Sexual & Reproductive Health
Oki! Siksika’s Sexual & Reproductive Health team is dedicated to promoting and ensuring the sexual well-being of Siksika Nation by empowering individuals with the knowledge, resources, and support they need to lead healthy and fulfilling sexual lives.
To contact the Siksika Sexual Health team, please call the Health Hotline 403-734-5720 and leave a voicemail. This is a safe and confidential service that will only be accessed by a Siksika Community Health Nurse.
Hours of operation are 8:30am-4:30pm, Monday-Friday.
Sexual health is for everyone! We all have sexual health. And just like our physical health and mental health, sexual health is an important aspect of our overall wellbeing. It’s connected to more than just pregnancy or sexually transmitted infections – sexual health includes things like how we feel about our bodies, consent, social relationships, pleasure, who we’re attracted to, and more!
Since sexual health is connected to so many things, there’s almost no limit to who can participate in sharing sexual health supports in our communities! Siksika’s Sexual Health Team champions this work through programs and services offered (see more in the tabs below), and providing resources to Siksika Nation to improve sexual health outcomes so we can all live fuller, healthier, and happier lives.
In the distant past, concepts of sex and sexual health weren’t taboo like they are now. People saw sex as an important part of being healthy. Learning about our bodies was a normal part of education, and many Indigenous groups still celebrate ceremonies that mark the transition from being a kid to being an adult. These ceremonies are a way to honor this change and the new responsibilities that come with growing up.
Most STBBIs are caused by germs (bacteria or viruses) that are passed from one person to another during sex or intimate contact. There are also STIs caused by parasites, such as pubic lice and scabies.
STIs caused by bacteria can be cured with antibiotics. The sooner an STI caused by bacteria is diagnosed and treated, the less likely it is to cause damage to the body
STIs caused by viruses cannot be cured with antibiotics, but the symptoms can be managed with medication prescribed by a health professional
STIs caused by bacteria can be cured with antibiotics. The sooner an STI caused by bacteria is diagnosed and treated, the less likely it is to cause damage to the body.
Bacterial STIs
Syphilis:
Syphilis is a sexually transmitted infection (STI) that can be prevented and cured. However, if left untreated, it can lead to serious health problems.
Many people with syphilis may not have symptoms or may not notice them. If symptoms do appear they can take anywhere from three to 90 days. In the initial stage, painless sores may develop on the genitals, anus, or mouth.
Syphilis can be transmitted during oral, vaginal, and anal sex, as well as during pregnancy and through blood transfusion.
If a pregnant person has syphilis, it can result in stillbirth, newborn death, or babies born with syphilis (congenital syphilis).
Untreated or undiagnosed syphilis can cause long-term damage to the brain, heart, and other organs.
Chlamydia:
Chlamydia often doesn’t show any symptoms. If symptoms do appear, they usually take two to three weeks to show up, but they can also take up to six weeks. Symptoms may include unusual discharge from the vagina, penis, or anus, and painful urination.
Chlamydia is spread through vaginal, anal, and oral sex, and a mother can pass it to her baby during childbirth. It’s called the “silent disease” because over half of infected males and 70% of infected females don’t have symptoms and may not know they’re infected.
The only sure way to know if you have chlamydia is to get tested. It’s diagnosed with a urine sample or by swabbing the infected area and can be treated with antibiotics.
Gonorrhea:
Gonorrhea is a common sexually transmitted infection caused by bacteria. If left untreated, gonorrhea vaginal, oral, and anal sex. Fortunately, gonorrhea can be treated and cured with antibiotics.
Symptoms of gonorrhea often appear within two to seven days after infection. These symptoms may include discharge from the vagina, penis, or anus, as well as painful urination.
If left untreated, gonorrhea can harm the reproductive organs.
STIs caused by viruses cannot be cured with antibiotics, but the symptoms can be managed with medication prescribed by a health professional
Viral STIs:
Hepatitis A (Hep A):
Hepatitis A (Hep A) impacts the liver and disrupts its normal functions. Most adults with Hep A experience some symptoms like fatigue and loss of appetite, which can take two to six weeks to show up.
