Learn Your Reproductive Anatomy

University Health Center Author

03/31/2021 Added

71 Plays

Description

Taking charge of your sexual health begins with knowing your body and how it works. In this sexual health presentation, University Health Center provider Kay Elting explains the internal and external reproductive anatomy and teaches common vocabulary terms.

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[00:00:03.560]Hi and welcome to our next
[00:00:05.572]installment in our stuff you weren’t
[00:00:08.372]taught in school series. Today
[00:00:10.782]we are going to be focusing
[00:00:12.352]on reproductive anatomy. My
[00:00:15.033]name is Stephanie Alderson, I
[00:00:16.663]am the Women’s Center Assistant Director
[00:00:18.805]and I am going to be introducing
[00:00:20.795]Kay in a second who is going to be our
[00:00:22.445]expert from the university health center
[00:00:24.931]and we’re just going to be going
[00:00:26.769]through reproductive anatomy today.
[00:00:28.569]If you’ve been in some of our other
[00:00:30.422]sessions in this series then you know
[00:00:33.702]that we normally allow for a Q&A, but
[00:00:36.012]since we are doing a recording today,
[00:00:37.697]then we’ve included some questions that
[00:00:40.067]we think other people might have had
[00:00:42.519]or might have if they were in this
[00:00:44.932]recording live. So we are going to
[00:00:47.712]be asking those questions and then
[00:00:49.722]we will also provide some info at
[00:00:51.562]the end if you were to have any more
[00:00:53.632]questions that we didn’t cover then you
[00:00:55.492]will have an opportunity to ask somebody.
[00:00:57.995]So we’re going to get started, and
[00:01:01.053]and I will let Kay take it away.
[00:01:03.157]Okay, thank you Stephanie. Hi everyone.
[00:01:07.157]My name is Kay Elting, I am a nurse
[00:01:10.167]practitioner. I have worked in health care
[00:01:13.435]for about 34 years, and 24 of those years
[00:01:16.705]as a nurse practitioner. I’ve been at
[00:01:20.705]the health center now for about 2 1/2
[00:01:22.765]years. I enjoy doing reproductive health
[00:01:28.491]services. I just really enjoy working with
[00:01:32.003]people, I love the diversity of the
[00:01:34.830]university and that I’ve been able to
[00:01:37.730]meet people from all over the world.
[00:01:39.726]So let’s get into what we are going to
[00:01:44.166]talk about today. Before we dive
[00:01:47.176]into today’s topic, I want to set
[00:01:50.246]the scene regarding terms and framework
[00:01:52.742]we will be using for our discussion. Our
[00:01:56.892]goal is inclusivity and making all
[00:01:58.842]students feel welcome here at the health
[00:02:00.932]center and affirmed in this presentation,
[00:02:04.053]for that reason we would like you to
[00:02:06.283]be aware of how the material will be
[00:02:08.258]presented today. First we want you to
[00:02:11.088]know that we will be using scientific
[00:02:13.350]terms to describe anatomy. We recognize
[00:02:17.350]that some of these terms can be triggering
[00:02:19.690]for some and don’t represent the
[00:02:21.993]preference of everyone. We’re doing this
[00:02:25.026]for the sake of clarity
[00:02:26.878]and to align with industry standards.
[00:02:29.478]However, we would like you to rest
[00:02:31.518]assured that if you visit the health
[00:02:34.318]center for any health care, reproductive
[00:02:37.528]or otherwise, we welcome you to
[00:02:39.298]share you preferred terms with us so
[00:02:41.758]that we can use them instead of the
[00:02:44.259]scientific terms in our discussion with
[00:02:46.659]you. The second thing we want
[00:02:49.219]you to know is that genital anatomy
[00:02:52.639]is fairly binary along with sex with
[00:02:56.031]which you were assigned at birth,
[00:02:58.042]whether your cis or trans. We will
[00:03:00.882]be exploring anatomy as it relates to
[00:03:03.472]people with a uterus and ovaries
[00:03:05.745]typically those assigned female at
[00:03:07.985]birth, and people with a penis and testes
[00:03:11.077]or typically those assigned male
[00:03:13.703]at birth. However, it is important
[00:03:15.933]to note that although this breakdown
[00:03:18.185]of anatomical differences between AFAB
[00:03:22.185]and AMAB applies to the vast majority
[00:03:27.995]of the population, genital anatomy is
[00:03:31.555]also on a spectrum. If you are intersex
[00:03:35.387]or a trans person who is undergoing
[00:03:37.867]gender affirmation surgery, you may
[00:03:41.547]or may not align with the anatomy as
[00:03:44.119]its presented today. We also want
[00:03:46.399]to make it clear that the appearance
[00:03:48.249]of genital anatomy varies from person to
[00:03:51.969]person and that is normal as well.
