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Inclusive Personal Health & Comprehensive Sexuality Ed

(updates in IL policy & practice)

Dawn Ravine, MPH (she/her)

Sexuality Education Program Coordinator

dravine@luriechildrens.org

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IL Sex Ed

Resources

Questions &

Comments

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Inclusive Sexual Health Education Policy & Resources for Illinois

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Disclaimer: These materials are for example use only, are not a published curriculum, and are subject to yearly updates based on ongoing evaluation. The views, information, and/or opinions expressed in these materials do not constitute medical or legal advice intended for other third parties. Individual schools and school districts make their own decisions about curriculum scope, sequence, and materials for personal health and safety, sexuality education, and health education programing. Individual schools and school districts are responsible for their compliance with existing companion policies and local, state, or federal laws. Any action taken upon the information contained in these materials is strictly at the user’s own risk and under no circumstances shall Lurie Children’s or its Affiliates be liable for any direct, indirect, incidental, consequential, special or exemplary damages arising out of or in connection with use of the materials, whether or not the damages were foreseeable and whether or not the user was advised of the possibility of such damages.

updated 2/6/2023

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Workshop Objectives 

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Reassure participants that most schools are already teaching elements inclusive sexual health education & updates are doable!

Reassure 

Provide an overview of updated policy & resources

Provide

Practice gender & LGBTQ+ inclusive communication for personal health & sexual health education 

 Practice

Engage with fellow educators & staff. Connect for future consultation and collaboration!

Engage

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Introductions

  • Who's in the room
    • Name
    • pronouns
    • roll

Start-up Brainstorm (turn & talk)

  1. What was puberty & sex ed like for you growing up/ how did that feel?

  • How do you want students to feel today in puberty & sex ed classrooms?

  • Expectations/hopes for session today?

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Brave Space Tips

  • "I” statements (“I like pie” not “pie is the best”)
    • each person is the expert on their own identities & experiences, we all need/benefit from mirrors, windows & sliding glass doors
      • (Emily Style, expanded by Dr. Rudine Sims Bishop)
  • Impact>Intention
    • "Rewind"/ try again
  • Half-thoughts welcome/ Beginner's Mind
  • Expect & Accept Non-Closure
    • Plan to follow-up with your team of support/ school community. Navigating social, emotional & physical changes is an ongoing process! Creating welcoming schools is an ongoing process! 
  • Self-Care/Community Care
    • doodle, stretch, get water, take a break as needed. Reach out for support. This topic area is deeply personal for most people!

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Links/Resources for Reference�

Resources we’ll use for both days (these are view only for reference in your district planning):

  • View Only Slide decks for Reference, use as reference to build or update your own slides, this is not a published curriculum they are sample slides. We update it each summer if you want to check back at the start of next school year to this link. If students need basics, you can always reference a younger grade slides.
  • SHE Teen Resources (age 12+)
  • Parent/Caregiver/Staff SHE Resources
  • Sample Parent Letter (example only, please use your own letterhead and contact info, edit to be consistent with your scope & sequence)
  • PD Participant Survey (PD participants, please take after session)

Note: All programming and resources are consistent with the Keeping Youth Safe & Healthy Act, National Sexuality Education Standards, and the Gender Spectrum Principles of Inclusive Puberty & Health Education. Here is ISBE’s KYSHA Website with added resources & info for district planning.

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Links/Resources for Reference�

Resources we’ll use for both days (these are view only for reference in your district planning):

Note: All programming and resources are consistent with the Keeping Youth Safe & Healthy Act, National Sexuality Education Standards, and the Gender Spectrum Principles of Inclusive Puberty & Health Education. Here is ISBE’s KYSHA Website with added resources & info for district planning.

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Show What Ya Know: Kahoot!

  1. Take out phone or computer & go to Kahoot.it
  2. Plug in game pin
  3. Add your whatever name you want to go by!

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 National Sexuality Education Standards, 2nd Edition, 2020

What are the NSES? 

What topics do they cover? 

Topics are covered in age & stage appropriate steps: 

  • Consent & Healthy Relationships & Harm Prevention
  • Gender Identity & Expression
  • Sexual Orientation 
  • Puberty & Adolescent Sexual Development
  • Anatomy & Physiology
  • Sexual Health (starting in middle school: contraception, STI prevention & reproductive health care access)

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NSES come to us from a diverse group of professionals with expertise in sexuality, public education, public health, social justices, psychology, child & adolescent medicine!

