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Sexually
Transmitted Diseases (STDs)
Frequently Asked Questions
What is the connection
between HIV and other STDs?
How do I get tested for STDs?
Where can I get more information about STDS?
What are some of the different STDs?
Sexually Transmitted Diseases (STDs), also
known as sexually transmitted infections or STI, come in a variety
of types. There are fungi, bacteria, parasites, and viruses.
WHAT IS
THE CONNECTION BETWEEN HIV AND OTHER STDS?
- Several STDs cause lesions or open sores to
occur which may serve as portals of entry directly into the blood
stream and better facilitate HIV infection.
- Some STDs are considered to be co-factors
which assist in the immune system malfunction leading to AIDS.
- People who leave themselves open to STD infections
also leave themselves open to eventual HIV infection.
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HOW
DO I GET TESTED FOR STDS?
For those which are fungal or bacterial infections, you can be tested
as soon as two weeks after exposure. For the viral infections, you
will have to wait for your body to produce enough antibodies to
that specific virus to take what is called a "titer" blood test.
That time is generally 3 months after exposure. An important rule
of thumb: should you experience any symptoms after sexual contact,
it is advisable to seek the advice of a physician as soon as possible.
Letting symptoms get worse or putting off STD testing can result
in severe illness, sterility, Pelvic Inflammatory Disease, passing
an infection to your next partner, irreversible damage to your nervous
system, or even death.Within the state of Florida, all Public Health
Departments offer STD testing. The HIV/AIDS Hotline has a listing
of STD test sites throughout the state.
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WHERE CAN I GET MORE
INFORMATION ABOUT STDS?
If you live in Florida and you have questions or concerns about
sexually transmitted diseases (STDs), you can call the Florida
HIV/AIDS Hotline at 1-800-FLA-AIDS or send us a message.
If you live outside of Florida, visit The
Body to find an AIDS hotline near you.
AN OVERVIEW OF SEXUALLY
TRANSMITTED DISEASES
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Chlamydia
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What gives it to you:
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Chlamydia trachomatis (bacteria)
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Symptoms:
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May be asymptomatic, but usually painful and frequent
urination, and abnormal discharge from the vagina and penis.
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Treatment:
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Antibiotics such as azithromycin and doxcycline
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Complications:
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In women, Pelvic Inflammatory Disease (PID), infertility,
in men, swollen or painful prostate or testicles, infertility
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Gonorrhea
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What gives it
to you:
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Neisseria
gonorrhoeae (bacteria)
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Symptoms:
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Women have may
have abnormal vaginal discharge, abnormal vaginal bleeding, painful
urination. Men have frequent and painful urination, and urethral discharge.
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Treatment:
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Antibiotics
such as Cefixime , Ceftriaxone, or Ciprofloxacin
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Complications:
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In women,
Pelvic Inflammatory Disease (PID), infertility. In men, swelling of the
testicles or penis, infertility. Both sexes may suffer from arthritis, skin
problems and other organ infections caused by the spread of gonorrhea within
the body.
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Acquired Immunodeficiency Syndrome (AIDS)
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What gives it
to you:
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Human
immunodeficiency Virus (HIV).
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Symptoms:
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Symptoms including
marked weight loss, fatigue, swollen lymph nodes, diarrhea, fever, symptoms
from opportunistic diseases. Keep in
mind there are NO
specific symptoms for HIV and that AIDS can only be diagnosed by a
physician.
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Treatment:
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A combination
of antiviral and protease inhibitors (HAART) have shown to decrease the
amount of virus in the blood and therefore decrease the risk of acquiring
opportunistic infections. No known cure.
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Complications:
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Opportunistic
infections such as Kaposi's sarcoma and Pneumocystis carinii pneumonia, very
high mortality rate.
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Genital Herpes
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What gives it
to you:
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Herpes simplex
virus (HSV) types 1 and 2
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Symptoms:
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Very often there are
none. The most common symptom is a
cluster of blistery sores - usually on the vagina, vulva, cervix, penis, or
anus.
