BeyondtheBasics:Teen IssueswithReproductiveHealth TEACHERGUIDE 60MinuteHealthLesson InteractiveVideoConferencing Grade: 8 - 1 2 BeyondtheBasics-TeenIssueswithReproductiveHealth Description Objectives Afterlearningthebasicsaboutpubertyandtheirownreproductive system, students often have questions about gender-specific personal health issues. Our health educators can tailor a discussion for your students around various aspects of human reproductivehealth: Female Specific: Suggested for girls only, this talk will center on female anatomy, menstruation, pad and tampon use, breast selfexams, personal hygiene, toxic shocksyndromeandother female healthissues. Male Specific: Suggested for boys only, this discussion will cover male anatomy, testicular self-exam, prostate health, personal hygiene, stress and anger management, and other male health issues. The Process of Pregnancy & Childbirth: Suitable for a mixedgender group, this exploration of human reproduction reinforces that sexual reproduction, menstruation and breastfeeding are healthy aspects of human life. Students will follow the developmentof ahumanembryo,physicalchangesinamother’s bodyasshegoesthroughherpregnancy,andtheprocessoflabor anddelivery.Wewillviewashortvideoofhumanbirthwiththe students(teachersmayviewthevideobeforehand),andcompare humanstootherplacentalmammalsvs.egg-layingspecies. • Ohio’sLearningStandards • • • Identifymajor structuresand functionsofthe humanreproductive system. Describethe relationship betweenhormones andphysicalchanges duringpuberty. Identifytypical physicaland emotionalchanges thatoccurduring puberty. Recognizethat individualsmay experience reproductive developmentin differentwaysand stillbenormal. Grade8:LifeScience–SpeciesandReproduction • Reproductionisnecessaryforthecontinuationofeveryspecies. NationalHealthEducationStandards Standard1:Studentswillcomprehendconceptsrelatedtohealthpromotionanddiseasepreventionto enhancehealth. Standard3:Studentswilldemonstratetheabilitytoaccessvalidinformation,products,andservicesto enhancehealth. Standard7:Studentswilldemonstratetheabilitytopracticehealth-enhancingbehaviorsandavoidor reducehealthrisks. BeforeYourProgram&HowToSetUpYourRoom • • • Pleasetellourschedulerwhichspecifictopicsyou’dlikeourprogramtocover.Ifyour studentsarein5th-6thgrade,our“GrowingUpandLikingIt”basicpubertyprogram mightbemoreappropriatefortheirexperiencelevel. Duetothesensitivenatureofthistopic,werequireateachertoremainintheroom withusduringtheseprograms. Sharethelastpagesofthisguide,ourQ&AAbout‘BeyondTheBasics’,withany parentsorteacherswhohavequestionsaboutthisprogram. Vocabulary adolescence–periodoftransitionfromchildhoodtoadulthoodmarkedbyphysical,mentaland emotionalchangesthatindicatereadinessforsexualmaturity(reproduction)andpsychological independence.See“puberty.” amnioticsac/fluid–thinmembraneandliquidthatsurroundandprotectthefetusinsidethe uterus. anus–scientificnamefortheopeningthroughwhichfecespassoutofthebody. BSE–BreastSelf-Exam.Anexaminationofagirl’sbreastusingherhandstofeelforlumpsor painfulareasthatcouldbeasignofbreastcancer. cervix–thesmallmuscularringandopeningatthebottomoftheuterus. circumcision–surgicalremovaloftheforeskinfromthepenis. conception–momentwhenonespermcellentersaneggcell,fusingtheirnuclei. contraction–muscularsqueezingoftheuterustopushoutababyduringchildbirth. cystitis–aninfectionofthebladder,usuallycausedbybacteriainvadingtheurethra.Themain symptomsarepainwhenurinatingandpressureinthebladder. ejaculation–muscularcontractionsthatsendsemenoutofthepenis. embryo–nameforthegrowingbabyataround4weeks(about¼inchlong),whencell