| 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.
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.
Gonorrhoea
Gonorrhea is a sexually transmitted disease (STD). Gonorrhea
is caused by Neisseria gonorrhoeae, a bacterium that can grow
and multiply easily in the warm, moist areas of the reproductive
tract, including the cervix (opening to the womb), uterus (womb),
and fallopian tubes (egg canals) in women, and in the urethra
(urine canal) in women and men. The bacterium can also grow in
the mouth, throat, eyes, and anus.
Gonorrhea is a very common infectious disease. Gonorrhea is spread
through contact with the penis, vagina, mouth, or anus. Ejaculation
does not have to occur for gonorrhea to be transmitted or acquired.
Gonorrhea can also be spread from mother to baby during delivery.
People who have had gonorrhea and received treatment may get
infected again if they have sexual contact with a person infected
with gonorrhea.
Several antibiotics can successfully cure gonorrhea in adolescents
and adults. However, drug-resistant strains of gonorrhea are increasing
in many areas of the world, including the United States, and successful
treatment of gonorrhea is becoming more difficult. Because many
people with gonorrhea also have chlamydia, another sexually transmitted
disease, antibiotics for both infections are usually given together.
Persons with gonorrhea should be tested for other STDs.
Herpes Simplex I/II
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.
Mycoplasma genitalium
M. genitalium may be the sexually transmitted bacterium that,
other than chlamydia, is a main cause of nongonococcal urethritis
in men. In women, it is commonly found in association with bacterial
vaginosis; M. genitalium infections can also be associated with
cervicitis. Most M. genitalium infections are asymptomatic, and
doctors have not yet determined whether it is worthwhile to screen
everyone for infection.
M. genitalium has been associated with pelvic inflammatory disease
in women. It has also been linked to endometritis (infection of
the uterine lining) and preterm birth. As such, the long term
consequences of infection with M. genitalium seem to be similar
to those of infection with gonorrhea and chlamydia. This is not
surprising since its early symptoms are also similar.
Ureaplasma genitalium
Ureaplasma Urealyticum is a bacterial infection, generally asymptomatic
in nature, that is sexually transmitted between partners. The
bacteria can survive in the reproductive tract for many years,
undetected, until a patient is specifically tested for the infection.
Every woman who experiences infertility, recurrent pregnancy
loss, pelvic pain, premenstrual symptoms or vaginal symptoms should
be tested for ureaplasma urealyticum. The bacterial infection,
although generally asymptomatic, can lead to fertility problems
including tubal disease, recurrent miscarriages, decreased sperm
motility and count, and poor post coital tests.
Treatment involves both partners simultaneously taking antibiotics
prescribed by the physician to specifically treat this infection.
Ninety percent of infections are effectively treated with the
first course of antibiotics.
Trichomonas vaginalis
Trichomoniasis is a common sexually transmitted disease (STD)
that affects both women and men, although symptoms are more common
in women.
Trichomoniasis is caused by the single-celled protozoan parasite,
Trichomonas vaginalis. The vagina is the most common site of infection
in women, and the urethra (urine canal) is the most common site
of infection in men. Women can acquire the disease from infected
men or women, but men usually contract it only from infected women.
The genital inflammation caused by trichomoniasis can increase
a woman's susceptibility to HIV infection if she is exposed to
the virus. Having trichomoniasis may increase the chance that
an HIV-infected woman passes HIV to her sex partner(s).
A person diagnosed with trichomoniasis (or any other STD) should
receive treatment. Trichomoniasis can usually be cured with the
prescription drug, metronidazole, given by mouth in a single dose.
Having trichomoniasis once does not protect a person from getting
it again. Following successful treatment, people can still be
susceptible to re-infection.
Gardnerella
Gardnerella Vaginalis is an infection of the female genital tract
by bacteria of the Gardnerella vaginalis strain, often in combination
with various anaerobic bacteria. Also called bacterial vaginosis.
Gardnerella vaginalis is the most common cause of bacterial vaginitis
in the sexually active mature patient. The patient complains of
a malodorous, nonirritating discharge, and examinations reveal
homogenous, gray-white secretions.
It is assumed that the infection is sexually transmitted. The
bacteria are also found in women without a history compatible
with a sexually transmitted disease, and often produces no symptoms.
The treatment of choice for G vaginalis is oral metronidazole,
500 mg twice daily for 6 days. Cephradine, 500 mg by mouth 4 times
daily for 6 days, will eliminate G vaginalis from the vagina and
relieve symptoms but has little effect on the anaerobic flora
of the vagina.
Hepatitis B
Hepatitis B is a germ (virus) that gets into your body and attacks
your liver. Your liver helps your body digest the food you eat
and store energy. It also helps your body get rid of poisons.
There are cases where hepatitis B can cause liver damage (cirrhosis
[sir-O-sis]) that does not go away. Hepatitis B can also cause
liver cancer, which may lead to death. Good medical care can make
your risk less for these.
It is passed by contact with the blood or other body fluids of
someone who has the virus.
1 out of every 10 adults will never get rid of the virus from
their bodies. We say they have chronic hepatitis B. They are called
carriers. Most people with chronic hepatitis B will remain carriers
of the virus if they do not get treated.
Hepatitis C
Hepatitis C is a liver disease caused by the hepatitis C virus
(HCV), which is found in the blood of persons who have this disease.
HCV is spread by contact with the blood of an infected person.
Injection drug use accounts for more than two-thirds of all new
infections in the United States. HCV can be spread by sex, but
this is rarer.
HCV positive persons should be evaluated by their doctor for
liver disease. Interferon and ribavirin are two drugs licensed
for the treatment of persons with chronic hepatitis C.
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.
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