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A sexually transmitted disease (STD) is an infection you
can get by having sex. Some STIs (such as gonorrhea and
Chlamydia) infect your sexual and reproductive organs. Others
(HIV, hepatitis B, syphilis) cause general body infections.
An STI is spread during sexual activity. It is spread during
vaginal, anal and oral sex. Some STIs (HIV and hepatitis
B) are also spread by contact with infected blood. STIs
are not normally spread by digital sex (fingering); however,
unclean hands or uncut nails can cause genital problems.
Most STI germs need to live in warm, moist areas. That's
why they infect the mouth, rectum and sex organs (vagina,
vulva, penis and testes).
Most STIs can be cured if you seek treatment. Sometimes
you can have an STI with no signs or symptoms. Other times,
the symptoms go away on their own. Either way, you still
have the STI until you get treated. Most STIs can be treated
with antibiotics. Some STIs cannot be cured.
HIV
HIV -- the human immunodeficiency virus - is a virus that
kills your body’s "CD4 cells." CD4 cells
(also called T-helper cells) help your body fight off infection
and disease. HIV can be passed from person to person if
someone with HIV infection has sex with or shares drug injection
needles with another person. It also can be passed from
a mother to her baby when she is pregnant, when she delivers
the baby, or if she breast-feeds her baby.
AIDS -- the acquired immunodeficiency syndrome - is a disease
you get when HIV destroys your body’s immune system.
Normally, your immune system helps you fight off illness.
When your immune system fails you can become very sick and
can die from an illness as common as the flu.
It is important to remember that AIDS is not synonymous
with HIV. AIDS results from specific damage to the immune
system, and can actually be triggered by many different
infections or diseases, one of which is HIV.
HSV
Genital herpes is a sexually transmitted disease (STD)
caused by the herpes simplex viruses type 1 (HSV-1) and
type 2 (HSV-2). Most genital herpes is caused by HSV-2.
Most individuals have no or only minimal signs or symptoms
from HSV-1 or HSV-2 infection.
HSV-1 and HSV-2 can be found in and released from the sores
that the viruses cause, but they also are released between
outbreaks from skin that does not appear to be broken or
to have a sore. Generally, a person can only get HSV-2 infection
during sexual contact with someone who has a genital HSV-2
infection. Transmission can occur from an infected partner
who does not have a visible sore and may not know that he
or she is infected.
HSV-1 can cause genital herpes, but it more commonly causes
infections of the mouth and lips, so-called "fever
blisters." HSV-1 infection of the genitals can be caused
by oral-genital or genital-genital contact with a person
who has HSV-1 infection.
There is no treatment that can cure herpes, but antiviral
medications can shorten and prevent outbreaks during the
period of time the person takes the medication.
VDRL
The VDRL test is a screening test for syphilis. It measures
substances, called antibodies, that can be produced by Treponema
pallidum, the bacteria that causes syphilis.
Syphilis is a sexually transmitted disease (STD) and has
often been called "the great imitator" because
so many of the signs and symptoms are indistinguishable
from those of other diseases.
Syphilis is passed from person to person through direct
contact with a syphilis sore. Sores occur mainly on the
external genitals, vagina, anus, or in the rectum. Sores
also can occur on the lips and in the mouth. Transmission
of the organism occurs during vaginal, anal, or oral sex.
Pregnant women with the disease can pass it to the babies
they are carrying.
Syphilis cannot be spread through contact with toilet seats,
doorknobs, swimming pools, hot tubs, bathtubs, shared clothing,
or eating utensils.
Genital sores (chancres) caused by syphilis make it easier
to transmit and acquire HIV infection sexually. There is
an estimated 2- to 5-fold increased risk of acquiring HIV
infection when syphilis is present.
Syphilis is easy to cure in its early stages. A single
injection of penicillin, an antibiotic, will cure a person
who has had syphilis for less than a year. Additional doses
are needed to treat someone who has had syphilis for longer
than a year.
Because effective treatment is available, it is important
that persons be screened for syphilis on an on-going basis
if their sexual behaviors put them at risk for STDs.
TPHA
The Syphilis TPHA test is a classic, indirect hemagglutination
test used for the detection and titration of antibodies
against the causative agent of syphilis,Treponema pallidum.
In the test red blood cells (erythrocytes) are sensitized
with antigens from T. pallidum. The erythrocytes will then
aggregate together to form distinctive patterns on the surface
of a microplate wells when exposed to syphilitic serum.
Chlamydia
Chlamydia is the number one sexually transmitted disease
in the United States. Chlamydia is caused by the bacterium,
Chlamydia trachomatis, which can damage a woman's reproductive
organs. Even though symptoms of chlamydia are usually mild
or absent, serious complications that cause irreversible
damage, including infertility, can occur "silently"
before a woman ever recognizes a problem. Chlamydia also
can cause discharge from the penis of an infected man.
Chlamydia can be transmitted during vaginal, anal, or oral
sex. Chlamydia can also be passed from an infected mother
to her baby during vaginal childbirth.
Any sexually active person can be infected with chlamydia.
The greater the number of sex partners, the greater the
risk of infection. Because the cervix (opening to the uterus)
of teenage girls and young women is not fully matured, they
are at particularly high risk for infection if sexually
active. Since chlamydia can be transmitted by oral or anal
sex, men who have sex with men are also at risk for chlamydial
infection.
To help prevent the serious consequences of chlamydia,
screening at least annually for chlamydia is recommended
for all sexually active women age 25 years and younger.
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