Sexually transmitted infection

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Sexually transmitted infection
Other namesSexually transmitted diseases (STD), venereal diseases (VD)
Syphilis is a dangerous disease.png
"Syphilis is a dangerous disease, but it can be cured." Poster encouraging treatment. Published between 1936 and 1938.
Specialty Infectious disease
SymptomsNone, vaginal discharge, penile discharge, ulcers on or around the genitals, pelvic pain [1]
Complications Infertility [1]
CausesInfections commonly spread by sex [1]
Prevention Not having sex, vaccinations, condoms [2]
Frequency1.1 billion (STIs other than HIV/AIDS, 2015) [3]
Deaths108,000 (STIs other than HIV/AIDS, 2015) [4]

Sexually transmitted infections (STIs), also referred to as sexually transmitted diseases (STDs), are infections that are commonly spread by sexual activity, especially vaginal intercourse, anal sex and oral sex. [1] [5] Many times STIs initially do not cause symptoms. [1] This results in a greater risk of passing the disease on to others. [6] [7] Symptoms and signs of disease may include vaginal discharge, penile discharge, ulcers on or around the genitals, and pelvic pain. [1] STIs can be transmitted to an infant before or during childbirth and may result in poor outcomes for the baby. [1] [8] Some STIs may cause problems with the ability to get pregnant. [1]

Infection invasion of a host by disease-causing organisms

Infection is the invasion of an organism's body tissues by disease-causing agents, their multiplication, and the reaction of host tissues to the infectious agents and the toxins they produce. Infectious disease, also known as transmissible disease or communicable disease, is illness resulting from an infection.

In medicine, public health, and biology, transmission is the passing of a pathogen causing communicable disease from an infected host individual or group to a particular individual or group, regardless of whether the other individual was previously infected.

Human sexual activity, human sexual practice or human sexual behaviour is the manner in which humans experience and express their sexuality. People engage in a variety of sexual acts, ranging from activities done alone to acts with another person in varying patterns of frequency, for a wide variety of reasons. Sexual activity usually results in sexual arousal and physiological changes in the aroused person, some of which are pronounced while others are more subtle. Sexual activity may also include conduct and activities which are intended to arouse the sexual interest of another or enhance the sex life of another, such as strategies to find or attract partners, or personal interactions between individuals. Sexual activity may follow sexual arousal.

Contents

More than 30 different bacteria, viruses, and parasites can be transmitted through sexual activity. [1] Bacterial STIs include chlamydia, gonorrhea, and syphilis. [1] Viral STIs include genital herpes, HIV/AIDS, and genital warts. [1] Parasitic STIs include trichomoniasis. [1] While usually spread by sex, some STIs can be spread by non-sexual contact with donor tissue, blood, breastfeeding, or during childbirth. [1] STI diagnostic tests are usually easily available in the developed world, but this is often not the case in the developing world. [1]

Bacteria A domain of prokaryotes – single celled organisms without a nucleus

Bacteria are a type of biological cell. They constitute a large domain of prokaryotic microorganisms. Typically a few micrometres in length, bacteria have a number of shapes, ranging from spheres to rods and spirals. Bacteria were among the first life forms to appear on Earth, and are present in most of its habitats. Bacteria inhabit soil, water, acidic hot springs, radioactive waste, and the deep biosphere of the earth's crust. Bacteria also live in symbiotic and parasitic relationships with plants and animals. Most bacteria have not been characterised, and only about 27 percent of the bacterial phyla have species that can be grown in the laboratory . The study of bacteria is known as bacteriology, a branch of microbiology.

Virus Type of non-cellular infectious agent

A virus is a small infectious agent that replicates only inside the living cells of an organism. Viruses can infect all types of life forms, from animals and plants to microorganisms, including bacteria and archaea.

Gonorrhea sexually transmitted infection

Gonorrhea, colloquially known as the clap, is a sexually transmitted infection (STI) caused by the bacterium Neisseria gonorrhoeae. Infection may involve the genitals, mouth, and/or rectum. Infected men may experience pain or burning with urination, discharge from the penis, or testicular pain. Infected women may experience burning with urination, vaginal discharge, vaginal bleeding between periods, or pelvic pain. Complications in women include pelvic inflammatory disease and in men include inflammation of the epididymis. Many of those infected, however, have no symptoms. If untreated, gonorrhea can spread to joints or heart valves.

The most effective way of preventing STIs is by not having sex. [2] Some vaccinations may also decrease the risk of certain infections including hepatitis B and some types of HPV. [2] Safer sex practices such as use of condoms, having a smaller number of sexual partners, and being in a relationship where each person only has sex with the other also decreases the risk. [1] [2] Circumcision in adult males may be effective to prevent some infections. [1] During school, comprehensive sex education may also be useful. [9] Most STIs are treatable or curable. [1] Of the most common infections, syphilis, gonorrhea, chlamydia, and trichomoniasis are curable, while herpes, hepatitis B, HIV/AIDS, and HPV are treatable but not curable. [1] Resistance to certain antibiotics is developing among some organisms such as gonorrhea. [10]

Sexual abstinence Act of refraining from sexual activity

Sexual abstinence or sexual restraint is the practice of refraining from some or all aspects of sexual activity for medical, psychological, legal, social, financial, philosophical, moral, or religious reasons. Asexuality is distinct from sexual abstinence; and celibacy is sexual abstinence generally motivated by factors such as an individual's personal or religious beliefs. Sexual abstinence before marriage is required in some societies by social norms, or, in some countries, even by laws, and is considered part of chastity.

Hepatitis B vaccine vaccine against Hepatitis B

Hepatitis B vaccine is a vaccine that prevents hepatitis B. The first dose is recommended within 24 hours of birth with either two or three more doses given after that. This includes those with poor immune function such as from HIV/AIDS and those born premature. It is also recommended that health-care workers be vaccinated. In healthy people routine immunization results in more than 95% of people being protected.

HPV vaccine Class of vaccines against human papillomavirus

Human papilloma virus (HPV) vaccines are vaccines that prevent infection by certain types of human papillomavirus. Available vaccines protect against either two, four or nine types of HPV. All vaccines protect against at least HPV types 16 and 18, which cause the greatest risk of cervical cancer. It is estimated that the vaccines may prevent 70% of cervical cancer, 80% of anal cancer, 60% of vaginal cancer, 40% of vulvar cancer and possibly some mouth cancer. They additionally prevent some genital warts, with the vaccines against HPV types 4 and 9 providing greater protection.

In 2015, about 1.1 billion people had STIs other than HIV/AIDS. [3] About 500 million were infected with either syphilis, gonorrhea, chlamydia or trichomoniasis. [1] At least an additional 530 million people have genital herpes and 290 million women have human papillomavirus. [1] STIs other than HIV resulted in 108,000 deaths in 2015. [4] In the United States there were 19 million new cases of sexually transmitted infections in 2010. [11] Historical documentation of STIs date back to at least the Ebers papyrus around 1550 BC and the Old Testament. [12] There is often shame and stigma associated with these infections. [1] The term sexually transmitted infection is generally preferred over sexually transmitted disease or venereal disease, as it includes those who do not have symptomatic disease. [13]

Old Testament First part of Christian Bibles based on the Hebrew Bible

The Old Testament is the first part of Christian Bibles, based primarily upon the Hebrew Bible, a collection of ancient religious writings by the Israelites believed by most Christians and religious Jews to be the sacred Word of God. The second part of the Christian Bible is the New Testament.

