2.  Sexually Transmitted Disease or Sexually Transmitted Infection? What is a Sexually Transmitted?

3.   Bacterial Vaginosis  Chlamydia  Gonorrhea  Syphilis Common Bacterial ST(d orI)

4.   HIV  Herpes  Human Papillomavirus Common Viral ST(D or I)s

5.   Not just sexual transmission  Anyone with a vagina can get it  Upset in the natural bacterial balance of the vagina  One over grows  Makes you more susceptible to STDs Bacterial Vaginosis (BV)

6.   May have no symptoms at all!  Discharge  Odor  Pain  Itching  Burning  Sometimes confused with a yeast infection BV Symptoms

7.   Douching  New Sex Partner  Multiple Sex partners Increases Risk

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9.   Bacterial Infection  Chlamydia trachomatis  Can infect vagina, penis, anus, throat  “Silent infection”  Often no symptoms  Irreversible damage before you know it  Untreated can lead to infertility in women-Pelvic Inflammatory Disease (PID)  Long term complications in men are rare  Easy to treat if recognized! Chlamydia

10.   abnormal vaginal/penis discharge  burning sensation when urinating  Men: itching or burning around head of penis Chlamydia Symptoms

11.   Bacterial  Neisseria gonorrhoeae  Sites of infection  Anus, eyes, mouth, genitals, or throat  Leads to infertility if untreated  Still easy to treat in USA…this could change Gonorrhea

12.   Penis: burning sensation when urinating, or a white, yellow, or green discharge burning sensation when urinating, or a white, yellow, or green discharge  Vagina: often none…or mild and mistaken for a bladder infection  Rectal: pain, discharge, or bleeding  Oral: Maybe sore throat but often none Symptoms by site

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14.   Lab testing needed  Culture: Swab site of infection  DNA test: Urine or swab of infection site  Can’t tell the difference by examination! Diagnosis of Gonorrhea and Chlamydia

15.   Bacterial infection making a comeback  Much more complicated to investigate and treat than chlamydia and gonorrhea  Symptoms vary by stage  Majority of cases in northwest are in MSM Syphilis

16.   Direct contact with a syphilis sore  Sores occur mainly on the external genitals, vagina, anus, or in the rectum.  Sores also can occur on the lips and in the mouth.  Transmission of the organism occurs during vaginal, anal, or oral sex Transmission

17.   Usually a single sore, but there may be multiple sores.  Usually firm, round, small, and painless.  The sore lasts 3 to 6 weeks, and it heals without treatment.  However, if adequate treatment is not administered, the infection progresses to the secondary stage. Primary Syphilis (1-90 days after infection)

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20.   One shot to treat!  Only time you are contagious! Primary Syphilis

21.   Rash-usually on the palms of hands and soles of feet  Still can be treated with 1 shot at this stage  Not contagious  Progress to Late Syphilis if not treated Secondary Syphilis

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23.   Infection is present in body but not doing any damage  Still treatable!  About 15% will progress to Late syphilis if NOT treated Latent Syphilis

24.   Approximately 10-20 years after first infected  Irreversible damage to organs  brain, nerves, eyes, heart, blood vessels, liver, bones, and joints.  Signs and symptoms  difficulty coordinating muscle movements,  paralysis, numbness, gradual blindness, and dementia  death Late Syphilis

25.   Blood Test  Symptom Assessment  If in doubt, treat with 3 shots Syphilis Diagnosis

26.   Condoms  http://www.youtube.com/watch?v=EdSq2HB7jqU http://www.youtube.com/watch?v=EdSq2HB7jqU  Dental Dams  http://www.youtube.com/watch?v=hZv5kLuZrBY http://www.youtube.com/watch?v=hZv5kLuZrBY Prevention (don’t get it in the first place)

27.   Identify and treat partners of cases  This is the responsibility of health care providers and public health!  In WA health care providers can give free medication to the PARTNERS of patients who test positive for chlamydia & gonorrhea  In Clark County Public health investigates all syphilis and gonorrhea cases!  All chlamydia cases for those known to be high risk Prevent Spread

28.   Having any other STD/I increases your risk of contracting HIV  In WA about 30% of syphilis cases are co infected with HIV Why is learning about these important?