- It's your fault, actually. (upbeat music)
It's your fault.
It's your fault that I didn't get 18 correct.
I was recently sent this advanced sex ed quiz
and I'm interested to know how many I,
as someone who, presumably, should be advanced
in sex ed knowledge, can get correct.
(bright music)
How often should you take an HIV test
if you're sexually active?
Right out the gate, I'm going to state
that this is not a fair question because the answer depends
on the person who is taking the test.
Once a month, every six months, once a year, at least,
or every three years.
This is a really not fair question
because if you're sexually active
but in a monogamous relationship
with a partner who is also monogamous,
then you don't really need to have repeat HIV tests.
Okay, I don't, I'm overthinking it.
Just pick an answer.
- [SpongeBob French Narrator] One eternity later.
- Yearly, at least, purely based on the fact that
at least could also encompass the every six months
and every month, so just from a standpoint
of multiple choice question-taking strategies,
that's going to be the most correct
even though it's an unfair question, as I stated.
(question dings) Correct.
Who should have a HIV test?
Well, everybody should have one at least once
as part of routine health screening.
If you're sexually active,
both of you had a negative test
before you started having sex, and you're both monogamous,
then yearly testing isn't necessarily recommended.
That being said, if you fall into a high-risk category,
it may cause you to want to be tested more often.
It's not quite as simple as that question made it out to be.
What should you do if you miss a dose
of progestin-only birth control pills?
Use a backup method for the next two days,
throw out the pill pack and start a new one,
take an extra pill to make up for it, or nothing.
Definitely not nothing.
For progestin-only pills, these are going
to be a lot more sensitive to missing pills
even by just a few hours, so the answer
to this one is going to be using a backup method
for the next two days. (question dings)
Now, if you're taking combined hormonal birth control pills
that have estrogen and progestin,
if you miss a pill, as long as it's been
in the past 48 hours, then you just go ahead
and take the pill when you realize it
and take your next dose at the same time
that you normally would,
even if that means taking two pills at one time.
If it's been more than 48 hours, meaning you missed more
than two pills, then you need to go ahead
and take an extra dose, your regular dose,
and use a backup method for the next seven days.
And if you miss a pill in your first week
of using a pill pack, then you probably should go ahead
and just use a backup method for seven days,
no matter what kind of birth control that you're on.
For the progestin-only pills, it's so sensitive,
so even if you only miss it by three hours or more,
you should absolutely still use a backup method
of contraception like a condom or not having sex
for at least the next two days.
If someone with a cervix tests positive
for high-risk strain of HPV, what's the typical next step?
The next step in this case would be doing a colposcopy,
which is looking at the cervix of the microscope to seeing
if any of the cells look abnormal
and potentially taking biopsies if they do appear abnormal.
So for the answers here, additional screening,
prescription medication, hospitalization,
or follow up in a year, the answer's gonna be
additional screening. (question dings)
We don't test for HPV in everyone,
so it's a pretty specific population
because less than age 30, a lot of people,
most people at some point in that timeframe
between 15 and 30 will test positive for HPV.
And most of the time, your body clears that on its own.
So we don't generally start testing for HPV routinely
until you're over the age of 30.
And then we would do that with your pap smear screening
at your appointment.
Oh, and by the way, I have a full three video series
on HPV, HPV vaccines, and a Q and A.
If you want to check that out,
I will link it in the description box below.
It might answer some of your questions if you have them.
True or false, it isn't safe to take a birth control pill
if you're over 35 and smoke.
These questions are poorly written.
I'm going to say true, because if you're over 35 and smoke,
you shouldn't be on birth control,
but you could still take progestin-only pills,
so that's gonna be the point here.
Overall, false. Statement is partially true.
Birth control pills with estrogen,
also called combination pills, aren't a safe choice
for women over the age of 35 who smoke.
And the reason for this is that the estrogen component
combined with the tobacco smoking increases the risk
of deep vein thrombosis or a blood clot
in the leg or lung or leg that travels to the lung
is significantly increased by being over 35
on an estrogen-containing pill and being a smoker.
But the progestin-only pill is fine
because it doesn't have that estrogen component
to increase the risk of blood clots further.
Fill in the blank, every year, 24,000 American women
will blank because of undiagnosed STIs.
(X-Files theme music)
I do not know the answer to this one
because certain sexually transmitted infections
can be related to all of these things.
I guess we will go with become infertile
because 24,000 is a pretty big number
and most of the time when you're diagnosed
with cervical cancer, you know that you have HPV,
that's part of the diagnosis process,
so you wouldn't have an undiagnosed STI.
