Do you suspect you or your
teen has an STD (Sexually transmitted disease)?
According to the CDC (2000), an estimated 15 million people
each year contract a sexually transmitted disease (STD). Treatment and
prevention is essential in preventing long term complications. STDs if left
untreated can lead to Pelvic Inflammatory Disease (PID), ectopic pregnancy,
infertility, and multiple complications for newborns whose mother transmits the
disease to them. Below is a list of warning signs of STDS that no woman should
ignore.
1. A sore, wart, or rash in the genital area of you or your
partner
This may seem like an obvious warning sign, but
unfortunately it is often ignored. Skin rashes and lesions often come on at the
onset of a sexually transmitted disease, but the lesions may disappear within a
few days. However, the infection itself is left untreated. The person assumes
it was an allergic reaction or normal skin irritation and does not investigate
the real possibility of having an STD. If you notice a rash or lesion you or
your partner it is essential to have an STD workup done.
2. Painful or frequent urination
Painful or frequent urination is one of the most common
symptoms of STDs particularly gonorrhea. Women often mistake this symptom as a
sign of having a urinary tract infection. They may try home remedies such as
drinking cranberry juice or taking mild pain relievers such as Tylenol.
Unfortunately, as with genital sores, these symptoms may appear at the onset of
the disease and then disappear. This leaves the person still infected and
untreated. Any time you experience urgency, burning, or pain on urination a
visit to the doctor is warranted.
3. Abnormal period
An abnormal period is another sign of an STD. If you notice
increased flow or pain at menses, this may indicate an STD. If your period has
always been regular and you experience bleeding at an unusual time this is also
something that my need to be investigated. Heavy and prolonged bleeding should
not be ignored.
4. Abnormal discharge
With an STD, women may notice increased vaginal discharge.
There may be other causes such as a yeast infection or vaginitis. If you've
never had a yeast infection before, now is not the time to start self-diagnosing.
Get in and get it looked at.
5. Pelvic pain
Other symptoms of STDs are easier to ignore than this one.
Pelvic pain can range from mild to severe. If you are experiencing pelvic pain,
especially in combination with other symptoms, contact your health care
provider.
6. Foul odor
Funky or unusual odor may be cause for concern. Using
feminine hygiene products may cover up the odor, but they will not treat an
underlying infection. Although this may be embarrassing to discuss with your
health care provider, it is important to get a proper diagnosis.
7. No symptoms
Women quite frequently have no noticeable symptoms at all.
Eighty percent of women with gonorrhea have no symptoms until the disease is
advanced. All women should have annual pap smears. If you are sexually active,
discuss with your health care provider including an STD work up with your
annual exam.
Preventing Sexually Transmitted
Diseases
- STDs are largely preventable. Taking the following
precautions can lower your chances of contracting an STD
- Always use a new condom during sexual intercourse.
- Put condom on when partner is erect and before any genital
contact.
- Use only water based lubricants, i.e. KY Jelly. Oil based
lubricants such as Vaseline and lotions can cause condoms to weaken or break.
- Withdraw penis while still erect, holding the condom firmly
at the base.
- Female condoms can also be used.
- Spermicides such as contraceptive films, foams, or gels are
not effective in preventing STDs
- STDs, particularly genital herpes, can be spread through
oral sex. A dental damn or condom should be used at all times during
oral-genital contact.
Not all STDs can be cured. HIV, herpes, and human papilloma
virus (hpv) or genital warts are examples of STDs that cannot be cured at this
time. Gonorrhea, chlamydia, and syphilis can be treated with antibiotics. It is
imperative that both you and your partner are treated. Take any and all
prescribed medication. You should abstain from all sexual contact until you and
your partner are disease free. A follow up visit is usually required to
determine this
Jacksonville
clinics for exams to test for STDs and abnormalities HIV/AIDS testing and
(Possible contraceptives)
- Agape
Community Health Center
- 1760
Edgewood Ave Jacksonville
- 904-301-4900
- South
Jacksonville Family Health Center
- 1736 University Blvd South Jacksonville
- 904-727-6540
- Center
For Women And Children
- 515 West Sixth Street
- Jacksonville
- 904-630-3380
- 5150-9 Timquana Rd.
