STDs: AIDS Is Not The Only Threat!

Concerns about AIDS in recent years have overshadowed other Sexually Transmitted Diseases (STDs) that also have serious health consequences, including sterility, cancer or death. Some STDs can even make you more prone to the AIDS virus. Learn how to safeguard your health and recognize signs of an STD.

Every year, 12 million Americans are infected with a sexually transmitted disease (STD). STD is an umbrella term that encompasses over 20 contagious diseases spread through sexual contact. And that does not mean just intercourse. Any close contact that involves the genitals, the mouth or the rectum can transmit an STD (once referred to as a venereal disease). Most STDs can be cured with antibiotics. However, some of these diseases have become resistant to antibiotics, and STDs caused by viruses, such as herpes, genital warts and AIDS, have no cure.

Everyone who is sexually active should understand how to prevent STDs, recognize symptoms of an infection and have enough trust in their partners to discuss the issue openly. By knowing the facts and taking precautions, you can protect yourself against the serious problems caused by these infectious diseases.

Prevention is the Name of the Game:

Using Condoms:

Next to abstinence, condoms (also called rubbers) are the best form of protection against most STDs. Used correctly, condoms can help protect both partners by preventing contact with body fluids such as semen and vaginal secretions.

They also prevent the spread of infections on any skin they cover or touch. However, for condoms to be effective you have to use them correctly every time you have sex. And it is important to realize that condoms are not fool-proof.

For example, if your partner has a herpes sore on a place not covered by a condom, the sore may touch your skin and infect you. Several types of condoms are now available:

The Seven Most Common STDs

Chlamydia

Chlamydia can grow in the male and female urethra (where the urine comes out), as well as in the eyes. In women it can also grow deep inside the pelvis.

Symptoms:

Most women (75 percent) and about half of all men infected with chlamydia have few or no symptoms when they are first infected. When they do occur, symptoms may appear anywhere from 2 days to 3 weeks after contact with an infected partner. In women and men, the most common symptoms include:

In women:

In men:

Complications:

Left untreated, chlamydia can permanently damage the reproductive organs. It is especially dangerous for women because the bacteria easily infects the warm, moist surface of the cervix. This can lead to pelvic inflammatory disease (PID), which can cause infertility.

In men, chlamydia can cause a discharge from the penis and pain when urinating and, in rare cases, untreated chlamydia can lead to infertility.

Treatment:

Chlamydia is usually easy to treat. Since it is caused by bacteria, it can be treated with antibiotics, which your doctor will prescribe.

It is important that you finish all your medication and that you stop having sex until both you and your partner have finished the treatment. Otherwise, you will keep spreading the infection back and forth and you'll never get well.

Gonorrhea

Though the rate of this bacterial infection has declined over the last 20 years, it is still high in some groups. For example, it seems to be increasing among teenagers. Gonorrhea is very contagious. People can get it from any sexual contact involving the penis, vagina, mouth or anus. Gonorrhea can be found on the tip of the penis, in the anus, in the vagina, in the throat and in the eye. Women may get an anal infection even if they don't have anal sex because discharge from the vagina can spread the bacteria to the anus.

Both sexes can have an infection of the throat from oral sex. Babies born to infected mothers can get their eyes infected, which may cause blindness.

Symptoms:

About one-fourth of men and most women with gonorrhea have no symptoms. Men who do have symptoms usually notice them 3 to 5 days after having sex with an infected person.

Women who have symptoms usually notice them within one month of being infected. The most common symptoms include:

In women:

In men:

In both men and women, a gonorrhea infection in the rectum can cause discharge, itching around the anus, and pain during bowel movements. Gonorrhea can also infect a woman's or man's throat, which will cause a sore throat.

Complications:

Untreated, gonorrhea can cause serious and permanent problems. In men, it can move from the penis up to the prostate gland, bladder or testicles. It can make urinating difficult. The testicles can swell and become tender.

The man can become sterile (unable to have children). In women, gonorrhea can spread into the womb and fallopian tubes, causing PID, which can make a woman sterile as well as cause long term pelvic pain. Any damage the disease causes before a person is treated is permanent. Therefore, early treatment is crucial.

Treatment:

Fortunately, gonorrhea is usually easy to treat with antibiotics. Your doctor will probably give you a shot or some pills. It is important that you finish all your medication and that you stop having sex until both you and your partner have finished treatment and are free of infection.

