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Funmi Bammeke, Department of Sociology, Faculty of Social Sciences, University of Lagos, Akoka, Lagos, Nigeria Adolescents experience a spate of physical and psychosexual changes, which they would have understood if they had adequate information on sexuality and sexual health. Sexuality Education promotes positive attitude towards sexuality and provides learners with balanced messages which empower them to make informed decisions. In Nigeria, socio-cultural expectations including the classification of sex-related issues as taboo subjects prevent parents and guardians and other adults from discussing sexuality issues or giving factual and adequate information in response to adolescents' questions. The consequence of the conspiracy of silence is that adolescents are uninformed, misinformed or under-informed about many issues. They are powerless and confused about their feelings and sexual identity. This study seeks to evaluate the extent of the knowledge of sexuality education among in-school adolescents as well as ascertain the sources of their knowledge. The study also seeks to establish the relationship between knowledge of sexuality issues and sexual behaviour. Using a multi-stage sampling technique, the study obtained data from 1350 adolescents in Stateowned senior secondary schools in Lagos state, Nigeria. One Local Educational District LED ; was selected from the six Local Educational Districts in the State, using a simple random sampling technique. Schools in the LED were then stratified into co-educational, boys' only and girls' only schools before the final selection. Findings from the study show that acceptance by friends is very important to adolescents. Majority of the adolescents had, at one time or the other, been confused about relationship with members of the opposite sex, their bodies and even relationship with same sex friends. Although adolescents acknowledge that parents had prepared them for changes in their bodies more than their friends, such preparation did not include information on sex, how to prevent pregnancy or what to expect in a relationship. Friends classmates constitute adolescents' first source of information on these issues and they are the ones from whom adolescents seek counsel when they are confused. The study underscores the need to break the silence surrounding sexuality in Nigeria as in other African societies. With 44.7% of the Nigerian population under the age of 15, and a contraceptive prevalence rate of 13%, the cost of the silence is high. It results on the short term, in increasing number of ill-informed and sexually unhealthy adolescents; and on the long term, in high mortality and morbidity rates, which not only worsen various dimensions of human development in Nigeria but threaten sustainable development. 83 82 and xeloda. Is that safe use herbal life. Specimen Required: 1 LTT Air dried peripheral blood smears 1 SST or RTT Minimum: 0.5 ml serum 1 GTT A grey top tube is not necessary if the SST submitted has complete separation after centrifugation, or the RTT is centrifuged and serum is submitted in a transport tube. ; Day s ; Test Set Up: Monday through Saturday AM PM ; Reported Time: Comments: 42 Same day Submit within 30 days of original test and zelnorm.

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Migraine follows several different pathways during and after the menopause. The headaches often increase in frequency or severity, but at times they may cease altogether. Many women do not experience any change in the migraine pattern. After hysterectomy or oophorectomy, there is also no consistent pattern to the headaches. They may greatly improve after the surgery, but more often the migraines increase. The confusion surrounding menopausal headaches is increased by the act that some women improve with estrogen replacement therapy and others experience more headaches. In women placed on estrogens and other cyclic progestins, a moderate or severe increase in migraine should initiate a change in the hormone regimen. At times, it is necessary to discontinue the hormones completely. In women who have not had a hysterectomy, cyclic progestins are necessary, and these are the primary culprit in the exacerbation of the headaches. In addition, the withdrawal of estrogen for a number of days may trigger migraine. In women who have undergone hysterectomy, continuous estrogen therapy for the entire month, without a break, is often the best approach for the headaches. When choosing an estrogen preparation, the synthetic compounds seem to create less migraine than Premarin. The equine-derived conjugated estrogens Premarin ; are not absorbed at a steady rate, and contain many natural compounds that could possibly trigger headache. Ethinyl estradiol Estinyl ; " micronized estradiol Estrace ; , esterified estrogens Estratab ; , and estropipate Ogen ; are commonly used oral preparations. Estraderm is a transdermal estradiol that delivers a consistent blood level of estrogen. Depo-Estradiol is estradiol cypionate that is injected once every month. Many women will experience less migraine with this once per month injection. The effect of estrogen dose on migraine varies, with some women improving with increased doses, and other experiencing more headaches. Progestins are utilized primarily to prevent endometrial cancer, increase new bone formation, and prevent osteoporosis. The progestins may exacerbate headache, however. It is helpful to keep the dose to a minimum, and to utilize the progestins for the minimum number of days. However, some women have fewer migraines when on continuous low dose progestins throughout the month. The addition of androgens methyltestosterone ; may help to alleviate certain symptoms of the menopause. Women often have improved libido, increased feelings of well being, decreased depression, and improvement in headaches while on androgens. Methyltestosterone is occasionally helpful for menstrual and menopausal migraine. The androgens are utilized along with the estrogen, on the same days. Combination preparations are available, such as Estratest tablets, which consist of methyltestosterone 2.5 mg ; , and esterified estrogens 1.25 mg ; . Injectable forms are also available. A typical regimen would include one tablet of Estratest from day 1 through 25, and a progestin added from day 13 through 25.

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