- Jacksonville 904-357-5850
- West
Jacksonville Wesconnett Health Center Family Health Center
- 120 King Street Jacksonville 904-665-2785
- Marietta
Family Health Center 8299-10 West
Beaver St. Jacksonville 904-630-3390
- Beaches
Family Health Center 1522 Penman Road Jacksonville Beach 904-270-2555
78
Little Known Facts About . . . STI’s/STDs
- An STI (sexually transmitted infection) is a
germ (virus, bacteria, and parasite) that can cause an illness inside a person
even though the person doesn’t have any symptoms. An STD (sexually transmitted
disease) refers to infections that are causing symptoms or problems.
- A Brazilian Web site lets people send their
partners e-cards informing them they have an STD and that they should see a
doctor.
- STIs/STDs were previously called “venereal
diseases” (VDs), a term which derives from Veneris, or Venus, the Roman goddess
of love.
- By 2010, at least 35 million children will have
lost one or both parents to AIDS.
- Child rape is an epidemic in Africa, largely due
to the entrenched belief that sex with a virgin can cure sexually transmitted
diseases, such as AIDS.
- Direct medical costs associated with STIs/STDs
in the United States are estimated at $13 billion per year.
- Women often suffer more serious health complications
from STIs/STDs than men
- A girl is four times more likely to contract an
STI/STD than she is to become pregnant.
- Pre-ejaculate can still transmit infection. Withdrawing
before ejaculation also does not prevent STDs.
- Douching (from the Latin ducere, “to lead”)
before and after sex does not protect against STDs/STIs and, in fact, may
promote an infection after exposure to an STI/STD.
- Unprotected anal intercourse with a partner
whose status for STIs/STDs is unknown is the highest-risk sexual practice.
- Genital pimples do not necessarily mean an STD
and may simply indicate a case of genital acne
- Each year there are approximately 333 million
new cases of STDs in the world, according to the CDC.
- Women and their children are at much greater
risk than men for long-lasting or permanent consequences of STIs/STDs.
- The first hospital for venereal disease was the
London Lock Hospital in 1746. Treatment was not always voluntary.
- Over 25 million people globally have died of
AIDS since 1981.e
- The CDC initially called AIDS the “gay cancer”
and later renamed it GRID (Gay-Related Immune Deficiency). In 1982, the disease
was renamed AIDS (Acquired Immune Deficiency Syndrome).
- ·
The estimated number of people living in the
U.S. with a viral STD/STI is over 65 million. One in two sexually active people
will contact an STD/STI before the age of 25.j
- ·
HPV is the fast growing STI/STD in the United
States
- ·
The human papillomavirus (HPV) is currently the
fastest growing STI/STD.
- ·
Mutual masturbation is not a guarantee against
contracting an STD. Pubic lice, scabies, bacterial vaginosis cytomegalovirus,
herpes simplex, and human papillomavirus virus (HPV) can all be contracted
through mutual masturbation.
- ·
Crabs (pubic lice) are small parasites that feed
on human blood. They can be sexually transmitted even if there is no
penetration or bodily fluid exchanged or even if a condom is worn. They can
live 24 hours off a human host, making it possible to get crabs from infested
bedding or clothes. Animals do not get crabs.
- ·
Donovanosis is a very rare sexually transmitted
disease. Small, painless nodules appear after 10-40 days after exposure and, if
left untreated, can destroy penile tissue.
- ·
The origins of STIs/STDs are obscure. Some
researchers have argued that microbes adapted themselves to affect the human
genital area or even jumped from animals to humans. A
- ·
Curable STIs/STDs are usually bacterial and
include chlamydia, gonorrhea, syphilis, and trichomoniasis. Viral STIs/STDs
cannot be cured and include HPV (though the body can clear this disease),
Herpes, Hepatitis B, and HIV.
