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1 http://www.uen.org/Lessonplan/preview.cgi?LPid=4357

2 MYTHS OF STDs True or False 1. Most people with an STD experience painful symptoms. 2. Birth control pills prevent the spread of STDs. 3. Douching will cure an STD. 4. If you get an STD once, and are treated, you can’t get it again. 5. A person does not need to see a doctor if she/he notices scores on his/her genitals once, but then they go away. 6. Condoms help prevent the spread of STDs

3 How well do you know the 63 people you had sex with last night?

4 STDs STDs are diseases and infections which are capable of being spread from person to person through: – s– s– s– sexual intercourse –o–o–o–oral-genital contact –I–I–I–IV drug

5 Symptoms What are the symptoms? How would I know if I have been infected? Sores (either painful or painless) Sores (either painful or painless) Blood in urine Blood in urine Burning sensation when urinating Burning sensation when urinating Rashes Rashes Itching Itching Bumps Bumps Warts Warts Unusual discharge Unusual discharge

6 Pubic Lice = Crabs Pubic lice are called “crabs” because they look like crabs. Pubic lice are called “crabs” because they look like crabs. Crabs are frequently the color and size of small freckles. These very small lice (crabs) usually attack the sexual (pubic) areas of the body. Crabs are frequently the color and size of small freckles. These very small lice (crabs) usually attack the sexual (pubic) areas of the body. Found under arms, eyelashes, moustaches. Found under arms, eyelashes, moustaches. Spread through direct physical contact. Close body contact with an infected person. Spread through direct physical contact. Close body contact with an infected person. SYMPTOMS: A terrible, persisting itch in the genital, rectal (sexual) area. SYMPTOMS: A terrible, persisting itch in the genital, rectal (sexual) area.

7 Crabs – under microscope

8

9 treatment Some common brands of over-the-counter pubic lice medicine are A-200, RID, and Nix. Follow the directions on the package insert of the medication. You may need to apply the medicine from head-to-toe more than once. Some common brands of over-the-counter pubic lice medicine are A-200, RID, and Nix. Follow the directions on the package insert of the medication. You may need to apply the medicine from head-to-toe more than once. Stronger prescription medicines are also available — ask your health care provider about them. Stronger prescription medicines are also available — ask your health care provider about them.

10 Chlamydia Four million new cases occur each year Four million new cases occur each year SYMPTOMS: fever, weight loss for no reason, swollen glands, fatigue, diarrhea, white spots on the mouth. SYMPTOMS: fever, weight loss for no reason, swollen glands, fatigue, diarrhea, white spots on the mouth. FEMALE SYMPTOMS: Vaginal discharge (white or grey) or burning with urination Lower abdominal pain Bleeding between menstrual periods. Low-grade fever (later symptom) MALE SYMPTOMS: Discharge from the penis and/or burning when urinating Burning and itching around the opening of the penis Pain and swelling in the testicles Low –grade fever (associated with epididymitis – inflammation of the testicles)

11 If left untreated, chlamydia may lead to… Women pelvic inflammatory disease which can lead to damage of the fallopian tubes pelvic inflammatory disease which can lead to damage of the fallopian tubes infertility infertility increased risk of ectopic pregnancy (when the fertilized egg implants and develops outside the uterus.) increased risk of ectopic pregnancy (when the fertilized egg implants and develops outside the uterus.) premature birth premature birth can be passed along from the mother to her child during childbirth, causing an eye infection, blindness, or pneumonia in the newborn. can be passed along from the mother to her child during childbirth, causing an eye infection, blindness, or pneumonia in the newborn. Men nongonococcal urethritis (NGU) -- an infection of the urethra epididymitis-- an infection of the epididymis or proctitis -- an inflammation of the rectum.

