SEXUALLY TRANSMITTED INFECTIONS (S.T.I.) The highest risk age for STIs is between 15 and 24 years (estimated nearly half of all cases among those who are sexually active) Many STIs do not have obvious early signs. In most cases, you cannot tell someone has an STI by looking at them or their private parts. Testing is the only way to know for certain if you have an STI. You can obtain free testing in a confidential place through the Region of Waterloo Public Health Clinic. Call 519-883-2267 or through http://chd.region.waterloo.on.ca/en/clinicsClassesFairs/sexuallytransmittedinfectionshivtesting.asp How you get it? CHLAMYDIA - unprotected oral, anal or vaginal sex - prevented thru abstinence - reduce risk with use of condom or dental dam - infects cervix, rectum, urethra, throat, eyes GONORRHEA (CLAP) - unprotected oral, anal or vaginal sex - prevented thru abstinence - on rise in Canada - can pass from mother to baby during birth - reduce risk with use of condom or dental dam SYPHILIS - unprotected oral, anal or vaginal sex -prevented thru abstinence - less common STI, but on the rise (mostly in male/male relationships) - can pass from mother to baby during birth How you get it? GENITAL HERPES - skin-to-skin contact with an infected area during oral, anal, or vaginal sex - oral sex can pass from either mouth or genital area - prevented thru abstaining from skinto-skin contact when infected - condoms may reduce risk BACTERIAL INFECTIONS Symptoms - few symptoms - affects women more seriously and least likely to show symptoms pain urinating; vaginal discharge; spotting between cycles or after sex pain urinating; itching and/or discharge from penis - almost no early signs for most pain urinating; rectal or vaginal itching and/or bleeding; yellowish discharge pain urinating; yellowish discharge from penis; swollen testicles - 4 stages and hard to diagnose because mimics other illness 1st painless; red sore on sex organs or mouth 2nd rash anywhere on body; flu-like symptoms 3rd and 4th symptoms go away but most damage occurs VIRAL INFECTIONS Symptoms itchy genitalia; small blisters on genitalia, anus, upper thighs - blisters can burst and become sores - painful urinations - can spread to inside mouth or lips Treatment Impact Without Treatment - swab test or urine sample - single dose of antibiotics - inform partners infertility; pelvic inflammatory disease; ectopic pregnancies prostate swelling - swab test or urine sample - antibiotic treatment - inform partners infertility; pelvic inflammatory disease; ectopic pregnancies prostate swelling; infertility infect joints, heart, brain - eye infections in babies; blindness - blood test - antibiotic treatment - inform partners Treatment - blood test - no cure - medications manage breakouts - damage to brain, heart, bones, blood vessels - can cause mental disorders - babies may be born with serious medical complications Impact Without Treatment - open sores on genitalia increases risk of transmission of HIV HUMAN IMMUNODEFICIENCY VIRUS (HIV) - lethal virus - virus attacks and weakens immune system - unprotected oral, anal or vaginal sex; - can lead to AIDS (Acquired sharing needles Immunodeficiency Syndrome) – a combo of - prevented through abstinence symptoms that indicates the destruction of - reduce risk with use of condom or the immune system dental dam - takes many years for symptoms to become - since 1981 – 20 million have died obvious because mistaken for other worldwide illnesses - 2004 – 38 million infected worldwide HEPATITIS B VIRUS - unprotected oral, anal or vaginal sex; - acute (mild) infection has similar symptoms sharing needles to the flu -prevented through abstinence - chronic infection (severe) has no visible - can pass from mother to baby during symptoms but damage occurs to liver birth HUMAN PAPILLOMAVIRUS (HPV) (GENITAL WARTS) - skin-to-skin contact (including - almost no signs or symptoms sexual) – not through blood - Genital warts is caused by a form of HPV – - over 80 kinds of HPV viruses – some very contagious and spread through oral, cause genital infection anal or vaginal sex - only abstinence prevents How you get it? CRABS - spread during intimate contact – crawl from skin-to-skin - 1mm size insects that nest in pubic hair SCABIES - spread during intimate contact – skin-to-skin - live 3-5 days on clothing - mites the dig under the skin and lay eggs TRICHOMONIASES (TRICH) - microscopic parasite - prevented through abstinence - reduce risk with a condom * Sources available upon request - blood test - diagnosed when suffering another symptom of weakened immune system - no cure - medication helps boost immune system - inform partners - # of years before HIV turns into AIDS varies (average 10 yrs) - AIDS does not cause death – death occurs from another illness the person obtains because no defence - blood test - no cure but there is a vaccine to prevent - some medications help to manage - inform partners - can cause damage to liver - blood test - no cure but there is a vaccine to prevent - some medications help to manage different forms - inform partners - 70% of cervical cancers are caused by a form of HPV - growing link between HPV and penile and anal cancers PARASYTIC INFECTIONS Symptoms Treatment Impact Without Treatment - bury heads into skin to live off blood and lay eggs in sacks at base of hair skin irritation - blue spots on skin from bites - black dots from feces - medicated shampoo washes out - inform recent partners - wash clothing, etc. - won’t go away on own - itching and irritation increases - severe scratching can cause infections - intense itchiness (nighttime, bath) - red rash on fingers, armpits, genitalia - prescription lotion to apply to whole body - wash clothing, etc. - won’t go away on own - itching and irritation increases - severe scratching can cause infections infects vagina, urethra, bladder - vaginal discharge; itchy; pain during intercourse infects urethra, under foreskin - penal discharge, irritation, burn in urination - antibiotic treatment - inform partners because often no symptoms - in pregnant women, may cause premature delivery or low birth weight