differentiationhasgeneratedspecificclustersofcellsthatarebecomingthebaby,umbilical cord,amnioticsac,andplacenta. endocrinesystem–agroupofglandsthroughoutthebodythatproducehormones,which controlmanyaspectsoflife,includinggrowth,metabolismandreproduction.Theseglands includethepituitary,thymus,thyroid,pancreas,adrenals,testesandovaries. endometrium–innerliningoftheuterusthatproducesextrabloodvesselsandtissueinorder tonourishadevelopingembryo. epididymis–aseriesofsmalltubeslocatedatthetopofthetesticleswithinthescrotum.Itis thestorageareaforspermcells. erection–enlargementandstiffeningofthepenisduetobloodflowintothetissuesofthe penis. estrogen–femalesexhormoneproducedbytheovariesthatsignalsdevelopmentoffemale characteristicsandinducesmenstruationandthegrowthoftheendometriumduringthefirst halfofthemenstrualcycle. fallopiantubes–alsocalledtheoviducts.Twosmalltubesthatalloweggcellstomovefrom theovariesintotheuterus. fetus–nameforthegrowingbabyataround7weeks(about1inchlong),whenalltheorgans andotherworkingpartsofthebodyareessentiallycomplete. follicle-hollowballofcellswithanimmatureegginthecenter.Atbirthbothovariestogether containabout2millionfollicles. gynecology–thespecificstudyofdiseasesofthefemalereproductiveorgans. hormone–achemicalmessengerinthebodyproducedbyglandsandcarriedbythe bloodstreamtoanotherorgan,whereitsignalssomethingtohappeninthatorgan. mammaryglands–milkproducingorgansoffemalemammals,whichprovidefoodforinfants; breasts. menstrualcycle–regularcycleofhormonechangesfromthebeginningofmenstruationtothe beginningofthenextmenstruation;occursevery28daysonaverageduringawoman’s reproductiveyears. menstruation–theperiodicsheddingoftheliningoftheuteruswhichresultsintissueand bloodflowoutofthevagina.Occursapproximatelyonceamonthabouttwoweeksafter ovulation,andmarksthebeginningofthemenstrualcycle. nocturnalemission–ejaculationofsemenduringsleep,whichisnormalinadolescentmales; commonlycalleda“wetdream”. ovary–Oneofapairofreproductiveglandsinawoman’sbodythatholdeggcellsandrelease thehormonesestrogenandprogesteronetocontrolherovulationandmenstruationcycles. ovulation–releaseofamatureovum(eggcell)bytheovary;occursabout14daysbefore menstruation. ovum–femalesexcell,oregg,releasedbytheovaryduringovulation. Papsmear–partofagynecologicalexam,usingadevicecalledaspeculumtoholdopenthe vaginalcanalwhileafewcellsarecollectedoffthecervixtobecheckedforabnormalgrowth thatcouldbeasignofcervicalcancer. placenta–organthatdevelopswheretheumbilicalcordattachestotheuterus.Itfilters needednutrientsfromherbloodandallowsthemtopasstothebaby. Premenstrualdysphoricdisorder-PMDDisaconditionassociatedwithsevereemotionaland physicalproblemsthatarelinkedcloselytothemenstrualcycle.Itonlyoccursin5-8%of menstruatingwomen. premenstrualsyndrome-PMSisthecollectionofsymptomsthatoccuranywherefromaweek to10daysbeforeagirl’speriodstarts.Itmaybephysical,likebreasttenderness,andbloating, oremotionallikedepressionandanxiety.NotallwomenexperiencePMS. progesterone–femalesexhormoneproducedbytheovariesthatsignalsdevelopmentofthe liningoftheuterusduringthesecondhalfofthemenstrualcycleinpreparationfor implantationofthefertilizedovum(egg). prostategland--asmall,walnut-sizedstructureatthebaseofthepenisthatmakesafluidto protectspermcellsoncetheyleavethepenisduringejaculation.Itwrapsaroundtheurethra, thetubethatcarriesurineorsemenoutofthebody. puberty–periodofgrowthanddevelopmentduringwhichsexualcharacteristicsformandan