1. We will not be discussing all STDs. Some pictures will be graphic. KICK-OFF: Truth or Myth……

2. Kick-Off… 1. You can’t get STD’s from giving or receiving oral sex. 2. You can’t have 2 STDs at once, including HIV. 3. Using 2 condoms, one on top of the other, gives you extra protection against HIV and other sexually transmitted diseases. 4. If you don’t have any symptoms, you don’t have a sexually transmitted disease. 5. You can contract an STD from someone with no symptoms. 6. Being on the contraceptive pill means that I am protected from an STD. 7. You can tell by looking at someone if they have sexually transmitted disease. 8. STDs can make me infertile.

3. The story of Bill and Monica…

4. Types of STD’s TreatableFOREVER PRESENT.. NO CURE Gonorrhea *most strandsHPV ChlamydiaHerpes HIV/AIDS *rare strands of gonorrhea reported in 2015 to CDC

5. Prevention Abstinence (NO SEXUAL CONTACT) Barrier methods (example condom) Monogamy (1 PERSON) BIRTH CONTROL PILLS & IUDs DO NOTHING TO PREVENT SEXUALLY TRANSMITTED DISEASES.

6. Gonorrhea What is gonorrhea? Gonorrhea is sexually transmitted disease (STD) caused by a bacterium that can grow and multiply easily in the warm, moist areas of the reproductive tract, including the cervix, uterus, and fallopian tubes in women, and in the urethra in women and men. The bacterium can also grow in the mouth, throat, eyes, and anus. How common is gonorrhea? CDC estimates that more than 700,000 persons in the U.S. get new gonorrheal infections each year.

7. Gonorrhea How do people get gonorrhea? Gonorrhea is spread through contact with the penis, vagina, mouth, or anus. Gonorrhea can also be spread from mother to baby during delivery. People who have had gonorrhea and received treatment may get infected again if they have sexual contact with a person infected with gonorrhea. WARNING… NEXT SLIDE IS GRAPHIC

9. Gonorrhea Who is at risk for gonorrhea? Any sexually active person can be infected with gonorrhea. In the United States, the highest reported rates of infection are among sexually active teenagers, young adults, and African Americans.

10. Gonorrhea What are the signs and symptoms of gonorrhea? MEN: Some men with gonorrhea may have no symptoms at all. fourteen days after infection. burning sensation when urinating white, yellow, or green discharge from the penis. Sometimes men with gonorrhea get painful or swollen testicles. WOMEN: In women, the symptoms of gonorrhea are often mild, but most women who are infected have no symptoms. painful or burning sensation when urinating increased vaginal discharge vaginal bleeding between periods. BOTH FOR RECTAL INFECTION: include discharge, anal itching, soreness, bleeding, or painful bowel movements.

11. Gonorrhea If untreated it can lead to infertility in men and women. It can lead to Pelvic Inflammatory Disease (PID). It can spread to the blood and joints. People with Gonorrhea can more easily contract HIV. If pregnant mother can pass it to her baby through a vaginal delivery.

12. Gonorrhea Test- Swab test in the urethra, cervix or anus. Treatment- Antibiotics, new drug resistant strain. Prevention- Abstinence, condom use can be effective, not having sex with a partner who have symptoms, be monogamous and Get checked!

13. Chlamydia What is Chlamydia? is a common sexually transmitted disease (STD) caused by the bacterium, which can damage a woman's reproductive organs. Even though symptoms of chlamydia are usually mild or absent, serious complications that cause irreversible damage, including infertility, can occur "silently" before a woman ever recognizes a problem. Chlamydia also can cause discharge from the penis of an infected man.

14. Chlamydia How common is chlamydia? Chlamydia is the most frequently reported bacterial sexually transmitted disease in the United States. In 2010, 1,307,893 chlamydial infections were reported to CDC from 50 states and the District of Columbia. Chlamydia can be transmitted during vaginal, anal, or oral sex. Chlamydia can also be transmitted from mother to new born during delivery.

15. Chlamydia What are the symptoms of chlamydia? WOMEN known as a "silent" disease Women: infect the cervix and the urethra (urine canal). abnormal vaginal discharge or a burning sensation when urinating. If the infection spreads from the cervix to the fallopian tubes some women still have no signs or symptoms; others have lower abdominal pain, low back pain, nausea, fever, pain during intercourse, or bleeding between menstrual periods.