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The Keeping Youth Safe & Healthy Act

Public Act 102-0522

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  • What? Aligns IL with NSES
  • How? Curriculum must be:
    • age appropriate
    • culturally appropriate
    • medically accurate
    • trauma informed
    • complete
    • inclusive & affirming of LGBTQIA students
  • If/then: If districts teach personal health & safety & sexual health ed, then they choose grade levels, narrow down NSES learning objectives to fit their community needs & choose curriculum materials

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The Keeping Youth Safe & Healthy Act

Public Act 102-0522

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  • KYSHA Compliments the following existing policies:
    • Teen Dating Violence

105 ILCS 110/3.10 (parental opt out)

    • Sexual Abuse Education 105 ILCS 5/10-23.13 (Erin’s Law, parental opt out)
    • Comprehensive Health Education 105 ILCS 110/3 (parental opt out)
    • Inclusive Curriculum/ LGBTQ History (no parental opt out for SS/academic classes)
  • All of the above can be cross referenced with NSES & can be taught with inclusive principals!
  • Caregivers have the opportunity to review scope & sequence & may opt-out their own student in writing of one or more topic.

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Where are you at? turn & talk 

Current programing that may already align with KYSHA?

Opportunities for expansion or updates to align with KYSHA?

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Example K-5th Personal Health & Safety

K-1st  

2-3rd  

4th  

5th

Session 1  

Consent Story Time 

Consent Story Time

Brave Space/ Consent  

Brave Space/Consent  

Session 2  

All Family Story Time

Gender Upstanders: 

Story time 

Gender Upstanders: 

Gender Boxes  

Gender Upstanders: 

Identities Sort  

Session 3  

Body Awareness (including safe/unsafe touch) 

Body Awareness (including safe/unsafe touch) 

Puberty Basics 1

Puberty 

Session 4  

Puberty Basics

2

Reproductive Systems 

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6th/7th

7th-High School

Session 1  

Consent

Consent & Healthy Relationships

Session 2  

Gender Upstanders

Gender Upstander

Session 3  

Puberty Review

Reproductive System Review

Session 4  

Reproductive Systems

Sexual Health: Decision Making & STIs

Session 5

x

Sexual Health & Contraception

Example 6th+ Sexual Health Education 

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Sexuality Education Program POV

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 Team approach: caregivers/families, schools, community resources.

Youth centered, positive, inclusive & affirming, think "I want to have this convo again!"

Medically accurate, inclusive, non-prescriptive, shame-free, trauma informed.

Consistent with National Sexuality Education Standards 2nd Edition

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Reproductive Justice:

"the human right to maintain personal bodily autonomy, have children, not have children, and parent the children we have in safe and sustainable communities," SisterSong Women of Color Reproductive Justice Collective

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Principles of Gender Inclusive �Puberty & Heath Education 

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  1. Provide a Foundation of Gender Literacy
  2. Distinguish Patterns from Rules
  3. Emphasize Physiology Rather Than Gender
  4. Describe Many Pathways to Adult Bodies
  5. Describe Many Pathways to Families 
  6. Provide Education in All Gender Spaces

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  • Empathy: The net result is a population of young people prepared to acknowledge and respect the diversity of identities and experiences surrounding them as they grow up

  • School Climate: Students who see themselves reflected in curricula are more likely to succeed in school academically... these efforts designed to counter gender stereotyping have the capacity to improve the overall school climate. 

  • Affirming for all: Gender-inclusive practices are life-affirming for all students, and life-saving for some.

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Development Diversity Reminders! 

  • There are a range of ways bodies can look, function, & develop. 

  • Intersex is an umbrella term used to describe a wide variety of variations in sex characteristics such as: 
    • Chromosomes
    • Hormones
    • Genitals
    • And/or Reproductive Organs

  • There’s lots of resources and support for intersex people & people with different experiences of puberty.

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Image from GLSEN & InterAct's Gender Triangle Education Guide

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Who benefits from inclusive SHE? 

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Who benefits from inclusive SHE? 

    • Standard Classroom Environment & Expectations (IEPs, 504s, and other accommodations are consistent)
    • Trangender participants
    • Intersex participants (anyone who’s experience of puberty will vary from the “pattern”)
    • Non-binary and gender expensive participants
    • Participants who have not shared about being trans, nonbinary and/or intersex with the educator
    • Everyone gets practice using language that is accurate and inclusive of all community members
    • Everyone has the opportunity to learn from peers with different genders, bodies, and experiences
      • Challenges assumptions & stereotypes
      • Empathy building
      • This sets the stage for healthy friendships, romantic & sexual relationship

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Action Item: Becoming An Askable Adult

One or more caring adults in a child’s life increases the likelihood that they will flourish and become productive adults themselves.”