[00:03:54.895]For example, the size and symmetry of
[00:03:58.605]your penis or your labia, which
[00:04:01.317]we’ll discuss later may present
[00:04:04.331]differently than some of the images
[00:04:06.347]you'll see, today and that is okay
[00:04:10.692]and perfectly normal. So with
[00:04:14.615]that we’ll dive into our discussion today.
[00:04:18.468]The reproductive system is a delicate and
[00:04:23.808]complex system of the body, it’s
[00:04:26.258]important to your overall health. If
[00:04:28.868]you're a person with a uterus and ovaries,
[00:04:31.263]the reproductive system also effects if
[00:04:34.563]and when you could become pregnant.
[00:04:37.233]Reproduction is the process by which
[00:04:40.257]organisms make more organisms like
[00:04:43.809]themselves, even though the reproductive
[00:04:46.677]system is essential to keeping a species
[00:04:49.137]alive, unlike other body systems it’s
[00:04:52.577]not essential to keep an individual
[00:04:54.852]alive. In the human reproductive
[00:05:00.032]process two kinds of sex cells or
[00:05:03.021]gametes are involved, the male
[00:05:06.221]gamete or the sperm and the female gamete,
[00:05:09.637]the egg or ovum meet in the
[00:05:12.948]female's reproductive system. When
[00:05:15.988]sperm fertilizes or meets an egg,
[00:05:18.755]the fertilized egg is called
[00:05:20.525]a zygote. The zygote goes through
[00:05:23.220]a process of becoming an embryo and
[00:05:25.980]developing into a fetus. An embryo takes
[00:05:30.974]approximately eight weeks before it
[00:05:33.469]develops into a fetus. The male
[00:05:36.826]reproductive system and the female
[00:05:39.562]reproductive
[00:05:40.417]system are both needed for
[00:05:42.513]reproduction. Humans like many
[00:05:46.723]other organisms pass some characteristics
[00:05:49.500]of themselves to the next generation,
[00:05:51.998]we do this through our genes, the special
[00:05:55.588]carriers of our human traits. The
[00:05:59.588]genes that parents pass along
[00:06:02.644]to us are what make their children,
[00:06:04.454]similar to others in their family but
[00:06:07.094]also make each child very unique. These
[00:06:09.964]genes come from the sperm and the egg.
[00:06:17.043]Alright, now we’ll look at the inside
[00:06:21.473]of the body of someone who has a
[00:06:23.453]uterus and ovaries. This may look
[00:06:27.293]different for someone who is born intersex
[00:06:30.423]or someone who has had surgery
[00:06:32.863]affirmation. Definition of puberty, so
[00:06:38.719]puberty is the process of physical changes
[00:06:42.029]to our body through which a
[00:06:44.439]child’s body matures into an adult body
[00:06:47.254]capable of sexual reproduction. It is
[00:06:50.404]initiated by hormone signals from the
[00:06:52.943]brain to the gonads, the ovaries in a
[00:06:56.623]person with a uterus and the testes
[00:06:59.042]in a person with a penis. The
[00:07:01.822]ovaries are two small organs which
[00:07:04.080]sit in the pelvis. Before puberty
[00:07:09.563]it’s as though the ovaries are asleep
[00:07:12.011]but they’ve been present the entire time,
[00:07:14.213]during puberty they essentially wake up
[00:07:19.326]and receive signals from the brain.
[00:07:23.916]The ovaries start making more estrogen
[00:07:26.466]and other hormones which cause us to
[00:07:29.786]have body changes. One important change
[00:07:32.635]is that hormones cause someone with
[00:07:39.475]a uterus and ovaries to get their period
[00:07:42.437]which is called menstruating or menses.
[00:07:45.140]Our next webinar will actually be about
[00:07:50.663]period health so please join in on that
[00:07:53.763]if you can. Once a month the ovaries
[00:07:56.483]release an egg and this is called ovulation.