Herpes:

Herpes simplex is a common virus that causes sores on or near the mouth and around the genitals. There are two types of herpes. Type I is generally found on the lips (commonly referred to as cold sores) and type II is found more often on the genitals, but the two viruses can easily infect any mucous membranes. Direct skin contact with an open sore can cause infection on the lips, anus, penis, vagina, and eyes.

Herpes can also be spread when no sore is present. Before having a skin outbreak, some people notice itching, tingling or other sensations. These are called "prodromal symptoms," and they warn that the virus may be present on the skin.

Herpes is most likely to be spread from the time these first symptoms are noticed until the area is completely healed and the skin looks normal again.

But it may be a good idea to use condoms even in between outbreaks because many genital herpes infections are spread when small amounts of the virus are on the skin without any signs at all. This is called "asymptomatic shedding."

Symptoms:

Complications:

One possible complication involves moving the virus from the location of an outbreak to other places on the body by touching the sores. The finger, eyes, and other body areas can accidentally become infected this way. To avoid this problem do not touch the affected area during an outbreak--especially the first outbreak. If you do, wash your hands as soon as possible. The herpes virus is easily killed with soap and water.

Treatment:

Since herpes is caused by a virus, there is no cure for it. However, in many cases the prescription drug acyclovir is effective in reducing the frequency and duration of genital herpes outbreaks.

In addition, there are some steps you can take to minimize the discomfort of the outbreaks as much as possible. During an outbreak, keep the infected area as clean and dry as possible. This will help your natural healing processes. To prevent chafing, some people find it helpful to avoid tight-fitting undergarments. Also, a healthy immune system seems to be important in controlling the virus, so don't ignore the need for proper nutrition, exercise and rest.

Hepatitis B

About 300,000 Americans get Hepatitis B each year. Most of them are adolescents and young adults. Hepatitis B is common on college campuses, but anyone can get it. Like AIDS, you can get hepatitis B from sexual contact or any contact with infected blood or body fluids. However, hepatitis B is 100 times more contagious than AIDS. You are at increased risk for hepatitis B if you: share needles for injecting drugs; work in health care; are a native, or spend a long time, in areas where hepatitis B is common, such as Alaska, the Pacific islands, Africa, Asia and the Amazon region of South America.

Symptoms:

Many hepatitis B carriers have no symptoms (but they can still infect others). On the other hand, some people become so ill they cannot work for weeks or months. Symptoms may include:

Complications:

A Hepatitis B infection may clear up in six months or it can linger for a lifetime. Chronic hepatitis B carriers may develop cirrhosis, a disease that scars the liver. Chances of getting liver cancer are 200 times higher for hepatitis B carriers.

Treatment:

There is no cure for hepatitis B. The best "treatment" therefore, is not to get it. Fortunately, there is a vaccine against hepatitis B, which is part of regular childhood immunization. If you were never immunized against hepatitis B and you are a young adult or travel to the areas mentioned above, talk to your health care provider about getting the vaccine.

If you do get hepatitis B, the only available treatment is rest combined with a high protein diet to repair damaged cells and a high carbohydrate diet to protect the liver. If you suspect you have been exposed to the virus, your doctor can give you the Hepatitis B Immune Globulin (HBIG) shot along with the hepatitis B vaccination series. The HBIG shot gives protection from the virus for the first 1 to 3 months; then the vaccine takes over and gives long lasting protection.

HPV

Human Papillomavirus (HPV) is one of the most common STDs in this country. An estimated 40 million Americans are infected with HPV, with a million new cases each year. HPV is the name for a group of viruses that includes more than 70 different types. Some of these cause warts on the hands or feet, while others can cause genital warts. However, sometimes HPV infection causes no warts, so many people with genital HPV do not know they have it.

Symptoms:

The only symptom you are likely to have is warts, which are growths or bumps that can appear on the vulva, cervix, penis, scrotum, groin or thigh, and in or around the vagina or anus. They may look raised or flat, appear alone or in groups, be small or large. Some cluster together forming a cauliflower-like shape. In rare instances, they cause itching, pain or bleeding.

Complications:

While most HPV infections are not a serious threat to your health, some can increase the risk of getting cervical cancer. This is why regular checkups that include Pap tests are so important for women who have had genital warts.

Treatment:

All of the above procedures can be done in the gynecologist's office. However, if you have a lot of warts or if they are particularly large, they may need to be surgically removed in an operating room with anesthesia.

