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STD’s Sexually Transmitted Diseases Ramsey High School Senior Health Why should you know about STDs? • Two-thirds of all STDs occur in people 25 years of age and younger • One in four new STD infections occur in teenagers AIDS Acquired Immune Deficiency Syndrome Caused by HIV Human Immuno-deficiency Virus • Attacks the body’s immune system – The body’s natural line of defense against disease. – Do not die from AIDS, but rather forms of pneumonia, Karposi’s sarcoma, brain infections, herpes, TB. Transmission • Sexual contact – Vaginal, anal, oral • Body fluids – Blood, semen, vaginal secretions, breast milk • Sharing needles – Drugs, steroids, ear piercing, or tattooing • HIV may also be transmitted from mother to fetus during pregnancy—usually during childbirth, or through breast feeding. Symptoms HIV • Initially may be asymptomatic (for years) • Includes flu-like symptoms AIDS • Fever, weight loss, fatigue, diarrhea, opportunistic infections such as cancer Treatment • NO CURE!!! • Various drugs may however delay the progress of HIV to AIDS – Decreases amount of HIV in the blood – Drugs can also help cut transmission from mother to fetus Chlamydia Caused by a bacteria 2.8 million cases annually Most common STD Especially high among teenagers and college students Transmission • Vaginal, oral, and anal sex • Oral-genitals to the mouth-throat infection • Can also spread to the eyes of newborns Symptoms Similar but milder than gonorrhea Women • Frequent urination (painful), lower abdominal pain and inflammation, and vaginal discharge, irregular menstrual cycles—75% are asymptomatic Men • Thin, whitish discharge-frequent and painful urination, soreness in the scrotum—50% are asymptomatic Treatment (easiest STD to cure) • Antibiotics • Most men and women are asymptomatic – If left untreated: • Women-PID and scarring in the fallopian tubes • Men-long term effects are undetermined Genital Herpes Herpes Simplex Virus type 2 About 500,000 new cases annually Transmission • Vaginal, oral, anal sex • Can also be transmitted: -to the genitals and eyes by the hands -to newborns during childbirth Symptoms • • • • Painful blisters or sores on the genitals Swollen glands, fever, headaches, fatigue Appear about 6-8 days after contracted Although a person is least contagious during the dormant phase, the virus can still be spread through sexual contact Treatment • Absolutely no cure!! • Medications can control and help prevent outbreaks—recurrences • Outbreaks usually triggered by infections, stress, fatigue, depression, exposure to sun, hormonal changes Gonorrhea Caused by bacteria aka “the clap” or “the drip” Nearly a million cases reported each year Transmission • Vaginal, anal, oral sex • From mother to newborn (especially the eyes during childbirth • Likes warm, moist environments like that along mucous membranes along the urinary tract • Oral sex-develops into throat infection • From penis to rectum if anal sex follows intercourse Symptoms Men- (within 2-5 days) thick, yellowish discharge, burning urination, chancre. -symptoms disappear within a few weeks -will continue to damage the body Women- primary site is the cervix—yellow discharge, painful urination. -about 80% remain asymptomatic during early stages but can still infect others Gonorrhea Treatment • Antibiotics • Clears up rapidly in more than 90% of cases • If left untreated: – Causes fertility problems – PID in women Syphillis Caused by bacteria About 32,000 cases reported annually Transmission • • • • Vaginal Anal Oral sex Mother to newborn Symptoms (3 stages) • Primary-painless chancre sores 2-4 weeks after contact & lasts a few weeks • Secondary- few weeks to few months later painless skin rash, raised bumps that ooze discharge. Symptoms also disappear. Latent Stage • Can lie dormant for 1-40 yrs-continuing to multiply causing nervous system damage, insanity, and eventually death. Treatment • Easy to cure in the early stages • Antibiotics (penicillin) – Single muscular shot (less than a year) – Additional doses for longer than yr • Prevents further damage-does not repair Genital Warts Caused by Human Papilloma Virus Extremely widespread Possibly infecting as many as 20%-30% of sexually active people in the U.S. CDC estimates 20 million currently infected Transmission • Vaginal, oral, and anal sex • Skin to skin contact • Contact with infected towels or clothing Symptoms • Appearance of painless warts—looks like cauliflower • May also occur around the anus, in the rectum, in the mouth, on the lips, eyelids, nipples • No permanent damage except increase risk of genital cancers—especially cervical Treatment • Removed by a doctor – Freezing – Burning – Surgery *Warts can reappear Pubic Lice Caused by parasites that live on the pubic hair About 1/8 inch in diameter Transmission • Vaginal, oral, and anal sex • Skin to skin contact • CDC reports that infestations rarely spread through contact with infested be linens, towels, or clothes. • Also cannot spread through toilet seats Symptoms • Can see them • Itching in pubic area • Red spots in underwear (waste from crabs) Pubic Lice Pubic Lice Treatment • Shampoo or lotion – Applied directly to the pubic hair • After treatment make sure to wash bed sheets, towels, clothes – Crabs may live for a couple of days and reinfect a person Scabies Lice Caused by a parasite Too tiny to be seen by the naked eye Transmission • Sexual contact • Contact with infested clothing, bed linen, towels • Mites attach themselves to the base of the pubic hair and burrow into the skin, where they lay eggs • (contact must be prolonged) Symptoms • Itching and discomfort • Reddish lines caused from burrowing • Sores, welts, or blisters on the skin Scabies Lice Treatment • Prescription and non-prescription medications Vaginitis Bacteria Caused by different germs including yeast and trichomoniasis Transmission • Vaginal, oral, and anal sex • Yeast infections can also be caused by stress and the birth control pill • Can be passed back and forth between partners Symptoms Women- thin, foul smelling vaginal discharge, itching, irritation, painful urination Men-inflammation of the urethra, painful urination Treatment • Oral medication • Creams, suppositories Hepatitis B Caused by the Hepatitis B Virus Transmission • Vaginal, oral, and anal sex • Mother to newborn • Exposure to contaminated blood – Sharing needles – Tattoos – Piercings Symptoms • Vary a great deal—sometimes asymptomatic • Loss of appetite, fever, fatigue, pain in liver, rapid weight loss, swollen glands Treatment • There is no cure—but most people recover naturally and develop future immunity • There is a proven Hepatitis vaccine • Can permanently damage the liver Prevention of STD’s • • • • Abstinence Communication Use condoms Get tested often – Less than half of adults ages 18 to 44 have ever been tested for an STD other than HIV/AIDS • Limit number of sexual partners The End!