The Truth About STDs/STIs. Presented by Denise Piper LPN School Based Health Ed.

Transcription

1 The Truth About STDs/STIs Presented by Denise Piper LPN School Based Health Ed.

2 Family Planning Center of Ocean County Located Rt. #9 Lakewood Sliding fee scale Insurance accepted Confidential Quality gynecological care

3 Services Offered Complete Gynecological Exams Pap Smears Birth Control Info and Supplies STD/ STI Screening and Treatment Pregnancy Testing Emergency Contraception HIV Screening

4 What to expect at Gynecologist When should you have your 1 st check up? Once you become sexually active If not sexually active, then by the time you are 21 yrs old If you have anything that seems unusual

5 The Check Up! Medical History Ht, Wt and BP Finger stick- anemia Urine sample Change into gown Breast exam Exam of external sex organs Bimanual- Exam of internal sex organs Pap smear

6 Tools of the Trade. The speculum. Side view of speculum inserted

7 the cervix Opening called the os. Site where we take cells for the pap test. This is a healthy cervix. See the os.

8 Tools of the trade.. Cyto-brush Specimen slide Vaginal Swab- Female Urethral Swab- Male

9 Men s Health Monthly TSE Lumps Swelling Changes in size or color of a testicle Know what's normal so you can tell when it s not

10 Three types of STD/STIs Bacterial curable treated with antibiotics Viral incurable treat symptoms only Parasitic treatment available otc

11 How does it happen? Spread by sexual contact with someone already infected. By the exchange of bodily fluids. Blood, Semen and Vaginal Fluids! Sexual contact refers to all forms of sexual contact. Vaginal, Oral, Anal and Skin to Skin! STIs Do Not Discriminate. Anyone can have one. Men & Women between the ages of 15 & 25 are more likely to be infected.

12 Chlamydia #1 Bacterial Infection About 3 million new cases each year. Especially common among year olds. Multiple sex partners Known as the Silent STD because there can be virtually no symptoms. 75% women 50% men no signs.

13 Symptoms Females abnormal vaginal discharge Pelvic pain Painful or frequent urination Irregular bleeding or spotting Males Painful, burning sensation during urination Watery or mucus like discharge from penis Pain in testicles

14 Pelvic inflammatory disease (PID) Complications *if left untreated Swollen and tender testicles (Epididymitis)

15 Unhealthy Cervix Abnormal Discharge Good Reason to use a Condom!!!!!!

16 Gonorrhea The Clap Females Pelvic/back pain Yellow vaginal discharge Unusual vaginal bleeding/spotting Painful urination Fever However, most women do not show symptoms! Major reason for PID and infertility!!! Males 60-70% of the time symptoms appear in 2-5 days Burning sensation when urinating Yellow-green discharge from penis Fever Painful sex!!!!

17 Gonorrhea Characterized by drip or discharge Very painful urination

18 Targets Mucus Membranes which are: Urethra, vagina, cervix, anus and rectum. Eyes Mouth, tongue and throat! * *Who says is risk free?

19 Autoinoculation which means to self infect. Wash your hands if you touch body fluids! Can lead to blindness All babies given antibiotic drops in eyes at birth.

20 Testing & Treatment for Chlamydia & Gonorrhea. Diagnosed by urine test or by a cotton swab from the cervix (woman) or urethra (man) Treat early with antibiotics Don t let embarrassment or fear prevent you from asking for info, getting testing and seeking treatment!!!!!

21 Syphilis Bacterial infection. Will cause permanent damage if not diagnosed and treated early. Symptoms vary according to stage of disease. Usually diagnosed by a blood test.

22 Stage 1- Primary Occurs in males and females. May have no symptoms, but if you do, 1-6 weeks after infected. A painless sore called a chancre on the genitals, anus or mouth. They will heal and go away on their own within 3-6 weeks. This may lead you to falsely believe it was nothing.