Hep A can be transmitted sexually through oral contact with infected feces (poo). Fortunately, most people recover from Hep A without treatment, as their bodies can fight off the infection. A vaccine is available to prevent Hep A infection.
Hepatitis B (Hep B):
Hepatitis B (Hep B) affects the liver and can disrupt its normal functions. Hep B can be transmitted sexually through infected blood, semen (cum), and vaginal fluids. If untreated, it can lead to liver damage.
While most adults recover from Hep B without treatment, babies and some children may develop a chronic infection. There is a vaccine to prevent Hep B infection, and treatment can help keep the virus under control.
Hepatitis C (Hep C):
Hepatitis C (Hep C) affects the liver. Many people with Hep C don’t have symptoms at first and may have the virus for 20 to 30 years before symptoms show up. Hep C is passed through blood-to-blood contact, often from sharing needles or other drug equipment. It can also spread through sharing equipment for smoking or snorting drugs.
Hep C is not commonly spread through sex, but the risk is higher with certain factors like unprotected anal sex, having HIV, having other sexually transmitted infections, having sex where there is bleeding, having group sex, and using drugs during sex.
There is no vaccine for Hep C, but treatment can cure more than 95% of people with the virus. However, it is possible to get Hep C again after being cured if the virus enters the blood again.
Herpes Simplex Virus (HSV):
Herpes Simplex Virus (HSV) is one of the most common STIs. Most people with herpes don’t have symptoms, but if they do, they might feel tingling or burning on the skin or get sores/blisters in the genital area or on the mouth and lips (cold sores). Symptoms can show up two to 21 days after infection.
HSV-1 is usually around the mouth and lips (cold sores), but it can spread to the genitals through oral sex, causing sores there too. HSV-2 typically shows up on the genitals and spreads through genital-to-genital contact. People can pass HSV even when they don’t have outbreaks.
There is no vaccine or cure for herpes, but medication can help reduce the number and severity of outbreaks.
Human Papillomavirus (HPV):
HPV is a common virus that often has no symptoms. If symptoms do appear, they can take months or years to show up.
Some types of HPV can cause genital warts, while others can lead to cancers of the cervix, vagina, vulva, anus, penis, or throat. Most HPV infections go away on their own within two years.
There are vaccines to prevent HPV, and they are most effective when taken before a person becomes sexually active. However, vaccines can also protect people who are already sexually active because they might not have been exposed to all the types of HPV covered by the vaccines.
Human Immunodeficiency Virus (HIV):
HIV is a virus that weakens the body’s immune system, which is its natural defense against diseases. Some people may have flu-like symptoms when they first get HIV, but many others have no symptoms at all. It’s possible to live for many years without knowing you have HIV.
HIV can be passed through sex or sharing needles for injecting drugs. Having a sexually transmitted infection (STI) can increase the chances of passing HIV to sex partners and also make it more likely to get HIV.
There is no cure for HIV, but there is highly effective treatment that can reduce the amount of virus in the body and help people live long, healthy lives. This treatment also prevents passing HIV through sex. Without HIV treatment, the immune system becomes too weak to fight off serious illnesses.
Working together and showing respect are crucial for keeping our communities safe for future generations. Knowing how to protect your community also means knowing how to protect yourself from diseases that can spread, like sexually transmitted and blood borne infections (STBBIs).
This involves learning more about STIs, how they spread, and knowing where you can get tested or treated. Protecting your body is not just about you—it also means protecting your partner(s), your family, and your community.
Getting Tested Regularly for STBBIs is Important for Your Health
This could include a blood or urine test, or a swab of the throat, vagina, rectum, or urethra. The specific test depends on the type of STI.
For an STI to be passed during sex, one of the partners involved has to have the infection. You may not be able to tell whether someone has an STI just by looking at them. Symptoms like sores can be noticeable, but others may not. And some people may not have any symptoms at all.
