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well as those of others with whom you may be involved. Analyze sexual
               issues carefully. Look at potential effects of your choices, deter-
               mine what rewards hold value for you, and consider what
               calculated  risks  can  move  you  safely  toward  those
               rewards. Ask questions like the following:

                 ■  Is this what I really want? Does it fit with my
                   values?
                 ■  Do I feel ready or do I feel pressured? Does
                   this choice cause stress for me?
                 ■  Is this the right person/moment/situation? Does                                                     Wellness and Stress Management
                   my partner truly care for me and not just for what
                   we might be doing? Will this enhance or damage our
                   emotional relationship?
                 ■  Do I have what I need to prevent pregnancy and exposure to STIs? If not, is having
                   unprotected sex worth taking the chance?

                   Sex needs to be a mutual decision. If you feel pressured and uncomfortable, the
               time is not right.

               Birth Control

               Using birth control is a choice that helps you decide when and if you want to be a
                 parent. However, it is not for everyone. For some, using any kind of birth control goes
               against religious or personal beliefs. Others may want to have children. But many
               sexually active people who do not want children at the moment choose one or more
               methods of birth control.
                   Evaluate the pros and cons of each option for yourself and your partner. Consider cost,
               reliability, comfort, and protection against sexually transmitted infections (STIs). Commu-
               nicate with your partner, then make a choice together. For more information, check your
               library, the Internet, or a bookstore; talk to your doctor; or ask a counselor at the student
               health center or local Planned Parenthood office. Key 10.8 describes established methods,
               with effectiveness percentages and STI prevention based on proper and regular use.

               Sexually Transmitted Infections

               STIs spread through sexual contact. This includes intercourse or other sexual activity
               (oral or anal) that involves contact with the genitals. All STIs are highly contagious. The
               only birth control methods that offer protection are the male and female condoms (latex
               or polyurethane only), which prevent skin-to-skin contact. Have a doctor examine any
               irregularity or discomfort as soon as you detect it. Key 10.9 describes common STIs.
               AIDS and HIV

               The most serious STI is AIDS (acquired immune deficiency syndrome), caused by the
               human immunodeficiency virus (HIV). AIDS has no cure and can result in death. Med-
               ical science continues to develop drugs to combat AIDS and related illnesses. Although
               the drugs can slow the progression of the infection and extend life expectancy, there is
               currently no known cure.
                   People acquire HIV through sexual relations, by sharing hypodermic needles for
               drug use, and by receiving infected blood transfusions. You cannot become infected
               unless one of those fluids is involved. Therefore, it is unlikely you can contract HIV from
               toilet seats, hugging, kissing, or sharing a glass. Other than not having sex at all, using
               condoms (latex only) is the best defense against AIDS. Avoid petroleum jelly, which can
               destroy latex. Be wary of “safe sex fatigue,” where young and healthy people get tired of
               being vigilant about using condoms for every sexual encounter. Although some people
               dislike using condoms, using them is a small price to pay for preserving your life.

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