Okay, I'm gonna go with that one.
That says, yeah, I don't know.
I don't like the wording of this question.
So untreated STIs, chlamydia, gonorrhea,
potentially can increase the risk of infertility.
But again, like I've said in many videos,
I would never ever tell someone,
"You have chlamydia that went untreated for,
I don't know, six months.
Now you're infertile."
We don't know that for sure.
PID, or pelvic inflammatory disease, chlamydia, gonorrhea,
other pelvic infections that get from the vagina up
into the tubes can definitely cause infertility.
It's not like a one-for-one.
Just because you had it doesn't mean
you're definitely infertile, so, just as an aside.
What is the most effective form of emergency contraception?
Ah, I know this one and you should too
if you watch my emergency contraception videos.
So we're going to go with copper IUD.
(question dinges) Excellent job.
I'll link my emergency contraception video
in the iCard and down below, if I remember.
I always forget.
For you to watch if you'd like to.
Who is more likely to experience STI symptoms?
People with penises, people with vaginas,
genders experience STI symptoms equally.
People who have a penis are definitely more likely
to have burning with urination and discharge
when they have an STI, sexually transmitted infection.
You can still have symptoms, though, if you have a vagina,
but I think it's people with a penis are more likely,
yeah. (question dings)
What's the average amount of blood lost during a period?
It's definitely not any of these high numbers,
so we're gonna go with 2.7 ounces.
Yeah. (question dings)
I know, I know, I know, it looks like more than that.
And for some of you, it is,
because you have abnormally heavy periods
that you should bring up and discuss with your doctor
or advanced practice provider,
but it's really not as much as it seems
when it gets into the toilet.
What is the average length of a penis when erect?
I do not know this question.
This is not in my field and quite literally
do not particularly care the answer to this,
but I don't know.
Let's go with, it's probably either 6.3
or 5.1, but let's go with 5.1. (question dings)
Ah, I didn't think I would get that right.
I guess this is important to people who have a penis.
I have never even considered measuring a partner's penis,
but there you go. (laughs)
If we're trying to get pregnant, when should you
and your partner see a fertility specialist for help?
This is also not a fair question because this varies
by the person, but all right.
Before you start, no, you don't need to see it
before you start unless you are in a same-sex relationship,
in which case, trying to get pregnant without the help
of a fertility specialist would not make any sense.
Again, these are not good questions.
After three months of trying. Not necessarily.
After a year of trying, yes.
Ah, they have, "It depends."
It's gotta be it depends.
A year of trying would be for a heterosexual relationship,
both partners are healthy,
and you're both under the age of 35.
It depends, yes! (question dings)
Okay, I take it back.
It is, this is a good question, 'cause it's true.
"The standard advice under 35 is to wait a year
before seeing a specialist."
Again, this is strictly for heterosexual relationships.
"Women over 35 should wait for six months
and over 40 should be as soon
as they get started trying to conceive.
However, it varies depending on your individual health.
Women with irregular cycles
shouldn't wait to see a specialist,"
well, I'm really disappointed with the lack
of non-heteronormative couples in this entire quiz so far.
When did herpes become a common infection?
Oh, this was like forever ago, right?
Weren't there tons of kings and queens
who knew they had herpes? (question dings)
Yeah, "Scientists believed that herpes jumped
from chimpanzees to human ancestors 1.6 million years ago."
I don't even think that I knew that.
"But herpes wasn't considered a big deal
until media hysteria in the 1970s and 80s
created fear and stigma around it."
It is quite frustrating because some people
feel incredibly devastated to get the news
that they have been diagnosed with herpes
and it's an incredibly common diagnosis.
The stigma really makes it difficult on people
to process a medical diagnosis
that's manageable and move forward.
So, destigmatize herpes.
I mean, don't get it, protect yourself,
but if you do, it's fine, we can manage it.
What's your best protection against HIV during anal sex?
Condoms, PrEP, lube.
All right, this is not a fair question either
because it's condoms unless you're having sex
with somebody that you know is HIV positive,
or if certain people fall into a different group.
But lots of people can have anal sex
and their best protection would be condoms,
you wouldn't just be on PrEP,
which is a preventative HIV medicine,
but PrEP would technically be more effective
than condoms, even though most people are not going
to have access to that, so I guess I'll say PrEP?
(question dings)
Don't like that question. Not fair.
Nurx not making me happy
with the fairness of these questions.
How long is a vaginal canal on average?