[00:08:00.483]The fallopian tubes are what
[00:08:03.723]connect the ovaries to the uterus, the
[00:08:06.303]released egg moves along the
[00:08:08.233]fallopian tube. If it meets with sperm, it
[00:08:13.490]starts developing into an embryo. The
[00:08:18.540]uterus, which is sometimes referred to
[00:08:22.110]as the womb, is where a developing embryo
[00:08:26.600]would grow. It takes several days
[00:08:29.400]for the egg to get to the uterus as an
[00:08:32.180]egg travels, the estrogen makes the lining
[00:08:36.129]of the uterus called the endometrium thick
[00:08:39.259]with blood and fluid. This makes
[00:08:42.309]a good place for implantation and for
[00:08:49.179]the baby to grow. You can become
[00:08:53.179]pregnant if you have vaginal sex with
[00:08:55.479]a person with a penis without using
[00:08:58.199]birth control and their sperm again, joins
[00:09:01.149]the egg which is called fertilization on
[00:09:03.929]its way to your uterus. If the
[00:09:06.489]egg doesn’t get fertilized, it will be
[00:09:09.719]shed along with the lining of your
[00:09:11.299]uterus during your next period. You
[00:09:15.299]will not ever see an egg because
[00:09:17.059]it is microscopic and way too small
[00:09:19.489]to see. The blood and fluid that
[00:09:22.279]leave the body during your period,
[00:09:24.983]passes through your cervix and vagina
[00:09:27.462]and exits the body. The cervix is
[00:09:31.462]the narrow entryway between the vagina
[00:09:33.982]and the uterus. The cervix is flexible
[00:09:37.982]so it can expand and dilate to let a baby
[00:09:41.982]pass through the canal during childbirth.
[00:09:45.621]The vagina is like the tube that can
[00:09:48.261]grow wider to deliver the baby that
[00:09:50.301]has finished growing inside the uterus.
[00:09:52.439]The hymen covers the opening of the
[00:09:57.470]vagina, it is a thin piece of tissue that
[00:10:00.580]has one or more holes in it. Sometimes
[00:10:03.972]a hymen may be stretched or
[00:10:05.712]torn when using tampons
[00:10:08.767]or during your first sexual experience,
[00:10:11.920]If it tears, it may bleed a little bit.
[00:10:19.523]Okay, now let’s talk about the outside
[00:10:22.477]of our body and what it looks like.
[00:10:24.774]The vulva covers the entrance to the
[00:10:30.714]vagina. The vulva actually has five parts,
[00:10:34.004]the mons pubis or veneris, the
[00:10:37.324]labia which is the outer and inner labia,
[00:10:42.365]the clitoris, the urinary opening and the
[00:10:48.265]vaginal opening. The mons pubis is the
[00:10:52.265]amount of tissue and skin above and
[00:10:56.265]between your legs in the middle. This
[00:10:58.985]area becomes covered with hair
[00:11:01.082]when you go through puberty. The labia
[00:11:05.383]are the two sets of skin folds sometimes
[00:11:08.273]referred to as the lips on either side of
[00:11:11.883]the opening of the vagina. The
[00:11:14.863]labia majora are typically the
[00:11:17.413]outer lips and the labia minora are
[00:11:19.923]the inner lips. It is normal for the labia
[00:11:23.223]to look different from each other from
[00:11:26.042]side to side. Sometimes, these areas
[00:11:30.651]can look different for every person,
[00:11:33.722]one side may be larger than the other,
[00:11:36.870]the outer lips can be larger or smaller
[00:11:39.860]than the inner lips, one side might
[00:11:43.410]be longer, one side might be fuller
[00:11:46.305]in appearance but this is still all
[00:11:49.755]very normal. The clitoris is
[00:11:54.571]a small sensitive bump at the bottom
[00:11:56.820]of the mons pubis that is covered by
[00:11:58.943]the labia minora. Urinary opening which is
[00:12:02.943]the urethra is below the clitoris and
[00:12:08.239]that is where your urine leaves the body.
[00:12:10.946]The vaginal opening is the entrance to
[00:12:14.226]the vagina, cervix, uterus and is
[00:12:19.236]found below the urinary opening.
[00:12:30.563]Okay, so Kay I am going to start
[00:12:32.433]with some questions that students may
[00:12:34.213]have. Why do I have hair on genital areas?
