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Sexually
transmitted infections The SYMPTOMS of sexually
transmitted infections (STI's) are often impossible to detect initially, but if your
partner is infected, or you have a sexual relationship with someone who is promiscuous,
then a check-up is essential. If symptoms do manifest themselves, they are likely to take
the form of a discharge from the vagina, penis or anus, or itching or soreness around the
genitals or anus, or a lump or rash on the genitals, anus or mouth.
Always use a condom.
If you suspect you may have a sexually transmitted
infection, you should see your doctor or clinic straight away. You can find the telephone
number of your nearest clinic by looking up 'special clinic', 'venereal disease' or 'VD'
in the telephone directory, or by phoning your local hospital. You will be tested as
quickly as possible, and if the test is positive, you will be advised to contact your
recent sexual partners, as they too may need treatment. Avoid sex until you are clear of
the disease.
Always use a condom.
AIDS stands for
Acquired Immune Deficiency Syndrome, and the disease is caused by the human
immuno-deficiency virus, known as HIV Once it is inside the body, this virus invades the
white blood cells, which normally fight off disease, then it multiplies and destroys them.
It also breeds inside the brain. Three to four years normally elapse between infection
with HIV and any subsequent development of the symptoms associated with AIDS.
Always use a condom.
As AIDS develops the body's natural defences become
depleted, and the AIDS patient is increasingly likely to contract diseases that a healthy
body would normally ward off, and so rare forms of cancer and pneumonia develop. Sometimes
AIDS patients are attacked by several infections at once, such as candida, herpes and TB.
At the same time, the brain may succumb to increasingly severe dementia. Somewhere between
one in ten and one in three of those infected with HIV are likely to develop AIDS. As
yet there is no cure for AIDS. AIDS usually progresses through various infections and
stages of increasing debility to the eventual death of the sufferer.
Always use a condom.
How to avoid AIDS
Always use a condom.
Avoid anal sex.
Always use a condom.
Don't share toothbrushes, razors or
any other instrument that might transfer blood from cuts or abrasions.
Always use a condom.
The virus is present in body fluids, primarily
semen and blood. It may also be present in saliva, though research indicates that saliva
seems to
present little risk. Having anal intercourse with an infected partner is the most
likely way of catching AIDS, and 80 per cent of British cases so far have been male
homosexuals.
The second most common way of contracting the disease is
through infected blood. Almost a quarter of Britain's haemophiliac population now carry
HIV because they have been injected with the clotting agent collected from infected blood.
(Haemophiliacs are born without the blood-clotting factor, and can suffer severe bruising
from a minor injury, and bleed to death from a cut unless they receive the clotting factor
from donated blood.) HIV in the blood may also be transmitted on infected needles, and
drug addicts are the third most highly at risk group of the population.
To become HIV positive you do not have to be homosexual or
promiscuous, a drug addict or a haernophiliac. Heterosexuals are also at risk. Even a
heterosexual in a steady relationship stands the risk of contracting the disease if their
partner has been infected in a previous relationship. Therefore when embarking on
any new relationship, it is safest to wear a condom.
Gonorrhoea is caused by the bacterium gonococcus, which
cannot survive outside the body and is transmitted only by sexual intercourse, and never
(as is sometimes imagined) on toilet seats or towels. In men the urethra, along which
urine passes from the bladder, is infected, and there is sometimes pain on urinating and a
thick discharge from the penis within a week after infection. In homosexual men the rectum
may be infected, with the possibility of irritation and discharge from the anus. In women,
gonorrhoea infects the cervix, urethra and rectum, and, as with men, there may be
discharge and pain on urinating. If infection spreads to the uterus there is a 10 per cent
chance that the fallopian tubes may be blocked, causing sterility. Often, however, there
are no symptoms in either men or women.
The treatment for gonorrhoea is usually a single dose of
antibiotics such as penicillin, with a check-up afterwards to make sure the infection has
cleared. If gonorrhoea is not diagnosed and treated, serious complications can develop.
Men may suffer epicliclymitis - pain and swelling in the testicles; women may suffer
peritonitis - inflammation of the membranes of the abdomen. Both sexes could develop
gonococcal septicaernia, an infection of the bloodstream with skin rashes and arthritis.
