7Bacteria / VirusWhat is the difference between a bacterial infection and a viral infection?Chlamydia trachomatis
8Bacteria / Virus No Cure: Just Treatment Cure: Antibiotics Chlamydia trachomatis
9How STDs Spread…Sexually Transmitted Diseases (STDs) are caused by viruses or bacteria that enter the body through tiny cuts or tears.
10You can get infected without having sex… STDs can be passed by:skin-to-skin contactthrough sexual fluidsingesting fecal material
11You can get infected without having sex… skin-to-skin contact (oral, vaginal, or anal sex)through sexual fluids (blood, semen, infected discharge, vaginal fluids)ingesting fecal material (even microscopic amounts!)
17Chlamydia No symptoms 80% of the time! Symptoms for Women: bleeding after sex, lower abdominal pain, discharge from vaginaSymptoms for Men: painful urination, discharge from penis, lower abdominal painBacterial infection (can be cured!!!)
18Chlamydia is most common among year olds, and is more common among Native youth than among other populations.
19Fact: 1 in 10 sexually active teens has chlamydia.
20This woman’s cervix has manifested signs of a erosion and erythema due to chlamydial infection. (1985)
23Gonorrhea Bacterial infection (can be cured!!!) Symptoms for Women: irritation of the cervix, pee often, can cause PID and infertilitySymptoms for Men: painful urination, inflammation, discharge from penis only 50% of the time
24Fact: Chlamydia and gonorrhea rates are highest among 15 to 24year olds.
25This patient presented with a case of gonorrhea with symptoms including cervicitis and vaginal discharge.
26This patient presented with a case of gonorrhea with symptoms including penile discharge.
27This patient presented with a lesion of the right hand due to a disseminated Neisseria gonorrhoeae bacteremia. (1979)Though a sexually transmitted disease, if a Gonorrhea infection is allowed to go untreated, the Neisseria gonorrhea bacteria responsible for the infection can become disseminated throughout the body, forming lesions in extra-genital locations.
30Syphilis Bacterial infection (can be cured) 3 distinct phases: Primary (sores develop then go away)Secondary (4 – 10 weeks after chancres go away)Latent (dormant phase, no signs… all but gone, causes irreversible brain, nerve, and tissue damage)
32These images show chancres on the penile shaft due to a primary syphilitic infection caused by Treponema pallidum bacteria.The primary stage of syphilis is usually marked by the appearance of a single sore called a chancre. The chancre is usually firm, round, small, and painless. It appears at the spot where T. pallidum bacteria entered the body, and lasts 3-6 weeks, healing on its own.
33This syphilis patient presented with symptoms indicative of the secondary stage of the disease, which included multiple lesions located on the penis and scrotum.Secondary syphilis is the most contagious of all the stages, and is characterized by a systemic spread of the Treponema pallidum bacterium. The secondary maculopapular rash usually causes no itching, and can appear as the chancre, or chancres found during the primary stage of syphilis are healing, or several weeks after the chancres have healed.
45This is an illustration comparing the Head Louse, Pediculus humanus, with the Pubic Louse, Phthirus pubis.
46Genital Herpes Can’t be cured…Can be treated! Causes blisters/ulcers on or around genitalsVery contagiousAs many as 80 to 90% of those infected fail to recognize symptoms!50 million Americans have it!
47This patient presented with what was diagnosed as a herpes genitalis outbreak on the penile shaft due to HSV-2. (1978)
52Hepatitis A Inflammation of the liver Hepatitis A heals completely Can’t get it again, lifelong immunityOral-fecal transmissionVaccine preventable
53Hepatitis B Inflammation of the liver Transmission: blood, semen, vaginal secretions, salivaAcute and chronic carriersOver 1 millions Americans have chronic Hepatitis BVaccine preventable
54Hepatitis C Inflammation of the liver Transmitted mainly through blood (IV drug use especially)Like Hepatitis A and B, there is no cure for Hepatitis CCan cause liver failure and cancer.No vaccine available.
55Know the Facts. Know for Sure. If left untreated, STDs can cause infertility, long-term pain, or cancer.
57Preventing STDs…As with many other diseases, prevention is key. It's much easier to prevent STDs than to treat them. The only way to completely prevent STDs is to abstain from all types of sexual contact.
58Preventing STDs…If you decide to have sex, it means you must also take responsibility to protect yourself and your partner from unplanned pregnancy and STDs. Latex condoms are the only form of birth control that lessen your risk of contracting an STD.
59Fact: 1 of every 5 sexually active teen females will get pregnant this year.
62Preventing STDs… What Works: ABSTINENCE. Latex condoms. Sticking to one partner, who has been tested and is uninfected.Good communication about sexual history & STDs.Avoiding alcohol and drugs.
63Know the Facts. Know for Sure. If you have had unprotected sex, you may have an STD and not know it.
64Know the Facts. Know for Sure. If your partner has had unprotected sex, your partner may have an STD and not know it.
65Know the Facts. Know for Sure. If you think you have an STD, there is something you can do about it…The only way to knowfor sure is to be tested.Visit your clinic or call the CDC National STD and AIDS Hotline for more information at (800) , 24 hours a day, 7 days a week.
67In many States (including Oregon, Washington, and Idaho), teens age 14 years and above may consent to STD and HIV testing and treatment without parental consent…If you are concerned about this, call the clinic before you go. Ask if you need to bring your parent along for permission and what information the clinic will share with them. This way you know what to expect ahead of time.
68Know your Score, Take the Quiz! Have you talked to your partner about Sexual Health?Do you have sex with a condom or barrier on every occasion?Are you sure your current partner is free of Sexually Transmitted Diseases (STDs)?Do you know for sure if any of your past partners have had an STD?Has your partner shown you STD test results?If you answered “No” or “Not Sure” to any of these questions, visit your clinic to receive confidential testing.