninfected partner
  3. Correct and consistent use of male/female condoms by sexually active individuals
  4. Vaccination against Human Papilloma Virus (HPV) and Hepatitis B

Treatment of STIs

Prevention, they say, is always better than cure. Some STIs are curable i.e. the germ causing the STI is completely removed from the body e.g. syphilis, gonorrhoea, penial wart, chlamydia and trichomoniasis while some STIs cannot be cured but can be treated or managed e.g. herpes simplex virus (herpes), hepatitis B, and HIV. Persons who have HIV can receive antiretroviral (ARV) drugs💊 which keep the virus at low levels and enable such persons to live normal productive lives. 

Individuals who have any signs or symptoms of STIs must:

  1. Immediately go to a health facility for treatment💉
  2. Ask their sexual partners to go to a health facility for treatment immediately
  3. Take the drugs recommended by health workers and complete their treatment even when there are no longer signs of infection.
  4. Stop having sex until they complete their treatment.
  5. Use condoms correctly and consistently when they start having sexual intercourse again

Glossary words and their meanings

  1. Psychoactive substances: are chemical substances that affect brain function.
  2. Stigma: something to be ashamed of; that brings disgrace or guilt.
  3. Assert: to state or express something confidently and positively.

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