In serious cases, sterility can result in both sexes. Pregnant women with gonorrhoea may
pass it on to their babies, who can be born with gonococcal opthalmia, an acute
inflammation of the eyes. Complications are, however, relatively rare nowadays.
Non-specific urethritis or NSU can be identified by
lumps, soreness or itching around the genitals, anus or mouth. There may also be a
discharge from the vagina or penis. The treatment is usually a two-week course of
antibiotics for anyone who has had contact with an infected person. During treatment,
patients are asked to give up alcohol, as this can bring about a recurrence of the
symptoms. Complications can occur, and these are similar to those for gonorrhoea, but
fortunately early diagnosis and treatment can prevent these. It is possible for a
man to be periodically reinfected with NSU without changing his sex partner, and no
explanation has so far been put forward for this. However, both partners will need
treatment each time NSU manifests itself.
Syphilis is quite rare in Britain today. It affects women
less than men, and its main victims are male homosexuals. Symptoms appear between 10 days
and 12 weeks after infection. In the primary stage of the disease a small hard sore or
chancre appears on the penis, vagina or rectum. It is painless and usually disappears very
quickly. A few weeks later, in the secondary stage, the patient is feverish, with swollen
glands and itching skin. The disease is curable with antibiotics, but if for some reason
it should not be treated, serious complications will develop many years later. Until the
advent of antibiotics, tertiary syphilis used to be quite common, with patients eventually
suffering from dementia and dying a slow, agonizing death.
Chlamycliais one of the most common STDs and is caused by a
bacterial parasite called chlamydia trachomatis. The disease is diagnosed by a swab test,
and treatment is with antibiotics. Symptoms in men include a whitish yellow discharge from
the penis, frequent 'burning' urination, and redness at the tip of the penis. Women may
notice a discharge, a frequent need to urinate, and mild discomfort which they may
mistake for vaginitis or menstrual cramps. However, many women experience no symptoms
until they develop complications such as pelvic inflammatory disease, a serious condition
which can result in infertility. Babies born to infected mothers may suffer from eye
infection, which is sometimes serious, or pneumonia.
Genital herpes is a viral infection transmitted
through sexual intercourse. It is very similar to the other sort of herpes, which causes
cold sores, and can also be caught by having oral sex with someone who has active cold
sores. The symptoms are itching, pain in the groin, discomfort on urinating and fever,
followed by the appearance of painful red blisters on the vulva or penis, which burst to
form ulcers. After about 10 days the symptoms disappear and the patient appears to be
cured. But the infection is only lying dormant and may recur at any time, particularly
when the patient is under stress. There is as yet no treatment for this disease. While the
disease is dormant, it is safe to have sex without infecting one's partner, but it is
impossible to predict the next attack, so the risk of infection remains. If the infection
is active at the end of a pregnancy, a Caesarean section may be performed to
prevent the baby becoming infected in the birth canal.
Genital warts are unpleasant but painless and can be treated
quite easily. They are small lumps that appear on the penis, vulva, or anus and are mildly
contagious. The treatment involves either painting the warts with a preparation called
poclophyllin, or freezing them off with liquid nitrogen. An association has been
identified between genital warts and cervical cancer, so it is important to get rid of
them as soon as possible, and to have regular cervical smears.
Thrush is a fungal infection that develops in certain
conditions in the vagina. It is sometimes linked to taking the Pill, and if it recurs
frequently, a different method of contraception may be advisable. A man may carry thrush,
though he usually manifests no symptoms. Thrush causes vaginal soreness and itching, and a
thick white discharge. The doctor will probably prescribe anti-fungal cream, to be used by
both partners, and vaginal pessaries, though oral treatments are available too. Some women
find that natural yoghurt in the vagina is effective. Avoid hot baths, and wearing tights,
tight jeans and nylon knickers.
Trichomoniasis is one of the most common and least serious of
all sexually transmitted diseases and may be passed on by bad hygiene practice in the use
of towels as well as by sexual contact. It can exist in a symptomfree form and some people
act as passive carriers for the disease. However, it can also cause discharge and pain in
urinating in both sexes. Several drugs are available for treatment and their success rate
is high.
Always use a condom. |
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