STD 101 for Non-Clinicians
Common Sexually
Transmitted Diseases:
STD 101 for Non-Clinicians
Developed by
The Training and Health
Communications Branch, in partnership with
the Program Development and Support Branch,
Division of STD Prevention
NCHSTP, CDC
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STD 101 for Non-Clinicians
Topics
• Gonorrhea
• Chlamydia
• Syphilis
• Herpes
• HPV – genital warts
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STD 101 for Non-Clinicians
Gonorrhea
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STD 101 for Non-Clinicians
Gonorrhea
Gonorrhea
• Gonorrhea is sometimes called clap, drip, dose,
strain, gleet or the whites
• Gonorrhea is caused by a bacteria
• Incubation Period: 1-30 days (average 2-5 days)
• The person can pass it on
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STD 101 for Non-Clinicians
Gonorrhea
Gonorrhea Symptoms in Males
• Discharge from the
penis (may be
thick, milky white,
yellowish, or
greenish)
• Burning upon
urination
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Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Gonorrhea
Complications in Males
• Swollen or tender testicles (epididymitis)
• Disseminated gonococcal infection (DGI)
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STD 101 for Non-Clinicians
Gonorrhea
Swollen or Tender Testicles
(Epididymitis)
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Source: Health Awareness Connection, http://www.healthac.org/images.html
STD 101 for Non-Clinicians
Gonorrhea
Gonorrhea Symptoms in Females
• Painful urination
• Abnormal uterine
bleeding
• Pain during sex
• Most are
asymptomatic
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Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Gonorrhea
Bartholin’s Abscess
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Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Gonorrhea
Complications in Females
• Pelvic inflammatory disease (PID)
• Disseminated gonococcal infection (DGI)
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STD 101 for Non-Clinicians
Gonorrhea
Pelvic Inflammatory Disease (PID)
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Source: Cincinnati STD/HIV Prevention Training Center
STD 101 for Non-Clinicians
Gonorrhea
Disseminated Gonococcal
(Gonorrhea) Infection
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Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Gonorrhea
Testing & Treatment for
Gonorrhea
• Easily detected by a
simple lab test; and
• Easily cured with
antibiotics; but
• Any damage to the
body cannot be
repaired.
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STD 101 for Non-Clinicians
Chlamydia
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STD 101 for Non-Clinicians
Chlamydia
Chlamydia
• Chlamydia is caused by a bacteria
• Incubation Period: 2-3 weeks
• The person can pass it on
• May be asymptomatic
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STD 101 for Non-Clinicians
Chlamydia
Presentation of Chlamydia
Symptoms in Females:
• Abnormal vaginal discharge
• Pain during sex
Symptoms in Males:
• Discharge from the penis
(may be runny, whitish)
• Burning upon urination
Complications, if not treated:
• Pelvic inflammatory
disease (PID)
• Mucopurulent cervicitis
(MPC)
Complications, if not treated
• Swollen and tender
testicles (epididymitis)
• Nongonococcal urethritis
(NGU)
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STD 101 for Non-Clinicians
Chlamydia
Testing & Treatment for
Chlamydia
• Easily detected by a
urine test; and
• Easily cured with
antibiotics; but
• Any damage to the
body cannot be
repaired
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STD 101 for Non-Clinicians
Syphilis
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STD 101 for Non-Clinicians
Syphilis
Syphilis
• Syphilis is sometimes called “bad blood ,”
pox, lues, or a “zipper cut”
• Syphilis is caused by a bacterium
• Incubation Period: 10-90 days (average 21
days)
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STD 101 for Non-Clinicians
Syphilis
Common Symptoms of Syphilis
Primary Stage
• Occurs in males and females
• A painless sore called a chancre. The sore may be
located on the genitals, lips, anus, or other area of
direct contact
• The chancre will last 1-5 weeks and heal without
treatment
• The person can pass it on
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STD 101 for Non-Clinicians
Syphilis
Primary Syphilis Chancre in a Male
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Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Syphilis
Primary Syphilis Chancre in a Female
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Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Syphilis
Oral Primary Syphilis Chancre
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Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Syphilis
Common Symptoms of Syphilis
Secondary Stage
• May include skin rashes, fever, swollen lymph
glands, headache, hair loss, and muscle ache
• The skin rash may be on the palms of hands,
bottoms of the feet, or any part of the body
• The rash may last 2-6 weeks (average of 4 weeks);
it will heal without treatment
• The person may be able to pass it on
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STD 101 for Non-Clinicians
Syphilis
Secondary Syphilis Body Rash
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Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Syphilis
Secondary Syphilis Rash
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Source: Cincinnati STD/HIV Prevention Training Center
STD 101 for Non-Clinicians
Syphilis
Secondary Syphilis Palm Rash
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Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Syphilis
Common Symptoms of Syphilis
Late Stage
• Symptoms may include: paralysis, insanity,
blindness, damage to knee joints, personality
changes, impotency, aneurysm (ballooning of
a blood vessel), or tumor on the skin or
internal organs
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STD 101 for Non-Clinicians
Syphilis
Late Stage Syphilis
Ulcerating Gumma
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Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides
STD 101 for Non-Clinicians
Syphilis
Congenital Syphilis
• A mother can pass
syphilis on to her
unborn child
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STD 101 for Non-Clinicians
Syphilis
Testing & Treatment for Syphilis
• Easily detected by a
blood test; and
• Easily cured with
antibiotics;
• But any damage
done to the body
cannot be repaired.