Social stigma is the disapproval of, or discrimination against, a person based on perceivable social characteristics that serve to distinguish them from other members of a society. Social stigmas are commonly related to culture, gender, race, intelligence and health.

Signs and symptoms

Not all STIs are symptomatic, and symptoms may not appear immediately after infection. In some instances a disease can be carried with no symptoms, which leaves a greater risk of passing the disease on to others. Depending on the disease, some untreated STIs can lead to infertility, chronic pain or death. [14]

Symptom departure from normal function or feeling which is noticed by a patient, reflecting the presence of an unusual state, or of a disease; subjective, observed by the patient, cannot be measured directly

A symptom is a departure from normal function or feeling which is apparent to a patient, reflecting the presence of an unusual state, or of a disease. A symptom can be subjective or objective. Tiredness is a subjective symptom whereas cough or fever are objective symptoms. In contrast to a symptom, a sign is a clue to a disease elicited by an examiner or a doctor. For example, paresthesia is a symptom, whereas erythema is a sign. Symptoms and signs are often nonspecific, but often combinations of them are at least suggestive of certain diagnoses, helping to narrow down what may be wrong. In other cases they are specific even to the point of being pathognomonic.

Infertility is the inability of a person, animal or plant to reproduce by natural means. It is usually not the natural state of a healthy adult, except notably among certain eusocial species.

Chronic pain is pain that lasts a long time. In medicine, the distinction between acute and chronic pain is sometimes determined by an arbitrary interval of time since onset; the two most commonly used markers being 3 months and 6 months since onset, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply acute to pain that lasts less than 30 days, chronic to pain of more than six months duration, and subacute to pain that lasts from one to six months. A popular alternative definition of chronic pain, involving no arbitrarily fixed duration, is "pain that extends beyond the expected period of healing". Epidemiological studies have found that 10.1% to 55.2% of people in various countries have chronic pain.

The presence of an STI in prepubescent children may indicate sexual abuse. [15]

Sexual abuse, also referred to as molestation, is abusive sexual behavior by one person upon another. It is often perpetrated using force or by taking advantage of another. When force is immediate, of short duration, or infrequent, it is called sexual assault. The offender is referred to as a sexual abuser or molester. The term also covers any behavior by an adult or older adolescent towards a child to stimulate any of the involved sexually. The use of a child, or other individuals younger than the age of consent, for sexual stimulation is referred to as child sexual abuse or statutory rape.

Cause

Transmission

A sexually transmitted infection present in a pregnant woman may be passed on to the infant before or after birth. [16]

Risk of transmission per unprotected sexual act with an infected person [17] [18] [19] [20] [21] [22] [23] [24] [25] [26] [27] [28] [29]
Known risksPossible
Performing oral sex on a man
Performing oral sex on a woman
Receiving oral sex—man
Receiving oral sex—woman
Vaginal sex—man
Vaginal sex—woman
Anal sex—insertive
Anal sex—receptive
Anilingus

Bacterial

Fungal

Viral

Micrograph showing the viral cytopathic effect of herpes (ground glass nuclear inclusions, multi-nucleation). Pap test. Pap stain. Herpes simplex virus pap test.jpg
Micrograph showing the viral cytopathic effect of herpes (ground glass nuclear inclusions, multi-nucleation). Pap test. Pap stain.

Parasites

Main types

Sexually transmitted infections include:

Secondary syphilis SyphilistischeZiekten.jpg
Secondary syphilis

Viruses in semen

Twenty-seven different viruses have been identified in semen. Information on whether or not transmission occurs or whether the viruses cause disease is uncertain. Some of these microbes are known to be sexually transmitted. [71] Those found in semen are listed by the CDC. [71]

Microbes known to be sexually transmissible (but not generally considered STDs/STIs) include:

Pathophysiology

Many STIs are (more easily) transmitted through the mucous membranes of the penis, vulva, rectum, urinary tract and (less often—depending on type of infection) the mouth, throat, respiratory tract and eyes. [74] The visible membrane covering the head of the penis is a mucous membrane, though it produces no mucus (similar to the lips of the mouth). Mucous membranes differ from skin in that they allow certain pathogens into the body. The amount of contact with infective sources which causes infection varies with each pathogen but in all cases, a disease may result from even light contact from fluid carriers like venereal fluids onto a mucous membrane.[ citation needed ]

Some STIs such as HIV can be transmitted from mother to child either during pregnancy or breastfeeding.[ citation needed ]

Healthcare professionals suggest safer sex, such as the use of condoms, as a reliable way of decreasing the risk of contracting sexually transmitted diseases during sexual activity, but safer sex cannot be considered to provide complete protection from an STI. The transfer of and exposure to bodily fluids, such as blood transfusions and other blood products, sharing injection needles, needle-stick injuries (when medical staff are inadvertently jabbed or pricked with needles during medical procedures), sharing tattoo needles, and childbirth are other avenues of transmission. These different means put certain groups, such as medical workers, and haemophiliacs and drug users, particularly at risk.[ citation needed ]

It is possible to be an asymptomatic carrier of sexually transmitted diseases. In particular, sexually transmitted diseases in women often cause the serious condition of pelvic inflammatory disease.[ citation needed ]

Diagnosis

World War II US Army poster warning of venereal disease STILL AT THE TOP OF THE SICK LIST - NARA - 515490.tif
World War II US Army poster warning of venereal disease

Testing may be for a single infection, or consist of a number of tests for a range of STIs, including tests for syphilis, trichomonas, gonorrhea, chlamydia, herpes, hepatitis and HIV. No procedure tests for all infectious agents.

STI tests may be used for a number of reasons:

Early identification and treatment results in less chance to spread disease, and for some conditions may improve the outcomes of treatment. There is often a window period after initial infection during which an STI test will be negative. During this period, the infection may be transmissible. The duration of this period varies depending on the infection and the test. Diagnosis may also be delayed by reluctance of the infected person to seek a medical professional. One report indicated that people turn to the Internet rather than to a medical professional for information on STIs to a higher degree than for other sexual problems. [75]

Classification

A poster from the Office for Emergency Management, Office of War Information, 1941-1945 "VD CAN BE CURED BUT THERE'S NO MEDICINE FOR REGRET" - NARA - 515957.jpg
A poster from the Office for Emergency Management, Office of War Information, 1941–1945

Until the 1990s,[ citation needed ] STIs were commonly known as venereal diseases, the word venereal being derived from the Latin word venereus, and meaning relating to sexual intercourse or desire, ultimately derived from Venus, the Roman goddess of love. [76] STIs have been euphemistically referred to as "blood diseases" and "social diseases" in the past. [77]

The World Health Organization (WHO) has recommended the more inclusive term sexually transmitted infection since 1999. [13] Public health officials originally introduced the term sexually transmitted infection, which clinicians are increasingly using alongside the term sexually transmitted disease in order to distinguish it from the former. [78]