individualbecomescapableofreproduction.See“adolescence. semen–fluidcontainingnourishingandprotectivesubstancesthattransportsspermoutofthe penisduringejaculation. seminalvesicles–Glandsatthebaseofthepenisthatcreateafluidtonourishandtransport spermcellsoutofthepenisduringejaculation. testicularself-exam–avisualandphysicalexaminationofthetesticlesforanyunusual appearanceorlumpsthatcouldindicateahealthproblem. testosterone–malesexhormoneproducedbythetestesthatsignalsdevelopmentofmale characteristicsandproductionofsperm. umbilicalcord–tubemadeupofthreebloodvesselsthatconnectsbabytothemother,and transportsnutrientstothebabyandwastesaway. urethra–theverysmalltubeleadingfromthebladderthaturinepassesthroughduring urination. uterus–muscular,holloworganaboutthesizeofasmallpearthatbuildsupaninnerlayerof nourishingbloodcalledtheendometriumonceamonthbeforeovulation,andreleasesthis bloodduringthemenstrualcycleiftheeggisnotfertilized.Theuterusholdsababyduring pregnancy. yeastinfection–anovergrowthofmicroscopicyeastcellsinthevaginathatcancause irritationanddischarge. zygote–tinyballofdevelopingcellsthatgrowsfromthejoinedspermandegg. ExtensionActivities 1) QuestionBox a. Duringthislesson,studentsareencouragedtoparticipatebyaskingquestions.Have yourstudentsanonymouslywriterelevantquestionstheywouldliketohave answeredontoslipsofpaperandputtheslipsofpaperintoacontainer.Bringthe questionstotheprogram. 2) “FeelingGoodAboutBeingaGirl/Boy”Game.Trythisgamewithyourstudentstohelp themreviewwhattheyhavelearnedabouttheirspecifichealthissues,andtobuild empathywiththeirpeers. a. Onapieceofpaper,askstudentstowritealistoftheirfivemostembarrassingor frustratingissuesassociatedwithmen’sorwomen’shealth.Havethemleaveafew linesblankbeloweachone.DONOThavethemputtheirnamesonthepapers. b. Collectallthelistsandre-distributethem.Thegoalistohaveeachstudentreceive someoneelse’slist. c. Thenaskstudentstoreadthelistonthatpaperandwriteideasforcopingwiththese issuestomakethemlessembarrassingontheblankspacebeloweachitem. d. Finallycollectandre-distributethelistsonemoretime.Thenhaveclassmembers comparelistsandideas.Usethefollowingquestionstohelpguideadiscussion aroundtheselists: • Whattypesofchangesareonthelists?Physical?Emotional? • Whichoftheseshowupmostoften?Arethesethemostembarrassing?Why? • Whatideasforcopingdoyoulike?Ordislike? • Howcouldyougroupthelistsorideas? • Doallthestudentsinthegrouphavethesameconcerns? • Doallthestudentshavedifferentcopingideas?Willtheyallworkfor everyone? OnlineResourcesforTeachersandStudents Clickthelinkbelowtofindadditionalonlineresourcesforteachersandstudents.These websitesarerecommendedbyourMuseumEducatorsandprovideadditionalcontent informationandsomefun,interactiveactivitiestosharewithyourclass. CMNHEducatorsregularlyreviewtheselinksforquality.Webaddressesoftenchangesoplease notifyusifanylinkshaveissues. ClevelandMuseumofNaturalHistoryhttps://cmnh.org/edlinks QuestionsandAnswersAbout“BeyondtheBasics”: AParentandTeacher’sGuide THEFORMAT Wewilluseaslideshowtoguidethediscussion,andinvitestudentstoaskquestionsduringour talk.Twoslideexamplesareshownbelow. Wewillhavehands-onmodelsandspecimensondisplayduringthepresentation,including: • Plasticmodelsofmaleandfemalereproductiveanatomy(similartoimagesbelow) • Replicasofhumanpelvisbonesandaninfantskull • Preservedspecimens,includingahumanuterus&endocrineglands • Commercialhygieneproducts(menstrualpads,tampons,deodorant,acneproducts, athleticcup) Withprogramsincludingourbirthvideo,wewillprefacetheviewingbyexplainingthatthe