STIs 2

Christine Farley, RN, BS
STIS AND YOU
STI
Sexually
Vaginal, oral, anal Women with men, men with men, women with women
Transmitted
Semen, vaginal fluid, blood, saliva, mucus
Infection
Host > Fluid -> You - > Replicate -> Fluid Fever, fatigue (tiredness), irritation, pain, inflammation, redness
Varieties
Fungal vs. Bacterial vs. Sores
Syphilis Human Papillomavirus Herpes Simplex II
Viral
Drips
Chlamdyia Gonorrhea Trichomoniasis
Nonspecific or
Asymptomatic
Hepatitis B & C HIV
What are your odds?

Houston & Harris County are the #1 STI
centers of Texas Chlamydia

Hispanic: Female = 12,146, Male = 1,995
Gonorrhea
African American = Female = 3,146, Male = 1,652
Syphilis
P&S: Female = 492, Male = 1,152
35% MSM, 15-24 y.o.
Bacterial Vaginitis
Upset in vaginal bacteria May be unpleasant (fish like odor) discharge
or no signs/symptoms at all {84%} Increases susceptibility for other STI infections Complications with pregnancy
Pre-term delivery, low birth weight
Treated with antibiotics

Female partners should be treated, as well
Pelvic Inflammatory Disease

May lead to infertility Result of bacteria (gonorrhea/chlamydia)
infecting internal reproductive organs Broad symptoms: discharge, burning during urination, abdominal or pelvic pain, pain during sex, or bleeding between cycles Treated with lots of antibiotics, possible hospitalization or surgery
ALL partner should be treated
Chlamydia
Silent : symptoms 1-3 weeks post exposure
Abnormal discharge, burning with urination Rectal pain/bleeding and throat infection
Most commonly reported STI in US (TX has
12.4% +) Recommended yearly screening for women who are < 25 years old. Treated with antibiotics
Treat ALL partners, re-test within 3 months, high risk of re-infection without treatment
Gonorrhea
Lover : Anus, eyes, mouth, genitals, and
throat Symptoms 2-5 days or up to 30 days

Men: green/yellow discharge, burning urination Women: no specifics-often mistaken for bladder or vaginal infection, burning /painful urination
Treated with antibiotics (multi-drug resistant
strains), easily re-infected

ALL partners should be treated
Trichomaniasis
Infects vagina in women and urethra in men Symptoms: 5-28 days in women
Men: mild penile irritation or discharge, burning after ejaculation or urination Women: frothy, yellow-green discharge, painful urination and intercourse
Treated with antiprotozoals

Asymptomatic men should be treated because they can continue to re-infect Most curable
Human Papilloma Virus (Genital Warts)

Most common STD , over 40 types
Cancers Warts
Latent, cleared through body within 2 years Vaccines for men and women NO treatment for virus, only treat symptoms
Syphilis
3 stages
1st: chancre within 10-20 days, lasts 3-6 weeks, heals on its own 2nd: non-itchy, full-body rash (mucous membranes, palms & feet), cold like symptoms + patchy hair loss 3rd: 10-20 years all organ systems damaged leading to dementia, blindness, paralysis, and death
Direct contact with sore (not through toilet
seats, doorknobs, sharing utensils, pools) Resurgence amongst young people, most commonly men who have sex with men Treat ALL partners, potential for re-infection
Herpes Simplex II
Transmission even if partner is asymptomatic
HSV 2 is genital infection HSV 1 is lips, mouth, and nasal
1-2 weeks clusters of sometimes painful
blisters leading to ulcers; 2-4 weeks to heal ; multiple outbreaks per year No cure
Antivirals help shorten outbreaks & control symptoms
Hepatitis (B & C)
No vaccine
Blood-borne virus transmitted through sex and IV drug use
Destroys your liver Possible death without treatment No outright symptoms, detected through
blood test around 6 months later

Rigorous medication regiment to reduce viral load Immunoglobulin after exposure may prevent seroconversion
HIV/AIDS
Hijacks your immune system to reproduce Eventual death from opportunistic infections
because your immune system is ineffective

No longer able to protect body from infections
No cure Intensive daily medication therapy
If there s a question you re just itching to ask RESOURCES

Centers for Disease Control
www.cdc.gov
World Health Organization

www.who.int
Texas Department of Health

www.dshs.state.tx.us
Houston Department of Health and Human
Services
www.houstontx.gov

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Christine Farley, RN, BS

STIS AND YOU

What are your odds?

centers of Texas  Chlamydia

 Treated with antibiotics

Pelvic Inflammatory Disease

 Most commonly reported STI in US (TX has

throat  Symptoms 2-5 days or up to 30 days

 Treated with antibiotics (multi-drug resistant

strains), easily re-infected

 Treated with antiprotozoals

Human Papilloma Virus (Genital Warts)

 Direct contact with sore (not through toilet

 1-2 weeks clusters of sometimes painful

blood test around 6 months later

because your immune system is ineffective

 No cure  Intensive daily medication therapy

If there s a question you re just itching to ask RESOURCES

 World Health Organization

 Texas Department of Health

 Houston Department of Health and Human

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centers of Texas Chlamydia

Treated with antibiotics

Most commonly reported STI in US (TX has

throat Symptoms 2-5 days or up to 30 days

Treated with antibiotics (multi-drug resistant

Treated with antiprotozoals

Direct contact with sore (not through toilet

1-2 weeks clusters of sometimes painful

No cure Intensive daily medication therapy

World Health Organization

Texas Department of Health

Houston Department of Health and Human