16. Chlamydia What are the symptoms of chlamydia? Men with signs or symptoms might have a discharge from their penis or a burning sensation when urinating. Men might also have burning and itching around the opening of the penis. Pain and swelling in the testicles are uncommon. Men or women who have receptive anal intercourse may acquire chlamydial infection in the rectum, which can cause rectal pain, discharge, or bleeding. Chlamydia can also be found in the throats of women and men having oral sex with an infected partner.

17. Chlamydia If not treated it may lead to: Infertility PID Ectopic pregnancy Arthritis Skin Lessions Test- Urine or swab test Treatment- Medication Prevention- Abstinence, latex condom if you properly, be monogamous, Get checked! WARNING… NEXT SLIDE IS GRAPHIC!

19. Herpes What is genital herpes? is a sexually transmitted disease (STD) caused by the herpes simplex viruses type 1 (HSV-1) or type 2 (HSV-2). Most genital herpes is caused by HSV-2. Most individuals have no or only minimal signs or symptoms from HSV-1 or HSV-2 infection. When signs do occur, they typically appear as one or more blisters on or around the genitals or rectum. The blisters break, leaving tender ulcers (sores) that may take two to four weeks to heal the first time they occur. Typically, another outbreak can appear weeks or months after the first, but it almost always is less severe and shorter than the first outbreak. Although the infection can stay in the body indefinitely, the number of outbreaks tends to decrease over a period of years.

20. Herpes How common is genital herpes? One out of six, people 14 to 49 years of age have genital HSV-2 infection. Genital HSV-2 infection is more common in women (approximately one out of five women 14 to 49 years of age) than in men (about one out of nine men 14 to 49 years of age). Transmission from an infected male to his female partner is more likely than from an infected female to her male partner.

21. Herpes How do people get genital herpes? HSV-1 and HSV-2 can be found in and released from the sores that the viruses cause, but they also are released between outbreaks from skin that does not appear to have a sore. Generally, a person can only get HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection. Transmission can occur from an infected partner who does not have a visible sore and may not know that he or she is infected. HSV-1 can cause genital herpes, but it more commonly causes infections of the mouth and lips, so-called “fever blisters.” HSV-1 infection of the genitals can be caused by oral-genital or genital- genital contact with a person who has HSV-1 infection. Genital HSV-1 outbreaks recur less regularly than genital HSV-2 outbreaks.

22. Herpes What are the signs and symptoms of genital herpes? Most people infected with HSV-2 are not aware of their infection. However, if signs and symptoms occur during the first outbreak, they can be quite pronounced. The first outbreak usually occurs within two weeks after the virus is transmitted, and the sores typically heal within two to four weeks. Other signs and symptoms during the primary episode may include a second crop of sores, and flu-like symptoms, including fever and swollen glands. However, most individuals with HSV-2 infection never have sores, or they have very mild signs that they do not even notice or that they mistake for insect bites or another skin condition. People diagnosed with a first episode of genital herpes can expect to have several (typically four or five) outbreaks (symptomatic recurrences) within a year. Over time these recurrences usually decrease in frequency. It is possible that a person becomes aware of the "first episode" years after the infection is acquired.

23. Herpes What are the complications of genital herpes? Recurrent painful genital sores, and herpes infection can be severe in people with suppressed immune systems. Regardless of severity of symptoms, genital herpes frequently causes psychological distress in people who know they are infected. In addition, genital HSV can lead to potentially fatal infections in babies. It is important that women avoid contracting herpes during pregnancy because a newly acquired infection during late pregnancy poses a greater risk of transmission to the baby. If a woman has active genital herpes at delivery, a cesarean delivery is usually performed. Fortunately, infection of a baby from a woman with herpes infection is rare. Herpes may play a role in the spread of HIV, the virus that causes AIDS. Herpes can make people more susceptible to HIV infection, and it can make HIV-infected individuals more infectious.

