Sexually Transmitted Diseases

1. Sexually Transmitted Diseases Sara Wakefield, RN, PHN Lewis & Clark City-County Health Department

2. Risky Choices can = STDs • Lots of sex partners • Unprotected sex • Sexual activity at a young age • Sex under the influence of drugs and alcohol

3. STD Myths • Missing the facts • What you see isn’t always what you get

4. Sexual intercourse: Vaginal Anal Oral

5. RISK REDUCTION How to protect yourself from STDs: Abstinence (No Sex) Staying Sober! Condoms Every Time! Monogomy

6. CHLAMYDIA

7. Non-Gonococcal Urethritis Mucoid Discharge

8. Swollen or tender testicles (epididymitis)

9. Normal Cervix

10. Chlamydial Cervicitis

12. GONORRHEA

13. Gonococcal Urethritis

14. Gonoccocal Pharyngitis

15. Gonococcal Cervicitis

16. Genital Herpes

17. Herpes: Primary Complex

19. Herpes: External labiaminor

20. Herpes: Periurethal Lesions on Vestibule

21. Herpes: Cervicitis

22. Herpes on the Buttock

23. Genital Warts

24. Perianal Warts

25. Vulvar Warts

26. Penile Warts

27. Could you have genital warts and not know it? • YES! • Could be in places like inside of penis, up inside the vagina, cervix • Can still be transmitted from one person to another

28. Intrameatal Wart

29. SYPHILI

30. Primary Syphilis – Perianal Chancre Primary Syphilis- Penile Chancre

31. Syphilis Lesion – Tongue

32. Clinical Manifestations Secondary Syphilis: Palmar/Plantar Rash Source: Seattle STD/HIV Prevention Training Center at the University of Washington, UW HSCER Slide Bank Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides

33. Clinical Manifestations Secondary Syphilis: Generalized Body Rash Source: Cincinnati STD/HIV Prevention Training Center Source: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides

34. Clinical Manifestations Secondary Syphilis – Papulo-pustular Rash Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides

35. Clinical Manifestations Late Syphilis - Ulcerating Gumma Source: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides

36. HIV

37. Transmission of HIV • HIV can pass from one person to another through: • blood, • semen • vaginal secretions • breast milk.

38. Symptoms of HIV • A person can have HIV for up to ten years without any signs or symptoms of the disease. • BUT...

39. But even though there may be no symptoms for many years, the virus continues to replicate and replicate...

40. HIV Test

41. If you are going to have sex... Know your partner and protect yourself. Use a condom.

42. And learn how to use it correctly

43. Hepatitis

44. What is hepatitis? • An inflammation of the liver • Can be caused by a virus or can be drug/alcohol induced • Hepatitis B and C are the most common forms of hepatitis caused by viruses • Hepatitis can lead to serious, permanent liver damage, such as cirrhosis and/or liver cancer, and even death.

45. Hepatitis: • You can be infected with hepatitis and have no symptoms. • You can pass hepatitis on to others even if you don’t feel sick.

46. Jaundice Jaundice:

47. Hepatitis B • How it is transmitted: • Unprotected sex with an infected partner (semen, vaginal secretions) • Exposure to blood of an infected person (sharing needles or works, blood in mucous membranes or in cut/open wound) • Infected mother to baby during birth

48. Some Ways To Prevent Hepatitis B: • Use a latex condom if you have vaginal, anal or oral sex. • Don’t share needles or other supplies for drugs, tattoos, body piercing or acupuncture. If you use needles, use a new, clean needle every time.

49. More ways to prevent hepatitis B : • Don’t share toothbrushes or razors. • Cover all cuts and open sores. • Get vaccinated against hepatitis B. • Talk with your partner about safer sex.

50. Hepatitis C: How it is transmitted: • Primarily through blood of an infected person • Spread through sharing needles or works when shooting drugs, through needlesticks or sharps exposure on the job • Sometimes through an infected mother to baby during birth • It is possible to get hepatitis C from sex, but is uncommon,