12 Severe chlamydia in the mouth and eyes

13 chlamydia on the genetalia

14 treatment Because chlamydia is a bacterial infection, antibiotics are prescribed. Because chlamydia is a bacterial infection, antibiotics are prescribed. Examples: Examples: amoxicillin amoxicillin azithromycin azithromycin doxycycline doxycycline erythromycin erythromycin levofloxacin levofloxacin ofloxacin ofloxacin

15 Gonorrhea (the clap) Each year approximately 650,000 people in the United States are infected with gonorrhea Each year approximately 650,000 people in the United States are infected with gonorrhea People get gonorrhea from close sexual contact (anal sex, oral sex., and vaginal). People get gonorrhea from close sexual contact (anal sex, oral sex., and vaginal). Gonorrhea can also be spread from mother to child during birth. Gonorrhea can also be spread from mother to child during birth. Gonorrhea infection can spread to other unlikely parts of the body Gonorrhea infection can spread to other unlikely parts of the body

16 Gonorrhea

17 Symptoms of Gonorrhea Appear 5-7 days or can take up to 30 days to appear Appear 5-7 days or can take up to 30 days to appear sore or red throat if you have gonorrhea in the throat from oral sex sore or red throat if you have gonorrhea in the throat from oral sex rectal pain rectal pain blood and pus in bowel movements if you have gonorrhea in the rectum from anal sex. blood and pus in bowel movements if you have gonorrhea in the rectum from anal sex.

18 FEMALE SYMPTOMS: FEMALE SYMPTOMS: Symptoms may show up 2-21 days after having sex May notice a yellow, green or white discharge from the vagina May be a burning or pain when urinating Bleeding between periods Heavier and more painful periods Cramps or pain in the lower abdomen, sometimes with nausea or fever MALE SYMPTOMS: MALE SYMPTOMS: Yellow, white, or green drip/discharge from penis Burning or pain when urinating Frequent urinating Swollen testicles

19 Gonorrhea eye & mouth infections

20 treatment In the past, a single injection of penicillin cured almost every infected person. Now, there are new strains of gonorrhea that have become resistant to various antibiotics, including penicillins, and are therefore more difficult to treat. Treatment should always include medication that will treat chlamydia [for example, azithromycin or doxycycline] as well as gonorrhea, because gonorrhea and chlamydia frequently exist together in the same person. It’s hard to tell the two infections apart so doctors treat both at once, even if you only have one infection.

21 Syphilis The long range effects can be very serious, including death. In the United States, an estimated 70,000 new cases of syphilis in adults passed from person to person through direct contact with a syphilis sore Sores mainly occur on the external genitalia, vagina, anus, or rectum. Sores can also occur on the lips and in the mouth. Transmission of the organism occurs during vaginal, anal, or oral sex.

22 Symptoms – Stage 1 Symptoms usually appear 10-90 days after contact. An infected person gets a sore (chancre), which may be painful at the point of contact (mouth, anus, rectum, throat or the sex organ). The chancre is usually firm, round, small, and painless. It appears at the spot where the bacterium entered the body. The chancre lasts 1-5 weeks and heals on its own. This will disappear on its own, but may last 4-6 weeks. In the female, the chancre is often internal and cannot be seen.

23 Syphilis – 1 st Stage

24 Secondary Stage lasts 3-6 weeks. After the chancre comes a copper-colored skin rash which may appear on the palms of the hands, soles of the feet, or in more severe cases covers the entire body. The rash may be accompanied by fever, headaches, indigestion, loss of appetite, or loss of hair in spots over the scalp.

25 Secondary Stage

26 Third Stage – Latent Period All symptoms disappear so that the victim thinks he/she is cured. If the victim has not received treatment, the bacterium remains in the body and begins to damage the internal organs including the brain, nerves, eyes, heart, blood vessels, liver, bones, and joints.

27 Fourth Stage - Tertiary The results of the internal damage from the 3rd stage shows up many years later. Ten, twenty, even thirty years after the initial infection - sudden heart attack, failure of vision, loss of motor coordination or mental disturbances.

28 Genital Sores caused by Syphilis

29 treatment Syphilis is caused by a bacterium so an appropriate antibiotic from a physician will prescribed. Syphilis is caused by a bacterium so an appropriate antibiotic from a physician will prescribed. Treatment will kill the syphilis bacterium and prevent further damage, but it will not repair damage already done.

