Primer on Sexually Transmitted Diseases (STDs)

Womens Healthcare Topics
James Brann, MD 26 years of Obstetrics and Gynecology Experience
   
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Primer on Sexually Transmitted Diseases (STDs)

The Most Common Sexually Transmitted Diseases (STDs) are Herpes, HPV, Chlamydia, Gonorrhea and Syphilis

Sexually transmitted diseases are quite common among women and men alike. Some of the more common diseases include Herpes, HPV, Chlamydia, Syphilis and Gonorrhea. In fact, one of the more common reasons women seek out medical care is because they have an STD.

The Most Common Sexually Transmitted Diseases (STDs) are Herpes, HPV, Chlamydia, Gonorrhea and Syphilis
More than 12 million new sexually transmitted diseases (STDs) are diagnosed each year. The most common diagnosed are mentioned above.

Who is at Risk for Acquiring a Sexually Transmitted Disease (STD)
Those at highest risk include women that have unprotected intercourse, in particular those with multiple partners.

The number one way you can avoid or prevent STDs is to avoid having sexual intercourse with a partner that has an STD. How do you do this? Have your partner tested for STDs prior to intercourse, and use a condom each and every time you have intercourse.

Many people don't realize how simple it is to prevent STDs from spreading, while still others simply ignore the risks associated with STDs. Another problem is people are uncomfortable broaching the subject with their partner.

If you are comfortable enough however to engage in an intimate act such as intercourse, you should be willing to talk with your partner about testing.

What, I have a Sexually Transmitted Disease?
Most people are shocked when they are first told they have an STD. The good news is you do not despair. Know that at the very minimum, you are in the company of about 12 million other women.

Many STDs are curable, and those that aren't are treatable.

If you suspect that you may have an STD, the single most important thing you can do for yourself is visit your healthcare provider for prompt treatment. This will prevent in many cases further spread of the infection and in some cases even preserve your fertility.

The Most Common Sexually Transmitted Diseases

Herpes
Herpes is a very common STD. If you think you have been infected it is vital that you seek out care from your health provider immediately. More than 22% of the population has been infected with herpes.

Herpes is acquired through direct contact between two partners. Symptoms may include sores around the vagina, redness, irritation and itching. The first infection is typically the worst, with repeated occurrences common though less frequent over the course of an affected person's lifetime.

Other symptoms common during a first time infection include:

  • Fever
     
  • Headache
     
  • Weakness or general malaise
     
  • Muscle aches
     
  • Burning
     
  • Tender lymph nodes

An antiviral drug is now available that helps slow the growth and spread of herpes virus, as well as lessens the symptoms. If you have frequent outbreaks, this antiviral therapy may help reduce the frequency of reoccurrences.

HPV
This is just as common if not more common than herpes. There are actually more than 90 different subtypes of this virus, responsible for genital warts. Two forms of the virus in particular are most commonly the cause of cervical cancer.

Genital warts may produce no symptoms at all, but some common symptoms include itching, burning, bleeding or pain in the genital area. You may also notice bumps or growths in this area.

Though they sound bad, they can be removed with several different treatments.


Chlamydia
This is actually the most common STD in women, particularly young women in the United States. More than 50 percent of women diagnosed with Chlamydia will have no symptoms.

Complaints generally include the following:

  • Vaginal discharge
     
  • Abdominal pain
     
  • Burning
     
  • Increasing need to urinate

Untreated, Chlamydia can lead to pelvic inflammatory disease, which is associated with a high rate of infertility. Most women younger than 25 that are sexually active are routinely screened for this infection since it is so common. Treatment is available, and recommended for women and their partners if a positive infection is found.

Gonorrhea
This disease is found in women 19 and younger most often. It is a serious STD that can result in scarring of the fallopian tubes, chronic abdominal pain and neonatal ophthalmia in infants born to women with the infection.

Most women with symptoms of a sexually transmitted disease, such as Gonorrhea will be diagnosed as having pelvic inflammatory disease (PID). The symptoms of pelvic inflammatory disease (PID) include:

  • Fever
     
  • Abdominal pain
     
  • Vaginal bleeding
     
  • Painful intercourse

Your physician will perform a pelvic exam in order to diagnose gonorrhea. They may notice that the cervix is tender and is producing large quantities of discharge.

Treatment is typically easy, requiring a shot in the muscle with medication. Complicated cases however may require hospitalization, thus it is important you see your provider early to obtain an accurate diagnosis.

40% of women diagnosed with gonorrhea will also have a Chlamydia infection that needs to be treated.


Syphilis
This is the one disease that the United States requires your doctor to report if you test positive. Syphilis is caused by bacterium called Treponema Pallidum. Generally this disease is declining in women.

Syphilis is categorized by two distinct phases.

  • Early syphilis - defined as the first year after getting the infection if no treatment is offered. This form of syphilis progresses through three stages including primary, secondary and latent syphilis.
     
  • Late or Tertiary Syphilis - this form occurs after the latent phase, and attacks the central nervous system, cardiovascular system and skin. It is difficult to treat.

If you contract the disease, you will develop a painless sore on the genitals, called the classic “chancre” of primary syphilis. Typically this sore will disappear within 3-6 weeks. When treatment is not sought out, systemic infection occurs meaning the infection spreads throughout the entire body.

Symptoms may include fever, headache, malaise and sore throat. Since the symptoms are flu-like, they are often missed. A blood test is required to confirm syphilis. The treatment approach will depend on the length of time you have been infected.  You are usually treated with a long acting Penicillin injection.  Multiple injections are indicated for syphilis with a history of greater than one year.

Safe sex practices are vital to prevent all sexually transmitted diseases. If you are diagnosed with any STD it is important that you trace and inform any previous sexual contacts in order to help prevent further spread of the disease.

Simply knowing how to prevent the spread of the disease and opening the lines of communication with your partner will take you a long way down the road toward prevention!




   




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