23 Stage 1 chancres

24 Stage 2- Secondary Usually occurs 2-12 months after Stage 1 Rash: usually lasts 2-6 weeks Not itchy May resemble a bad case of acne. Can appear on trunk of body, palms, face, genitals and soles of feet. Headaches, joint pain, fever, loss of appetite and hair loss

25 Looks different on everyone!

26 Stage 3-Latent Stage years after Stage 2. At this point Incurable!!! No visible (surface) symptoms, serious internal damage, may last for several years. Neurological problems, dementia, blindness, deafness, heart disease, aneurysms and brain damage. Basically ALL MAJOR ORGANS!

27 Syphilis Stage 3 damage to body over time.. Hole through roof of mouth. Lesions can ulcerate and cause scarring.

28 Testing and Treatment for Syphilis Syphilis is usually diagnosed by a blood test. Antibiotics, such as a shot of penicillin is an effective treatment. Treatment early is imperative to preventing permanent damage.

29 Viral Infections Not Curable

30 HSV Herpes Simplex Virus Chronic virus that stays in body for life Two types: HSV 1 and HSV 2 HSV 1- Oral Herpes (cold sores aka fever blisters) Affects the mouth. Can possibly be passed to genitals through oralgenital contact.

31 HSV 2 Genital Herpes Virus incurable Treatment available for symptoms only Spread through skin to skin contact or contact with blisters. Usually diagnosed by culturing an open sore or blood test.

32 Symptoms Male and Female Fever, body aches, flu like feeling (1 st outbreak) Extremely painful, fluid filled blisters on the vulva, penis or anus Sometimes not blisters but sores or bumps which may be mistaken for jock itch or razor burn. Tingling sensation at site where lesions develop. Swollen glands

33 HSV 1 Blisters

34 ..as time goes by. Virus lies dormant in nerve cells of body. Average 4 to 6 outbreaks per year. Stress, health, fatigue may contribute to outbreaks. No cure. Only medications to reduce the number and severity of future occurrences. You can still spread Herpes even if you are taking medication!!!!!!!

35 HPV Human Papilloma Virus HPV is the most common viral STD in the US. More than ½ of all sexually active teens have been infected with HPV Some strains cause genital warts. Other types of HPV infection are associated with cervical dysplasia and cancer of the cervix, vulva, penis and anus. Warts can also be found orally or rectally. Depending upon your sexual practices.

36 HPV and Genital Warts are spread by direct skin-to-skin contact during vaginal, anal or oral sex with someone who has this infection. Risk factors include: Started having sex at an early age. You or your partner have had multiple sex partners. History of STDs. You do not use condoms. Smoking

37 Symptoms Warts are sometimes not visible for months or years after infection. Painless bumps or cauliflower like growth on or around your vulva, cervix, scrotum, groin, penis, anus and inner thighs. Growths can be raised, flat, small or large. Sometimes can t detect because they are too small, blend in with your skin tone and are painless. Only Pap test can detect changes to cervix.

38 Genital warts

39 Depending upon your sexual practices you can get peri-anal warts or oral warts.

40 Testing & Treatment for HPV Can be detected in a clinical exam Visible warts can be removed by burning, freezing or lasering them off or through topical RX medication. Do NOT use OTC wart medicine for genital warts!!!! Virus stays in your body or your immune system takes care of it. Only treatment for symptoms. Vaccines available. Regular check ups and a healthy lifestyle.

41 Aka Pubic lice Highly contagious Sexually and casually transmitted Thrives in warm moist environment (genital area) Easy to get Hard to eliminate

42 Closer look. Eggs appear as specks attached to pubic hair. Crabs are imbedded in the Skin.

43 Symptoms (men and woman) Redness in infected area. Very itchy in area where the insect burrows Rust colored speckles on underwear. This is blood from the bites. They are primarily in the abdominal, pubic and peri-anal region, however they can travel to other areas with hair. (e.g. eyelashes, brows and scalp.)

44 Treatment Insecticide lotion, soap or shampoo (Nix or Rid). Wash all bedding, towels, clothing etc in very hot water (140 degrees ^). Shaving pubic hair off will not treat or prevent crabs.

45 Abstinence or condoms!!! Do not let embarrassment or fear prevent you from getting info, testing or treatment. Communicate with your partner about STDs, condom use and sexual history. If you are not comfortable enough with your partner to talk about STDs, perhaps you should not be having sex at this time.