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STD 101 for Non-Clinicians
Herpes Simplex Virus (HSV)
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STD 101 for Non-Clinicians
Herpes
Genital Herpes
• There are two common kinds of Herpes
and both are caused by a virus
• Herpes I is also called a cold sore, or a
fever blister
• Herpes II is Genital Herpes
– Incubation Period: 2-7 days
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STD 101 for Non-Clinicians
Herpes
Common Symptoms of
Genital Herpes
• Small red sores that can last up to 2-3 weeks, and
may be on the: penis, vagina, anus, buttocks,
thighs, mouth, or finger
• Symptoms may include swollen lymph glands,
muscle aches, headache, fever, and difficult
urination
• Symptoms may or may not recur. On average,
symptoms can occur approximately 5 times a year
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STD 101 for Non-Clinicians
Herpes
Genital Herpes in a Male
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Source: CDC/NCHSTP/Division of STD, STD Clinical Slides
STD 101 for Non-Clinicians
Herpes
Herpes in a Male
Source: Cincinnati STD/HIV Prevention Training Center
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STD 101 for Non-Clinicians
Herpes
Herpes in a Female
Source: CDC/NCHSTP/Division of STD,
STD Clinical Slides
Source: Cincinnati STD/HIV Prevention Training Center
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STD 101 for Non-Clinicians
Herpes
You can get herpes anywhere . . .
Source: Cincinnati STD/HIV Prevention Training Center
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STD 101 for Non-Clinicians
Herpes
Herpes Complications
• If not treated in
adults Genital
Herpes may cause
stress and pain
• Lethal to neonates
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STD 101 for Non-Clinicians
Herpes
Testing & Treatment for
Genital Herpes
• Can be detected by
culturing the lesion
• You can still spread
Herpes even if you are
taking medicine!
• Symptoms can be treated
with prescribed
medications
• Herpes cannot be cured
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STD 101 for Non-Clinicians
Human Papillomavirus (HPV)
Genital Warts
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STD 101 for Non-Clinicians
Human Papillomavirus
(commonly called Genital Warts)
• Human Papillomavirus (HPV) is also known as
“venereal warts”
• Genital Warts are caused by a virus
• Incubation Period: 3 weeks—9 months
• HPV infection is causally associated with cervical
cancer and probably other anal, penile, vulvar,
vaginal cancers
• Over 99% of cervical cancers have HPV DNA
detected within the tumor
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HPV
STD 101 for Non-Clinicians
HPV
Common Symptoms of Genital
Warts in Males & Females
• The symptoms may include single or multiple
fleshy growths around the penis, vagina,
anus, urethra
• They may also include: itching, bleeding, or
burning, and pain
• The symptoms may recur from time to time
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STD 101 for Non-Clinicians
HPV
Genital Warts in a Male
Source: CDC/ NCHSTP/ Division of STD Prevention,
STD Clinical Slides
Source: Cincinnati STD/HIV Prevention Training Center
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STD 101 for Non-Clinicians
HPV
HPV Penile Warts
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Source: Cincinnati STD/HIV Prevention Training Center
STD 101 for Non-Clinicians
HPV
Female Genital Warts
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Source: CDC/NCHSTP/Division of STD, STD Clinical Slides
STD 101 for Non-Clinicians
HPV
Female Genital Warts - Cervix
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Source: Cincinnati STD/HIV Prevention Training Center
STD 101 for Non-Clinicians
HPV
Oral Warts
Source: Cincinnati STD/HIV Prevention Training Center
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STD 101 for Non-Clinicians
HPV
Perianal Wart
Source: Cincinnati STD/HIV Prevention Training Center
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STD 101 for Non-Clinicians
HPV
Complications of Genital Warts
(if untreated)
• It may destroy body tissue around the
genitals and anus
• It may lead to cancer of the cervix in women
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STD 101 for Non-Clinicians
HPV
Testing & Treatment for
Genital Warts
• Can be detected in a
clinical exam;
• Can be treated by
removing the warts;
• The virus cannot be
removed, so the warts
may grow back.
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