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Sexually Transmitted Diseases (STDs)
STDs (sometimes called STI's for sexually transimitted infections) are infectious conditions that are passed from one person to another during sexual activity. This occurs not only during vaginal intercourse, but during other activity ranging from "deep" kissing to oral and anal sex. STDs have reached epidemic proportions worldwide and can have devastating lifelong effects on men, women, and children.

"STIs are critical global and national health priorities because of the devastating impact on women and infants, and the inter-relationships with HIV/AIDS. STIs can lead to infertility, tubal pregnancy, cervical cancer, low birth weight, congenital/perinatal infections, other chronic conditions such as neurosyphilis, and increased risk of HIV infection."
~ National Institutes of Health

"STDs are hidden epidemics of enormous health and economic consequence in the United States. They are hidden because many Americans are reluctant to address sexual health issues in an open way and because of the biologic and social characteristics of these diseases."
~ Institute of Medicine as noted by the Centers for Disease Control

Quick Facts about STDs
Chlamydia
Gonorrhea
Syphilis
Human Papillomavirus (HPV)
Genital Herpes
Human Immunodeficiency Virus (HIV/AIDS)
Pelvic Inflammatory Disease (PID)

 


 

Quick Facts about STDs

  • There are more than 25 STDs.
  • Some have cures, some do not, but all can do damage to your health. Antibiotic resistance is increasing for those with cures.
  • Adolescent females are more susceptable to STDs than others since the cervix (opening to the uterus) is not fully matured.
  • Condoms do not protect all of the time, and with some STDs, they offer 0% protection.
  • 60 million Americans are currently infected with an STD and 15 million new cases of sexually transmitted infection occur each year
  • One quarter of the new STD infections occur in people between 15 and 19, and two-thirds occur in those under the age of 25.2.
  • Some STDs are silent or have delayed symptoms. You can not necessarily tell if your partner has a deadly STD.
  • Avoiding alcohol and drug use may help prevent transmission of STDs because these activities lead to risky sexual behavior.
  • Besides emotional trauma, discomfort, and expense for treatment, STD's can cause a variety of problems. These include brain and heart disorders, liver damage, cancer, future ectopic (tubal) pregnancies, sterility, immune system breakdown, and even death.

 

Chlamydia

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.

  • Most frequently reported bacterial STD in the U.S. (an estimated 2.8 million Americans are infected with chlamydia each year).
  • Transmitted during vaginal, anal, or oral sex, as well as passed from an infected mother to her baby during vaginal childbirth (can get in baby's eyes and respiratory tract).
  • Known as a "silent" disease because most people have no symptoms. When they do occur, female symptoms may include abnormal vaginal discharge or a burning sensation when urinating. Male symptoms may include a discharge from their penis or a burning sensation when urinating and/or burning and itching around the opening of the penis.
  • Can also be found in the throats of women and men having oral sex with an infected partner.
  • Untreated infection can spread into the uterus or fallopian tubes and cause pelvic inflammatory disease (PID) 40% of the time.
  • Women infected are up to five times more likely to become infected with HIV, if exposed.
  • Treated and cured with antibiotics.
  • The surest way to avoid transmission is to abstain from sexual activity until marriage.

 

Gonorrhea

  • Very common STD (estimated that more than 700,000 persons in the U.S. get a new infection each year).
  • Spread through contact with the penis, vagina, mouth, or anus, and from mother to baby during delivery (causing blindness, joint infection, or a life-threatening blood infection in the baby).
  • Most people have no symptoms. However, male symptoms may include a burning sensation when urinating; a white, yellow, or green discharge from the penis; and/or painful or swollen testicles. Female symptoms may include a painful or burning sensation when urinating, increased vaginal discharge, or vaginal bleeding between periods.
  • If untreated, serious and permanent health problems in both women and men can result: pelvic inflammatory disease (PID) (in women), and a painful condition of the testicles that can lead to infertility (in men). Gonorrhea can also spread to the blood or joints and can be life-threatening.
  • Those infected can more easily contract HIV.
  • Treated and cured with antibiotics. However, drug-resistant strains are increasing and successful treatment is becoming difficult. Medicines do not repair any permanent damage done by the disease.
  • The surest way to avoid transmission is to abstain from sexual activity until marriage.

Syphilis

Syphilis has often been called "the great imitator" because so many of the signs and symptoms are indistinguishable from those of other diseases.