Prevention

The Centers for Disease Control and Prevention strategies for reducing STD risk include: vaccination, mutual monogamy, reducing the number of sexual partners and abstinence. [79]

The most effective way to prevent sexual transmission of STIs is to avoid contact of body parts or fluids which can lead to transfer with an infected partner. Not all sexual activities involve contact: cybersex, phonesex or masturbation from a distance are methods of avoiding contact. Proper use of condoms reduces contact and risk. Although a condom is effective in limiting exposure, some disease transmission may occur even with a condom. [80]

Both partners can get tested for STIs before initiating sexual contact, or before resuming contact if a partner engaged in contact with someone else. Many infections are not detectable immediately after exposure, so enough time must be allowed between possible exposures and testing for the tests to be accurate. Certain STIs, particularly certain persistent viruses like HPV, may be impossible to detect with current medical procedures.[ medical citation needed ]

Some treatment facilities utilize in-home test kits and have the person return the test for follow-up. Other facilities strongly encourage that those previously infected return to ensure that the infection has been eliminated. Novel strategies to foster re-testing have been the use of text messaging and email as reminders. These types of reminders are now used in addition to phone calls and letters. [81] After obtaining a sexual history, a healthcare provider can encourage risk reduction by providing prevention counseling. Prevention counseling is most effective if provided in a nonjudgmental and empathetic manner appropriate to the person's culture, language, gender, sexual orientation, age, and developmental level. Prevention counseling for STIs is usually offered to all sexually active adolescents and to all adults who have received a diagnosis, have had an STI in the past year, or have multiple sex partners. [82]

USPSTF recommends high-intensity behavioral counseling for all sexually active adolescents and for adults at increased risk for STIs. Such interactive counseling, which can be resource intensive, is directed at a person's risk, the situations in which risk occurs, and the use of personalized goal-setting strategies. [82]

Vaccines

Vaccines are available that protect against some viral STIs, such as Hepatitis A, Hepatitis B, and some types of HPV. [83] Vaccination before initiation of sexual contact is advised to assure maximal protection. The development of vaccines to protect against gonorrhea is ongoing. [84]

Condoms

Condoms and female condoms only provide protection when used properly as a barrier, and only to and from the area that they cover. Uncovered areas are still susceptible to many STIs.[ citation needed ]

In the case of HIV, sexual transmission routes almost always involve the penis, as HIV cannot spread through unbroken skin; therefore, properly shielding the penis with a properly worn condom from the vagina or anus effectively stops HIV transmission. An infected fluid to broken skin borne direct transmission of HIV would not be considered "sexually transmitted", but can still theoretically occur during sexual contact. This can be avoided simply by not engaging in sexual contact when presenting open, bleeding wounds.[ citation needed ]

Other STIs, even viral infections, can be prevented with the use of latex, polyurethane or polyisoprene condoms as a barrier. Some microorganisms and viruses are small enough to pass through the pores in natural skin condoms, but are still too large to pass through latex or synthetic condoms.[ citation needed ]

Proper male condom usage entails:[ citation needed ]

In order to best protect oneself and the partner from STIs, the old condom and its contents are to be treated as infectious and properly disposed of. A new condom is used for each act of intercourse, as multiple usage increases the chance of breakage, defeating the effectiveness as a barrier.[ citation needed ]

In case of female condoms, the device consists of two rings, one in each terminal portion. The larger ring should fit snugly over the cervix and the smaller ring remains outside the vagina, covering the vulva. This system provides some protection of the external genitalia. [85]

Cap and cervical diaphragm

The cap was developed after the cervical diaphragm. Both cover the cervix and the main difference between the diaphragm and the cap is that the latter must be used only once, using a new one in each sexual act. The diaphragm, however, can be used more than once. These two devices partially protect against STDs (they do not protect against HIV). [86]

Nonoxynol-9

Researchers had hoped that nonoxynol-9, a vaginal microbicide would help decrease STI risk. Trials, however, have found it ineffective [87] and it may put women at a higher risk of HIV infection. [88]

Screening

Specific age groups, persons who participate in risky sexual behavior, or those have certain health conditions may require screening. The CDC recommends that sexually active women under the age of 25 and those over 25 at risk should be screened for chlamydia and gonorrhea yearly. Appropriate times for screening are during regular pelvic examinations and preconception evaluations. [89] Nucleic acid amplification tests are the recommended method of diagnosis for gonorrhea and chlamydia. [90] This can be done on either urine in both men and women, vaginal or cervical swabs in women, or urethral swabs in men. [90] Screening can be performed:

Management

In the case of rape, the person can be treated prophylacticly with antibiotics. [91]

An option for treating partners of patients (index cases) diagnosed with chlamydia or gonorrhea is patient-delivered partner therapy, which is the clinical practice of treating the sex partners of index cases by providing prescriptions or medications to the patient to take to his/her partner without the health care provider first examining the partner. [92] [ needs update ]

Epidemiology

Age-standardized, disability-adjusted life years for STDs (excluding HIV) per 100,000 inhabitants in 2004.
no data
< 60
60-120
120-180
180-240
240-300
300-360
360-420
420-480
480-540
540-600
600-1000
> 1000 STDs excluding HIV world map - DALY - WHO2004.svg
Age-standardized, disability-adjusted life years for STDs (excluding HIV) per 100,000 inhabitants in 2004.
STI (excluding HIV) deaths per million persons in 2012
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0-0
1-1
2-3
4-9
10-18
19-31
32-55
56-139 STDs excluding HIV world map-Deaths per million persons-WHO2012.svg
STI (excluding HIV) deaths per million persons in 2012
  0-0
  1-1
  2–3
  4–9
  10–18
  19–31
  32–55
  56–139

In 2008, it was estimated that 500 million people were infected with either syphilis, gonorrhea, chlamydia or trichomoniasis. [1] At least an additional 530 million people have genital herpes and 290 million women have human papillomavirus. [1] STIs other than HIV resulted in 142,000 deaths in 2013. [94] In the United States there were 19 million new cases of sexually transmitted infections in 2010. [11]

In 2010, 19 million new cases of sexually transmitted infections occurred in women in the United States. [5] A 2008 CDC study found that 25–40% of U.S. teenage girls has a sexually transmitted disease. [95] [96]

Over 400,000 sexually transmitted infections were reported in England in 2017, about the same as in 2016, but there were more than 20% increases in confirmed cases of gonorrhoea and syphilis. Since 2008 syphilis cases have risen by 148%, from 2,874 to 7,137, mostly among men who have sex with men. The number of first cases of genital warts in 2017 among girls aged 15–17 years was just 441, 90% less than in 2009 – attributed to the national human papilloma virus immunisation programme. [97]

AIDS is among the leading causes of death in present-day Sub-Saharan Africa. [98] HIV/AIDS is transmitted primarily via unprotected sexual intercourse. More than 1.1 million persons are living with HIV/AIDS in the United States, [99] and it disproportionately impacts African Americans. [100] Hepatitis B is also considered a sexually transmitted disease because it can be spread through sexual contact. [101] The highest rates are found in Asia and Africa and lower rates are in the Americas and Europe. [102] Approximately two billion people worldwide have been infected with the hepatitis B virus. [103]

