April 2013 Info. STD Overview
- 1. THE MOST COMMON STDS: AN OVERVIEW San Francisco Department of Public Health STD Prevention and Control Unit
- 2. STD – Sexually Transmitted Disease An infection that is transmitted through sexual activity, i.e. oral, anal, or vaginal/frontal sex. There are two types of STDs discussed today: viral and bacterial.
- 3. Bacterial Are living organisms that have cells. Treatable and repeatable. Are curable with antibiotics.
- 4. Bacterial STDs: Gonorrhea Chlamydia Syphilis Bacterial Vaginosis (BV) Trichomoniasis (Trich)
- 5. Transmission sexual fluids (precum, cum, vaginal/frontal hole secretions) oral, anal or vaginal/frontal hole sex Symptoms no signs/symptoms sore throat discharge from affected area painful urination pain/itching at affected area penile swelling abdominal pain unusual vaginal bleeding Testing urine test oral, anal or vaginal swab Treatment pill
- 6. Transmission sexual fluids oral, anal or vaginal/frontal hole sex Symptoms no signs/symptoms discharge from affected area painful urination pain/itching at affected area penile swelling abdominal pain unusual vaginal bleeding Testing urine test oral, anal or vaginal/frontal hole swab Treatment pill
- 7. Transmission direct contact with syphilis sore or mucous patches on the penis, anus, mouth vaginal/frontal hole Symptoms primary stage no signs/symptoms hard and painless sore called a chancre secondary stage a rash and mucous patches can occur. latent stage no signs or symptoms may be present but if left untreated irreversible damage to body can occur. Testing blood test Treatment shot of penicillin on each side of the butt (*Syphilis is curable at every stage!)
- 8. Transmission sexual fluids (precum, cum or vaginal/frontal hole secretions) sexual intercourse – oral, anal and vaginal/frontal hole (including sex toys) Symptoms no signs/symptoms unpleasant odor and discharge from vagina/frontal hole pain/itching in vaginal area/frontal hole Testing examination and swab of the vaginal/frontal hole Treatment pill or cream
- 9. Transmission sexual fluids, vaginal /frontal hole intercourse (women affected more than men usually) Symptoms no signs/symptoms unpleasant odor/discharge painful urination burning/itching around affected area Testing genital examination and swab of genital fluid Treatment pills
- 10. Viral STD: A virus is a non-living organism that does not have cells. A viral STD cannot be cured but can be treated. Medications are available to reduce the frequency and severity of symptoms.
- 11. Viral STDs: Hepatitis (A,B & C) Human Papilloma Virus (HPV) Herpes Simplex – (HSV I&II)
- 12. Transmission oral transmission through contaminated food or water oral - anal sexual activity (rimming) Symptoms no signs/symptoms general flu like symptoms (fever, nausea, fatigue, loss of appetite) abdominal pain dark urine light colored stools yellowing of the skin and eyes (jaundice) Testing blood test Treatment rest and water, body will usually clear the virus within 6 months
- 13. Transmission mother to infant during birth, body fluids ( blood, precum, cum and vaginal/frontal hole secretions) sharing works (needles/injection drug equipment) Symptoms no signs/symptoms similar to Hepatitis A Testing blood test Treatment can be lifelong, medication treatment available through medical provider
- 14. Transmission blood to blood contact from sharing needles with an infected person rough sex Symptoms no signs/symptoms similar to Hepatitis A & B Testing blood test Treatment can be lifelong, medication treatment available through medical provider
- 15. Transmission skin to skin contact (direct contact with wart(s) or effected skin area) Symptoms no sign/symptoms wart(s) on the genital area Testing collection of culture/skin cells with pap smear in vaginal/frontal hole or rectum *HPV can cause anal and cervical cancer, pap screenings are helpful in prevention. Treatment no cure – treatment available through medical provider
- 16. Transmission direct contact with herpes sore(s) Symptoms no signs/symptoms fever blisters/cold sores around mouth general flu like symptoms (fever, nausea, fatigue, loss of appetite) tingling/burning sensation in affected area before an outbreak of sores Testing vaginal/frontal hole or anal swab blood draw Treatment no cure, treatment available to manage symptoms usually in pill form
- 17. Communication with sex partners Limiting the number of sex partners Condom use (male or FC2) – may not be 100% effective as with some STDs, warts/sores or mucous patches may be outside the condom covered skin area Barriers for oral-anal activity (rimming) and ensuring proper hand washing, sex toy washing, and washing genitals Using clean works (injection drug supplies) and needles when injecting drugs Vaccinations: currently HPV and Hep A and B have vaccinations that prevent transmission for people not infected with either STD STD testing/screening regularly (every 3-6 months) Abstinence
- 18. Making it sexy, discuss what you’re comfortable with and what your boundaries are with safer sex. Have a stash close by, have a supply of safer sex materials in an accessible place. Finger sex, be aware of fingernails if you chose to engage in finger sex. Use lube – decrease in friction in the anal and vaginal/frontal hole areas. *Avoid oil based lubes, silicon can have a negative effect on sex toys. Fisting – be aware of how you are fisting and the effect on your skin where the fisting is occurring, it’s common to get tears in the anus with fisting. Rimming – use a barrier, get creative with it! Topping during vaginal/frontal hole or anal sex can come with risks, know the risks.
- 19. Magnet: 4122 18th St. (Castro) 415-581-1600 www.magnetsf.org San Francisco City Clinic: 356 7th Street (between Harrison and Folsom St) 415-487-5500 www.SFcityclinic.org Confidential, free/low-cost, comprehensive STD/HIV and family planning services Services provided to patients age 12 and up – parental consent is not required, per California law. Monday, Wednesday, Friday: Open 8:00 am - 4:00 pm We will accept provider referrals until 4:00; call 487-5500 Tuesday:1:00pm - 6:00pm Thursday 1:00pm - 4:00pm *Clinic may be unable to see patients without symptoms if maximum capacity has been reached. Urge your referrals to visit earlier during clinic hours.
- 20. San Francisco City Clinic: www.SFCityClinic.org An online partner notification: www.Inspot.org