The chances of getting or passing an STI can change depending on: the type of infection; the type of sexual activity; and whether or not precautions are taken to reduce risk.
Having the right information about risks associated with any activity can help you decide what you’re comfortable with.
What to Expect When Getting Tested
You don’t need a doctor to refer you for STBBI testing. Our services are free and confidential. We welcome and support individuals of all sexual orientations, gender identities, and gender expressions.
When you speak with Siksika Health Services’ sexual health team, the healthcare provider will ask about your health and sexual history to ensure you receive the appropriate care, tests, treatment, or support. Your responses are kept confidential, and you are encouraged to ask any questions you may have.
Based on your health and sexual history, the provider may recommend an STI test. This could involve providing a urine sample or swab of your throat, anus, or genitals, which you can do at the Siksika Health & Wellness Centre, or in the community at your home or other location as appropriate. They may also suggest a blood test or a physical exam.
Siksika Health’s sexual health team can also provide you with medications or prescriptions as needed.
For questions about Sexual Health resources, programs, services on Siksika Nation, or to book STBBI testing, call or text
403-361-4193
Book Your Appointment Today!
Call/Text: 403-361-4193
Health Hotline: 403-734-5720
Fax: 403-734-3916
In Sexual Health, Consent is KEY:
To have good relationships, we need to understand things like consent, boundaries, how to solve problems, taking care of ourselves, and finding a balance. Love and patience are key to understanding ourselves. Colonization has affected how we see ourselves as Indigenous people, in our social, cultural, and sexual identities. Loving ourselves and being patient as we explore our identities is important for staying healthy. This includes learning about both traditional and modern views on gender identity and expression, and discovering what feels right for us.
Consent is talking to your partner about what feels good and safe for both of you. Talking to your partners about sex can help make sure that both of you agree on what happens during sex. Consent means feeling okay and comfortable with what is going on. Consent isn’t just one time—it’s something you both need to agree on throughout. You also have the right to say no or change your mind about anything that doesn’t feel okay or safe. Consent is very important for sex to be respectful and safe.
Safer Sex: Protective Measures
Condoms:
Using condoms every time you have sex can greatly reduce the risk of getting or passing HIV and other STIs.
There are two types of condoms: one that goes on the penis (external or male condom) and one that goes inside the vagina or anus (internal or female condom). Always use a new condom for each partner, and for sex toys.
Using lube with condoms can make sex more comfortable and reduce the risk of condoms breaking. Use water-based or silicone-based lube with condoms, not oil-based lube like baby oil or coconut oil, which can make condoms break.
Oral/dental dams: a thin latex or polyurethane sheet that acts as a barrier during oral sex, reducing the risk of spreading STIs between your mouth and your partner’s genitals or anus.
HIV Prevention & Protection:
There are five body fluids can contain enough HIV to infect someone: blood, semen (including pre-cum), rectal fluid, vaginal fluid, and breast milk.
HIV can only be passed when one of these fluids containing HIV enters the bloodstream of an HIV-negative person.
To reduce the risk of passing or getting HIV through sex, you can:
- Use a new condom each time you have sex.
- Use lube to make sex more comfortable and prevent friction, cuts, and tears.
- Choose lower-risk activities like oral sex, mutual masturbation, and hand jobs.
- Get tested regularly for STIs, as having an STI increases your risk of getting and passing HIV and other STIs.
- If you are HIV positive, take your HIV treatment as prescribed.
- Pre-exposure prophylaxis (PrEP) involves HIV-negative people taking specific HIV drugs as part of their prevention strategy.
Sex & Drug Use:
Some individuals use recreational drugs while engaging in sexual activity, which can enhance pleasure, but might also lower inhibitions causing people to make decisions they wouldn’t normally make.
If you use drugs during sexual activity, be sure to use your own equipment to reduce the chances of passing an infection like HIV or Hep C.