STUDENT NAME: Monica Shanks SIECUS KEY CONCEPT: Sexual Health SIECUS TOPIC: Reproductive Health SIECUS DEVELOPMENTAL/GRADE

LEVEL: Level 3 (ages 12-15) APPROVED DEVELOPMENTAL MESSAGES: After a girls breasts have developed, she needs to examine them each month using the correct breast self-examination procedure. After puberty, a boy needs to examine his testicles regularly using the correct testicular self-examination procedure. Young women should begin to receive regular gynecological exams, including pap smears, breast examinations, and/or STD testing, when they begin to engage in oral, vaginal, or anal intercourse or turn 18, whichever happens first. Young men should begin to receive regular sexual health exams from a general practitioner or urologist that include testicular exams and/or STD testing when they begin to engage in oral, vaginal, or anal intercourse or turn 18, whichever happens first. Individuals who suspect something is wrong with their sexual or reproductive organs, such as genital discomfort or itching or a lump in a breast or testicle, should seek medical attention immediately. Untreated STDs during adolescence can be especially dangerous to a boys or girls future reproductive capability. Drug use during adolescence can be especially dangerous to a boys or girls future reproductive capability. **Taken directly from http://www.siecus.org BEHAVIORAL/LEARNING OBJECTIVES: **These objectives are based upon the learner fully participating in the lesson and attending to the assignments. The learner will be able to list the reasons teens need regular reproductive health examinations (from both health care providers and from themselves). The learner will access contact information for at least three local practitioners who provide regular sexual health examinations (gynecologists, general practitioners, urologists, or health centers providing sexual health examinations). The learner will feel more confident and comfortable discussing their individual reproductive health with their parent(s)/guardian(s). DEVELOPMENT OF LESSON: (see next page) EVALUATION ACTIVITY (TO ASSES STUDENT LEARNING): Students will complete an exit ticket worksheet prior to leaving the classroom for the day. The worksheet will consist of a few questions regarding the information covered, as well as some questions assessing student feelings about discussing their health with their parent(s)/guardian(s).

CONTENT I. Reproductive Health A. Overview/Introduction B. Self-Examinations, Reproductive Health Care Providers, Teen Growth and Development i. Distribute Web Search Handouts to students, and have students follow the directions on the worksheet and answer the questions. ii. Once the class has completed the worksheet, ask the class FollowUp Questions from Power Point. C. Teen Situations i. Group students into groups of 3-4 students each, and have them complete Advice Column worksheets individually. ii. After roughly 4 minutes, have groups discuss their answers with one another. iii. After groups have discussed, each group will report verbally to the class as a whole on one situation. D. Exit Ticket i. Have students complete handouts (answering all questions) to hand in on their way out of the classroom.

STRATEGY MiniLecture Web Search

TIME 3-4 min. 30 min.

MATERIALS/EQUIP. Power Point slides & projector Computers, Internet Connection, Web Search Handouts Power Point slides & projector

Small Group Discussion with Worksheets

4 min.

Advice Column Worksheets

5-6 min. 2-3 min.

Exit Ticket Worksheet

5 min.

Exit Ticket Worksheet

E. Homework Homework i. Assign students homework Research worksheet on which students will Assignment find information regarding at least three local, reputable practitioners who provide sexual health examinations.

At home (Overnight)

Local Practitioners Worksheet; Student provides computer with internet/phone book/phone app

Name:_______________________________________________

Reproductive Health Web Search

Visit http://www.plannedparenthood.org and click on Info for TEENS on the right side of the screen. Next, click on Our Bodies at the top-left, and then on Going to the Doctor in the dropdown list under Our Bodies. Underneath the video, click Expand All on the right and use the information to answer the following questions:

1.) When should girls start having Pap tests? When they become teenagers, especially if they are sexually active

2.) Why should teen girls give themselves breast self-examinations? To be familiar with how their breasts normally look and feel, so that they are more aware of any changes 3.) List five things a doctor looks for during a pelvic exam: Irritation, warts, discharge, cervix abnormalities, infections, any fibroids, tumors, or cysts on the female organs 4.) Why is it important for teens to tell their doctor if they are sexually active? Honesty about sexual activity helps your doctor take care of any health needs or concerns 5.) What kind of doctor do women see for reproductive health exams? What about men? Gynecologists for women; Urologists for men 6.) List five things a doctor looks for during a mans physical exam: Signs of testicular cancer, lumps, bumps, warts, sores, unusual discharge from the penis, hernias 7.) Why should men give themselves testicular self-examinations? To be familiar with what is normal for their testicles

8.) How often should sexually active people be tested for STDs? Why? Once a year; a person can have an STD without showing any symptoms, so you need to be tested to really know

