Sexual/Repro. Health
SAFER SEX BASICS
What is Safer Sex?
Safer sex is taking proper precautions before, during, and after sexual activity to lower the chances of transmitting an STI or becoming pregnant
Talking to Your Partner about Safer Sex
It might feel awkward to talk to your partner about safer sex, but it's important. The best time to talk about safe sex is before you do anything. Tell your partner that you care about them and their health. Share your own history of using condoms and getting STI tested. Let them know you want to be honest!
STI AWARNESS & PREVENTION
What are STIs?
STI stands for Sexually Transmitted Infections. These are infections passed from one person to another person often during vaginal, anal, and oral sex. All STIs can be treated, but not all can be cured. They’re really common, and lots of people who have them don’t have any symptoms. Without treatment, STIs can lead to serious health problems. But the good news is that getting tested is no big deal, and most STIs are easy to treat.
How are STIs transmitted?
Semen
Pre-ejaculatory fluid (pre-cum)
Vaginal fluid
Rectal fluid
Blood
Breastmilk
Intimate skin-to-skin contact, including mouth
What activities can lead to an STI?
Oral Sex (Mouth on penis or vagina)
Anal Sex (Penis in anus)
Vaginal Sex (Penis in vagina)
Naked genital-to-genital contact
Kissing in some circumstances
General Symptoms
NO SYMPTOMS is the most common symptom, but symptoms can include:
Burning while urinating
Itching
Redness
Bleeding
Sores/bumps
Pain or discomfort
Abnormal discharge from the penis or vagina
Fever or flu symptoms
General Prevention
Abstinence
STI testing & treatment
Vaccines
Communicate with partner(s) about protection and possible risk
Barrier methods
Washing hands
Pee before and after sex
Avoid shaving, waxing, or removing pubic hair
What happens if someone has an STI but doesn't know?
Can unknowingly pass it to someone else
Can cause internal problems or serious medical issues even when no external symptoms present
Having one STI puts you more at risk of contracting other STIs
Can cause fertility issues in the future
STI Testing
If you’ve had sexual contact with another person and notice any signs of an STI, talk to a doctor or nurse about getting tested. STI symptoms can come and go over time, but that doesn’t mean the STI is gone. It’s common for STI symptoms to be so mild that they don’t bother you, but you should still see a doctor or nurse if you notice anything that feels off.
For testing resources, visit Planned Parenthood!
Types of STIs
Chlamydia
A very common STD caused by a bacterial infection. Often doesn’t have symptoms, but easy to treat once it’s diagnosed.
Genital Warts
Growths on the genital area and around the anus. Caused by certain types of HPV.
Gonorrhea
A common STD caused by a bacterial infection. Often doesn’t have symptoms, but easy to treat once it’s diagnosed.
Hepatitis B
A virus that can cause liver disease, which is spread through sex or sharing personal hygiene items like razors or toothbrushes.
Herpes
A common STD that infects your mouth and/or genitals. Causes blistery sores. There’s no cure, but symptoms are treatable.
HIV & AIDS
HIV is an infection that breaks down your immune system and can lead to AIDS. There’s no cure, but treatment can help you stay healthy.
HPV (Human Papillomavirus)
A super common STD. HPV is usually harmless and goes away by itself, but some types can lead to cancer.
Molluscum Contagiosum
An infection that causes small bumps on your skin. It goes away by itself and usually isn’t dangerous.
Pubic Lice
AKA “crabs.” Small parasites that attach to the skin and hair near your genitals. Easy to get rid of with treatment you can get at the drugstore.
Scabies
Scabies are tiny parasites that cause itching. Passed through skin-to-skin contact, usually during sex. Can be cured.
Syphilis
Syphilis is a common bacterial infection. It’s easily cured with medicine, but it can be dangerous if you don’t treat it.
Trichomoniasis (Trich)
“Trich” is a major cause of vaginitis. It’s very common and easily treated.
Source: Planned Parenthood
HIV/AIDS
About HIV
HIV (human immunodeficiency virus) is a virus that attacks the body’s immune system. If HIV is not treated, it can lead to AIDS (acquired immunodeficiency syndrome).
There is currently no effective cure. Once people get HIV, they have it for life.
However, with proper medical care, HIV can be controlled. People with HIV who get effective HIV treatment can live long, healthy lives and protect their partners.
Learn more about HIV/AIDS at the CDC
Source: CDC
HIV Prevention
Today, more tools than ever are available to prevent HIV. You can use strategies such as abstinence (not having sex), never sharing needles, and using condoms the right way every time you have sex. You may also be able to take advantage of HIV prevention medicines such as pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). If you have HIV, there are many actions you can take to prevent transmitting HIV to others.