30 Herpes (HSV-2) HSV1 & HSV2 can both be transmitted to the mouth & genitals. HSV1 & HSV2 can both be transmitted to the mouth & genitals. 8 out of 10 American adults have oral herpes. 8 out of 10 American adults have oral herpes. 1 out of 4 American adults have genital herpes. 1 out of 4 American adults have genital herpes. Symptoms usually show 2-20 days after contact. Symptoms usually show 2-20 days after contact. May be extremely painful or very mild. May be extremely painful or very mild. “outbreaks” of blisters and ulcers. “outbreaks” of blisters and ulcers. Because herpes is a virus, once infected with HSV, people remain infected for life. Because herpes is a virus, once infected with HSV, people remain infected for life. Stress, bruising, chaffing, or a woman’s period may cause an onset of the disease. Stress, bruising, chaffing, or a woman’s period may cause an onset of the disease.

31 HSV-1

32 Symptoms of HSV-2 FEMALE SYMPTOMS: Blisters in or around the vagina, fever and headaches. Blisters in or around the vagina, fever and headaches. MALE SYMPTOMS: Small sore or cluster of blisters on the penis. Small sore or cluster of blisters on the penis.

33 HSV-2

34 treatment Take antiviral drugs, as prescribed by your doctor. Antiviral drugs lessen the number of herpes outbreaks by reducing what's called "viral shedding," or the process by which the virus makes new copies of itself on the skin's surface. Take antiviral drugs, as prescribed by your doctor. Antiviral drugs lessen the number of herpes outbreaks by reducing what's called "viral shedding," or the process by which the virus makes new copies of itself on the skin's surface. Acyclovir (Zovirax) Acyclovir (Zovirax) Famciclovir (Famvir) Famciclovir (Famvir) Valacyclovir (Valtrex) Valacyclovir (Valtrex) Use lysine or L-lysine to prevent outbreaks. Lysine is an essential amino acid. In the case of herpes, lysine may help to prevent an outbreak by blocking arginine, which helps in herpes replication. Use lysine or L-lysine to prevent outbreaks. Lysine is an essential amino acid. In the case of herpes, lysine may help to prevent an outbreak by blocking arginine, which helps in herpes replication.

35 HPV (human papillomavirus) HPV is the most common sexually transmitted infection. HPV is the most common sexually transmitted infection. HPV is so common that nearly 80% of sexually active men and women get it at some point in their lives. HPV is so common that nearly 80% of sexually active men and women get it at some point in their lives. There are many different types of HPV. Some types can cause health problems including genital warts and cancers. There are many different types of HPV. Some types can cause health problems including genital warts and cancers. But there are vaccines that can stop these health problems from happening. But there are vaccines that can stop these health problems from happening.

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37 treatment While there is no cure for HPV because it’s a virus. While there is no cure for HPV because it’s a virus. The outbreak of the infection may clear on its own, but if it does not, treatment is needed, (antiviral medications). The outbreak of the infection may clear on its own, but if it does not, treatment is needed, (antiviral medications). As more people are vaccinated with the new HPV vaccines, the rates of infection may be greatly reduced. As more people are vaccinated with the new HPV vaccines, the rates of infection may be greatly reduced. For now, HPV treatment focuses on the symptoms of the infection. Symptoms include genital warts and the precancerous changes sometimes associated with the high-risk types of HPV. For now, HPV treatment focuses on the symptoms of the infection. Symptoms include genital warts and the precancerous changes sometimes associated with the high-risk types of HPV.

