Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
In Relation to HIV/AIDS
Corena Ryan
Client Care Coordinator
2-Spirited People of the 1st Nations
Harm Reduction
• What is it?
SIMPLY:
• Harm Reduction is reducing the harm in
your life.
How does this relate to HIV/AIDS?
Today’s Choices and Decisions
• If someone chooses to try or use drugs
that alter their state of mind, body,
emotions or spirit, one must be aware of
their actions and be prepared as best as
possible to reduce the harm
Behaviours
• There will always be situations or issues in
our lives that are challenging and
sometimes difficult.
Behaviour and Action
• There will always be situations or issues in
our lives that are challenging and
sometimes difficult.
• Its not what the issue or problem is, it is
how we relate or act on it that can make a
situation go little or go big.
Some youth:
GOOD QUESTION!
Receiving Fellatio – Risk
• Man’s risk very low – there needs to be an
active blood flow in the mouth.
Receiving Fellatio Risk
• Man’s risk very low – there needs to be an
active blood flow in the mouth.
• The body usually would clot that quickly.
That is why kissing is not a risk. Why
would you kiss someone with a bloody
mouth anyway?
What about giving fellatio?
Giving Fellatio - Risks
• When there are no cuts in or around the
mouth and no loose gums, the risk is low
Giving Fellatio - Risks
• When there are no cuts in or around the
mouth and no loose gums, the risk is low
• If there are open cuts and access to the
gums, the risk is increased
Giving Fellatio - Risks
• When there are no cuts in or around the
mouth and no loose gums, the risk is low
• If there are open cuts and access to the
gums, the risk is increased
• If the person giving has a cold or sore
throat and ingests or swallows, the risk
increases –White blood cells are already
working
What about a woman receiving oral
sex?
Cunninglingus
• When done properly (stimulating the
clitoris as opposed to the vaginal opening)
or using a dental dam poses little or low
risk
• When done properly (stimulating the
clitoris as opposed to the vaginal opening)
or using a dam poses little or low risk
• The woman receiving has NO risk – the
skin is a great barrier. That’s why hugging
and touching has NO risk in transmitting or
contacting HIV/AIDS
Anal Sex
Anal Sex
• Why Do it?
Why do it?
• The butt hole/sphincter is full of nerve
endings and creates a lot of sensation
Why Do it?
• The sphincter is full of nerve endings and
creates a lot of sensation
• Must relax the sphincter slowly
Anal Intercourse
• And use a condom with lubrication! Lots of
it!
• WHY?
Anal Intercourse
• Cellular lining in rectum vulnerable to HIV
or AIDS virus
Anal Intercourse
• Cellular lining in rectum vulnerable to HIV
or AIDS virus
• Mucosal membrane of the head of the
penis is vulnerable to virus and infection
• Less chance of tearing when using a lubed
condom and more lube
What about anal oral sex?
Rimming
• Rimming can be licking, kissing and/or
sucking the butt hole/sphincter
Rimming Risk
• Rimming can be licking, kissing and/or
sucking the butt hole/sphincter
• NO risk unless the sphincter is bleeding
and the person rimming has cuts in lips or
gums – but WHO wants to lick a bleeding
anus anyway?
• Rimming can be licking, kissing and/or
sucking the butt hole/sphincter
• NO risk unless the sphincter is bleeding
and the person rimming has cuts in lips or
gums – but WHO wants to lick a bleeding
anus anyway?
• There is a risk of getting a digestive tract
infection
What are the risks involved in
Vaginal Intercourse?
Women’s Risks
• Without condom use and success, semen
can live in the vagina up to 5 days
Women’s Risks
• Without condom use and success, semen
can live in the vagina up to 5 days
• If under 16 – some say 19, mucosal lining
of the vaginal walls is not fully developed
and is vulnerable to HIV infection
Women’s Risks
• Semen can live in the vagina up to 5 days
• If under 16 – some say 19, mucosal lining
of the vaginal walls is not fully developed
and is vulnerable to HIV infection
• Breaking of the hymen puts women at risk
because more white blood cells rush to the
area to fix the tear
Women’s Risks
• Semen can live in the vagina up to 5 days
• If under 16 – some say 19, mucosal lining
of the vaginal walls is not fully developed
and is vulnerable to HIV infection
• Breaking of the hymen puts women at risk
because more white blood cells rush to the
area to fix the tear
• If past menopause, less natural sexual
fluids means more possible friction tears
Women’s Risks
• Semen can live in the vagina up to 5 days
• If under 16 – some say 19, mucosal lining of the
vaginal walls is not fully developed and is
vulnerable to HIV infection
• Breaking of the hymen puts women at risk
because more white blood cells rush to the area
to fix the tear
• If past menopause, less natural sexual fluids
means more possible friction tears
• Having a yeast infection while engaging in
unprotected intercourse will increase risk of HIV
Are there any other women’s
risks people should be
aware of?
YES
Increased Women’s Risks
• Douching-the body needs to replace
natural mucous. The cells do not
recognize the material and work overtime
trying to get rid of the foreign material
Increased Women’s Risks
• Douching-the body needs to replace
natural mucous. The cells do not
recognize the material and work overtime
trying to get rid of the foreign material
• Having a sexually transmitted infection
(STI)
Increased Women’s Risks