Learn more about HIV Prevention at the CDC
Source: CDC
HIV Testing
People with certain risk factors should get tested more often. You should get tested at least once a year if:
You’re a man who has had sex with another man.
You’ve had anal or vaginal sex with someone who has HIV.
You’ve had more than one sex partner since your last HIV test.
You’ve shared needles, syringes, or other drug injection equipment (for example, cookers).
You’ve exchanged sex for drugs or money.
You’ve been diagnosed with or treated for another sexually transmitted disease.
You’ve been diagnosed with or treated for hepatitis or tuberculosis (TB).
You’ve had sex with someone who has done anything listed above or with someone whose sexual history you don’t know.
Learn more about HIV Testing at the CDC
Find testing resources below under "Local Sexual Health Services"
Source: CDC
HIV Treatment
HIV treatment (antiretroviral therapy or ART) involves taking medicine as prescribed by a health care provider. HIV treatment reduces the amount of HIV in your body and helps you stay healthy.
There is no cure for HIV, but you can control it with HIV treatment.
Most people can get the virus under control within six months.
HIV treatment does not prevent transmission of other sexually transmitted diseases.
Learn more about HIV Treatment at the CDC
Source: CDC
HIV Stigma
What is stigma?
Social stigma is the disapproval of, or discrimination against, an individual or group based on perceived characteristics that serve to distinguish them from other members of a society
Why is there a stigma surrounding HIV/AIDS?
HIV stigma is rooted in a fear of the virus as well as misinformation surrounding its transmission and contraction.
How can I help end the stigma?
Talking openly about HIV can help normalize the subject. It also provides opportunities to correct misconceptions and help others learn more about HIV. But be mindful of how you talk about HIV and people living with HIV.
CONTRACEPTION & PROTECTION
What is Contraception and Protection?
Contraception, also known as birth control, is the use of medicines, devices, or surgery to prevent pregnancy. Protection uses an artificial method to protect not only against pregnancy but also against STI transmission.
Barrier Methods
A method of contraception using a device or preparation which prevents live sperm from reaching an ovum. Protects against pregnancy and STI transmission
Hormonal Methods
Method of contraception that uses the hormones estrogen and/or progesterone. Only effective against pregnancy, 0% effective against STI transmission
Natural Methods
Uses either menstrual cycle tracking or the withdrawal method to avoid getting pregnant without using contraception. 0% effective against STI transmission, lower effectiveness against pregnancy
Sexual Abstinence
Refraining from any sexual activity- 100% effective against STI transmission & pregnancy
Learn about all of your contraception options HERE!
CONDOMS
What are condoms?
A condom is a barrier device used during sexual intercourse to reduce the probability of pregnancy or a sexually transmitted infection. They are 87-95% effective, but that reduction in effectiveness can be largely attributed to consumer error and misuse. It is important that people planning to use a condom, learn how to do so properly.
Where can you get condoms?
Condoms are available to buy at drug stores, supermarkets, convenience stores, and online. You can get condoms for free at most contraception clinics and sexual health clinics, as well as the school's nurse's office.
Learn more about gaining access to condoms HERE
EMERGENCY CONTRACEPTION
What is Emergency Contraception?
Emergency contraception is a method of contraception that is taken within 5 days of having unprotected sex or sex with failed contraception, that is used to avoid pregnancy.
More information
The most widely used types of emergency contraceptive pills are:
Progestin-only pills (Plan B® One-Step, Next Choice®)
Ulipristal acetate (ella®)
What emergency contraception does:
Prevents pregnancy
Are NOT effective after pregnancy has occurred and they will not harm the developing fetus
It is NOT the same as RU-486 (the abortion pill)
Using Emergency Contraceptive pills will not affect a woman’s ability to become pregnant in the future
Taking Emergency Contraception
It is best to take EC as soon as possible; the sooner you take EC the more effective it is.
It has been shown to be effective for up to 5 days.
For more information, talk to your pharmacist or doctor.
When taken as directed, Emergency Contraception has been shown to be safe and effective
Emergency Contraception may reduce the risk of pregnancy by up to 89 percent.
The effectiveness of EC varies based on the type used and when it is taken.
EC is only recommended as a backup and should not be used as your primary method of birth control.
Emergency Contraceptive pills do not protect against sexually transmitted infections, including HIV/AIDS.
Source: California State Board of Pharmacy
More information at Planned Parenthood and HERE!