38 Genital Warts / Veniral Warts Growths that appear on the vagina or penis, near the anus, and sometimes in the throat. Growths that appear on the vagina or penis, near the anus, and sometimes in the throat. They are caused by viruses and spread through sexual contact. They are caused by viruses and spread through sexual contact. The virus that causes genital warts is spread by vaginal or anal intercourse and by oral sex. The virus that causes genital warts is spread by vaginal or anal intercourse and by oral sex. Warts may appear within several weeks after sex with a person who has HPV; or they may take months or years to appear; or they may never appear. Warts may appear within several weeks after sex with a person who has HPV; or they may take months or years to appear; or they may never appear. A person can be infected and pass on the virus without knowing it. A person can be infected and pass on the virus without knowing it. Approximately 5.5 million new cases of sexually transmitted HPV (one third of all new STDs) occur in the U.S. each year, with at least 20 million people currently infected. Approximately 5.5 million new cases of sexually transmitted HPV (one third of all new STDs) occur in the U.S. each year, with at least 20 million people currently infected. Three out of four Americans between the ages of 15 and 49 have been infected with genital HPV in their lifetimes. Three out of four Americans between the ages of 15 and 49 have been infected with genital HPV in their lifetimes.

39 Symptoms Usually the warts look like tiny cauliflowers, but sometimes they are flat. Usually the warts look like tiny cauliflowers, but sometimes they are flat. The warts may cause itching, burning and some pain, but often don’t cause any pain at all. The warts may cause itching, burning and some pain, but often don’t cause any pain at all. Warts may be inside the vagina or on the cervix, or in the rectum or throat, so you might not notice them. Warts may be inside the vagina or on the cervix, or in the rectum or throat, so you might not notice them. They might also be so small that you cannot see them. They might also be so small that you cannot see them.

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41 treatment If left untreated, visible genital warts can resolve on their own, remain unchanged, or increase in size or number. If left untreated, visible genital warts can resolve on their own, remain unchanged, or increase in size or number. removal of the warts removal of the warts Surgery Surgery Chemical burning Chemical burning Laser therapy Laser therapy

42 Trichomoniasis An estimated 5 million new cases occur each year in women and men. An estimated 5 million new cases occur each year in women and men. Occurs in vagina of women so may be sexually transmitted to men using infected washcloths and towels. Occurs in vagina of women so may be sexually transmitted to men using infected washcloths and towels. It is transmitted to the baby during delivery. It is transmitted to the baby during delivery. It also can occur in the urethra (carries urine to penis) in men, doesn’t have symptoms usually. It also can occur in the urethra (carries urine to penis) in men, doesn’t have symptoms usually.SYMPTOMS: Appear within 5 to 28 days of exposure Women usually have a vaginal discharge that FEMALE SYMPTOMS: Itching and burning at the outside of the opening of the vagina and vulva. Painful and frequent urination Heavy, unpleasant smelling greenish, yellow discharge MALE SYMPTOMS: Usually nothing, or discomfort in urethra, inflamed head of the penis.

43 Candidiasis – Yeast Fungus Yeast fungus that may or may not be transmitted by sexual intercourse. Yeast fungus that may or may not be transmitted by sexual intercourse. Caused by high doses of antibiotics. It is usually caused by altering the Ph of the vagina. Caused by high doses of antibiotics. It is usually caused by altering the Ph of the vagina.SYMPTOMS: A thick cheesy vaginal discharge Severe itching

44 thrush

45 NGU An inflammation or infection of the urethra (the tube that carries the urine from the bladder) An inflammation or infection of the urethra (the tube that carries the urine from the bladder) It is passed from person to person during intimate physical contact. It is passed from person to person during intimate physical contact. FEMALE SYMPTOMS: Pain Itching or burning around the vagina Any discharge may be a sign of NGU. (because the disease is internal, women sometimes do not show any obvious symptoms.) MALE SYMPTOMS: Discharge from the penis (this may be thin and watery or thick and white) Burning and itching around the opening of the penis Sometimes the signs appear only in the morning, then go away and come back. About 10% of men show no symptoms

46 HIV There are two main ways you get AIDS: Vaginal, oral, anal, etc. sex Sharing drug needles and syringes

47 Prevention  Abstinence  Know your partner  Limit your partners  Visit your doctor  Always look  Keep clean!

48 Remember: More than 110 million men and women in the United States have a sexually transmitted infection. More than 110 million men and women in the United States have a sexually transmitted infection. 3 million teens contract an STD each year – some of which have no cure, are a leading cause of cervical cancer or can even lead to infertility. 3 million teens contract an STD each year – some of which have no cure, are a leading cause of cervical cancer or can even lead to infertility.


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