History

1930s Works Progress Administration poster Syphilis false shame and fear may destroy your future.png
1930s Works Progress Administration poster

The first well-recorded European outbreak of what is now known as syphilis occurred in 1494 when it broke out among French troops besieging Naples in the Italian War of 1494–98. [104] The disease may have originated from the Columbian Exchange. [105] From Naples, the disease swept across Europe, killing more than five million people. [106] As Jared Diamond describes it, "[W]hen syphilis was first definitely recorded in Europe in 1495, its pustules often covered the body from the head to the knees, caused flesh to fall from people's faces, and led to death within a few months," rendering it far more fatal than it is today. Diamond concludes,"[B]y 1546, the disease had evolved into the disease with the symptoms so well known to us today." [107] Gonorrhoeae is recorded at least up to 700 years ago and associated with a district in Paris formerly known as "Le Clapiers". This is where the prostitutes were to be found at that time. [84]

U.S. propaganda poster targeted at World War II servicemen appealed to their patriotism in urging them to protect themselves. The text at the bottom of the poster reads, "You can't beat the Axis if you get VD." SheMayLookCleanBut.jpg
U.S. propaganda poster targeted at World War II servicemen appealed to their patriotism in urging them to protect themselves. The text at the bottom of the poster reads, "You can't beat the Axis if you get VD."

Prior to the invention of modern medicines, sexually transmitted diseases were generally incurable, and treatment was limited to treating the symptoms of the disease. The first voluntary hospital for venereal diseases was founded in 1746 at London Lock Hospital. [108] Treatment was not always voluntary: in the second half of the 19th century, the Contagious Diseases Acts were used to arrest suspected prostitutes. In 1924, a number of states concluded the Brussels Agreement, whereby states agreed to provide free or low-cost medical treatment at ports for merchant seamen with venereal diseases.

The first effective treatment for a sexually transmitted disease was salvarsan, a treatment for syphilis. With the discovery of antibiotics, a large number of sexually transmitted diseases became easily curable, and this, combined with effective public health campaigns against STDs, led to a public perception during the 1960s and 1970s that they have ceased to be a serious medical threat.[ citation needed ]

During this period, the importance of contact tracing in treating STIs was recognized. By tracing the sexual partners of infected individuals, testing them for infection, treating the infected and tracing their contacts in turn, STI clinics could effectively suppress infections in the general population.[ citation needed ]

In the 1980s, first genital herpes and then AIDS emerged into the public consciousness as sexually transmitted diseases that could not be cured by modern medicine. AIDS in particular has a long asymptomatic period—during which time HIV (the human immunodeficiency virus, which causes AIDS) can replicate and the disease can be transmitted to others—followed by a symptomatic period, which leads rapidly to death unless treated. HIV/AIDS entered the United States from Haiti in about 1969. [109] Recognition that AIDS threatened a global pandemic led to public information campaigns and the development of treatments that allow AIDS to be managed by suppressing the replication of HIV for as long as possible. Contact tracing continues to be an important measure, even when diseases are incurable, as it helps to contain infection.

Other names

In the 1996 sexual harassment case filed against Mitsubishi Motor Manufacturing of America by the Equal Employment Opportunity Commission (EEOC), a number of male employees referred to sexually transmitted infections as "souvenirs". [110]

Plants

Related Research Articles

Chlamydia Sexually transmitted infection caused by the bacterium Chlamydia trachomatis.

Chlamydia, or more specifically a chlamydia infection, is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. Most people who are infected have no symptoms. When symptoms do develop this can take a few weeks following infection to occur. Symptoms in women may include vaginal discharge or burning with urination. Symptoms in men may include discharge from the penis, burning with urination, or pain and swelling of one or both testicles. The infection can spread to the upper genital tract in women causing pelvic inflammatory disease which may result in future infertility or ectopic pregnancy. Repeated infections of the eyes that go without treatment can result in trachoma, a common cause of blindness in the developing world.

Pelvic inflammatory disease infection of uterus, fallopian tubes, ovaries or the inner surface of pelvis

Pelvic inflammatory disease, also known as pelvic inflammatory disorder (PID), is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis. Often, there may be no symptoms. Signs and symptoms, when present, may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, bleeding after sex, or irregular menstruation. Untreated PID can result in long-term complications including infertility, ectopic pregnancy, chronic pelvic pain, and cancer.

Safe sex Ways to reduce the risk of acquiring STDs

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Urethritis is inflammation of the urethra. The most common symptom is painful or difficult urination. It is usually caused by infection with bacteria. The bacterial infection is often sexually transmitted, but not in every instance; it can be idiopathic, for example.

Trichomoniasis gagoparasitic protozoa infectious disease that is caused by the parasites Trichomonas vaginalis or Trichomonas tenax

Trichomoniasis (trich) is an infectious disease caused by the parasite Trichomonas vaginalis. About 70% of women and men do not have symptoms when infected. When symptoms do occur they typically begin 5 to 28 days after exposure. Symptoms can include itching in the genital area, a bad smelling thin vaginal discharge, burning with urination, and pain with sex. Having trichomoniasis increases the risk of getting HIV/AIDS. It may also cause complications during pregnancy.

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Cervicitis is inflammation of the uterine cervix. Cervicitis in women has many features in common with urethritis in men and many cases are caused by sexually transmitted infections.Non-infectious causes of cervicitis can include intrauterine devices, contraceptive diaphragms, and allergic reactions to spermicides or latex condoms. The condition is often confused with vaginismus which is a much simpler condition and easily rectified with simple exercises. Cervicitis affects over half of all women during their adult life.

Chancroid primary bacterial infectious disease that is a sexually transmitted infection located_in skin of the genitals, has_material_basis_in Haemophilus ducreyi, which is transmitted_by sexual contact. The infection has_symptom painful and soft ulcers.

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Men who have sex with men (MSM), also known as males who have sex with males, are male persons who engage in sexual activity with members of the same sex, regardless of how they identify themselves. They may identify as gay, homosexual, bisexual, pansexual, heterosexual, or dispense with sexual identification altogether.

Vertically transmitted infection infection caused by pathogens that uses mother-to-child transmission

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Sexual health clinic medical facility focused on preventing and treating sexually transmitted diseases

Sexual health clinics specialize in the prevention and treatment of sexually transmitted infections.

Serosorting, also known as "serodiscrimination", is the practice of using HIV status as a decision-making point in choosing sexual behavior. Frequently the term is used to describe the behavior of a person who chooses a sexual partner assumed to be of the same HIV serostatus in order to engage in unprotected sex with them for a reduced risk of acquiring or transmitting HIV/AIDS.

Genital herpes Infection by herpes simplex viruses of the genitals

Genital herpes is an infection by the herpes simplex virus (HSV) of the genitals. Most people either have no or mild symptoms and thus do not know they are infected. When symptoms do occur, they typically include small blisters that break open to form painful ulcers. Flu-like symptoms, such as fever, aching, or swollen lymph nodes, may also occur. Onset is typically around 4 days after exposure with symptoms lasting up to 4 weeks. Once infected further outbreaks may occur but are generally milder.