ACCESSING HEALTHCARE
Local Sexual Health Services
Planned Parenthood
www.plannedparenthood.org 1-800-230-PLAN
Planned Parenthood (Alhambra)
330 S. Garfield Ave.
Alhambra, CA 91801
626-798-0706
Planned Parenthood (Pasadena)
1045 North Lake Ave.
Pasadena CA 91104
626-798-07067
Services: Men/women health care services, STD/HIV testing, pregnancy services, birth control, LGBTQ services
AIDS Project Los Angeles (APLA)
www.aplahealth.org 323-329-9900
3742 S. La Brea Ave
Los Angeles, CA 90016
Services: Primary care services, HIV prevention/screening/treatment services, behavioral health services, dental services
Chinatown Service Center
www.cscla.org 626-678-9788
320 S. Garfield Ave.
Suite 126
Alhambra, CA 91801
Multiple Locations
Services: Primary health services, STD/HIV testing/treatment, birth control, behavioral health, dental, basic optical
FPA Women’s Health
www.fpawomenshealth.com (213) 738-7283
Several Locations
601 S Westmoreland Ave
Los Angeles, CA 90005
Services: STD testing, birth control, gynecological
5. Los Angeles LGBT Center
www.lalgbtcenter.org 323-993-7400
1625 N. Schrader Boulevard
Los Angeles, CA 90028-6213
Services: HIV/STD testing, women/men primary care, transgender services, behavioral health services
6. The Wall Las Memorias Project - Men's Health
www.thewalllasmemorias.org 323-256-3884
5619 Monte Vista St.
Los Angele, CA 90042
Services: HIV testing (on-site), PrEP/PEP, substance abuse support, health care support for LGBTQ & Latino communities, behavioral health services, trans connection
CONSENT
What is consent?
Consent occurs when one person voluntarily agrees to the proposal or desires of another. Sexual consent is an agreement to participate in a sexual activity.
Consent is NEVER:
The absence of "no"
Automatic in a relationship
A catch-all free pass to any activity
"Yes" under the influence of alcohol, drugs or any other substance
Freely given. Consenting is a choice you make without pressure, manipulation, or under the influence of drugs or alcohol.
Reversible. Anyone can change their mind about what they feel like doing, anytime. Even if you’ve done it before, and even if you’re both naked in bed.
Informed. You can only consent to something if you have the full story. For example, if someone says they’ll use a condom and then they don’t, there isn’t full consent.
Enthusiastic. When it comes to sex, you should only do stuff you WANT to do, not things that you feel you’re expected to do.
Specific. Saying yes to one thing (like going to the bedroom to make out) doesn’t mean you’ve said yes to others (like having sex).
Source: Planned Parenthood
SEXUAL ASSAULT & HARASSMENT
National Sexual Assault Hotline: 800-656-4673
What is sexual assault?
Sexual assault is the use of force, coercion, or an imbalance of power to make a person engage in sexual activity without their consent. Sexual assault is sometimes called sexual abuse.
Rape is one form of sexual assault, but it’s not the only kind. Sexual assault can include forced kissing, touching, and groping, too. Legal definitions of these terms differ depending on where you live.
Source: Planned Parenthood
Who can be a victim?
Anyone can be a victim — no matter their gender, sexual orientation, or age. However, certain groups of people are more likely than others to experience sexual assault in their lives. Women (especially women of color), LGBT-identified people, and people with developmental disabilities are more likely to experience sexual assault over the course of their lifetimes.
Source: Planned Parenthood
Sexual violence doesn’t happen in one single way. There doesn’t need to be a weapon involved and the victim doesn’t need to have fought back, screamed, or said “no” repeatedly in order for it to count as rape or sexual assault. Most sexual assaults don’t happen by strangers in dark alleyways. Often, it’s someone the victim knows or even a romantic partner. If you or someone you know has experienced this type of violence, you’re not alone, and help is available.
Source: Planned Parenthood
RAINN
RAINN (Rape, Abuse & Incest National Network) is the nation's largest anti-sexual violence organization. RAINN created and operates the National Sexual Assault Hotline (800.656.HOPE, online.rainn.org) in partnership with more than 1,000 local sexual assault service providers across the country and operates the DoD Safe Helpline for the Department of Defense. RAINN also carries out programs to prevent sexual violence, help survivors, and ensure that perpetrators are brought to justice.
Visit https://rainn.org/ to gain more resources!
What is sexual harassment?
Sexual harassment means unwanted, inappropriate sexual advances, including suggestive gestures, language, or touching.
