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Why does sexual health matter?

Some people feel happy talking about their body. Other people:

  • Are too shy or embarrassed to talk about their body
  • Don't know what words to use.

If we don't talk about sexual health, we can miss out on the health care we need. Poor sexual health can lead to disease or unwanted pregnancy. It can prevent pleasure. 

Everyone has the right to sexual health care that is:

  • Affordable
  • Easy to access
  • Safe and helpful
  • Easy for them to understand.

People with disabilities have a right to sexual health care. We deserve to have healthy sex lives. People with intellectual disability have the same rights but may face barriers in getting the support they need.

What are the different parts of sexual health?

Sexual health includes:

  • Sex education, or learning about sex. It gives people information to make choices about their sex lives.
  • Knowing how to prevent, manage and treat sexually transmitted infections (STIs), which are infections you can catch through sex. Talk to a GP if you are worried about STIs.
  • The ability to have healthy, legal sexual contact, with good consent.  When people give consent to sex, everyone understands what they’re doing, wants to be doing it and knows they can stop at any time if they change their mind.
  • Reproductive health, like:
    • Birth control to prevent pregnancy
    • Treatment to help you get pregnant if you want to have a baby
    • Care during pregnancy, so that you and the baby stay healthy.

Birth control and safe sex

Anyone who has sex needs sexual health services. In Australia, a general practitioner (GP) is the best place to start.

A GP can help if you:

  • Need birth control like the pill, injections or devices that prevent pregnancy.
  • Have had penis-in-vagina sex without a condom and are worried that you may be pregnant.
  • Have become pregnant and want an abortion.
  • Want to become pregnant.
  • Have trouble falling pregnant and want treatment to help.
  • Are pregnant and need health care for yourself and your unborn child.

You can take a support person to your appointment. They can help you remember your questions and the advice you get. You can get tips to prepare for a medical appointment on the Neve page Getting the most out of health services (internal link).

Sexually transmitted infections (STIs)

People who have sex should know how to prevent sexually transmitted infections and what to do if they have one. Sexually transmitted infections are also known as STIs. You can catch one if you have sex without protection.

Common signs of STIs include: 

  • Itches, rashes or blisters in the genitals, like on the penis or vulva
  • Pain when peeing
  • Bleeding or some other discharge
  • No symptoms at all.

To prevent STIs, use birth control that acts as a barrier, such as condoms. Dental dams are a good option for oral sex. You can buy condoms at any pharmacy or supermarket. If you need a dental dam, you can get one from the Family Planning Alliance Australia website (external link). You can also lower your risk by having few sexual partners.

It's a good idea to have regular sexual health checks from your doctor or health worker. This is true even if you don't have any symptoms. Sexual health checks are vital for people who have many sexual partners, people who don't use barrier birth control like condoms and people with symptoms.

If you need support, take someone to your appointment.

 

Sex education

Education about sex can help you understand consent, safety and pleasure. It is available in many places. You can ask a trusted caregiver. You can read the Neve pages on Consent (internal link) and Pleasure (internal link). You can also visit the SECCA website (external link).

If you care for someone with a disability, resources are available to help them learn about sex. The SECCA website (link above) is a good place to start. You can find more resources on the Family Planning NSW website (external link).

 

Menopause and disability

Our bodies change through life. Menopause is a change that affects people who have had menstrual cycles, also known as periods. During menopause, menstrual periods stop and there are changes in hormones, too. It affects people in different ways. You might:

  • Feel hot
  • Have trouble sleeping
  • Feel tired
  • Gain weight
  • Not want to have sex
  • Feel sore or bloated
  • Forget things more
  • Feel more worried, sad or annoyed.

It can affect your relationships and social life. People with intellectual disabilities may have menopause earlier than others. People with Down Syndrome may have it even earlier. 

When menopause begins, it can make other health conditions worse. There is not much information about how menopause affects people with intellectual disabilities. The impact of menopause might be more challenging for people who don't understand the change. Women living in residential homes with limited privacy may have more stress.

Talk to a health worker if you are worried about menopause.

1800 RESPECT

If you experience violence or abuse you can contact 1800 RESPECT for support and counselling.
Call 1800 737 732 or go to the 1800 RESPECT website to chat with someone online (external link).

‍To contact 1800RESPECT via SMS, text ‘HELLO’ or any greeting to 0458 737 732 to start the conversation.

Story

Renata uses a wheelchair to get around. Her GP has never asked her to have a pap smear. Renata doesn't want to be a bother, so she hasn't asked for one either. However, women Renata's age should have a pap smear every three years. If Renata were to ask for a pap smear, she wouldn't be bothering anyone. She would be looking after her sexual health.

Renata has a cognitive disability. Her father believes she should not learn about sex. He worries that sex education will make Renata vulnerable. However, if Renata does not know how people become pregnant or have sex safely, she could be at risk. Like everyone, Renata should have accurate and age-appropriate sex education.

Sexual violence and abuse

Many women and gender-diverse people experience sexual violence and abuse. If this is your situation, you are not alone. Nor is it your fault. Like everyone, you deserve to feel safe and loved. You deserve to be in charge of what happens to your body. This website section offers a safe, informative, and supportive environment to learn about different forms of sexual violence and abuse. You can get a clear idea of how sexual violence might be impacting you. You can find support. You can plan for a safer future

Find out more

Your rights: making choices and being safe

Australian law covers disability rights. It offers protection from violence, including violence that happens at home.

Find out more

Resources.

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Participate Australia

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A tool to support children, teens and adults with mild to moderate intellectual disability to learn basic counting and money handling skills.

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Disability Australia Hub

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Self-advocacy is when someone with disability speaks up and represents themselves. This guide shows you how.

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May 7, 2024

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Touching Base

Booklets For People With Disability

Resources and information for people with disability about seeing a sex worker.

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Sexual and reproductive health rights

On this page, we explain sexual health rights. Sexual health helps us have safe sexual experiences that feel good. To have good sexual health, people need health care for birth control and pregnancy. They need advice about preventing diseases and having safe sex.

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