Trichomoniasis

Trichomoniasis or "trich" infection is caused by a parasite. It is usually transmitted through sexual contact, but can also be transmitted by wet clothes or towels.

Symptoms:

Men usually have no symptoms. Among women the symptoms are similar to a yeast infection, including:

Complications:

If left untreated, trichomoniasis infection can lead to urethral and bladder infections in both men and women.

Treatment:

Trichomoniasis is treated with an antibiotic (metronidazole). This medication may cause some side effects and you should never use alcoholic beverages while taking it. Make sure you take all the medication prescribed, even after symptoms disappear.

STDs and Pregnancy

STDs can be passed from an infected mother to her baby during pregnancy or at birth. If the disease is detected soon enough, precautions can often be taken with many STDs so that the disease is not spread to the baby. If the mother is untreated, the baby could suffer permanent damage or even death. Below are some common problems STDs can cause your newborn baby:

Chlamydia and Gonorrhea can give newborn babies an eye infection that can lead to blindness. Chlamydia can also cause pneumonia. Since babies get them during birth, treatment during pregnancy will protect your baby. Just make sure you tell your doctor you are pregnant so antibiotics can be prescribed that will not harm the baby.

Genital Herpes may cause very painful blisters on the skin, or damage the eyes, brain and other internal organs, and may lead to retardation. While herpes is rare in babies, about one in six babies who get it will not survive. Since babies most often get herpes at delivery, there are ways to protect your baby from the infection if you know you have it.

Syphilis causes eye damage, dental and bone deformities, blindness, brain damage, and even death. Symptoms might appear at birth or months or even years later. Early treatment will protect your baby, so make sure you tell your doctor if there is any chance the baby might have syphilis.

Many babies whose mothers have the AIDS virus will get it and develop AIDS during early childhood. Treatment during pregnancy can help protect your baby. Babies can get the AIDS virus during pregnancy, during birth or possibly through breast milk.

Pelvic Inflammatory Disease

Pelvic Inflammatory Disease (PID) is an infection of the uterus, fallopian tubes, and other reproductive tissues inside a woman's pelvis. It almost always results from an untreated infection, such as chlamydia or gonorrhea, that spreads upward into the pelvic area. It is the most common serious infection in women ages 16 to 25 and the most common preventable cause of infertility in the United States. It can also lead to long-term pelvic pain.

It is not always easy to detect PID because the sites of infection cannot be easily examined. Symptoms may be mild, severe or non-existent. A PID infection can cause mild, aching pain in the pelvic area, vaginal discharge, painful urination, or abnormal uterine bleeding. More severe cases may be marked by fever, chills, nausea and vomiting.

If PID lasts a long time or comes back, a woman may have problems getting pregnant. This is because the infection can scar the fallopian tubes, blocking them partly or completely. When this happens, an egg released by an ovary may not be able to move through the tube to the uterus to implant properly or sperm may not be able to reach the egg to fertilize it.

PID also increases the risk of ectopic pregnancy for the same reason: The egg cannot move into the uterus so it begins to grow outside of the uterus, usually in the fallopian tube. An ectopic pregnancy can damage a woman's reproductive organs and cause severe pain. Treatment for an ectopic pregnancy usually involves aborting the developing egg before it grows big enough to rupture the fallopian tube. The chances for a successful pregnancy are lower after an ectopic pregnancy.

Antibiotics are used to treat PID. In severe cases, treatment in a hospital may be needed so the medicine can be given through a vein in the arm. If PID lasts a long time or comes back, surgery may be needed to repair or remove damaged reproductive organs.

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Comments

I have long sexual history with many women, but I always play safe and protected. A week ago I got sore throat and pains on my chest, I also got dizzy after eating and lost weight. I ordered an HIV test online and got tested. The result was negative. Might it be false negative, cause I still have those symptoms? On the other hand, my mother has diabetes. The symptoms I got are similar to diabetes symptoms. Is it possible that I inherit my mom's diabetes?

3 weeks ago I was totally fine until I used my dad's razor and hurt myself when I was shaving.It's bleeding but not much. Two days ago I got a sore throat. I also get dizzy sometimes and have been losing a bit of weight.I'm afraid I got hiv.I have ordered a home hiv test online but I haven't got tested because I'm too scared to know the truth.If it's hiv, is it possible that the virus transmitted from my dad's razor? My Dad has HIV,but he says the virus can't be transmitted from a razor.

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