
Sex & Sexuality
My boyfriend wants to have sex all the time. I don’t. He tells me I am not normal. I am sometimes stressed! I am worried of unwanted pregnancy! I am not sure what to do!
— Moyo
What is Sex?
When I mention the word sex, what do you think about?
Every person will have a different definition. What is good for you, may not be good for someone else. We are all different. We have different needs and desires.

What are the common expressions of sex?
Masturbating alone or with a partner
Oral, vaginal, and anal sex
Kissing
Rubbing your bodies together
Using sex toys
Phone sex or “sexting”
Reading or watching porn
Reasons to have sex
- I want to have sex for pleasure.
- I want to be close to someone.
- I want to have children.
Reasons why I do not want to have sex
- I’m not ready emotionally.
- I’m not ready physically.
- I want to focus on my education. I do not want a boyfriend or girlfriend.
- I am concerned about what other people will say or think.
- I do not want to be bullied into having sex. Any relationship should be consensual.
- I want to wait until I am much older.
- I want to wait until I am married.
- I want to consider alternatives to sex. Abstinence is an option!
Every action has positive and negative consequences
It’s good to think about these things beforehand!
What is Consent? >>>
How does Pregnancy happen? >>>
What Family Planning Method shall I choose? >>>
What are Sexually Transmitted Infections (STIs)? >>>
What is Consent?
There are many different kinds of consent >>>
Consent to enter someone’s home or car.
Consent to touch someone.
Consent to share information with others.
Sexual consent is an agreement to participate in a sexual activity >>>
Before being sexual with someone, you need to know if they want to be sexual with you too.
It’s also important to be honest with your partner about what you want and don’t want.
Are you enthusiastic? >>>
When it comes to sex, you should only do stuff you WANT to do, not things that you feel you’re expected to do.
Consenting and asking for consent are all about setting your personal boundaries and respecting those of your partner — and checking in if things aren’t clear >>>
Both people must agree to sex — every single time — for it to be consensual.
Without consent, sexual activity (including oral sex, genital touching, and vaginal or anal penetration) is sexual assault or rape.
Consent is freely given >>>
Consenting is a choice you make without pressure, manipulation, or under the influence of drugs or alcohol.
Be specific >>>
Saying yes to one thing… like going to the bedroom to make out… doesn’t mean you’ve said yes to others… like having sex.
If you’ve said “YES” earlier, it’s OK to change your mind.
Consent is reversible >>>
Anyone can change their mind about what they feel like doing – anytime.
Even if you’ve done it before, and even if you’re both naked in bed.
You need to be informed >>>
You can only consent to something if you have the full story.
For example, if someone says they’ll use a condom and then they don’t, there isn’t full consent.
You get the final say over what happens with your body. You’re allowed to say “STOP” at any time, and your partner needs to respect that >>>
Couples who’ve had sex before, or even ones who’ve been together for a long time, also need to consent before sex – every time.
Sexual consent is never implied by things like your past behaviour, what you wear, or where you go.
Consent is always clearly communicated. It’s not only important the first time you’re with someone.
Silence is not consent. There should be no question or mystery.

There are laws about who can consent and who can’t. People who are drunk, high, or passed out can’t consent to sex. There are also laws to protect minors (people under the age of 18) from being pressured into sex with someone much older than them.

I was so anxious. My school was interrupted by COVID-19 and my boyfriend lost his job because of the lockdown. The first few weeks I was worried about my future, my family and the economy. My boyfriend and I suddenly started to spend a lot more time together … which made me more worried about pregnancy. If I become pregnant, what will I tell my family? How would it impact my future goals? I have a dream to become President of South Sudan one day! Or maybe a journalist. In any case, I do not want an early pregnancy. I went to a Youth-Friendly Clinic to test for pregnancy, HIV and other STIs. I was so relieved to test negative for pregnancy and all the STIs. The health workers were so friendly, kind and respectful. I am very glad that I went. All youth should have access to these services.
— Moyo
What are Sexually Transmitted Infections (STIs)?
STIs are infections that are spread from one person to another, usually during vaginal, anal, and oral sex.
Many are quiet, and lots of people who have them don’t have any symptoms. Without treatment, STIs can lead to serious health problems. But the good news is that getting tested is no big deal, and most STIs are easy to treat.
Chlamydia
Chlamydia is a common bacterial infection that can infect the penis, vagina, cervix, anus, urethra, eyes, and throat.

How is it transmitted?
- Chlamydia is spread during vaginal, anal, and oral sex.
- It is transmitted through semen (cum) and vaginal fluid.
- Using condoms every time you have sex is one of the best ways to help prevent Chlamydia.
- You can avoid it with total abstinence.

What are the symptoms?
Often there are no symptoms, so lots of people don’t know they have Chlamydia.
- pain or burning while peeing
- pain during sex
- lower belly pain
- abnormal vaginal discharge (may be yellowish and have a strong smell)
- bleeding between periods
- pus or a watery/milky discharge from the penis
- swollen or tender testicles
- pain, discharge and/or bleeding around the anus

What is the treatment?
- Antibiotics
- If treated early, Chlamydia will not lead to serious side effects.
Gonorrhea
Gonorrhea is a common bacterial infection that can infect the penis, vagina, cervix, anus, urethra, eyes, and throat.

How is it transmitted?
- Gonorrhea is spread when semen (cum), pre-cum, and vaginal fluids get on or inside your genitals, anus, or mouth.
- It can be passed on even if the penis doesn’t go all the way into the vagina or anus.
- Using condoms every time you have sex is one of the best ways to help prevent Gonorrhea.
- You can avoid it with total abstinence.