- ·
While some STIs/STDs—such as chlamydia,
gonorrhea, and syphilis—are curable, if left untreated, they can cause death,
infertility, chronic pain, serious birth defects, and miscarriages.
Chlamydia
Infects 4 million per year in the U.S. Women: Most women (75%) show no signs.
Some may have slight vaginal discharge, pain during urination and sex, and/or
frequent urination, low abdominal pain, low back pain, nausea, fever, bleeding
between menstrual periodsMen: 50% of men do not show symptoms. Some may experience
discharge, itchy feeling in penis, mild urination pain, or infection of anus or
throat
Women: infertility, infected
cervix, pelvic pain, PID, ectopic pregnancy, arthritis Men: infertility,
arthritis, eye infections, urinary infections Curable
with antibiotics
Surgery may be needed if PID has developed.
Gonorrhea
-Infects 718,000 per year in the U.S. Women: Most women show no signs, some may have thick, cloudy,
or bloody vaginal discharge, urination pain, and frequent urination
-Men: thick yellow-green discharge from the penis, penis
pain, pain on urinating
-Men and women: rectum may become infected with pain,
bleeding, and discharge. Throat may be sore Women: sterility, PID Men:
sterility, swollen testes
-Men and Women: heart, brain, and liver infections,
arthritis Curable with antibiotics,
though some strains are resistant
-Surgery may be needed if PID developed
Syphilis
-Infects 31,000 per year in the U.S.
-Stage 1: painless sores that can last 3-6 weeks and
disappear, swollen glands, and skin rashes
-Stage 2: rashes, new sores, flu-like symptoms, swollen
glands, muscle pain
-Stage 3: severe and irreversible damage to body.Skin, bone, heart, brain disease
-Dementia, blindness, paralysis
-Lung and liver tumors, death.Curable with antibiotics Skin-to-skin
contact
Viral STIs/STDs
Human Papilloma Virus
(HPV, genital warts)
-Infects 6.2 million per year in the U.S.
Nearly 98% of HPV strains are asymptomatic. A
few strains cause visible warts that occur on the vagina, penis, urethra,
cervix, throat, or anus,Cancer
of the cervix, vulva, penis, vagina, throat, or anus. Warts may reappear
throughout life.No cure
-Most infections are cleared by the body after 1-2 years
-Skin-to-skin contact
Genital Herpes (HSV)
-Infects 1.6 million per year in the U.S.
-Women: stinging, itching blisters and sores
in genitals, fever, headache, painful urination, vaginal discharge
-Men: Stinging, itching blisters or sores on penis, fever,
headaches, painful urination can
spread even without apparent sores
-Outbreaks occur throughout life, especially when under
stress
-50% unaware they are infected
-No cure
-Skin-to-skin
HIV/AIDS
-Infects 40,000 per year in the U.S.
Maybe symptom-less for 10 years, some may feel sick two to
six weeks after infection
HIV
destroys the immune system and leads to AIDS.
The result is death.
No cure
Bodily fluids
-Over 180 million cases of trichomoniasis occur worldwide
per year. In the United States, it is estimated that 7.4 million new cases of trichomoniasis
occur each year.
-Though scientists first recognized HIV/AIDS as a disease in
1981, it was introduced into North America by a Haitian immigrant during the
late 1960s.b
- Oral sex can spread many common STIs/STDs,
including HIV
- Many sexually transmitted diseases, including
HIV, can be transmitted through oral sex.
- Chlamydia is Greek for “cloak” because early researchers
believed the disease “cloaked” the nucleus of an infect cell. Chlamydia is
found only in human cells, though it shares a common ancestor with plants and
exhibits unusual plant-like traits.
- Nearly 700,000 people in the United States are
infected with gonorrhea per year. Gonorrhea is also called “the clap,” from the
Middle English clapper meaning a rabbit burrow, which was slang for a place of
prostitution.