[00:12:38.518]Okay, so as I discussed, typically people
[00:12:46.268]develop pubic hair, hair under their
[00:12:49.108]arms and that typically develops during
[00:12:52.666]puberty and is a sign of sexual maturity.
[00:12:55.967]The purpose actually is to lessen friction
[00:12:59.867]with clothing, during sex and prevents
[00:13:04.407]the transmission of bacteria. It is there
[00:13:09.392]to keep the genitals warm. Sometimes
[00:13:12.696]when people have normal, excuse me,
[00:13:15.766]abnormal amounts, that can be a sign
[00:13:18.106]of other health problems. Sometimes we’ll
[00:13:21.216]see excessive pubic hair or body
[00:13:24.918]hair which can be a sign of polycystic
[00:13:27.548]ovarian syndrome. Sometimes there will be
[00:13:31.548]very minimal hair and sometimes
[00:13:34.756]that can be a sign that the sexual
[00:13:36.935]maturity has not developed yet.
[00:13:46.623]What discharge is normal and what is not?
[00:13:50.623]Okay, so when we talk about discharge, we
[00:13:55.063]get this question commonly asked and this
[00:13:59.855]is the way a person with a
[00:14:01.295]uterus and an ovary body expels fluid and
[00:14:04.980]cells. The production can vary from person
[00:14:08.980]to person and can change in consistency
[00:14:11.593]and appearance. Typically for healthy
[00:14:15.593]vaginal discharge it will appear clear or
[00:14:18.423]white in color and may have a slight odor
[00:14:22.423]but not be strong or obvious to others.
[00:14:27.863]Sometimes it can leave a white or yellowish
[00:14:31.263]tint on your underwear and there will
[00:14:35.833]be changes in consistency depending on
[00:14:38.153]where you are with your menstrual cycle,
[00:14:40.793]sometimes it’s thinner or thicker.
[00:14:44.220]Abnormal vaginal discharge though, might
[00:14:50.290]be when you want to come see one of
[00:14:52.200]us or a provider and that can be abnormal
[00:14:56.200]changes in consistency which could
[00:15:00.570]be very thin or watery, if it appears
[00:15:04.040]yellow or green or gray in color. If
[00:15:07.420]it is very thick and appears like cottage
[00:15:09.620]cheese, white in color and you may have
[00:15:14.374]symptoms like itchiness or burning. If it
[00:15:18.374]looks foamy or frothy, if it has a very
[00:15:22.305]strong odor like it smells like fish
[00:15:24.694]or yeast or if you have brown or blood
[00:15:31.444]stained discharge recurrently then you
[00:15:35.444]would definitely want to come in and talk
[00:15:37.404]to one of us so we can evaluate what
[00:15:39.894]could be the cause.
[00:15:42.629]Awesome, thank you. Sometimes it sounds
[00:15:45.629]like my vagina “farts.” What is that?
[00:15:49.343]Okay, there is actually a term for that
[00:15:52.259]and a name for that, that is called queeffing
[00:15:55.610]and what happens is with vaginal farts,
[00:15:58.937]is when air gets into the vagina and then
[00:16:03.277]it comes back out, it can make an unusual
[00:16:06.265]sound. This can happen during sexual
[00:16:09.415]intercourse, sometimes even with exercises,
[00:16:13.119]raising your legs above your pelvis.
[00:16:17.983]Sometimes it can be a sign of weak pelvic
[00:16:21.543]floor muscles so if you have a lot of
[00:16:24.483]problems with this also come and talk
[00:16:28.483]to us because there is therapy that
[00:16:30.603]can be done to help strengthen those
[00:16:32.283]floor muscles.
[00:16:37.052]How can I prevent acne in my pubic area?
[00:16:42.489]Okay, so some of the most common causes
[00:16:46.799]of acne in the pubic area is from razors
[00:16:50.423]or shaving and so it is important
[00:16:54.423]to take care of that area a little bit
[00:16:58.160]more carefully. When you're washing, you
[00:17:02.160]obviously want to use warm water,
[00:17:05.589]antibacterial soap and we recommend you
[00:17:10.489]avoid cosmetic soap with lots of perfumes
[00:17:13.581]and dyes because they typically have
[00:17:15.831]a lot of chemicals and those can
[00:17:17.606]cause serious reactions. You can use
[00:17:21.077]a loofa or body scrub to remove dead
[00:17:23.328]skin cells and that helps to unclog the
[00:17:25.901]pores and prevent breakouts, you can use
[00:17:29.551]acne treatment with benzoyl peroxide
[00:17:32.610]because it removes oil, sweat and bacteria.
