Lecture Notes: STIs-2The CDC estimated in 2002 that:Over 65 million people in the USA are living with an incurable STI.15 million additional Americans become infected with some sort of STI every year.People age 15-25 remain at highest risk.Anyone having sex with more than one partner (or who's had sex with someone who's been with someone else) in a year should betested annually.All states and DC require the reporting of syphilis, gonorrhea, andAIDS. Other states also require the reporting of chlamydia, genitalherpes, genital warts, and HIV.Historically, STI's have been around a long time. They were written up in Egypt by 1900 B.C., but their nature and causes were naturally not well understood.STI's ("venereal diseases") were considered to be God's (gods') punishment for sinful behavior.This hasn't exactly inspired people to seek testing or treatment.STI's have also been used to slander whole races (syphislis as the"French disease").STI'sHow caused?(Bacterial, Viral, Other)Some symptomsHow treated?How to catch oneHow to avoid themAttitudes: Punishment, shame
Women: more vulnerable, less symptomaticPregnancy: damages to fertility, fetusAny mode of transmission will work fine: oral, genital, anal, skin-to-skin.Don't share drinking glasses, wet towels, lipstick, razors, toothbrushes, toilet seats, underwear, combs, needles....Undiagnosed STI's are troubleMany STI's show no symptoms, but meanwhile internal damage may occur.Inflammation of pelvic organs can lead to infertility & other problems. PID = Pelvic Inflammatory DiseaseYou can move STI's from place to place on your own body.Transmission to baby usually happens during childbirth.Diagnosis & treatment are individualized.Travis County 469-3217Planned Parenthood 472-0868UT Health Center 471-3515STI InfoBacterially-Caused STIs:•Gonorrhea•Chlamydia•Syphilis•some vaginitisThere are antibiotic-resistant strains.Gonorrhea: 80% of women who contract it have no symptoms, but may pass it on to a partner.Gonorrhea Symptoms:Men: Yellowish, thick penile discharge; Burning on urinationWomen: Increased vaginal discharge; Burning on urination;
Irregular menstrual bleeding(Most women show no early symptoms)Diagnosed: Clinical inspection; culture of dischargeTreated: Antibiotics (you hope)Untreated: Epididymitis; kidney problems; PID in women; infertility•gonococcal arthritis•gonococcal dermatitis•gonococcal endocarditis•gonococcal ophthalmic infectionSyphilis: About 120,000 new cases a year in U.S.Can lead to more serious problems than gonorrhea, including: blindness, heart disease, deteriorative mental illness, even death.Transmission occurs during contact with open lesions, mucous membranes, or skin abrasions on infected person.Syphilis SymptomsPrimary Stage: A painless chancre (a hard, round, ulcerlike lesion with raised edges) appears at the infection site within 2-4 weeks.