The
first episode of symptoms of a first infection of genital herpes is called
"primary herpes." Symptoms may include:
- Blisters -
Open Sores
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Pain - Itching
- Burning
feelings - Inability
to urinate
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Treatment:
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There
is no vaccine that prevents this disease from occurring. Oral anti-viral
medications such as acyclovir, famciclovir, or valacyclovir have been
developed to effectively treat herpes infections. These medications can be
used to treat an outbreak or can be used for suppressing herpes recurrences.
Lower doses may be helpful in reducing the number of herpes attacks in people
with frequent outbreaks.
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Complications:
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Reoccurrence,
spread of the virus to other organs of the body in immunosuppressed people
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Genital Warts
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What gives it
to you:
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A specific
type of Human Papilloma virus (HPV)
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Symptoms:
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Genital warts
are growths or bumps that appear on the vulva, in or around the vagina or
anus, on the cervix, and on the penis, scrotum, groin or thigh. They may be raised or flat, single or
multiple, small or large. Some cluster together forming a cauliflower-like
shape. In addition, they are often flesh-colored and painless. Only rarely do
they cause symptoms such as itching, pain, or bleeding.
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Treatment:
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Depending on
factors such as their size and location, genital warts are treated in several
ways.
The U.S. Food and
Drug Administration (FDA) has approved imiquimod cream, which the patient can
apply to the affected area, to treat genital warts. Other treatments include
a 20 percent podophyllin solution, which the patient can apply to the
affected area and later wash off, and a 0.5 percent podofilox solution, which
also is applied to the affected area, but is not washed off. Pregnant women
should not use podophyllin or podofilox because they are absorbed by the skin
and may cause birth defects in babies. The doctor may also prescribe 5
percent 5-fluorouracil cream, which also should not be used during pregnancy,
or trichloroacetic acid (TCA).
Small warts can
be removed by cryosurgery (freezing), electrocautery (burning), or laser
treatment. Occasionally, surgery is needed to remove large warts that have
not responded to other treatment.
Some doctors use
the antiviral drug alpha interferon, which they inject directly into the
warts, to treat warts that have recurred after removal by traditional means.
The drug is expensive, however, and does not reduce the rate of recurrence.
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Complications:
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Genital warts
sometimes cause problems during pregnancy and delivery. Because of hormone
changes in the body during pregnancy, warts can grow in size and number,
bleed, or make delivery more difficult. Very rarely, babies exposed to HPV
during birth may develop warts in the throat. Despite these risks, a woman with genital warts does not need
to have a caesarean-section delivery unless warts are blocking the birth
canal.
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Syphilis
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What gives it
to you:
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Treponema
pallidum
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Symptoms:
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Classic
blister (chancre) at site of exposure is a painless and hard. It usually is found on the part of the body exposed
to the infected partner's ulcer, such as the penis, vulva, or vagina. A
chancre also can develop on the cervix, tongue, lips, or other parts of the
body. 3 to 6 weeks after the chancre appears, may have a highly variable skin rash, or swollen lymph nodes.
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Treatment:
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Bensathine
penicillin G; alternative is doxycycline.
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Complications:
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Syphilis bacteria
frequently invade the nervous system during the early stages of infection.
Approximately 3 to 7 percent of persons with untreated syphilis develop
neurosyphilis, a sometimes serious disorder of the nervous system. In some
instances, the time from infection to developing neurosyphilis may be up to
20 years.
Some people with
neurosyphilis never develop any symptoms. Others may have headache, stiff
neck, and fever that result from an inflammation of the lining of the brain.
Some people develop seizures. People whose blood vessels are affected may
develop symptoms of stroke with numbness, weakness, or visual problems.
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Pediculosis Pubis (pubic lice)
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What gives it
to you:
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Phthirius
publis (pubic or crab louse).
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Symptoms:
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The
primary symptom of infestation is itching in the pubic area. Scratching may
spread the lice to other parts of the body; thus, every effort should be made
to avoid touching the infected area, although this may be difficult.
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Treatment:
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Lotions
and shampoos that will kill pubic lice are available both over the counter
and by prescription. Creams or lotions containing lindane, a powerful
pesticide, are most frequently prescribed for the treatment of pubic lice.