Next, under the section Im a guy. What kind of doctor should I see? click on the link testicular self-exam. Another site should open for The Testicular Cancer Resource Center. Use the information to answer the following questions: 1.) When should men begin examining their testicles? How often should they give themselves a self-exam? After the age of 14 Once a month men need to be familiar with what is normal 2.) How should a man give himself a testicular self-exam? Roll the testicles between the index and middle fingers and the thumb, with the thumb on top 3.) List the eight possible signs of testicular cancer mentioned: A lump on the testicle, any enlargement of a testicle, a significant loss of size in one of the testicles, a feeling of heaviness in the scrotum, a dull ache in the lower abdomen or in the groin, a sudden collection of fluid in the scrotum, pain or discomfort in a testicle or in the scrotum, enlargement or tenderness of the breasts 4.) What is the epididymis? Why is it important for men to be familiar with the epididymis? Small tube behind testicle that carries sperm Lumps on or near the epididymis are not cancerous

Go back to http://www.plannedparenthood.org and hover over Health Info & Services at the top-left. Click on Womens Health in the drop down menu. Next, click on Pap Tests & HPV Tests underneath the photo. Use the information on the page to answer the following questions: 1.) What do Pap tests and HPV tests look for? For signs that cervical cancer may develop

2.) 1 in 4 women develop HPV related to cervical cancer, yet only 1 in 1,000 of those women will develop cervical cancer. Why is that? Many women take preventative steps like pap tests, condom use, and HPV tests 3.) What specifically does a Pap smear test for? Abnormal cells on the cervix that may indicate the presence of HPV

4.) When should women begin having Pap tests? How often should women have them? At age 21 **or when she becomes sexually active** At least every 3 years

5.) List five things women can do to help prevent cervical cancer: Have regular screenings, use condoms, talk to your doctor about the HPV vaccine, dont smoke, ask questions

Name:_______________________________________________

Advice Column
You are writing an advice column for your school paper. Teens write in to you for advice on their problems. Below are some letter you receive. Write responses to each.
1.) Help! I am a 15 year old guy and one of my testicles is bigger than the other. Do I have cancer or something?? I dont know who to talk to Im afraid to talk to my parents Thatd be so awkward! What should I do? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 2.) I need advice. My vagina has been really sore and itchy lately Its totally embarrassing and Im really freaked out. What should I do? Who should I talk to?? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 3.) My boyfriend and I just started having sex. Ive heard about STDs and stuff in health class But do I really need to get tested? Hes the only guy Ive ever been with but hes been with other girls. I dont have a rash or anything. Am I okay? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

4.) I have to go to the doctor next week for my physical for athletics. I heard in health class that youre supposed to tell your doctor if youre sexually active But I dont get why. Like, what if my doctor tells my parents?? Why would it be his business anyway? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 5.) My mom wants to take me to the gynecologists office but I dont understand why I need to go there. Ive seen in movies and stuff where they put your feet up in those stirrup things and spread your legs apart! Thats so awkward! I dont want to go. It sounds super embarrassing. What should I do? How can I talk to my mom about it?? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 6.) Im freaking out! Yesterday, my penis started like leaking this weird stuff out of the tip. Whats wrong with me?? I want to ask my dad for advice but I dont even know how to start talking to him about my You know, stuff down there. What am I supposed to do?? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________

Name:_______________________________________________

Exit Ticket
Fill out these questions and youre free to go for the day!
1.) Why should teen guys and girls give themselves self-examinations? 2.) How often should teens give themselves self-examinations?

3.) When should teens start being tested for STDS?

4.) Why should teens have sexual health check-ups?

5.) How comfortable would you feel approaching your parents/guardians if there is a problem with your reproductive health, on a scale of 1 to 5:
Least Comfortable Most Comfortable

Name:_______________________________________________

Local Health Practitioners

Fill out the worksheet with at least three local health practitioners who provide reproductive health services. **Optional, for extra credit: Ask your parents to help with this worksheet, and discuss what you have learned today with them. Have them sign the bottom of this sheet to confirm that they participated.
1.) Name: Title: Phone Number: Services Provided: Office Name: Appointment Policy:

Information Found Using: 2.) Name: Title: Phone Number: Services Provided: Office Name: Appointment Policy:

Information Found Using: 3.) Name: Title: Phone Number: Services Provided: Office Name: Appointment Policy:

Information Found Using: **Parent Signature: ____________________________________

REFERENCES
Going to the doctor. (2012). In Planned Parenthood. Retrieved June 10, 2012, from http://www.plannedparenthood.org/info-for-teens/our-bodies/going-doctor-33816.htm How to do a testicular self examination. (2009, March 16). In The Testicular Cancer Resource Center. Retrieved June 10, 2012, from http://tcrc.acor.org/tcexam.html Pap tests & HPV tests. (2012). In Planned Parenthood. Retrieved June 10, 2012, from http://www.plannedparenthood.org/health-topics/womens-health/pap-tests-hpv-tests19875.htm