[00:17:36.610]It is important to shower daily,
[00:17:41.196]especially after you’ve been working out
[00:17:44.066]or exercising, remove the sweaty clothes,
[00:17:46.668]get out of the lycra spandex, things
[00:17:50.148]like that. Try to wear cotton underwear
[00:17:53.178]instead of synthetic materials like lycra
[00:17:57.048]and spandex because cotton is breathable
[00:17:59.638]and allows for easy air exchange and that’s
[00:18:02.668]going to help prevent those breakouts.
[00:18:10.096]Why do I itch down there?
[00:18:12.755]Okay, pubic hair itch can be caused from
[00:18:20.593]shaving, like I just mentioned. Sometimes
[00:18:25.393]with shaving it is important to use lubricant
[00:18:28.061]like shaving creams or definitely soap.
[00:18:30.814]If you shave very frequently, fast or too
[00:18:37.154]often that can also cause some itchiness.
[00:18:43.503]Using clogged or dirty razors because they
[00:18:47.503]harbor bacteria and never share your
[00:18:50.863]razor with someone, that’s definitely
[00:18:53.869]a good way to get infections and other
[00:18:57.194]problems. Common causes of
[00:19:01.194]vaginal itching can be like fungal or
[00:19:04.213]bacterial infections, sexually transmitted
[00:19:06.593]infections, things like that which we
[00:19:11.338]kind of mentioned. Thank you.
[00:19:19.495]Okay, now let’s talk about someone with a
[00:19:23.495]penis and testes. Remember, this may
[00:19:30.627]look different for someone who is
[00:19:32.217]intersex or someone who has had surgery.
[00:19:36.037]Typically when a person who is assigned
[00:19:43.279]male at birth has reached sexual maturity,
[00:19:46.046]the two oval shaped testicles or testes,
[00:19:49.656]make and store, millions of tiny sperm
[00:19:52.690]cells. Testicles are also part of the
[00:19:56.690]endocrine system because they make
[00:19:58.600]hormones, including testosterone,
[00:20:01.847]testosterone is a major part of puberty
[00:20:06.134]for those born with a penis. As they
[00:20:09.204]make their way through puberty, testicles
[00:20:12.584]produced more and more testosterone.
[00:20:14.829]This is the hormone which causes, deep
[00:20:20.199]voices, bigger muscles, facial and
[00:20:23.279]body hair, it also stimulates the production
[00:20:27.279]of sperm. When we talk about inside the
[00:20:35.403]body, the accessory glands, including the
[00:20:38.829]seminal vesicles and the prostate glands,
[00:20:42.059]provide fluids that lubricate the duct
[00:20:44.189]system and nourish the sperm. The urethra
[00:20:48.189]is the channel that carries the sperm
[00:20:50.869]to the outside of the body through the
[00:20:52.849]penis. The urethra is also part of the
[00:20:56.299]urinary system because it also is the channel
[00:21:00.299]through which urine passes as it leaves
[00:21:02.941]the bladder and exits the body. Okay,
[00:21:08.312]now we’ll talk about our body parts,
[00:21:14.787]outside of the body. Okay so, we have the
[00:21:26.410]scrotum, the testes, the duct system
[00:21:29.620]which includes the epididymis and the
[00:21:31.630]vas deferens and the penis. Alongside the
[00:21:36.498]testicles, as you can see from the picture,
[00:21:39.391]are the epididymis and the vas deferens
[00:21:42.752]which transport sperm. The epididymis
[00:21:46.602]and testicles hang in a pouch like
[00:21:48.932]structure outside the pelvis called to
[00:21:51.502]scrotum, the bag of skin that helps the
[00:21:54.911]regulate the temperature of your testicles,
[00:21:57.487]which need to be kept cooler than the
[00:22:00.441]body temperature to produce sperm. The
[00:22:03.429]scrotum changes size to maintain the right
[00:22:06.641]temperature, when the body is cold, the
[00:22:09.302]scrotum shrinks or becomes smaller and
[00:22:12.760]tighter to hold in body heat. When it
[00:22:17.901]is warmer, it gets larger in size and dilated
[00:22:24.287]to get rid of the extra heat, this happens
[00:22:27.925]without ever having to think about it,
[00:22:29.818]the brain and the nervous system
[00:22:32.477]give the scrotum the que to change size.