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Complications:
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Skin
abrasions, swollen lymph nodes, inflammation and drainage of the skin
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Scabies
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What gives it
to you:
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Sarcoptes
scabiei – a female mite burrows under skin to deposit eggs
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Symptoms:
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Scabies
causes intense itching, which often becomes worse at night. Small red bumps
or lines appear on the body at sites where the female scabies mite has
burrowed into the skin to lay her eggs. The areas most commonly affected
include the hands (especially between the fingers), wrists, elbows, lower
abdomen, and genitals. The skin reaction may not develop until a month or
more after infestation. During this time, a person may pass the disease
unknowingly to a sex partner or to another person with whom he or she has
close contact.
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Treatment:
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As
with pubic lice, lindane is an effective treatment for scabies. Pregnant
women should consult a doctor before using this product. Nonprescription
remedies such as sulfur ointment also are available. Sulfur is fairly
effective but may be objectionable because of its odor and messiness. Itching
can persist even after the infestation has been eliminated because of
lingering skin irritation. A hydrocortisone cream or ointment or a soothing lotion
may provide relief from itching.
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Complications:
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If
left untreated, a secondary skin infection can occur because of intense
scratching. The infestation may last
for years without treatment.
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Candida/Vaginal Thrush (not a true STD)
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What gives it
to you:
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Candida (yeast
fungus)
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Symptoms:
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vaginal
itching or discomfort, thick, clumpy vaginal discharge, redness and/or
swelling of vaginal area, stinging or burning during urination
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Treatment:
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Anti-fungal
cream or vaginal suppositories
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Moluscoum Contagiosum
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What gives it
to you:
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molluscum
contagiosum virus
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Symptoms:
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This
is a skin infection that creates firm flesh-covered bumps that appear on
virtually any region of the body, but especially on the genital areas or
thighs when transmitted sexually. It
is identifiable because the doughnut shaped bumps have a sunken center
containing a whitish, waxy substance.
The lesions may begin as small bumps which can develop over a period
of several weeks into larger sores.
The lesions may cause itching or tenderness in the area, but in most
cases the lesions cause few problems.
Lesions can last from 2 weeks to 4 years -- the average is 2
years.
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Treatment:
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Treatment
is done primarily for aesthetic reasons and to prevent the spread of
infection. The soft centers of the
sores are removed, and the lumps can be frozen, electrified or chemically
burned away. Lesions may recur, but
it is not clear whether this is due to re-infection or activation of a latent
infection.
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Complications:
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Secondary
bacterial infection sometimes occurs, requiring treatment with antibiotics.
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Hepatitis A
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What gives it
to you:
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Hepatitis A
virus
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Symptoms:
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Fatigue, nausea,
vomiting, pain in the liver area, dark urine or light colored stools and
fever. Liver function tests are elevated, with many adults developing
jaundice. Children under two rarely have symptoms. Most people recover within
six months.
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Treatment:
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No specific
treatment. People otherwise in good health usually recover in several months.
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Resource:
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CDC
Hepatitis Branch
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Hepatitis B
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What gives it
to you:
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Hepatitis B
virus
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Symptoms:
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Fever, nausea,
dark urine or jaundice (yellow skin and eyes), not everyone will have
symptoms
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Treatment:
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Rest,
antibiotics, bland diet. A vaccine is available for those who are not
infected.
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Complications:
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Serious cases
may require hospitalization.
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Resource:
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CDC
Hepatitis Branch
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Hepatitis C
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What gives it
to you:
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Hepatitis C
virus
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Symptoms:
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Jaundice,
fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting
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Treatment:
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Drug therapy
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Complications:
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Liver damage
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Resource:
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CDC
Hepatitis Branch
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Trichomoniasis (Trich)
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What gives it
to you:
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Trichomonas
vaginalis (parasite)
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Symptoms:
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In women, a
large amount of foul-smelling greenish or yellowish vaginal discharge, itchy,
swollen genital area, painful intercourse. In men, there are often no
symptoms. Men with symptoms may have penile itching or discharge, as well as
burning with urination/ejaculation.
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Treatment:
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Antibiotics
for infected person and sexual partners, even those without symptoms
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Complications:
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Trichomoniasis
is associated with increased risk of transmission of HIV and may cause a
woman to deliver a low-birth-weight or premature infant.
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