Condom effectiveness is how effective condoms are at preventing STDs and pregnancy. Correctly using male condoms and other barriers like female condoms and dental dams, every time, can reduce the risk of sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) and viral hepatitis. They can also provide protection against other diseases that may be transmitted through sex like Zika and Ebola. Using male and female condoms correctly, every time, can also help prevent pregnancy.

French kiss amorous kiss with tongue-play

In English informal speech, a French kiss, also known as a deep kiss, is an amorous kiss in which the participants' tongues extend to touch each other's lips or tongue. A "kiss with the tongue" stimulates the partner's lips, tongue and mouth, which are sensitive to the touch and induce physiological sexual arousal. The oral zone is one of the principal erogenous zones of the body. The implication is of a slow, passionate kiss which is considered intimate, romantic, erotic or sexual. The sensation when two tongues touch, also known as "tongue touching", has been proven to stimulate endorphin release and reduce acute stress levels. French kissing is often described as ‘1st base’, and is used by many as an indicator of what stage a relationship has reached.

Herpes simplex Viral disease caused by herpes simplex viruses

Herpes simplex is a viral infection caused by the herpes simplex virus. Infections are categorized based on the part of the body infected. Oral herpes involves the face or mouth. It may result in small blisters in groups often called cold sores or fever blisters or may just cause a sore throat. Genital herpes, often simply known as herpes, may have minimal symptoms or form blisters that break open and result in small ulcers. These typically heal over two to four weeks. Tingling or shooting pains may occur before the blisters appear. Herpes cycles between periods of active disease followed by periods without symptoms. The first episode is often more severe and may be associated with fever, muscle pains, swollen lymph nodes and headaches. Over time, episodes of active disease decrease in frequency and severity. Other disorders caused by herpes simplex include: herpetic whitlow when it involves the fingers, herpes of the eye, herpes infection of the brain, and neonatal herpes when it affects a newborn, among others.

Suraksha Clinic organization


Suraksha Clinic are a chain of STI/RTI Clinics. These clinics are established by National AIDS Control Organisation for the better health services and for the prevention of HIV/AIDS in India.

Mutual monogamy is a form of monogamy that exists when two partners agree to be sexually active with only one another. Being in a long-term mutually monogamous relationship reduces the risk of acquiring a sexually transmitted infection (STI). It is one of the most reliable ways to avoid STIs. Those who choose mutual monogamy can be tested before the sexual relationship to be certain they are not infected. This strategy for the prevention of acquiring a sexually transmitted infection requires that each partner remain faithful and does not engage in sexual activity with another partner.

Effects of human sexual promiscuity

Human sexual promiscuity is the practice of having many different sexual partners. In the case of men, this behavior of sexual nondiscrimination and hyper-sexuality is referred to as satyriasis, while in the case of women, this behavior is conventionally known as nymphomania. Both conditions are regarded as possibly compulsive and pathological qualities, closely related to hyper-sexuality. The results of, or costs associated with, these behaviors are the effects of human sexual promiscuity.