24. Herpes Test- Swab test sore, or blood test Treatment- No cure, viral medication may help reduce outbreaks. Prevention- Abstain from sexual intercourse/contact. Even if symptoms are not present transmission can occur. NEXT SLIDE IS GRAPHIC…

25. Herpes

26. HPV http://www.youtube.com/watch?v=8Z7bhw4_yJE&feature=related http://www.youtube.com/watch?v=8Z7bhw4_yJE&feature=related What is genital HPV infection? Genital human papillomavirus (also called HPV) is the most common sexually transmitted infection (STI). There are more than 100 HPV types that can infect the genital areas of males and females. These HPV types can also infect the mouth and throat. Most people who become infected with HPV do not even know they have it. 8 out of 10 women will have a form of HPV in their lifetime. HPV is not the same as herpes or HIV (the virus that causes AIDS). These are all viruses that can be passed on during sex, but they cause different symptoms and health problems.

27. HPV What are the signs, symptoms and potential health problems of HPV? Most people with HPV do not develop symptoms or health problems from it. In 90% of cases, the body’s immune system clears HPV naturally within two years. But, sometimes, HPV infections are not cleared and can cause: Genital warts Warts in the throat -- a condition called recurrent respiratory papillomatosis, or RRP. Cervical cancer and other, less common but serious cancers, including cancers of the vulva, vagina, penis, anus, and oropharynx (back of throat including base of tongue and tonsils). The types of HPV that can cause genital warts are not the same as the types that can cause cancers. There is no way to know which people who get HPV will go on to develop cancer or other health problems.

28. HPV How do people get HPV? HPV is passed on through genital contact, most often during vaginal and anal sex. HPV may also be passed on during oral sex and genital-to-genital contact, even when the infected partner has no signs or symptoms. A person can have HPV even if years have passed since he or she had sexual contact with an infected person. Most infected persons do not realize they are infected or that they are passing the virus on to a sex partner. It is also possible to get more than one type of HPV.

29. HPV Prevention- Abstinence, vaccine for both males and females ages 9-26. Is there a test for HPV? The HPV tests on the market are only used to help screen women at certain ages and with certain Pap test findings, for cervical cancer. There is no general test for men or women to check one’s overall "HPV status," nor is there an approved HPV test to find HPV on the genitals or in the mouth or throat. Is there a treatment for HPV or related diseases? There is no treatment for the virus itself, but there are treatments for the diseases that HPV can cause: Visible genital warts can be removed by the patient him or herself with prescribed medications. They can also be treated by a health care provider. Some people choose not to treat warts, but to see if they disappear on their own. No one treatment is better than another. Cervical cancer is most treatable when it is diagnosed and treated early. But women who get routine Pap tests and follow up as needed can identify problems before cancer develops. NEXT SLIDE IS GRAPHIC!!!!

30. HPV

31. HIV/AIDS HIV is the human immunodeficiency virus. It is the virus that can lead to acquired immune deficiency syndrome, or AIDS. AIDS is the late stage of HIV infection, when a person’s immune system is severely damaged and has difficulty fighting diseases and certain cancers. Before the development of certain medications, people with HIV could progress to AIDS in just a few years.

32. HIV Transmission- Oral, anal, vaginal sex, blood, breast milk The only way to know if you are infected is to be tested for HIV infection. You cannot rely on symptoms to know whether or not you are infected. Many people who are infected with HIV do not have any symptoms at all for 10 years or more. The following may be warning signs of advanced HIV infection: rapid weight loss dry cough recurring fever or profuse night sweats profound and unexplained fatigue swollen lymph glands in the armpits, groin, or neck diarrhea that lasts for more than a week white spots or unusual blemishes on the tongue, in the mouth, or in the throat pneumonia red, brown, pink, or purplish blotches on or under the skin or inside the mouth, nose, or eyelids memory loss, depression, and other neurological disorders

33. HIV/AIDS Prevalence 1.2 million people in the United States are living with HIV infection and 1 in 5 are unaware of their infection. By race, African Americans face the most severe burden of HIV.

34. HIV Prevention Know your status and your partners Abstain from sex, be in a monogamous relationship. Limit your number of sex partners Correct use of latex condoms Get tested and treated for STDs Do not inject drugs

35. MAGIC JOHNSON’S STORY… 30 for 30… “The Announcement”