- Center on the Developing Child, Harvard University

Definition: an approachable adult that makes space for the young people in their life to come to them with any questions

  • Validate the young person’s questions and reinforce that asking questions is a good practice
  • Listen more than you talk (self-disclosure caution/boundaries)
  • Respect confidentiality!

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Student disclosure: sexual activity, sexual harm, dating violence, pregnancy, STIs, gender or sexual identity, medical trauma...

How to respond:

  • Empathy
  • Gratitude for disclosure: “Thank you for letting me know.”
  • Center the young person’s experience. Validate feelings.
  • Offer realistic support/ buffet of options:
    • “I’m here to support you.” “Here are some ways I can help____.”
  • Respect privacy while ensuring support & following mandated reporter policies:
    • “I want to make sure you get the support you need. Let’s check in with (correct staff member) together.”
    • Discuss next steps

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Student Disclosures Continued:

Try affirming phrases:

  • "I believe you"​
  • "It's not your fault"​
  • "You don't have to have it figured out all right now"​
  • “You are the expert on yourself”

Be aware of:

  • facial and body language
  • retraumatization
  • vicarious trauma/ ensuring you have your own support system

Center students control of the next steps

  • don’t make promises you can’t keep
  • follow their lead
  • be transparent about the limits of confidentiality
  • stay with the student/ provide a warm handoff if there is a safety concern

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What scenarios/questions have come up in your classroom around CSE Policy? How did you respond?

  • Scenarios with parents/caregivers
  • Scenarios with students
  • Scenarios with colleagues

  • Anything else you want to share with the group?
  • What resources would be most helpful for you?

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Final Scenarios & Q&A:

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IL Sex Ed

Resources

Questions &

Comments

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Inclusive Sexual Health Education Policy & Resources for Illinois

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�Thank you!!! �& Surveys

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The following slides are sample NSES learning objectives

  • reminder: you do not need to cover all learning objectives in the NSES to be in compliance with KYSHA

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By 5th learning objectives:

aka 3rd-5th

grade band

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  • Identify trusted adults, including parents, caregivers, school staff & health care professionals, that students can talk to about:
    • relationships CHR.5.AI.1
    • puberty and adolescent health PD.5.AI.2
    • sexual orientation SO.5.AI.1 
    • gender, gender role stereotypes, gender identity, and gender expression GI.5.AI.1

  • Communicate personal boundaries and demonstrate ways to respect other people’s personal boundaries CHR.5.IC.1

Key Learning Objectives

By end of 5th Grade

National Sexuality Education Standards 2nd Ed, 2020

Primary standard covered: 

All (these learning objectives are highlighted in Consent workshops and revisited throughout series)

 

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Key Learning Objectives

By end of 5th Grade

National Sexuality Education Standards 2nd Ed, 2020 

Primary standards covered: 

Gender Identity & Sexual Orientation 

  • Describe gender role stereotypes and their potential impact on self and others GI.5.CC.4
  • Explain that gender expression and gender identity exist along a spectrum GI.5.CC.3 
  • Distinguish between sex assigned at birth and gender identity and explain how they may or may not differ GI.5.CC.1 
  • Define sexual orientation SO.5.CC.1
  • Differentiate between sexual orientation and gender identity SO.5.CC.2

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  • Explain the physical, social, and emotional changes that occur during puberty and adolescence and how the onset and progression of puberty can vary PD.5.CC.1 
  • Recall the human reproductive systems, including the external and internal body parts and their functions, and that there are natural variations in human bodies AP.5.CC.1
  • Identify credible sources of information about puberty and personal hygiene PD.5.AI.1
  • Amaze.org (example)
  • Puberty Articles from PP (example)

Key Learning Objectives

By end of 5th Grade

National Sexuality Education Standards 2nd Ed, 2020

Primary standard covered: 

Puberty/Anatomy 

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By 8th learning objectives:

aka 6th-8th

grade band

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Key Learning Objectives

By end of 8th Grade

National Sexuality Education Standards 2nd Ed, 2020

Primary standard covered: 