Resources
National Sexual Assault Hotline: This National hotline, operated by RAINN, serves people affected by sexual violence. It automatically routes the caller to their nearest sexual assault service provider. You can also search your local center here. Hotline: 800.656.HOPE
National Sexual Violence Resource Center: This site offers a wide variety of information relating to sexual violence including a large legal resource library.
National Organization for Victim Assistance: Founded in 1975, NOVA is the oldest national victim assistance organization of its type in the United States as the recognized leader in this noble cause.
National Online Resource Center on Violence Against Women: VAWnet, a project of the National Resource Center on Domestic Violence hosts a resource library home of thousands of materials on violence against women and related issues, with particular attention to its intersections with various forms of oppression.
U.S. Department of Justice: National Sex Offender Public Website: NSOPW is the only U.S. government Website that links public state, territorial, and tribal sex offender registries from one national search site.
The National Center for Victims of Crime: The mission of the National Center for Victims of Crime is to forge a national commitment to help victims of crime rebuild their lives. They are dedicated to serving individuals, families, and communities harmed by crime.
National Street Harassment Hotline: Created by Stop Street Harassment, Defend Yourself, and operated by RAINN, the National Street Harassment Hotline is a resource for those affected by gender-based street harassment. Support is available in English and Spanish: call 855.897.5910 or chat online.
Any victim of sexual assault or sexual harassment is NEVER at fault or to blame
PREGNANCY OPTIONS
Visit Planned Parenthood or The American College of Obstetricians and Gynecologists to learn more about your options!
Parenting
Parenting includes giving birth and raising your baby to adulthood.
There are many things to think about when considering parenting. Family, relationships, money, school, work, life goals, personal beliefs, and the well-being of your future child — most people think carefully about all of these things before choosing to parent. But every person’s situation is different, and only you can decide what’s best in your case.
Click HERE if you are considering parenting.
Adoption
The process of adoption is when you give birth and then choose someone else to parent your child. It’s a permanent, legal agreement where you agree to place your child in the care of another person or family permanently. Some people choose adoption when faced with a pregnancy. Information and support is important, but the decision is personal and only you know what’s best for you.
Click HERE to learn more about adoption.
Abortion
An abortion is a safe, common, and effective medical procedure that ends a pregnancy.
In-clinic abortion:
A medical professional examines the uterus through an ultrasound
There are options to manage pain (ask your health provider about your options)
Most in-clinic procedures use suction that is done through the vagina to empty out the uterus
Staff will support you, record your vital signs, and review after-care instructions with you
Medical Abortion (the abortion pill):
You can get medication for an abortion at an in-person appointment or through a telehealth provider (with meds mailed directly to you)
The medication you take (at home or in a safe place) will cause the uterus to contract to expel the pregnancy usually within 4-12hours
Less than 5% of patients may need to take additional medication or have a procedure to complete the abortion
Abortion appointment scheduling:
Make an appointment at Planned Parenthood online at pppsgv.org or by calling 626.798.0706
OR
Visit abortionfinder.org for other alternatives
Visit Planned Parenthood for more information
Source: Planned Parenthood Peer Advocates
Safe Haven Law
Safe-haven laws are statutes in the United States that decriminalize the leaving of unharmed infants with statutorily designated private persons so that the child becomes a ward of the state
CA LAWS & YOUTH RIGHTS
California Laws
Proposition 1 solidified a person's right to an abortion in the state constitution
Pregnant people can get an abortion until the time the fetus is viable which means it is likely to survive outside the uterus without extraordinary medical measures
Only qualified medical providers are allowed to perform legal abortions and if an abortion is performed outside the legal parameters, there may be criminal charges
The overturning of Roe vs. Wade does not affect a person's right to abortion care in California
Pregnant people under 18 have the same right to an abortion as adults do
Youth Rights
You have the right to make your own decisions about your healthcare. You do not need permission from a caregiver, parent, or any adult for these services:
Birth control or condoms, pregnancy testing/care
Abortions
STI testing, treatment, or prevention (only ages 12 and above without permission)
Before you receive health care, you have the right to ask your doctor to explain who can't receive your medical information
If you receive sexual or reproductive health care, your doctor is NOT ALLOWED to share information with your parents, caregivers, social worker, group home, or probation officer without your WRITTEN consent. (Note: there are some exceptions in cases of harm or potential harm to a person under 8, this requires a mandated report to ensure safety)
CONFIDENTIAL MEDICAL RELEASE (Education Code section 48205)
Requires school officials to excuse students to leave school for confidential medical appointments, like an abortion, WITHOUT the school alerting guardians in any way. (e.g. automated phone call home)
*Most youth involve a trusted adult when making health decisions, but some may not feel safe doing so.
Source: Planned Parenthood Peer Advocates