References

  1. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 "Sexually transmitted infections (STIs) Fact sheet N°110". who.int. November 2013. Archived from the original on 25 November 2014. Retrieved 30 November 2014.
  2. 1 2 3 4 "How You Can Prevent Sexually Transmitted Diseases". cdc.gov. Centers for Disease Control and Prevention. 31 May 2016. Archived from the original on 9 December 2014. Retrieved 13 December 2017.PD-icon.svg This article incorporates  public domain material from websites or documents ofthe Centers for Disease Control and Prevention .
  3. 1 2 GBD 2015 Disease and Injury Incidence and Prevalence, Collaborators (8 October 2016). "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1545–1602. doi:10.1016/S0140-6736(16)31678-6. PMC   5055577 . PMID   27733282.
  4. 1 2 GBD 2015 Mortality and Causes of Death, Collaborators (8 October 2016). "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1459–1544. doi:10.1016/s0140-6736(16)31012-1. PMC   5388903 . PMID   27733281.
  5. 1 2 "Sexually transmitted infections". womenshealth.gov. 22 February 2017. Retrieved 8 December 2017.PD-icon.svgThis article incorporates text from this source, which is in the public domain.
  6. Murray PR, Rosenthal KS, Pfaller MA (2013). Medical microbiology (7th ed.). St. Louis, MO: Mosby. p. 418. ISBN   978-0-323-08692-9. Archived from the original on 1 December 2015.
  7. Goering, Richard V. (2012). Mims' medical microbiology (5th ed.). Edinburgh: Saunders. p. 245. ISBN   978-0-7234-3601-0.
  8. "Preventing Mother-to-Child Transmission of HIV". HIV.gov. 15 May 2017. Retrieved 8 December 2017.
  9. International technical guidance on sexuality education: An evidence-informed approach (PDF). Paris: UNESCO. 2018. p. 28. ISBN   978-92-3-100259-5.
  10. Centers for Disease Control Prevention (2012). "Update to CDC's Sexually transmitted diseases treatment guidelines, 2010: Oral cephalosporins no longer a recommended treatment for gonococcal infections". Morbidity and Mortality Weekly Report. 61 (31): 590–94. PMID   22874837.
  11. 1 2 "STD Trends in the United States: 2010 National Data for Gonorrhea, Chlamydia, and Syphilis". Centers for Disease Control and Prevention. Archived from the original on 9 September 2012. Retrieved 15 September 2012.
  12. Gerd Gross, Stephen K. Tyring (2011). Sexually transmitted infections and sexually transmitted diseases. Heidelberg: Springer Verlag. p. 20. ISBN   978-3-642-14663-3. Archived from the original on 24 September 2015.
  13. 1 2 Organization, World Health (2003). Guidelines for the management of sexually transmitted infections (PDF). Geneva: World Health Organization. p. vi. ISBN   978-92-4-154626-3. Archived (PDF) from the original on 8 December 2014.
  14. "Male STI check-up video". Channel 4. 2008. Archived from the original on 23 January 2009. Retrieved 22 January 2009.
  15. Hoffman, Barbara (2012). Williams gynecology. New York: McGraw-Hill Medical. ISBN   978-0-07-171672-7.[ page needed ]
  16. Kennedy, Caitlin E; Yeh, Ping T; Pandey, Shristi; Betran, Ana P; Narasimhan, Manjulaa (2017). "Elective cesarean section for women living with HIV". AIDS. 31 (11): 1579–91. doi:10.1097/QAD.0000000000001535. PMC   5491238 . PMID   28481770.
  17. 1 2 3 4 5 6 7 8 9 10 Edwards, S; Carne, C (1998). "Oral sex and transmission of non-viral STIs". Sexually Transmitted Infections. 74 (2): 95–100. doi:10.1136/sti.74.2.95. PMC   1758102 . PMID   9634339.
  18. 1 2 3 Maura Gillisons (2007). "HPV Infection Linked to Throat Cancers". Johns Hopkins Medicine. Archived from the original on 6 September 2013.
  19. 1 2 3 4 5 Hoare A (2010). models of HIV epidemics in Australia and Southeast Asia Archived 2012-04-19 at the Wayback Machine
  20. 1 2 3 4 5 Australasian contact tracing manual. Specific infections where contact tracing is generally recommended Archived 2011-03-01 at the Wayback Machine
  21. 1 2 3 4 Varghese, Beena; Maher, Julie E; Peterman, Thomas A; Branson, Bernard M; Steketee, Richard W (2002). "Reducing the Risk of Sexual HIV Transmission". Sexually Transmitted Diseases. 29 (1): 38–43. doi:10.1097/00007435-200201000-00007. PMID   11773877.
  22. 1 2 Holmes, King K; Johnson, David W; Trostle, Henry J (1970). "An Estimate of the Risk of Men Acquiring Gonorrhea by Sexual Contact with Infected Females1". American Journal of Epidemiology. 91 (2): 170–74. doi:10.1093/oxfordjournals.aje.a121125. PMID   5416250.
  23. 1 2 3 Mahiane, Séverin-Guy; Legeai, Camille; Taljaard, Dirk; Latouche, Aurélien; Puren, Adrian; Peillon, Aurélie; Bretagnolle, Jean; Lissouba, Pascale; Nguéma, Eugène-Patrice Ndong; Gassiat, Elisabeth; Auvert, Bertran (January 2009). "Transmission probabilities of HIV and herpes simplex virus type 2, effect of male circumcision and interaction: a longitudinal study in a township of South Africa". AIDS. 23 (3): 377–83. doi:10.1097/QAD.0b013e32831c5497. PMC   2831044 . PMID   19198042.
  24. 1 2 3 Burchell, Ann N; Richardson, Harriet; Mahmud, Salaheddin M; Trottier, Helen; Tellier, Pierre P; Hanley, James; Coutlée, François; Franco, Eduardo L (2006). "Modeling the Sexual Transmissibility of Human Papillomavirus Infection using Stochastic Computer Simulation and Empirical Data from a Cohort Study of Young Women in Montreal, Canada". American Journal of Epidemiology. 163 (6): 534–43. doi:10.1093/aje/kwj077. PMID   16421235.
  25. 1 2 Platt, R; Rice, P. A; McCormack, W. M (1983). "Risk of acquiring gonorrhea and prevalence of abnormal adnexal findings among women recently exposed to gonorrhea". JAMA. 250 (23): 3205–09. doi:10.1001/jama.250.23.3205. PMID   6417362.
  26. Department of Public Health, City & County of San Francisco (2011).STD Risks Chart Archived 2011-08-16 at the Wayback Machine
  27. 1 2 3 Jin, Fengyi; Jansson, James; Law, Matthew; Prestage, Garrett P; Zablotska, Iryna; Imrie, John CG; Kippax, Susan C; Kaldor, John M; Grulich, Andrew E; Wilson, David P (2010). "Per-contact probability of HIV transmission in homosexual men in Sydney in the era of HAART". AIDS. 24 (6): 907–13. doi:10.1097/QAD.0b013e3283372d90. PMC   2852627 . PMID   20139750.
  28. Bryan, Charles (2011). "Infectious Disease Chapter Eight Sexually Transmitted Diseases". Microbiology and Immunology On-line. University of South Carolina School of Medicine. Archived from the original on 24 June 2014.
  29. Richard Pearson (2007). "Pinworm Infection". Merck Manual Home Health Handbook. Archived from the original on 31 October 2013.
  30. 1 2 3 Caini, Saverio; Gandini, Sara; Dudas, Maria; Bremer, Viviane; Severi, Ettore; Gherasim, Alin (2014). "Sexually transmitted infections and prostate cancer risk: A systematic review and meta-analysis". Cancer Epidemiology. 38 (4): 329–38. doi:10.1016/j.canep.2014.06.002. PMID   24986642.
  31. 1 2 3 4 Ljubin-Sternak, Sunčanica; Meštrović, Tomislav (2014). "Chlamydia trachomatisand Genital Mycoplasmas: Pathogens with an Impact on Human Reproductive Health". Journal of Pathogens. 2014: 1–15. doi:10.1155/2014/183167. PMC   4295611 . PMID   25614838.
  32. 1 2 Schlicht, M. J; Lovrich, S. D; Sartin, J. S; Karpinsky, P; Callister, S. M; Agger, W. A (2004). "High Prevalence of Genital Mycoplasmas among Sexually Active Young Adults with Urethritis or Cervicitis Symptoms in La Crosse, Wisconsin". Journal of Clinical Microbiology. 42 (10): 4636–40. doi:10.1128/JCM.42.10.4636-4640.2004. PMC   522307 . PMID   15472322.