womaninthefilmishavinga‘natural’,or‘vaginal’birth.WediscussCaesareansurgeryearlier intheprogram. THEQUESTIONS Asanyeducatorwhohandlesthistopiccantellyou,moststudentswillaskspecific,healthrelatedquestions.Occasionally,wedoreceivewrittenquestionsaboutsexualbehaviororslang terminology;theschoolrepresentativeintheroomalwayshas‘vetopower’overstudent questions,andoureducatorswillalwaysanswerinascientific,non-judgmentalmanner. QUESTIONSWE’VEHEARDFROM5THAND6THGRADESTUDENTS, ANDOURANSWERS Q: WhenwillIstartgrowingpubichair/gettingmyperiod/having‘wetdreams’? A: Everyonedevelopsinaslightlydifferentway,andtherangeofagesforkidsenteringpubertyis from9-15.Girlsgenerallybeginseeingphysicalchangesbeforeboys.Scientistscallpubicandunderarm hair‘secondarysexualcharacteristics’,whichmeansitindicatesthatyourbodyisapproachingsexual maturitybutdoesn’taffecttheactualabilitytoreproduce. Q: Whatisacondom/tamponfor? A: Acondomisathinrubbertubethatisputoveraman’spenistoavoidanysementouching anotherperson’sbody.It’softenusedtoreducethechanceofagirlgettingpregnant.Atamponisa smallcottonplugthatisplacedinagirl’svaginatoabsorbmenstrualblood.[Withanyquestionsabout specificproducts,westickwithashortdefinition.] Q: A: Whatdothewords‘virgin’and‘sex’mean? Thedictionarydefinitionoftheword‘virgin’is,“Onewhohasneverhadsexualintercourse”. Therearealotofactivitiesbetweentwopeoplethatarecalled“sexualbehavior”,butduringthis programweusetheword“sex”specificallyreferringtoamaleandafemalebeingtogether,becausethis ishowagirlcangetpregnant.Anytimetwopeopleareinvolvedwithcontactbetweentheir reproductiveparts,itisgoingtoaffectthembothphysicallyandmentally;youreallyneedtothinkabout alltheconsequencesbeforedecidingtobethatintimatewithanotherperson. Q: Isitokaytomasturbate? A: First,weneedtodefinetheword—itmeanstouchingyourowngenitalsforpleasure.Other animalsdothis—dolphins,horses,dogs,birds,monkeysandotheranimalshavebeendocumented masturbating.Somecultureshaverulesandtaboosagainstthisact,othersdonot.Ifaadultinyour familyhastoldyouthatitiswrongtotouchyourownbodyparts,thenIrecommendthatyouaskthem forthereasonwhy,andusethatinformationtodecideifyouthinkitisokayornot. Wehandleall‘rightorwrong’questionsinthissamemanner—referringstudentsbacktothe trustedadultsintheirfamilyorreligiousgroup.Forexample,ifastudentweretoask,“Isitwrongtobe gay?”wefirstdefine‘gay’asatermreferringtohomosexuality,orbeingattractedtomembersofthe samesex.Wethenexplainthatsomepeopleseenothingnegativeaboutthesefeelings,andothersare uncomfortablewiththem.Itisuptotheindividualstudenttodecidetheirstanceonthisaspectof humanbehavior,withadvicefromtheirtrustedadults. Q: A: Whydopeopleenjoythe‘feeling’ofsex? Ifwethinkaboutwhymaleandfemaleanimalswouldwanttomate,itistocreatebabies.The processofnaturalselectionensuresthatanyactivityhelpingtokeepaspeciesalivetendstobepassed ontotheoffspring.Itmakessensethatmatingwouldneedtobepleasurablefortheanimals,orthey wouldn’twanttodoitandtheywouldeventuallygoextinct.Thesameistrueforhumans,sinceweare animals.Theactivityofmating,or,aswecallit,sex,shouldbeasafeandnon-threateningactivityfor boththemaleandthefemale,orwe’dgoextinct! VirtualConnectionsforParentsorTeachers: Ourhealtheducatorsarehappytodiscusstheseprogramswithyourschool’sstaffandparentsof studentsbeforetheevent.Thisdiscussionwilltakeplaceviaourvideoconferencingstudios;youwill needacomputer,webcamandmicrophonetoconnectwithus.PleasecontactourSchedulerfor availabledatesandtimes,andfordetailsonhowtosetupthisvirtualmeeting.
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