Sexual Health
The World Health
Organization defines sexual health as a state of physical, emotional, mental
and social well-being in relation to sexuality; it is not merely the absence of
disease, dysfunction or infirmity. Sexual health requires a positive and
respectful approach to sexuality and sexual relationships, as well as the
possibility of having pleasurable and safe sexual experiences, free of sexually
transmitted diseases, unwanted pregnancy, coercion, discrimination and violence.
Sexual health is fundamental to the overall health and well-being of
individuals, couples and families, and to the social and economic development
of communities and countries. Sexuality
includes how someone thinks about and expresses them as a sexual being, including
thoughts, actions, fantasies; sensuality. Sexuality is an integral part of the
personality in everyone: man, woman and child. It is a basic need and an aspect of being human that cannot
be separated from other aspects of life. Sexual health is evidenced in
the free and responsible expressions of sexual capabilities that foster
harmonious personal and social wellness, enriching individual and social life. Sexual
health is not limited to the absence of disease or dysfunction, nor is it
important confined to just the reproductive years. It includes the ability to
understand and weigh the risks, responsibilities, outcomes and impacts of
sexual actions and to the practice abstinence when appropriate. It includes
freedom from sexual abuse and discrimination and the ability to integrate their
sexuality into their lives, derive pleasure from it, and to reproduce if they
so choose.
Sexual
and Reproductive Health Care includes care, access, and experiences of medical
health relating to sexual and reproductive areas such as: STIs and HIV, pap
testing, prostate exams, pregnancy testing, birth control, abortion, birth,
transgender care, etc.
Sexual health is influenced
by many personal and social factors such as: Our values and beliefs,
Upbringing, Culture, Religion, Indigenous Status, Spirituality, The people
around us, Our personal experiences, Societal expectations, Legal and/or sexual
rights.
Sexual health-related issues
are wide-ranging, and encompass sexual orientation and gender identity, sexual
expression, relationships, and pleasure. They also include negative consequences
or conditions such as:
·
infections with
human immunodeficiency virus (HIV), sexually transmitted infections (STIs) and
reproductive tract infections (RTIs) and their adverse outcomes (such as cancer
and infertility);
·
unintended
pregnancy and abortion;
·
sexual
dysfunction;
·
sexual violence;
and
·
Harmful
practices (such as female genital mutilation, FGM).
Sexually transmitted
diseases (STDs)
The term sexually
transmitted disease (STD) is used to refer to a condition passed from one
person to another through sexual contact. A person can contract an STD by
having unprotected vaginal, anal, or oral sex with someone who has the STD. An
STD may also be called a sexually transmitted infection (STI) or venereal
disease (VD).That doesn’t mean sex is the only way STDs are transmitted.
Depending on the specific STD, infections may also be transmitted through
sharing needles and breastfeeding.
Signs
and symptoms may include: Clear,
white, greenish or yellowish vaginal discharge, Discharge from the penis, Strong
vaginal odour, Vaginal itching or irritation, Itching or irritation inside the
penis, Pain during sexual intercourse, Painful urination.
Many different types of
infections can be transmitted sexually. The most common STDs are: Chlamydia, HPV
(human papillomavirus), Syphilis, HIV, Gonorrhoea, Pubic
lice (‘crabs’), Trichomoniasis, Herpes.
Safer sex is
all about protecting yourself and your partners from sexually transmitted
infections. Safer sex helps you stay healthy and can even make sex better.
STDs can be
prevented:
·
Abstinence - The
most reliable way to avoid infection is to not have sex.
·
Vaccines - They
are safe, effective and recommended ways to prevent Hepatitis B and HPV.
·
Reduce Number of
Sex Partners – If you have more than one sex partner, it is imperative that you
and your partners tested, and that you share your test results with one
another.
·
Mutual Monogamy
- Being in a long-term, mutually monogamous relationship with an uninfected
partner is one of the most reliable ways to avoid STDs.
·
Use Condoms -
Correct and consistent use of the male latex condom is highly effective in
reducing STD transmission. Use a condom every time you have anal, vaginal, or
oral sex.
Unintended pregnancy
Unintended pregnancy is a pregnancy that is
either unwanted, such as the pregnancy that occurred when no children or no more
children were desired. Or the pregnancy is mistimed, such as the pregnancy
occurred earlier than desired.
Birth
control, also known as contraception, is designed to prevent pregnancy. Birth
control methods may work in a number of different ways:
·
Preventing sperm
from getting to the eggs. Types include condoms, diaphragms, cervical caps, and
contraceptive sponges.
·
Keeping the
woman's ovaries from releasing eggs that could be fertilized. Types include
birth control pills, patches, shots, vaginal rings, and emergency contraceptive
pills.
·
IUDs, devices
which are implanted into the uterus. They can be kept in place for several years.
·
Sterilization,
which permanently prevents a woman from getting pregnant or a man from being
able to get a woman pregnant.
Abortion
Induced abortion is the
active termination or ending of a pregnancy through a medical procedure. There
are 2 types of induced abortions: aspiration abortion (sometimes called
surgical abortion) or medication abortion (sometimes called medical abortion). It
is legal to have an abortion if doctors agree that it would be better for your
health and wellbeing to end the pregnancy than to continue it. Although
abortion can be carried out until 24 weeks into pregnancy, 90% of all abortions
take place in the first 12 weeks. The earlier in pregnancy the abortion takes
place the safer it is for the woman. Early in pregnancy the woman may be given
a choice of abortion method and is likely to have her abortion locally.
Reproductive rights
Reproductive rights are
legal rights and freedoms relating to reproduction and reproductive health that
vary amongst countries around the world. The World Health Organization defines
reproductive rights as follows:
Reproductive rights rest on
the recognition of the basic right of all couples and individuals to decide
freely and responsibly the number, spacing and timing of their children and to
have the information and means to do so, and the right to attain the highest
standard of sexual and reproductive health. They also include the right of all
to make decisions concerning reproduction free of discrimination, coercion and
violence.



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