  • Spread through direct contact with a syphilis sore, such as occurring on the external genitals, vagina, anus, in the rectum, or on the lips and in the mouth. Sores are often unrecognized or hidden, and so many are not aware of their own infection.
  • Progression of Syphilis:
    • Primary Stage: Usually marked by the appearance of a single or multiple sores (chancres) several weeks after getting the infection. Chancre lasts 3 to 6 weeks and then appears to heal.
    • Secondary Stage: Skin rash on one or more areas of the body (may resemble rashes caused by other diseases or be so faint that they are not noticed). Other symptoms may include fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and fatigue. Again, this stage appears to heal on its own.
    • Late Stage: Symptoms include difficulty coordinating muscle movements, paralysis, numbness, gradual blindness, and dementia. Damage to the internal organs, including brain, nerves, eyes, heart, blood vessels, liver, bones, and joints may occur. This may happen years after infected. This damage may be serious enough to cause death.
  • Untreated syphilis in a pregnant woman can infect (causing developmental delay or seizures) and possibly kill (before or after birth) baby.
  • 2-5 times increased risk of acquiring HIV.
  • Treated with penicillin or other antibiotics. This will not repair damage already done.
  • Can be transmitted by areas not covered by condom.
  • The surest way to avoid transmission is to abstain from sexual activity until marriage.

Human Papillomavirus

  • 20 million Americans are currently infected and 6.2 million get a new genital HPV infection each year.
  • most have no signs or symptoms; therefore, most infected persons are unaware they are infected, yet they can transmit the virus to a sex partner.
  • Some people get visible genital warts (flesh-colored swellings, raised flat, or cauliflower shaped) , or have pre-cancerous changes in the cervix, vulva, anus, or penis. Most women are diagnosed with HPV on the basis of abnormal Pap tests, the primary cancer-screening tool for cervical cancer. No HPV tests are available for men.
  • There is no "cure" for HPV infection, although in most women the infection goes away on its own. The treatments provided are directed to the changes in the skin or mucous membrane caused by HPV infection, such as warts and pre-cancerous changes in the cervix.
  • Can be transmitted "skin-to-skin" by areas not covered by condom.
  • The surest way to avoid transmission is to abstain from sexual activity until marriage.

Genital Herpes

  • Most people have no or minimal symptoms. When signs do occur, they typically appear as one or more blisters. The blisters break, leaving painful sores that may take two to four weeks to heal the first time they occur. Most can expect to have several (typically four or five) outbreaks within a year. Over time these recurrences usually decrease in frequency, but can remain for life.
  • At least 45 million people ages 12 and older (1 out of 5 adolescents and adults) have had genital herpes.
  • Transmission can occur from an infected partner who does not have a visible sore and may not know that he or she is infected.
  • Regardless of severity of symptoms, genital herpes frequently causes psychological distress in people who know they are infected (knowing the stigma of having the disease, knowing it is not curable, and knowing that they may pass it on to someone they love).
  • In addition, genital herpes can cause potentially fatal infections in babies.
  • Herpes may play a role in the spread of HIV, the virus that causes AIDS. Herpes can make people more susceptible to HIV infection, and it can make HIV-infected individuals more infectious.
  • There is no "cure" for herpes, but antiviral medications can shorten and prevent outbreaks during the period of time the person takes the medication.
  • Can be transmitted "skin-to-skin" by areas not covered by condom.
  • The surest way to avoid transmission is to abstain from sexual activity until marriage.

 

Human Immunodeficiency Virus

HIV is a virus that invades the immune system and destroys it over time. This reduces the ability to fight off infections and cancer. Most people with HIV develop AIDS (acquired immune deficiency syndrome), which is deadly.

  • It is estimated that there are currently 800,000 to 900,000 Americans living with HIV infection.
  • HIV transmission occurs through blood, semen, and vaginal secretions. HIV can be passed from mother to child. Pregnant women with HIV should notify their doctors to reduce the infant’s risk of HIV.
  • People who have untreated STDs (particularly those that cause sores—such as syphilis) have an increased risk of acquiring HIV.
  • Infected individuals may have short-lived, flu-like symptoms (fatigue, fever, aches). Some have no symptoms for many years. AIDS typically appears about 10 years after the initial HIV infection.
  • People with HIV should seriously consider abstaining from future sexual activity, as it poses a considerable risk to any uninfected partner.

 

Pelvic Inflammatory Disease

When STDs travel further into a women's reproductive area, a more serious condition called PID can result.

  • About one million women each year in the U.S. develop PID.
  • Many do not have symptoms. Symptoms can be severe and include abdominal pain and fever. PID can lead to internal abscesses and long-lasting, chronic pelvic pain.
  • Can damage the fallopian tubes enough to cause infertility or ectopic (tubal) pregnancy--a life-threatening condition.

 

Physical Risks of Abortion

Emotional Risks of Abortion

 

Sources:

http://www.cdc.gov/std/HealthComm/fact_sheets.htm

http://www.niaid.nih.gov/dmid/stds/#intro

http://medinstitute.org/

 

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