[00:22:35.963]The penis is actually made up of two
[00:22:39.715]parts, the shaft and the glans. The shaft
[00:22:43.435]is the main part of the penis and the
[00:22:45.305]glans is the tip of the penis, sometimes also
[00:22:48.135]referred to as the head. At the end of
[00:22:51.645]the glans is a small slit or opening which
[00:22:55.455]is where the semen and urine exit the
[00:22:58.525]body through the urethra. The inside
[00:23:01.495]of the glans is made up of a spongy tissue
[00:23:03.555]that can expand and contract. Most people
[00:23:07.295]assigned male at birth are born with a
[00:23:10.287]foreskin which is a fold of skin at the end
[00:23:13.011]of the penis covering the glans. Some
[00:23:17.361]people are circumcised when they are
[00:23:21.035]babies which means that a doctor or
[00:23:23.345]clergy member cuts away the foreskin.
[00:23:25.714]Circumcision is usually done during a baby’s
[00:23:31.116]first few days of life, it’s not
[00:23:34.150]medically necessary but some parents
[00:23:37.068]choose to have their child circumcised
[00:23:39.524]based on religious beliefs, concern about
[00:23:43.524]hygiene, cultural or social views. People
[00:23:49.044]who have circumcised penises and those
[00:23:51.474]who don't are no different, they all work
[00:23:55.934]and function the same regardless of
[00:23:58.949]whether the foreskin is present or
[00:24:01.294]removed. Now we have a little question
[00:24:13.309]here. Yeah, great. Does the size of a
[00:24:17.309]penis have a connection to the size
[00:24:19.099]of your feet? Okay, absolutely not,
[00:24:22.437]that is a myth. I think that’s something
[00:24:27.182]we learn as youngsters or hear about but
[00:24:32.917]that is definitely a myth, there is no
[00:24:34.922]medical reliability to that at all.
[00:24:42.292]Should I worry about the little bumps
[00:24:44.662]on my penis? Okay so, that is a maybe
[00:24:50.422]question and let me explain why. There
[00:24:54.772]are something called Fordyce spots
[00:24:57.005]which are visible sebaceous glands that
[00:25:00.090]may be present on your genitals and
[00:25:04.090]actually around the mouth. They are
[00:25:06.870]small, painless, pale red or white spots,
[00:25:10.870]usually one to three millimeters in
[00:25:13.930]size and they are normal. If you have
[00:25:17.279]brown or black skin, they appear more
[00:25:20.319]prominent, this is a normal occurrence and not
[00:25:25.259]a sign of any infection or STD’s.
[00:25:29.079]Small white bumps that look like pimples
[00:25:33.409]or cysts can be sebum which is an oily
[00:25:36.519]waxy substance produced again by the
[00:25:39.689]sebaceous glands, they are actually to
[00:25:42.582]moisturize and protect the skin. Don't
[00:25:46.982]squeeze or poke them because you can cause
[00:25:50.982]more injury, you can cause inflammation
[00:25:54.021]or infection. At times when you should
[00:26:00.033]worry about the bumps are, if you have
[00:26:02.543]a bump that is painful, if it is
[00:26:05.654]growing in size, if it doesn’t heal,
[00:26:09.474]it absolutely should be checked.
[00:26:11.828]These are typically related to STIs or
[00:26:17.743]sexually transmitted infections and could
[00:26:20.203]be herpes, HPV or genital warts or
[00:26:25.173]syphilis. There is also small bumps which
[00:26:30.821]can have a dome top appearance called
[00:26:34.421]molluscum contagiosum, that is actually
[00:26:37.731]an infection caused by a virus but it is
[00:26:40.431]easily spread on contact and it is
[00:26:44.431]common for children to have it and young
[00:26:50.559]adults so those are pretty common and
[00:26:53.229]they are contagious and infectious.
[00:27:03.207]Why and how often do I need a testicular
[00:27:06.287]exam? Okay so, it is very important for
[00:27:11.577]those with a penis and testes to
[00:27:15.217]assess for any changes in their
[00:27:17.077]testicles, which could be a sign of
[00:27:19.393]cancer. Unfortunately the highest
[00:27:23.393]incidence is in persons between the ages
[00:27:27.023]of 15 and 45 or young adults.