  33. 1 2 McIver, C. J; Rismanto, N; Smith, C; Naing, Z. W; Rayner, B; Lusk, M. J; Konecny, P; White, P. A; Rawlinson, W. D (2009). "Multiplex PCR Testing Detection of Higher-than-Expected Rates of Cervical Mycoplasma, Ureaplasma, and Trichomonas and Viral Agent Infections in Sexually Active Australian Women". Journal of Clinical Microbiology. 47 (5): 1358–63. doi:10.1128/JCM.01873-08. PMC   2681846 . PMID   19261782.
  34. 1 2 3 4 "Mycoplasma Infections". WebMD. Archived from the original on 30 July 2017. Retrieved 29 June 2017.
  35. "Diseases Characterized by Urethritis and Cervicitis – 2015 STD Treatment Guidelines". www.cdc.gov. Retrieved 8 December 2017.
  36. Lis, Rebecca; Rowhani-Rahbar, Ali; Manhart, Lisa E (2015). "Mycoplasma genitalium Infection and Female Reproductive Tract Disease: A Meta-analysis". Clinical Infectious Diseases. 61 (3): 418–26. doi:10.1093/cid/civ312. PMID   25900174.
  37. Wiesenfeld, Harold C; Manhart, Lisa E (2017). "Mycoplasma genitalium in Women: Current Knowledge and Research Priorities for This Recently Emerged Pathogen". The Journal of Infectious Diseases. 216 (suppl_2): S389–95. doi:10.1093/infdis/jix198. PMC   5853983 . PMID   28838078.
  38. 1 2 3 Clark, Natalie; Tal, Reshef; Sharma, Harsha; Segars, James (2014). "Microbiota and Pelvic Inflammatory Disease". Seminars in Reproductive Medicine. 32 (1): 43–49. doi:10.1055/s-0033-1361822. PMC   4148456 . PMID   24390920.
  39. 1 2 3 Larsen, Bryan; Hwang, Joseph (2010). "Mycoplasma, Ureaplasma, and Adverse Pregnancy Outcomes: A Fresh Look". Infectious Diseases in Obstetrics and Gynecology. 2010: 1–7. doi:10.1155/2010/521921. PMC   2913664 . PMID   20706675.
  40. "Giardia, Epidemiology & Risk Factors". Center For Disease Control. 13 July 2012. Archived from the original on 2 May 2015. Retrieved 3 July 2015.
  41. "Hepatitis A, Division of Viral Hepatitis". Center For Disease Control. 31 May 2015. Archived from the original on 4 July 2015. Retrieved 3 July 2015.
  42. "Shigella Infections among Gay & Bisexual Men". Center For Disease Control. 23 April 2015. Archived from the original on 4 July 2015. Retrieved 3 July 2015.
  43. Zarei, Omid; Rezania, Simin; Mousavi, Atefeh (2013). "Mycoplasma genitalium and Cancer: A Brief Review". Asian Pacific Journal of Cancer Prevention. 14 (6): 3425–28. doi:10.7314/APJCP.2013.14.6.3425. PMID   23886122.
  44. McGowin, Chris L; Anderson-Smits, Colin (2011). "Mycoplasma genitalium: An Emerging Cause of Sexually Transmitted Disease in Women". PLoS Pathogens. 7 (5): e1001324. doi:10.1371/journal.ppat.1001324. PMC   3102684 . PMID   21637847.
  45. Weinstein, Scott A; Stiles, Bradley G (2014). "Recent perspectives in the diagnosis and evidence-based treatment of Mycoplasma genitalium". Expert Review of Anti-infective Therapy. 10 (4): 487–99. doi:10.1586/eri.12.20. PMID   22512757.
  46. Taylor-Robinson, D (1996). "Infections Due to Species of Mycoplasma and Ureaplasma: An Update". Clinical Infectious Diseases. 23 (4): 671–82, quiz 683–84. doi:10.1093/clinids/23.4.671. JSTOR   4459713. PMID   8909826.
  47. Centers for Disease Control Prevention; Workowski, K. A; Berman, S. M (2006). "Sexually transmitted diseases treatment guidelines, 2006". Morbidity and Mortality Weekly Report. 55 (RR-11): 1–94. PMID   16888612.
  48. Wu J, Chen C, Sheen I, Lee S, Tzeng H, Choo K (1995). "Evidence of transmission of hepatitis D virus to spouses from sequence analysis of the viral genome". Hepatology. 22 (6): 1656–60. doi:10.1002/hep.1840220607. PMID   7489970.
  49. Farci P (2003). "Delta hepatitis: an update". J Hepatol. 39 (Suppl 1): S212–19. doi:10.1016/S0168-8278(03)00331-3. PMID   14708706.
  50. Shukla N, Poles M (2004). "Hepatitis B virus infection: co-infection with hepatitis C virus, hepatitis D virus, and human immunodeficiency virus". Clin Liver Dis. 8 (2): 445–60, viii. doi:10.1016/j.cld.2004.02.005. PMID   15481349.
  51. Baussano, Iacopo; Lazzarato, Fulvio; Brisson, Marc; Franceschi, Silvia (2016). "Human Papillomavirus Vaccination at a Time of Changing Sexual Behavior". Centers for Disease Control and Prevention, Emerging Infectious Diseases. 22 (1): 18–23. doi:10.3201/eid2201.150791. PMC   4696692 . PMID   26691673.
  52. Williams gynecology. Hoffman, Barbara L., Williams, J. Whitridge (2nd ed.). New York: McGraw-Hill Medical. 2012. ISBN   978-0-07-171672-7. OCLC   779244257.CS1 maint: others (link)
  53. Prevention, CDC - Centers for Disease Control and (2 May 2017). "CDC - Lice". www.cdc.gov. Retrieved 4 December 2017.PD-icon.svgThis article incorporates text from this source, which is in the public domain.
  54. Prevention, CDC – Centers for Disease Control and (2 May 2017). "Lice: Pubic". www.cdc.gov. Retrieved 4 December 2017.PD-icon.svgThis article incorporates text from this source, which is in the public domain.
  55. 1 2 King, B. (2009). Human Sexuality Today (Sixth ed.). Upper Saddle River: Pearson Education, Inc.
  56. "Chlamydia Infections: MedlinePlus". Nlm.nih.gov. Archived from the original on 2 July 2013. Retrieved 30 June 2013.
  57. "The Basics of Genital Herpes". Archived from the original on 22 September 2014.
  58. "Herpes". Avert.org. Archived from the original on 4 July 2013. Retrieved 30 June 2013.
  59. "Human Papillomavirus (HPV) | Overview". FamilyDoctor.org. 1 December 2010. Archived from the original on 3 July 2013. Retrieved 30 June 2013.
  60. "STD Facts – Human papillomavirus (HPV)". Cdc.gov. Archived from the original on 28 June 2013. Retrieved 30 June 2013.
  61. MedlinePlus Encyclopedia Gonorrhea
  62. "STD Facts – Syphilis". Cdc.gov. Archived from the original on 11 February 2013. Retrieved 18 February 2013.
  63. "Syphilis". Who.int. Archived from the original on 30 October 2006. Retrieved 18 February 2013.
  64. Clement, Meredith E; Okeke, N. Lance; Hicks, Charles B (2014). "Treatment of Syphilis". JAMA. 312 (18): 1905–17. doi:10.1001/jama.2014.13259. PMC   6690208 . PMID   25387188.
  65. "STD Facts – Trichomoniasis". Cdc.gov. Archived from the original on 19 February 2013. Retrieved 18 February 2013.
  66. "Trichomoniasis: MedlinePlus". Nlm.nih.gov. Archived from the original on 2 March 2013. Retrieved 18 February 2013.
  67. "Trichomoniasis – NHS Choices". Nhs.uk. 27 February 2012. Archived from the original on 11 February 2013. Retrieved 18 February 2013.
  68. "Hiv/Aids". Mayo Clinic.com. 11 August 2012. Archived from the original on 3 July 2013. Retrieved 30 June 2013.
  69. "AIDS". Avert.org. Archived from the original on 4 July 2013. Retrieved 30 June 2013.
  70. "HIV/AIDS Treatment". Niaid.nih.gov. 3 June 2009. Archived from the original on 3 July 2013. Retrieved 30 June 2013.
  71. 1 2 Salam, Alex P; Horby, Peter W (2017). "The Breadth of Viruses in Human Semen". Emerging Infectious Diseases. 23 (11): 1922–24. doi:10.3201/eid2311.171049. PMC   5652425 . PMID   29048276.
  72. "Marburg virus disease: origins, reservoirs, transmission and guidelines". ((Great Britain)) GOV.UK. 5 September 2014. Archived from the original on 5 July 2015. Retrieved 3 July 2015.
