Sexually Transmitted Infections Lecture PARASITIC-infestation Symptoms Treatment Long term risks Pubic Lice, aka- Crabs, are a strain of lice found in pubic hair. The lice crawl on the skin and lay eggs on the hairs. Lice are spread by skin to skin contact or through sharing infected clothes or linens Scabies are tiny mites that burrow into the skin of an infected person. Scabies are spread by skin to skin contact. Trichonomiasis, aka “trick”, is caused by a protozoan, a single celled animal that is a little larger than a bacterium. Males with no symptoms can give the disease to others. Pubic lice can cause intense itching in the pubic area. May see small red and white dots in area. Scabies can cause intense itching in the infected are (folds of the skin). Females: itching in genital area; discharge from the vagina Males: usually no symptoms Mediated shampoo can kill the lice. Infected individuals must wash clothes and bed linens in hot water to kill any remaining lice and their eggs. Skin damage can occur Medication can kill mites. Infected individuals must wash clothes and bed linens in hot water to kill any remaining mites and their eggs. It can be cured with a prescribed medicine. Skin damage can occur BACTERIAL – Curable! And protected by condoms up top and below Symptoms Treatment Chlamydia, aka-“clap” infects the reproductive organs and causes mucous discharge; it can also infect the throat. Highest rates found in 15-19 yr. olds. There are more new cases than any other STD in the US each year. 80 have NO Symptoms Females: pain during urination; vaginal discharge or bleeding; pelvic pain Males: pain during urination; discharge from the penis. Both partner take antibiotics at the same time; abstain from sex for 7-14 days. Gonorrhea infects mucous membranes, including genital and oral membranes. Eye drops are given at birth to prevent passing to newborns during delivery. 60% = NO symptoms Female: 80% NO symptoms; pain during urination, vaginal discharge or bleeding, pain in the abdomen or pelvic area. Male: pain during urination, discharge from the penis. Syphilis causes ulcers or chancres (blister like bumps) on the privates or in the throat. Can be spread through the blood, damaging the nervous system and other organs. Phase 1: 10-90 days after exposure/ painless ulcer where the bacteria entered the body. Phase 2: 2-8 weeks after infection> fever, rash, swollen lymph nodes, joint pain, muscle aches. Phase 3: 2 or more years after infection> heart/ nervous system damage, including blindness and loss of mental abilities; possible death. Both partners take antibiotics at the same time. NO sex for 7-14 days. Becoming more difficult to treat because the bacteria have become antibiotic resistant. Both partners take antibiotics at the same time. If treated in the earlier stages it can be curable. Female: bladder and urethral infections, and premature birth in pregnant women Males: inflamed urethra Long term risks Multiple exposures can lead to prostate cancer Females: infertility; pelvic pain; ectopic pregnancy; PID (pelvic inflammatory disease). Males: can injure reproductive organs; swollen and tender testicles. Infants of infected mothers: illness; blindness. Females: PID; ectopic pregnancies; infertility. Males: scarring of urethra (difficult urination); painful swelling of testicles; infertility. Mental and physical disabilities; premature death; Infants of infected mothers: premature birth; severe mental disabilities; deafness; death VIRAL- For Life Symptoms HPV-Human papiloma virus is caused by a group of viruses that can cause genital warts and cervical cancer in women. HPV accounts for more STD cases than any other in the US. Often NO symptoms. Females: genital and anal warts (pink or reddish warts that appear on the genitals or mucous membranes; abnormal pap smear. Males: genital and anal warts. May not be visible if in the urethra. HSV-1: cold sores and fever blisters around the mouth. HSV-2: very mild symptoms or no symptoms; red bumps, blisters and recurrent sores on or around the genitals; fever with first infection; swollen lymph nodes. Jaundice (yellowing of the skin); tiredness and muscle aches; fever; loss of appetite; darkening of the urine. Genital Herpes is caused by Herpes simplex virus one and two. Can be passed to newborns if mother delivers with genital sores. Hepatitis is an inflammation of the liver. Both Hep B and Hep C are life threatening forms of hepatitis. Occurs during unprotected sex and sharing of drug straws used while snorting drugs. HIV (Human-ImmunoDeficiency virus) infects cells of the immune system and causes AIDS. HIV is passed by exchange of infected bodily fluids- usually blood, semen, vaginal secretions; or breast milk. Exchange usually occurs during sexual activity or by sharing drug needles. Treatment: Phase 1 (initial exposure to ten years or more): fatigue; weight loss; fever; diarrhea Phase 2: Phase 1 symptoms; swollen lymph nodes; forgetfulness; difficulty thinking. Phase 3: weakened immune system; opportunistic infections; weight loss. Phase 3 weakened immune system; infections; weight loss. 19 million new cases of STI’s each year in the US. >>>>> Long term risks There is no cure. Warts can be treated by surgical removal, freezing, or medication but will often return. Females: higher risk of developing cervical cancer with certain types of HPV. There is NO CURE. Antiviral medications can shorten outbreaks and reduce their frequency. An infected person remains infected for life. Newborns of infected mothers: infections of liver, brain, skin, eyes, and mouth; death There is NO Cure for Hepatitis B or C. Individuals with severe liver damage may need a liver transplant. A vaccine is available to prevent Hep B , but no vaccine exists for Hep C. There is NO cure for HIV. A combination of drugs can delay the start of serious symptoms. Liver damage Liver failure Liver cancer Premature death. Weight loss Malnutrition Loss of mobility Opportunistic infections (such as pneumonia and tuberculosis). Cancer Premature death. 68% are contracted by people under 24 year olds Reproductive System for females under 25 is not fully matured and more vulnerable to contracting STI’s when exposed: - Cervical wall is very thin, porous and moist (easier for STI’s to stick to thin porous tissue on inside of teenager to do harm and make them sick.) THAT IS WHY MAJORITY OF NEW STI’s EACH YEAR INFECT UNDER 24 YEAR OLDS. How do you AVOID getting an STI? >>> ABSTINENCE-DON’T HAVE SEX! Use condoms! Minimize partners! What do you do when you are sexually active or show warning signs of an STD? Get Yourself Tested! If the doctor tells you you have an STD what should you do? Take your medicines ----- Stop having sex for 7-14 days ----- Tell your partner(s) Being sexually active leads to: pregnancy, temporary infections, lifetime disease exposure, as well as, STRESS involving social stigma and emotional strife!