Gender Identity/ Sexual Orientation

  • Analyze how peers, family, and a person’s intersecting identities can influence attitudes, beliefs, and expectations about 
    • gender, gender identity, gender roles, and gender expression GI.8.INF.1
    • sexual orientation SO.8.INF.1
  • Access medically accurate sources of information about gender, gender identity, and gender expression GI.8.AI.1 
  • Recall the definition of sexual orientation and explain that most people have a sexual orientation SO.8.CC.1 
  • Define sexual identity and explain a range of identities related to sexual orientation (e.g., heterosexual, bisexual, lesbian, gay, queer, two spirit, asexual, pansexual) SO.8.CC.2

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Key Learning Objectives

By end of 8th Grade

National Sexuality Education Standards 2nd Ed, 2020

Primary standard covered: 

Anatomy & Physiology 

  • Describe human reproductive systems, including the external and internal body parts and their functions, and that there are naturally occurring variations in human bodies (e.g., intersex, vulvas, circumcised and intact penises) AP.8.CC.1
  • Define medical accuracy and analyze medically accurate sources of information about puberty, adolescent development, and sexual health PD.8.AI.1
  • Explain the relationship between sexual intercourse and human reproduction SH.5.CC.1 

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Key Learning Objectives

By end of 8th Grade

National Sexuality Education Standards 2nd Ed, 2020

Primary standard covered: 

Sexual Health (focus STIs)

  • Define vaginal, oral, and anal sex SH.8.CC.1 
  • Demonstrate ways to communicate decisions about whether or when to engage in sexual behaviors and how to reduce or eliminate risk for pregnancy and/or STDs (including HIV)* SH.8.IC.1 
  • Identify medically accurate sources of information about STDs, including HIV, such as local STD/HIV prevention, testing, and treatment resources SH.8.AI.1 
  • Explain STDs (including HIV), how common STDs are, and how they are and are not transmitted SH.8.CC.5 
  • Describe the signs, symptoms, or lack thereof, and potential impacts of STDs (including HIV) SH.8.CC.6 
  • Discuss current biomedical approaches to prevent STDs (e.g., hepatitis B vaccine, HPV vaccine) and HIV (e.g., PrEP, PEP) SH.8.CC.8 

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Key Learning Objectives

By end of 8th Grade

National Sexuality Education Standards 2nd Ed, 2020

Primary standard covered: 

Sexual Health (focus contraception)

  • Explain there are many methods of short- and long-term contraception that are safe and effective and describe how to access them SH.8.CC.2
  • List at least four methods of contraception that are available without a prescription (e.g., abstinence, condoms, emergency contraception, withdrawal) SH.8.CC.3 
    • Describe the steps to using barrier methods correctly (e.g., external and internal condoms, dental dams) SH.8.SM.1 
  • Describe pregnancy testing, the signs of pregnancy, and pregnancy options, including parenting, abortion, and adoption SH.8.CC.4
  • Define prenatal care and identify medically accurate sources of information about prenatal care SH.8.AI.2

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Sample slides for teaching puberty & repro systems with inclusive language

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Puberty & Reproductive System Basics 5th/6th grade

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  • In your school/program? 
  • In your home? 
  • In your community? 

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Team YOU!

If you want to talk more about any of the topics we cover, who are your trusted adults? 

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We can celebrate our different likes, bodies, families, experiences, cultures…

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Safer Space Tips

  • 1 Mic
  • "I” statements (“I like pie” not “pie is the best”)
  • Be Kind (no “yucks” or laughs at)
    • "Rewind" = fix an ouch
  • Brave Questions
  • Keep it general: avoid talking about individual personal situations, keep answers general
  • Privacy
    • What’s said here stays here. What’s learned here leaves here
  • Self-Care
    • Feel free to color or put your head down when you need to. If you need a break or support let us know. 

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Puberty Rites of Passage

  • Now that you are growing up there may be new rolls, responsibilities, privileges, celebrations that you get to take part in... how does your family & community celebrate that you are growing up!

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Before Talking About Bodies! 

We encourage everyone to get info on all types of bodies! Why? 

You'll hear us say "many" or "most" when we talk about bodies (puberty, reproduction, health). All these changes can vary (and that's all ok!)... Make a list of questions for your health provider to find out more how puberty might progress for you! 

You'll also hear us use phrases like "people who menstruate" "people with penises" "people with vulvas"

Each person is the expert on their body!