- HIV/AIDS originated in primates in Sub-Sahara
Africa and transferred to humans during the late nineteenth or early twentieth
century, probably when a bush meat hunter was bitten or cut by an infected
animal.
- The CDC estimates that 20 million Americans are
currently infected with the genital human
- Nearly 6.2 million Americans get a new HPV
infection each year. Most HPV infections cause no clinical problems and resolve
on their own without treatment (91% of new infections clear up within two
years).d
- Some strains of HPV can lead to a persistent
infection that can progress to cervical cancer if left untreated. Every year,
about 12,000 women are diagnosed with cervical cancer in the United States and
nearly 4,000 die. However, cervical cancer is largely preventable with
effective screening.
- There is now a vaccine that prevents some types
of HPV. The vaccine is given in three shots over six months and is recommended
for females aged 13-26 who have not been diagnosed with HPV. Most major
insurances cover the cost, which is currently $125 per shot.
- Roughly 40,000 new HIV infections in the United
States occur each year.
- Between 1,500 and 1,700 new cases of new
HIV/AIDs infections occur daily in South Africa.
- As of 2007, an estimated 1 to 1.2 million
Americans were living with HIV/AIDS, with 21% undiagnosed.
- The rate of chlamydia among African-American men
is more than 11 times that of white men. Additionally, African-Americans remain
the group most heavily affected by gonorrhea. In 2004, the gonorrhea rate among
blacks was 19 times the rate among whites.
- Although African-Americans make up only 13% of
the U.S. population, they accounted for one half of the estimated new HIV/AIDS
diagnoses in 2004.e
- 12,000 teenagers contract an STD each day in
U.S. alone
- Although teenagers and young adults represent
only 25% of the sexually active population, 15- to 24-year-olds account for
nearly half of all STIs/STDs diagnoses each year. Every day in America, 12,000
teenagers contract a sexually transmitted disease.
- With a single chlamydia infection, there is a
25% chance of sterility for women. With a second infection, there is a 50%
chance. And a third infection almost guarantees sterility, due to PID (pelvic
inflammatory disease).d
- Infertility as a result of PID accounts for
50-80% of the infertility in Africa.
- Black women in 2002 accounted for 67% of the
U.S. AIDS cases among women.
- The single biggest driver of heterosexual spread
of AIDS to black women is the incarceration of black men.
- Despite more discussions about STDs and safer
sex after the discovery of HIV, the number of people infected with all STDs
continues to grow.
- Women who have sex with other women can still
become infected with STDs and need to have yearly Pap smears as a screening
test for cervical cancer.
- Each year, 40,000 Americans are infected with the
most serious STD, HIV/AIDS.
- While most STDs can be accurately tested soon
after exposure, HIV should be tested for most accurate results about six months
after possible exposure.
- Sexually transmitted diseases cannot live long
enough on a toilet seat to be transmittable
- STIs/STDs cannot be acquired in a swimming or
public bathroom (unless you have sex in the pool or on the toilet). Most
STIs/STDs are spread only through direct genital contact and begin to die
immediately after they leave the infected person.
- Cancroid (“soft chancre”) is highly contagious
but usually curable STI/STD. Unlike a syphilis chancre that is hard or rubbery,
a cancroid is soft to the touch. Ulcers are painful in men, but women may not
be aware of them. Rare in the Western world, the disease can be easily confused
with syphilis or herpes.
- Nearly half of U.S. youths and adolescents are
unaware of their HIV infection, and less than a quarter are tested for the
virus.
- The only STD that affects more men than women is
syphilis.
- The rate of chlamydia among black Americans was
over eight times higher than that of whites in 2007. It was also substantially
higher in American Indians/Alaska Natives and Hispanics than in whites.
- Bathhouses, which were popular in the 1970s—and
offered gay men a variety of partners and sex, with promiscuity the norm—became
breeding grounds for HIV.