What are the symptoms?
- a burning sensation while peeing
- a white, yellow, or green discharge from the penis
- painful or swollen testicles (although this is less common)

What is the treatment?
- Gonorrhea is easily cured with antibiotic medicine.
Herpes
Herpes is a common virus that causes sores on your genitals and/or mouth. It can be annoying and painful, but it usually doesn’t lead to serious health problems.

How is it transmitted?
- Herpes is easily spread from skin-to-skin contact with someone who has the virus.
- You can get it when your genitals and/or mouth touch their genitals and/or mouth — usually during oral, anal, and vaginal sex.
- Using condoms every time you have sex is one of the best ways to help prevent Herpes.
- You can avoid it with total abstinence.

What are the symptoms?
Often there are no symptoms, so lots of people don’t know they have Herpes.
- the most common herpes symptom are sores on your genitals or mouth
- burning while peeing
- itching

What is the treatment?
- Doctors will give you medicine, but there is no cure.
Genital Warts
Genital Warts is a virus that is spread through skin-to-skin contact.

How is it transmitted?
- Genital Warts are spread from sexual skin-to-skin contact with someone who has it — including vaginal, anal, and oral sex.
- So the only sure-fire way to avoid getting genital warts is to not have any contact with another person’s mouth or genitals.
- Using condoms every time you have sex is one of the best ways to help prevent Genital Warts.
- You can avoid it with total abstinence.

What are the symptoms?
- skin-coloured or whitish bumps that show up on your gentials
- Genital Warts look like little pieces of cauliflower
- you can have just one wart or a bunch of them, and they can be big or small
- they might be itchy, but most of the time they don’t hurt

What is the treatment?
- Genital Warts may go away on their own, but sometimes they stay, get larger or grow in number.
- Talk with a nurse or doctor about treatment options to have them removed. No one knows if they are cured completely.
Hepatitis
Hepatitis A, B and C are infections that can cause liver disease. They can be spread through sex.
Hepatitis A

How is it transmitted?
- Hepatitis A is spread through contact with small amounts of feces, blood, or saliva with your mucus membranes (eyes, mouth, nose, anus, vagina).
- You can protect yourself by getting vaccines and using condoms.
- You can avoid it with total abstinence.

What are the symptoms?
- fatigue
- nausea
- stomach pain
- jaundice

What is the treatment?
- The best way to prevent Hepatitis A is to get vaccinated.
- Most people with Hepatitis A do not have a long-lasting illness.
Hepatitis B

How is it transmitted?
- Hepatitis B is spread when blood, semen (cum), vaginal fluids, blood, or saliva from a person infected with the virus enters the body of someone who is not infected.
- You can protect yourself by getting vaccines and using condoms.
- You can avoid it with total abstinence.

What are the symptoms?
Often there are no symptoms, so lots of people don’t know they have Hepatitis B.
- it can feel like the flu
- fatigue
- poor appetite
- stomach pain
- nausea
- jaundice

What is the treatment?
- The best way to prevent Hepatitis B is to get vaccinated.
- Hepatitis B usually goes away on its own. For many people, it is a short-term illness. For others, it can become a long-term, chronic infection.
Hepatitis C

How is it transmitted?
- Hepatitis C is spread through contact with blood from an infected person.
- It can be transmitted during sex by getting Hepatitis C-infected blood into open cuts or sores on your body.
- It can be spread by sharing needles or syringes for shooting drugs, getting stuck with a needle that has Hepatitis C-infected blood on it, or piercing with unsterilised needles.

What are the symptoms?
Often there are no symptoms, so lots of people don’t know they have Hepatitis C.
- fever
- fatigue
- dark urine
- clay-coloured stool
- abdominal pain
- loss of appetite
- nausea
- vomiting
- joint pain

What is the treatment?
- Hepatitis C can be treated with medicine. Talk to your health professional.
HIV
HIV is the virus that causes AIDS. It damages your immune system, making it easier for you to get sick. It is spread during sex.

How is it transmitted?
HIV is spread through 4 fluids: semen (cum), blood, breast milk, and vaginal fluid.
- having unprotected vaginal or anal sex
- sharing needles or syringes for shooting drugs, or piercing with unsterilised needles
- getting stuck with a needle that has HIV-infected blood on it
- getting HIV-infected blood, semen (cum), or vaginal fluids into open cuts or sores on your body
- Using condoms every time you have sex is one of the best ways to help prevent HIV.
- You can avoid it with total abstinence.

What are the symptoms?
HIV has no symptoms, so lots of people don’t know they have it.

What is the treatment?
- HIV is treated by anti retro-virals.
- It is important to get tested at a health clinic if you have been in contact with a person who has HIV.
Syphilis
Syphilis is a common bacterial infection that’s spread through sex.

How is it transmitted?
- Syphilis is spread from sexual skin-to-skin contact with someone who has it.
- You get it when your vulva, vagina, penis, anus, or mouth touches someone’s Syphilis sores — usually during sex.
- Using condoms every time you have sex is one of the best ways to help prevent Syphilis — even if you and your partner seem totally healthy.
- You can avoid it with total abstinence.

What are the symptoms?
Often there are no symptoms, so lots of people don’t know they have Syphilis.
- sometimes there is a rash

What is the treatment?
- Syphilis is easily cured with antibiotic medicine, but it can cause permanent damage if you don’t get treated.