[00:27:30.583]Testicular cancer can have a very
[00:27:34.583]rapid onset and spread throughout the body
[00:27:38.583]rapidly. It is recommended that those
[00:27:43.823]individuals should do monthly exams,
[00:27:46.316]the best time to do it is after a shower
[00:27:49.521]when your body is warm and relaxed
[00:27:52.118]but assess for any changes, lumps, bumps,
[00:27:56.118]pain, things like that and again we
[00:28:00.558]recommend you come in and get that
[00:28:02.738]evaluated especially if you have concerns.
[00:28:07.789]Is it normal for my penis to hang to
[00:28:10.129]one side? Okay this is, a yes, it’s very common
[00:28:16.709]to have a curvature of the penis. Sometimes
[00:28:20.069]it can be caused by plaque or scar
[00:28:23.329]tissue inside the penis. If it
[00:28:26.549]causes any painful erections or sexual
[00:28:29.709]problems then it should be evaluated
[00:28:32.738]but if it doesn’t there’s really not a
[00:28:36.130]need to worry about it.
[00:28:41.314]I’m worried I might have erectile
[00:28:43.384]dysfunction. What do I do?
[00:28:47.749]So erectile dysfunction can be caused by
[00:28:50.893]many things, numerous factors can
[00:28:54.493]contribute to it. Some causes can be
[00:28:58.947]performance anxiety of wanting to
[00:29:01.146]please a partner, your own body
[00:29:04.846]image, depression, anxiety, if you’re having
[00:29:09.546]relationship issues that can also be a
[00:29:12.806]reason why you may have erectile dysfunction.
[00:29:17.029]Addressing those issues are always
[00:29:20.093]important to think about first because
[00:29:25.850]the majority of the time it’s going to be
[00:29:28.830]performance anxiety and wanting to please
[00:29:31.843]your partner. Biological causes can be things
[00:29:37.249]like abnormal hormone levels, infections,
[00:29:41.830]inflammation of the prostate or urethra,
[00:29:44.590]sexually transmitted infections and those
[00:29:50.160]should be evaluated if you have concerns.
[00:29:53.836]All these things we can do here at the
[00:29:56.246]health center and would encourage you to
[00:29:59.316]come in and just talk about it if you do
[00:30:02.746]have concerns. Okay, the health center,
[00:30:09.385]we are really here for your sexual and
[00:30:13.745]reproductive needs which can include
[00:30:16.537]some of the services listed. Birth control
[00:30:20.237]prescriptions or various types of birth
[00:30:23.047]control options whether it’s IUDs,
[00:30:28.622]patches, vaginal rings, things besides
[00:30:32.902]just pills alone. Emergency contraception,
[00:30:37.643]annual exams, physicals, HIV testing
[00:30:42.598]and STI testing for gonorrhea
[00:30:45.228]and chlamydia are always covered
[00:30:47.058]by your student fees so there’s not
[00:30:49.048]a charge, it won’t be billed to your
[00:30:51.578]insurance and so that’s often a concern
[00:30:57.240]for students and they might be held
[00:30:59.020]back from doing testing, it’s very easy to
[00:31:01.370]come in and be tested. We offer HPV
[00:31:06.000]vaccines as well as other types of
[00:31:09.080]vaccines. Medical exams for any
[00:31:14.957]sexual health concerns which we may
[00:31:16.637]have addressed today, pregnancy
[00:31:19.497]testing, PrEP and PEP prescriptions. In
[00:31:26.557]addition to this, here at the health
[00:31:28.457]center we offer a full service clinic and
[00:31:33.108]lab to address health needs. Whether
[00:31:36.598]it’s an illness or injuries, we have
[00:31:40.288]specialty consults as well including dermatology,
[00:31:45.345]orthopedics, we have psychiatric
[00:31:48.275]providers who can do medication
[00:31:50.295]management, mental health concerns.