- Digital-anal sex, in which one partner uses a
finger to stimulate the other’s anus, can be a means of transmitting HIV.
- The rate at which HIV becomes AIDS varies
greatly among individuals. Some who contract HIV develop AIDS very soon after;
in others, full-blown AIDS won’t develop for 10 or more years.
- African-American children represent two thirds
(65%) of all reported cases of pediatric AIDS.
- People with an STD are more likely to become
infected with HIV because they usually have genital ulcerations which provide
an easy route for HIV to enter the blood stream.
- At least 1 in 4 teenage girls has at least one
STI/STD
- One in four teen girls has a sexual disease,
with HPV (human papillomavirus) by far being the most common.
- HPV is believed to cause oral cancer in men at
the same rate as tobacco and alcohol.
- Some STDs (syphilis) can cross the placenta and
infect a baby while in the uterus. Other STDs (gonorrhea, genital herpes,
chlamydia, hepatitis B) can be transmitted from mother to baby during delivery
through the birth canal. HIV can cross the placenta during pregnancy, infect
the baby during the birth and, unlike most STDs, can also infect the baby
through breastfeeding.
- A pregnant woman with STDs may have an early
onset of labor, premature rupture of membranes, uterine infections after
delivery, or a still birth. The baby may suffer from low birth weight, eye
infection (conjunctivitis), pneumonia, neonatal sepsis (blood infection),
neurological damage, blindness, and liver disease.
- The Pap test is named after the physician George
Papanicolaou, who introduced this technique in 1949.i
- Researchers now can identify the DNA of many HPV
strains, which can be used to confirm the presence of HPV types that are linked
to cervical disease.
- Common symptoms of STDs include burning or pain
while urinating; any discharge from the opening of the penis; a change in a
woman’s normal vaginal discharge or smell; sores, blisters, rashes, bums,
swellings, or growths around the penis, vagina, or rectum; itching, burning, or
pain around the penis, vagina, or anus; pain during sex; and pain in the lower
abdomen.
- One out of 20 people will become infected with
hepatitis B (HBV) during their life. HBV is linked to chronic liver disease and
liver cancer.
- Hepatitis A, hepatitis B, and some types of HPV
are the only vaccine-preventable STDs.
- Though one in five Americans has genital herpes,
nearly 90% are unaware they have it. Some estimates suggest that by 2025 up to
40% of all men and half of all women could be infected.
- The correct use of a condom does not eliminate
the risk of contracting an STI/STD
- A condom merely reduces—but does not
eliminate—the risk of an STD.
- In the beginning of the twentieth century, up to
a third of all patients in mental asylums were thought to be suffering from
tertiary syphilis.
- Second to African-American women, Native
American women are diagnosed with STIs/STDS at higher rather than all other
racial/ethnic groups.
- Gonorrhea got its name in the year A.D. 131 from
Galen, one of the greatest Greek physicians. Its name literally means “flow of
seed” because Galen mistakenly thought the penile discharge was “seed” flowing
out against its will.
- Al Capone had syphilis and it may have driven
him mad. Other notable people who most likely suffered from syphilis include
Hernando Cortéz, Adolph Hitler, Benito Mussolini, Friedrich Nietzsche, Eduard
Manet, Napoleon and, possibly, Franz Schubert.
- Syphilis is named after a mythological Greek
shepherd named Syphilis who was cursed with a horrible disease as a punishment
for insulting the god Apollo.
- Doctors in the late 1400s and early 1500s were
so afraid of syphilis they would not write down its name. Instead they used the
Greek letter Sigma as its symbol.
- Italians and Germans call syphilis the “French Disease
and the French call it “the Spanish Disease.”
- Historians believe syphilis originated in the
New World among the Native Americans in the Caribbean, and that Christopher
Columbus may have been responsible for spreading syphilis to Europe.
- During the first outbreak of syphilis in Europe,
in the late fifteenth century, nearly 10 million Europeans died.