  73. Verdonck, Kristien; González, Elsa; Van Dooren, Sonia; Vandamme, Anne-Mieke; Vanham, Guido; Gotuzzo, Eduardo (2007). "Human T-lymphotropic virus 1: Recent knowledge about an ancient infection". The Lancet Infectious Diseases. 7 (4): 266–81. doi:10.1016/S1473-3099(07)70081-6. PMID   17376384.
  74. K. Madhav Naidu. Community Health Nursing, Gen Next Publications, 2009, p.248
  75. Quilliam, Susan (2011). "'The Cringe Report': Why patients don't dare ask questions, and what we can do about that". Journal of Family Planning and Reproductive Health Care. 37 (2): 110–12. doi:10.1136/jfprhc.2011.0060. PMID   21454267.
  76. "Venereal". dictionary.reference.com. Archived from the original on 3 June 2013. Retrieved 18 June 2013.
  77. Keith Allan; Kate Burridge (1991). Euphemism & dysphemism: language used as shield and weapon. Oxford University Press. p. 192. ISBN   978-0-19-506622-7.
  78. K. Madhav Naidu. "Epidemiology and Management". Community Health Nursing. Gyan Publishing House (2010). p. 248.
  79. "How You Can Prevent Sexually Transmitted Diseases". Centers for Disease Control and Prevention. 31 March 2016. Retrieved 13 December 2017.
  80. Villhauer, Tanya (20 May 2005). "Condoms Preventing HPV?". University of Iowa Student Health Service/Health Iowa. Archived from the original on 14 March 2010. Retrieved 26 July 2009.
  81. Desai, Monica; Woodhall, Sarah C; Nardone, Anthony; Burns, Fiona; Mercey, Danielle; Gilson, Richard (2015). "Active recall to increase HIV and STI testing: A systematic review". Sexually Transmitted Infections. 91 (5): 314–23. doi:10.1136/sextrans-2014-051930. PMID   25759476.
  82. 1 2 Workowski, K. A; Bolan, G. A; Centers for Disease Control Prevention (2015). "Sexually transmitted diseases treatment guidelines, 2015". Morbidity and Mortality Weekly Report. 64 (RR-03): 1–137. PMC   5885289 . PMID   26042815.
  83. "Men Who Have Sex with Men | Populations and Settings | Division of Viral Hepatitis | CDC". www.cdc.gov. 31 May 2015. Retrieved 13 December 2017.
  84. 1 2 Baarda, Benjamin I; Sikora, Aleksandra E (2015). "Proteomics of Neisseria gonorrhoeae: The treasure hunt for countermeasures against an old disease". Frontiers in Microbiology. 6: 1190. doi:10.3389/fmicb.2015.01190. PMC   4620152 . PMID   26579097.
  85. Planned Parenthood. "Condón femenino".
  86. "Mto2 anticonceptivos y de prevencin de ITS | Es cosa de 2. Campaa prevencin embarazos no deseados". métodos contraceptivos y de prevención de las ITS. Retrieved 18 November 2018.
  87. Wilkinson, David; Ramjee, Gita; Tholandi, Maya; Rutherford, George W (2002). "Nonoxynol-9 for preventing vaginal acquisition of sexually transmitted infections by women from men". Cochrane Database of Systematic Reviews (4): CD003939. doi:10.1002/14651858.CD003939. PMID   12519623.
  88. Williams, M. Healthy Choices for Fertility Control. CreateSpace, Scotts Valley, CA, 2009. ISBN   1-4486-6472-1 [ page needed ]
  89. Gavin, L; Moskosky, S; Carter, M; Curtis, K; Glass, E; Godfrey, E; Marcell, A; Mautone-Smith, N; Pazol, K; Tepper, N; Zapata, L; Centers for Disease Control Prevention (2014). "Providing quality family planning services: Recommendations of CDC and the U.S. Office of Population Affairs". MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports. 63 (RR-04): 1–54. PMID   24759690.
  90. 1 2 3 "Screening for Chlamydia and Gonorrhea: U.S. Preventive Services Task Force Recommendation Statement". USPSTF. Archived from the original on 9 October 2011. Retrieved 29 April 2014.
  91. McInerny, Thomas K. (2017). Textbook of Pediatric Care (2nd ed.). American Academy of Pediatrics. ISBN   978-1-58110-966-5.  STAT!Ref Online Electronic Medical Library [ permanent dead link ][subscription required]
  92. Expedited Partner Therapy in the Management of Sexually Transmitted Diseases (2 February 2006) Archived 2 November 2009 at the Wayback Machine U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE. Centers for Disease Control and Prevention National Center for HIV, STD, and TB Prevention
  93. "WHO Disease and injury country estimates". World Health Organization. 2004. Archived from the original on 11 November 2009. Retrieved 11 November 2009.
  94. GBD 2013 Mortality and Causes of Death, Collaborators (17 December 2014). "Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013". Lancet. 385 (9963): 117–71. doi:10.1016/S0140-6736(14)61682-2. PMC   4340604 . PMID   25530442.
  95. "Sex Infections Found in Quarter of Teenage Girls Archived 2017-06-26 at the Wayback Machine ". The New York Times. March 12, 2008.
  96. "CDC study says at least 1 in 4 teen girls has a sexually transmitted disease; HPV most common Archived 2010-04-20 at the Wayback Machine ". The Oklahoman. March 11, 2008.
  97. "Over 400,000 sexually transmitted infections reported in England in 2017, PHE report reveals". Pharmaceutical Journal. 6 June 2018. Retrieved 30 August 2018.
  98. UNAIDS, WHO (December 2007). "2007 AIDS epidemic update" (PDF). Archived from the original (PDF) on 27 May 2008. Retrieved 12 March 2008.
  99. "HIV in the United States: At A Glance Archived 2014-07-13 at the Wayback Machine ". Centers for Disease Control and Prevention.
  100. "AIDS In Black America: A Public Health Crisis Archived 2015-07-11 at the Wayback Machine ". NPR. July 5, 2012.
  101. "Hepatitis: Type B (caused by hepatitis B virus) Archived 2010-05-23 at the Wayback Machine ". Minnesota Department of Health.
  102. "Hepatitis B Archived 2010-03-15 at the Wayback Machine ". U.S. Food and Drug Administration.
  103. "World Hepatitis Day 2012". WHO. 2012. Archived from the original on 23 October 2012.
  104. Oriel, J.D. (1994). The Scars of Venus: A History of Venereology. London: Springer-Verlag. ISBN   978-3-540-19844-4.
  105. Harper, Kristin N; Ocampo, Paolo S; Steiner, Bret M; George, Robert W; Silverman, Michael S; Bolotin, Shelly; Pillay, Allan; Saunders, Nigel J; Armelagos, George J (2008). "On the Origin of the Treponematoses: A Phylogenetic Approach". PLoS Neglected Tropical Diseases. 2 (1): e148. doi:10.1371/journal.pntd.0000148. PMC   2217670 . PMID   18235852. Lay summary Live Science (15 January 2008).
  106. CBC News Staff (January 2008). "Study traces origins of syphilis in Europe to New World". Archived from the original on 17 October 2013. Retrieved 21 February 2014.
  107. Diamond, Jared (1997). Guns, Germs and Steel. New York: W.W. Norton. p. 210. ISBN   978-84-8306-667-6.
  108. Archives in London and the M25 area (AIM25 Archived 2006-04-10 at the Wayback Machine ) London Lock Hospital records
  109. Gilbert, M. T. P; Rambaut, A; Wlasiuk, G; Spira, T. J; Pitchenik, A. E; Worobey, M (2007). "The emergence of HIV/AIDS in the Americas and beyond". Proceedings of the National Academy of Sciences. 104 (47): 18566–70. Bibcode:2007PNAS..10418566G. doi:10.1073/pnas.0705329104. PMC   2141817 . PMID   17978186.
  110. "Equal Employment Opportunity Commission v. Mitsubishi Motor Manufacturing of America Inc." Archived 2016-03-04 at the Wayback Machine , Adam J. Conti, LLC, Filing 96–1192, September 15, 1997
  111. Kaltz, Oliver; Shykoff, Jacqui A (2001). "Male and female Silene latifolia plants differ in per-contact risk of infection by a sexually transmitted disease". Journal of Ecology. 89 (1): 99–109. doi:10.1046/j.1365-2745.2001.00527.x. JSTOR   3072122.

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