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Sexually Transmitted Diseases

Disease Causing Pathogens

Bacterial and Animal STD Infections

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Bacterial and Animal STD Infections
Gonorrhoea
In men this infection can cause burning when passing urine and a yellow discharge from the penis. Some men may have the disease without any symptoms.

In women there is often no sign of infection, but some women may have a yellow vaginal discharge, low abdominal pain, or irregular menstrual bleeding.

In both sexes infection of the rectum may follow anal sex and infection of the throat may follow oral sex. Gonorrhoea usually causes no symptoms in either of these sites.

Gonorrhoea is cured by antibiotics. If untreated, this infection can cause infertility in women and (less commonly) in men. The infection can spread to the reproductive organs in women and cause pelvic inflammatory disease (PID).

Chlamydia

This is a common infection, particularly among young sexually active people. Most people do not have any symptoms. If there are symptoms, they are similar to those for gonorrhoea.

Chlamydia is cured by antibiotics. If untreated, this infection can cause infertility in women and (less commonly) in men.

Untreated chlamydia is the most common cause of infection spreading to the reproductive organs in women (pelvic inflammatory disease).

Trichomoniasis

In women, this infection can cause an unpleasant discharge and irritation of the vagina. Antibiotics cure the infection.

Men usually do not get symptoms but may need to be treated to prevent re-infection of their partners.

Non Specific Urethritis

This occurs in men and may produce discharge from the penis or burning when passing urine.

It is an inflammation of the urethra which is not caused by gonorrhoea or chlamydia.

Although it does not cause symptoms in women, female partners of men with NSU may need to be examined if re-infection occurs.

Pubic Lice: Pediculosis Pubis

These are lice that attach to coarse body hair and cause irritation.

They are usually spread by close body contact and rarely by contact with unwashed bed linen, towels etc.

Viral STD Ifections
Viral STD Infections

HIV

The virus is spread by blood to blood contact (e.g. sharing needles) or by sex (vaginal, oral or anal).

Once infected, a person remains infected, and infectious, for life. HIV is diagnosed by a blood test.

HIV is a virus which affects the immune system. People with HIV infection may have no symptoms for many years.

Ultimately, the immune system becomes ineffective and serious infections and/or cancers develop. This is known as AIDS (Acquired Immune Deficiency Syndrome).

Human Papilloma Virus: HPV

DIRECTLY RELATED TO CERVICAL CANCER

HPV

Most common STD,
Peak rates in women under 25,

Most infected women are unaware of infection due to lack of symptoms,

43% of sexually active college females over a 3 year period acquired HPV.

Over 50% of sexually active women are infected.

American Journal of Medicine 1997; 102: 3-8.

HPV Genital Infection

Warts: vulva, anus, ,vagina, cervix, penis, scrotum, urethra

HPV Genital Infection
Cancer: vulva, anus, vagina, cervix, penis

Viral STD Transmission
HPV Transmission

Transmission occurs:
genital-genital,
oral-genital,
genital-anal,
skin to skin

HPV Risk Factors:
Number of partners,
Age of first intercourse,
HPV Risk Factors
Infection with other STD’s,
Partner’s number of partners

Psychological Impact of Genital Warts

Fears about transmission,
Depression, low self-esteem,
Strained relationships,

HPV and Cervical Cancer
99.7% of the cases are associated with HPV infection

J Patho 1999:12-19

Hepatitis B :HBV

Hepatitis B is a virus which affects the liver. The virus is spread by blood to blood contact (e.g. sharing needles) or by sex (vaginal, oral or anal).

People who are infected may have no symptoms at all or they may become ill with fever, nausea, dark urine or jaundice (yellow skin and eyes).

Hepatitis C :HCV

Hepatitis C is another virus which affects the liver. At this stage, there is no test to show whether a person has completely cleared the virus from their body or if they remain carriers (infectious to others).

Hepatitis C is spread by blood to blood contact and appears to be not easily spread by sexual contact (15%).

Hepatitis A: HAV

Hepatitis A is a virus which affects the liver. It is easily transmitted and may cause serious illness, particularly in carriers of hepatitis B or hepatitis C.

Sexual transmission can also occur — most commonly in homosexual men.

Herpes

The herpes simplex virus can cause "cold sores" if the mouth is infected or genital ulcers if the sexual organs are infected.

If symptoms do occur, the first outbreak of genital herpes is usually the worst. and many people never get a recurrence. Subsequent outbreaks are usually less severe, recurrence being usually at or near the site of the original sore.

Oral sex with someone with a cold sore may result in genital infection in the partner and vice versa.

Once a person has genital herpes, the virus stays in specific nerve cells and may be passed on to other people by sexual contact (oral, anal or genital).

Viral Contamination
HSV
HBV
HCV
All of these viral contaminations are spread by
Skin to skin contamination

Viral Contamination
HIV: Fluid to Fluid

HPV: Fluid to Fluid contamination
Skin to Skin contamination