Emergency contraceptive ....Attn.Dr. Santosh, Fatai, Chetna, Anupama

[Guest guest]

Dear All,

The below topic is for your kind information.

The latest discussion about when to start sex education, how much information to give and who should give it, highlights yet again the societal debate about sex and sexual taboos in the United States. The focus of the discussion has been about keeping children and teens safe from unwanted pregnancy and disease, especially important in light of the increasing spread of HIV and AIDS. As usual, opinions range across the spectrum, from no sex education in the schools to the schools should start as early as possible. But there is a piece of the debate which does not seem to be taking place at all: the importance of educating children about healthy sexuality in order to help kids keep themselves safe

from sexual abuse.

In spite of the increasing number of news reports about child molestation, there is reluctance to talk about the issue of children being sexually abused in our society. The reluctance is certainly understandable; child sexual abuse is one of the most difficult realities we face. No one wants to believe that anyone would do something that terrible to a child, so there’s an unwillingness to recognize just how pervasive this type of abuse is. In spite of our collective denial, we all may know a family where sexual abuse is taking place, may be acquainted with a sexual predator, or almost certainly know an adult who was sexually abused as a child. The statistics are staggering: one in four girls and one in six boys will be victims of some type of sexual abuse or assault by the

time they reach age 18.

There are many types of child sexual abuse, from inappropriate touching, fondling, voyeurism, exposure to pornography, to full forced intercourse and sadistic acts. Victims may be infants as young as 2 months, although the average age of child sexual abuse victims is nine. Abuse may consist of a one-time incident or be ongoing perpetration which continues throughout childhood into teen years. Often a teen leaves home as the only way to escape. Although most of the high profile cases of child sexual abuse that make the news are stories about weird, creepy strangers who prey on children and often murder them, most child sexual assaults are committed by someone the victim knows: a parent, a sibling, another relative, a family friend, a neighbor, a teacher, a member of the clergy.

It happens in every socio-economic class, every ethnic community, and among all races.

In the majority of cases, children never tell anyone what has happened to them. Why? Because it doesn’t feel safe to tell. Talking about sex at all is taboo in many families; if a child can’t talk about healthy sexuality and normal bodily functions comfortably, how can a little girl or boy ever tell someone about sexual abuse? If parents get hysterical when they find their children touching themselves or exploring each others’ bodies out of normal curiosity, how will they react if their child tells them that Uncle Fred or Grampa or Mr. next door has touched them inappropriately – or worse? Children pick up very subtle cues from their parents; if sex is never talked about, or if parents have reacted disapprovingly to any mention of sex or sexualized behavior in their children, then children will be very

reluctant to tell if they’ve been abused.

Unfortunately, not disclosing sexual abuse adds to the trauma for the child and has repercussions which may last a lifetime. The child will most certainly feel guilt, shame, self-blame, and may carry the dark secret for years. Sexually abused children struggle with anxiety, fear, and issues of trust, safety, and self-esteem. Teens may become angry, hostile, suicidal, may turn to drugs or alcohol, act out sexually, or engage in other high-risk behaviors. Some adult survivors seek treatment for mental illness or psychiatric disorders which they may not realize stem from the abuse. Behaviors which may have been developed as coping mechanisms to survive the terror of the abuse now may be presenting as depression, panic attacks, dissociative disorders, substance abuse or addiction, or profound sexual dysfunction. Survivors

often remark that the sexual abuse they experienced as children ruined their lives.

Children and teens need good information about sex,sexual relationships, reproduction and birth control, sexually-transmitted diseases, and sexual abuse. Information is power, and in this high-risk day and age, children and teens need all the information they can get. To withhold information about sex and the possibility of sexual abuse, as well as information about reproduction and disease, puts all children at risk. Refusing to talk about sex does not mean that children are safe, that nothing bad will happen to them. Only by opening up the discussion about sex, and beginning to talk to children at young age, will we ever be able to protect them from abuse. Ultimately it will only be when sex and sexual abuse are commonplace topics of conversation will perpetrators be held accountable. Only then will our society ever

truly be able to prevent one of the most tragic things that can happen to a child

Source: http://www.smith-lawfirm.com/sex_ed.html

Best Regards

Mohammad Bashaar

From: Chetna Desai <chetna99gmail (DOT) com>Subject: Re: Re:Emergency contraceptive ....Attn.vijay, chetnanetrumgroups (DOT) comDate: Tuesday, 23 September, 2008, 9:17 PM

Dear Dr SantoshIt took a lot of effort, persuasion and education for adult men to use condoms to prevent spread of HIV. Sadly even to this day, contraception and safe sex is primarily a female's headache (if i may use the term). The example of sex workers will best illutrate this viewpoint. This is due to many inherent social factors unique to our society. Changing the mindset may take longer here, but its not impossible. Sex education at school is a very good idea, but are our teachers adequately trained and mature enough to put it across well? Why go to schools? How many parents talk it out with their kids about these issues...one to one? And it is not supposed to be discussed at the age of adolescence but much earlier, in stages, appropriate to the child's age. We in India have the habit of dumping all unpleasant responsibilities on the "system"...what is our role as indivduals?Chetna

2008/9/23 drsantosh74 <drsantosh74>

Dear all,Dr.Mira has put forward certain points for EC being sold as OTC.She quoted the example of Europien countries where teachers discuss sexual problems with children under 18 years and dispense EC .Why cant the same be done in our country?We need to give proper health education and to target the vulnerable group(under 18 yrs)catch them young i.e start educating from high schools.Sex education and contraception should be taught and discussed from high school onwards.with regardsDr.Santosh > > > > > > From: Vijay <drvijaythawani@ .co. in>> > > Subject: Thanks Yashashri and Bashaar; Welcome Mira> > > netrumgroups (DOT) com> > > Date: Sunday, 21 September, 2008, 5:09 PM> > > > > > > > > > > > > > > > > > Hi,> > > On behalf of NetRUM heartfelt thanks to Yashashri and > Bashaar > > for conducting the discussion on OTC medicines.> > > Today NetRUM is free for other posts.> > > From tomorrow 22 to 26 Sep 2008 we will have discussion

> > on "Emergency contraceptives as OTC in India : boon or curse ?" > > which will be moderated by seasoned, experienced, senior > > moderator Dr Mira Desai from Ahmedabad. Welcome Dr Mira Desai > and > > do takeover NetRUM tonight.> > > Vijay> > > Groupie> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Unlimited freedom, unlimited storage. Get it now > > > > > > > > > > > > -- > > > Dr.Manoj Swaminathan MBBS, MPH> > > Pharmacovigilance Physician> > > Sciformix Technologies (P) Ltd> > > MLD Complex, MIDC, > > > Andheri

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