SEXUALLY TRANSMITTED DISEASES

All STD's -- Approximately 12 million new cases each year.

                  New cases--these are cases in persons who have never reported the disease before.  Reinfections
                                   are not included in the number of new cases.

BACTERIAL DISEASES

GONORRHEA  1.3-2 MILLION NEW CASES PER YEAR

                          THE "DRIP"
                                     THE "DISCHARGE"

CHLAMYDIA    4 MILLION NEW CASEES PER YEAR

                          THE "CLEAR DRIP"
                                      CHLAMYDIAL VAGINITIS

SYPHILIS         100,000 NEW CASES PER YEAR

                            PRIMARY STAGE

                          THE "CHANCRE"

                                    SECONDARY STAGE

                          THE "RASH"

                            LATENT PERIOD

                                    No symptoms for an extended period  (months to years)

                            TERTIARY STAGE

                                    Disease emerges as damage to primary organs
 

Each of the three bacterial diseases can be cured with treatment by antibiotics.

In the case of gonorrhea and chlamydia, the symptoms of the disease (burning urination and penile discharge) will decline in approximately 2 weeks after they first arose--even if left untreated.  In the male, the symptoms are seen as early as 72 hours after the disease was contracted.  That means that generally within three weeks after the disease was contracted, the male is again symptom free.  The problem that now exists is that the disease is still present and the bacteria are now attacking the reproductive organs of the male.  Also, the male is contagious.

In the case of the female, she generally sees no signs of the disease.  As in the male, the disease is actively present in her body in approximately 72 hours but the female is asymptomatic.  The bacteria will continue to proliferate in the genital track and eventually cause symptoms such as a vaginal discharge or noticeable odor.  The female is contagious throughout this period.  The bacteria is also likely to enter the pelvic cavity where it might result in pelvic inflammatory disease. (PID)
 

In syphilis, the chancre appears in 1-2 weeks and will disappear in approximately 2 weeks.  As with gonorrhea and chlamydia, the disease is still present and the bacteria are still growing.  The infected individual progresses into the secondary stage and on to the latent and tertiary stages.  The infected individual is contagious throughout the primary and secondary stages.  The contagious period likely ends several years into the latent period.  Since syphilis is a blood-born disease, a pregnant woman can pass the disease on to her child during any stage of the disease resulting in congenital syphilis.  The results of this infection are bone and teeth deformities, anemia, kidney problems and other potential abnormalties at birth.  If the child is not treated for syphilis, the disease will progress and eventually result in death.  The danger of syphilis to the unborn child is the reason behind blood tests historically required by most states in the U. S. to obtain a marriage license.

Even though it is very rare in our society today, syphilis left untreated will result in death.
 
 

VIRAL DISEASES

HERPES SIMPLEX VIRUS (HSV)

    HERPES SIMPLEX I  (ORAL HERPES--COLD SORES/FEVER BLISTERS)

        CDC estimates that there are currently 100 million persons in the US with HSV I
        (no estimates are available on yearly rates of new cases)

          COLD SORES

    HERPES SIMPLEX II  (GENITAL HERPES)

        500,000 new cases each year
        CDC estimates that there are currently 30 million persons in the US with HSV II

          PENIS SHAFT
               VULVA

        HSV I and II are different viruses.  HSV I has an affinity for the oral area and HSV II has an affinity
        for the genital area.  However, each of these viruses can be transferred to both areas.  Approximately 25%
        of HSV in the genital area is due to infection by HSV I (oral herpes).

        Symptoms are open lesions that exclude a clear fluid which contain the virus.  The area where the lesions
        appear will be painful and inflamed.  The virus can be spread directly by oral contact (kissing and oral sex)
        or genital contact or indirectly.  Oral herpes is more likely to be spread by indirect contact than is genital
        herpes.  Drinking glasses, towels and wash cloths, and the hand are the most likely the indirect medium.
        Genital herpes can be spread indirectly by towels and wash cloths and toilet seats.

        HSV is not a body fluid disease.  It does not reside in the blood, semen, vaginal fluids, etc.  When it is not
        present in an active case (lesions present), it resides in the nerves.  When an individual with HSV is under
        stress (physical, emotional, psychological), the HSV is activated and will travel the nerve pathway back to
        the location where it entered the body to form new lesions on the surface of the skin.

        The disease is definitely contagious when the lesions are present; however, there is some questions as to
        whether the disease is contagious when the lesions are not present.  Current thinking is that an
        individual is contagious several weeks prior to the appearance of the lesions and several weeks following
        the disappearance of the lesions.  There is even the possibility of spreading the disease when an infected
        individual does not present any lesions at all.

        HSV does not cause death but it does increase a woman's chance of developing cervical cancer later in life.
        A woman who has contracted HSV is 3 times more likely to develop cervical cancer than are women in the
        general population.

        Women who have genital herpes (or oral herpes in the genital area) are at greater risk for miscarriages
        than are women in the general population.  When babies are delivered, a woman with an active case
        (lesions present) of herpes in the genital area are likely to pass the disease along to the new child.
        Estimates place the chance of a child delivered vaginally for contracting the disease as high as 50%.  Of
        those children who do contract the disease, the likelihood of developing serious consequences such as
        brain lesions that can lead to mental retardation or death is also 50%.  Since women are likely to be under
        physical and emotional stress during pregnancy and delivery, an active case of herpes is likely.  Because of
        this, delivery by cesarean section is generally performed.

        Once you have HSV, you have it for life.  There is no cure.
        Acyclovir (Zovirax, Valtrex, etc) is available to treat HSV and will shorten the time active lesions are
        present and will reduce the severity of outbreaks.
 
 

HUMAN PAPILLOMA VIRUS (HPV)  (WARTS)

           HPV is currently considered one of the fastest growing STD's.  Approximately 3 million new cases are
           recorded each year.  HPV can appear as full-blown warts with margins raised well above the skin line
           or as flat warts with margins that are barely detectable above the skin line.

           Warts typically are spread by "flaking".  The surface of the wart flakes off and is easily transferred to a
           sexual partner.  Females often have the virus transferred to their vaginas where it is not seen or noticed
           and often only know that they have HPV when a partner informs them that he has contracted HPV
           from her.  This is unfortunate since the longer the HPV is present (and the earlier it was contracted), the
           greater the risk the female will be for cervical cancer later on.  Some sources place this risk as high as
           eight times the rate in the general population.

           Warts can be cut off, burned off, or frozen off (with freezing being the most popular method at the
           current time).

          PENIS, VULVA, AND CERVIX
 

HIV/AIDS

          Basic Info on HIV/AIDS
          Center for Disease Control Statistics on HIV/AIDS
          More than most of you ever want to know about HIV/AIDS

VIRAL HEPATITIS

        Hepatitis A (infectious hepatitis)
            Contracted through contact with contaminated feces
            Anal contact in sexual behavior is a possible method of contracting the disease
            Vaccine is available but usually given only when conditions dictate

        Hepatitis B (serum hepatitis)
            Contracted through contact with contaminated body fluids
            Risk in sexual behavior is the same as for HIV
            Vaccine available
            Has been treated effectively in 40% of cases with Interferon alpha-2b

        Hepatitis C and D
            Contracted through contact with contaminated body fluids
            No vaccine is available for C or D but you cannot get D if you do not have B

        Any of these can cause liver damage and/or lead to liver cancer if not treated.  There is no cure.
        Treatment generally involves bed rest and adequate fluids and diet.  Successful treatment will allow the
        body to overcome the virus.