Hmm. It's weird to see this in inches.
Also of note, when aroused, the vaginal canal
lengthens significantly due to relaxation of smooth muscle
and other tissues in the body.
However, I've never seen this done in inches, so.
(X-Files theme music)
I think like nine centimeters?
Oh gosh, the metric system.
I am in New Zealand and we use the metric system.
I should be good at this.
Two and a half centimeters per inch? Three and a half?
- Math is hard.
- We're gonna go three
to four. (question dings)
Yes!
I'm not very good at math or conversions
and I'm really proud that I managed that.
True or false, a vaccine will keep your penis healthy.
Well, a HPV vaccine certainly could
help keep the penis happy.
Oh, it says healthy, I said happy.
Whatever, same thing, right?
A happy penis is an HPV-free penis.
That prevents several types of HPV,
many of which can cause penile cancer,
so we're gonna go with true.
(question dings) Yes!
Again, I have a whole series on HPV and HPV vaccination.
I will link it in the description box down below.
How many people in the US are infected with oral herpes?
Oh, this has to be a lie.
That's gotta be one in two, one in four.
I think it's probably one in two, one in four?
I don't know. (buzzer sounds)
All right, I should have gone with my gut.
I thought it was one in two.
50% of people have oral herpes, like cold sores,
really, really common.
Which of these is a risk
of taking emergency contraception often?
Acne, no. Infertility, no.
Unplanned pregnancy, absolutely.
Lower sex drive, I don't think so.
Okay, unplanned pregnancy is for sure
because if you're frequently using emergency contraception,
it means that you are not reliably
using a more reliable form of contraception, so for sure,
that's the answer. (question dings)
Please use Plan B and other emergency contraceptions
as a backup only and for your primary method
of pregnancy prevention, something that's more reliable.
True or false, your period can sync
with your roommate's cycle.
Oh, I'm gonna break the hearts.
We've talked about this in another video.
This is a myth, it can't really happen.
I know you disagree, but there's a lot of science on it.
It doesn't really happen and it just comes down
to chance, right?
Because if you think about your roommate
and you both have a period, you both bleed
for seven days a month.
The chances of that happening overlapping at some point
in those seven days is relatively high
and the higher number of roommates you have,
the more chances there are that some
of those days are going to line up.
So you don't sync your period with your friends, I'm sorry.
Oh, and I (laughs) just told you it was false
and then I clicked true.
So this is why we don't talk
and make YouTube videos while we're taking a test.
Which region of the country reports the highest rates
of chlamydia and gonorrhea?
I think this has gotta be the South.
Having trained and worked most of my career in Texas,
I'm almost certain that it's the South.
Sex education is poor.
It's not because people in the South are stupid
or more promiscuous,
it's because they are not taught to protect themselves.
There is no discussion about condoms, about safety,
about testing, about partner prevention.
It's an education thing, 100%.
True or false, every sexually active person
should be tested for herpes.
Absolutely not.
No herpes testing unless you are symptomatic, why?
Why herpes testing is notably unreliable.
There is no treatment for asymptomatic herpes
and it can be confusing.
So only test for herpes if you have an outbreak.
So if you have some kind of genital ulceration,
then come in and we will do a swab and see if it's herpes.
If it's herpes, we will treat it
and talk to you about how to prevent outbreaks in the future
and also how to prevent passing that along to a partner.
How should you clean the vagina? Nope.
- No, God please, no.
No, no!
- I haven't read the answer options,
but this better be not cleaning it.
No douching, don't do it.
Gentle soap and washcloth. Definitely not like that.
These don't put a washcloth in your vagina.
Vaginal steaming we've talked about in another video.
Fine as a cultural practice,
absolutely not as appropriation or for someone
to take your money unnecessarily.
You don't need to vaginal steam to clean your vagina.
You shouldn't clean your vagina. Thank you.
I am so happy they had that as an answer.
Very much appreciate it.
Ah, we're done! 17 out of 20 correct.
- [Kids] Yay!
- Although I will say, one of those I correctly answered
but I clicked the wrong one
and I'm pretty sure I had this conversation with a professor
in medical school and they said, "It doesn't matter.
You put the wrong answer
and you don't get the question right."
And that's true.
That's why we pay attention
and my ADHD sometimes doesn't allow that,
but today it's your fault, actually.
It's your fault.
It's your fault that I didn't get 18 correct.
All right, y'all, I hope that you learned something today.
If you did, leave a like on this video.
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I'll see you next Monday.
(upbeat music)