[00:31:54.093]Also here at the health center there’s
[00:31:58.093]dental and pharmacy services. At our
[00:32:06.723]pharmacy that’s a great group to work
[00:32:08.724]with, all over the counter medications
[00:32:14.164]like cold medicines, allergy medicines,
[00:32:17.453]anything like that you can find at
[00:32:20.073]the pharmacy, it will be much cheaper
[00:32:22.369]than going to an outside pharmacy even
[00:32:25.379]Target or CVS. Some of the other
[00:32:29.878]services, - excuse me. So we can provide
[00:32:35.802]pretty much any type of health care
[00:32:38.422]needed and if we can’t provide it
[00:32:40.282]here in house we can make referrals
[00:32:42.920]to specialists since we are part of
[00:32:45.670]Nebraska Med, we have the access to
[00:32:48.730]everyone at the Med Center as well and
[00:32:51.466]we found that to be extremely helpful to
[00:32:55.466]consult as well are refer to them there
[00:32:59.033]or if you prefer to stay in the Lincoln
[00:33:01.023]area that’s an option as well. We also
[00:33:03.943]work with a place called advanced
[00:33:05.723]medical imaging where they do ultrasounds,
[00:33:10.202]CT scans, MRI scans, all those type of services
[00:33:15.845]and they are very easy to work
[00:33:17.795]with and we can set that all up through the
[00:33:19.915]health center here as well. Back
[00:33:23.285]to you Stephanie. Great, so at the
[00:33:27.285]Women's Center and the LGBTQA+
[00:33:29.925]Resource Center we're under the same
[00:33:32.325]director so we offer a lot of the same
[00:33:35.165]services. So one thing that we have
[00:33:38.043]been offering over the past year, year
[00:33:40.873]and a half is safer sex kits, those are
[00:33:44.873]free for all students. They contain,
[00:33:48.483]three condoms, a pack of lube and
[00:33:51.180]some of our older kits have two cards
[00:33:54.240]in them with some information from
[00:33:55.990]the health center and from us about how
[00:33:58.100]to use those items and we will also be
[00:34:00.472]moving into having all that information
[00:34:02.452]online so it’s a little bit easier to
[00:34:04.512]access. So we do have a sexual
[00:34:07.156]health section on both the Women’s Center
[00:34:09.756]and the LGBTQA+ Resource Centers
[00:34:12.260]websites that has a lot of the
[00:34:15.200]information that we are giving in these
[00:34:17.250]presentations and things like that
[00:34:18.850]We’ve worked with the health center
[00:34:20.470]really closely to get that information out
[00:34:22.530]there, so make sure you check those out.
[00:34:25.142]Then we also are partnering with the
[00:34:27.802]Nebraska AIDS project, they come here
[00:34:30.174]once a month and they set up appointments
[00:34:32.070]to do HIV testing. We offer it as just
[00:34:35.920]a little extra set of anonymity
[00:34:37.930]because we’re up on the third floor of
[00:34:39.750]the Nebraska Union for those of you that
[00:34:41.700]don’t know. Not a whole lot of foot
[00:34:43.580]traffic so it just offers a little bit of
[00:34:46.480]anonymity. We also have a bunch of
[00:34:49.358]referral items in our center, people
[00:34:52.788]reach out to us with different services
[00:34:55.658]that they offer out in the community
[00:34:57.525]so if you’re interested in those we also
[00:34:59.355]have a lot of good connections for those
[00:35:01.475]as well. This is our contact information,
[00:35:06.563]I definitely recommend that you take
[00:35:08.453]it down, if you did have a question
[00:35:12.078]that we didn’t cover then you can email
[00:35:14.313]Kay and she will be able to answer that.
[00:35:17.683]If it’s a more very specific questions
[00:35:19.663]that’s more personal to you then we
[00:35:22.133]always recommend that you create an
[00:35:25.390]appointment at the university health
[00:35:27.180]center and stop in and see them, it
[00:35:30.310]is a lot cheaper to be able to go to the
[00:35:33.820]health center, it’s a lot more monetarily
[00:35:36.579]friendly so make you check them out.
[00:35:38.912]They have many different experts and
[00:35:41.237]doctors there that can cover any kind of
[00:35:43.587]question that you may have. Then
[00:35:45.367]here is the contact info for the
[00:35:47.560]LGBTQA+ Center and the Women’s Center
[00:35:50.567]and our website should you want to
[00:35:52.497]access them. We very much appreciate you
[00:35:54.497]joining us today and we hope you can
[00:35:56.897]check out some of our other presentations
[00:35:58.497]as well. Thank you so much.

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Learn Your Reproductive Anatomy

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