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Typical Changes for Most

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  • Grow taller
  • Aching muscles and joints (growing pains)
  • May feel clumsy especially during growth spurts
  • May experience mood swings
  • May feel self-conscious
  • Oily skin (acne)
  • Hair changes (more oily/change in texture)
  • More hair on face & body
  • Sweat more & have body odor
  • Increased desire for independence 
  • Crushes

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We do many things every day to care for our bodies! ��As you grow-up you'll add some extra steps to your body care routine! 

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Body Odor & More! (content notice, there is a quick image of a private part, let’s practice our “no yucks” rule!) 

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Beginning puberty changes for people with testicles

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  • Starts between age 10-15
  • Shoulders get broader & Muscles grow
  • Voice gets deeper
  • Hair grows under and on arms, legs, chest, face, and around the penis 
  • More frequent erections
  • Penis & testicles grow larger
  • First ejaculation (average age 13)

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Anatomy for People with Testicles 

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Circumcision: About: half of babies with penises are circumcised & half are not. 

Circumcision is the removal of foreskin for religious, cultural, or health reasons. 

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Anatomy Matching for People With Testes

Click and drag the labels to the body part on the diagram.

testicle

scrotum

penis

urethra

bladder

anus

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4

6

2

7

1

seminal vesicle

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Ejaculation & wet dreams

  • For people with a penis, ejaculation is when a milky fluid called semen comes out of the penis. First ejaculation typically happens between age 11-15 (average age is 13). 

   Erection         stimulation        orgasm & ejaculation.�

  • Semen contains millions of microscopic sperm (made in the testicles)�
  • A wet dream is an ejaculation that happens when a person is sleeping.

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Regroup Reminders

  • Why do we say "many" and "most," again?
  • Why do we learn with all genders together?
  • Take breaks as you need them!

Quick Quiz:

True or False: Puberty is just about physical changes?

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Beginning puberty changes for people with ovaries

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  • Starts between age 9-13
  • More Hair grows under and on arms, legs, and around the vulva 
  • Vagina & vulva grow
  • Breasts start to grow
  • Hips get wider
  • Vagina makes discharge. This is normal and healthy! 
  • Menstruation "period" starts about two years after the early signs of puberty (breast growth & vaginal discharge), average age 12.

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Anatomy for People with Ovaries

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Anatomy Matching For People With Ovaries

Click and drag the labels to the body part on the diagram.

side view

anus

cervix

ovary

fallopian tubes

vagina

bladder

uterus

front

back

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7

4

2

1

6

3

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Vulva

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Anatomy Matching For People With Ovaries

Click and drag the labels to the body part on the diagram.

urethra

clitoris

labia minora

vaginal opening

labia majora

anus

Front View

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5

4

3

1

2

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Period Products !!

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Fun fact: Period products are required to be available to students in all Illinois public & charter schools!!

Where are the period products in your school? What other hygiene products are available?

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Common Menstrual Supplies

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Type

Reuse?

Change every...

How do I clean it?

Things to Consider...

Disposable Pads

No

4-8 hr

Toss it

No for swimming!

Tampons

No

4-8 hr

Toss it

Need to be comfortable inserting into vagina

Reusable Underwear/Pads

Yes!

4 hr

Washing machine

Need to have access to washing machine

Cups & discs

Yes

8-12 hr

Hot water & soap

Need to be comfortable inserting into vagina

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Getting to know your own body

  • Many people as they go through puberty start to notice attraction or "crushes" 

  • Many people are more interest in how their body works

  • Touching your own private parts (like the penis or clitoris) because it feels good. This is called masturbation 
    • Masturbation should be done in a private place
    • It is not harmful
    • It's normal

  • Privacy not Secrecy! These parts are private, but they are not a secret, it’s ok to ask your safe adults if you have questions.

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Physical Changes

(P)

Social/Emotional Changes (E)

Click and drag the changes into the category they best fit.

grow taller

Want to make your own decisions

feeling sad

body odor

sweat more

acne

voice gets deeper

body hair

crushes

Breasts grow

feeling tired

feeling worried or anxious

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Resources

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Our Fav Inclusive Puberty Books 

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8+ yr olds

12+ yr olds

13+ yr olds

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Reminder:

Want more info during/after this session?

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What scenarios/questions have come up in your classroom around CSE Policy? How did you respond?

  • Scenarios with parents/caregivers
  • Scenarios with students
  • Scenarios with colleagues

  • Anything else you want to share with the group?

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Final Scenarios & Q&A:

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�Thank you!!! �& Surveys

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