All you need to know about STD ( with pictures) - Page 2 - Singapore-Asian Commercial Sex Discussions

Big Sexy · #16 (**permalink**) 16-01-2005, 04:07 PM

CHLAMYDIA-PREVENTION

Due to lack of symptoms people who are infected with Chlamydia may unknowingly infect their sex partners.

If you are sexually active, you can lower your risk by following these guidelines:

Abstinence is the only way to be 100% sure of protection from Chlamydia and other sexually transmitted diseases

Drugs reduce your ability to make sensible decisions, such a:

becoming sexually intimate when drinking alcohol and/or taking drugs

Condoms or diaphragms should be used during sexual intercourse:

anal

oral

vaginal

Form a monogamous relationship

be tested before you have sex

both partners are faithful

Limit your number of sexual partners

risk increases as number of partners increases

Persons who have more than one sex partner, especially women under 25, should be tested regularly

Regular check-ups for STD's

do not wait for symptoms to appear

testing should be part of your regular examination

Recommendations

Annual screening of all sexually active females under 20 years of age

Pregnant women should be tested

Women with infection of the cervix should be tested

Screening of women over 20 with one or more risk factors for Chlamydia:

Diaphragm contraception

Lack of condom

Multiple sex partners

New sex partner

CHLAMYDIA-TREATMENT

Chlamydia can be in your body for a very long time unless treated with antibiotics. Usually this consists of a 7-10 day treatment program.

A number of antibiotics are used to treat Chlamydial infections including:

Amoxicillin

Azithromycin (one-day course)

Doxycycline (seven day course) *

Erythromycin *

Tetracycline (some people are allergic to the drug)

Ofloxacin

* able to be used during pregnancy

Note

Penicillin is not effective against Chlamydial infections
The prescribed medication should be taken, even after symptoms disappear, until advised by your health practitioner
All sexual partners of a person with Chlamydial infection need to be evaluated and treated to prevent re-infection

Big Sexy · #17 (**permalink**) 16-01-2005, 04:10 PM

Gonorrhea Gonococcal Infection (clap, drip)

Gonorrhea is:

an infection that is spread through sexual contact with another person

caused by a bacterium, Neisseria gonorrhoeae

second only to Chlamydial infections in the number of reported cases.

The Gonorrhea germs are found in the mucous areas of the body:

Genital tract

Penis

Rectum

Throat

Vagina

In women

The opening (cervix) to the womb (uterus) from the birth canal is the first place of infection

The disease can spread into the womb and fallopian tubes, resulting in Pelvic Inflammatory Disease (PID) which can cause infertility in up to 10% of infected women and tubal (ectopic) pregnancy

Risk Groups

Any person who is sexually active can be infected with Gonorrhea

Common among younger people, ages 15-30, who have multiple sex partners

Increases in Gonorrhea have been found among men who have sex with men

Occurs more frequently in urban areas than in rural areas

Big Sexy · #18 (**permalink**) 16-01-2005, 04:12 PM

Gonorrhea-Transmission of Gonorrhea

Gonorrhea is spread

Through sexual contact including:

penis to vagina (infection rate for males 30-50%, females 60-90%)

penis to mouth,

penis to rectum

mouth to vagina

From mother to child as the child passes through the birth canal during delivery causing:

eye infections

In children, usually due to sexual abuse it is found in the:

genital tract

mouth

rectum

Other Risk Factors

An infected person can spread the infection to another area of their body by touching the infected area and transferring the excretions

Clothing or wash cloths of infected people can spread the infection

Gonorrhea-Symptoms of Gonorrhea

In Men:

Creamy or green, pus-like discharge from the penis

Painful urination (burning sensation)

Testicular pain

In Women:

Bleeding between periods

Creamy or green, pus-like or bloody vaginal discharge

Excessive bleeding during menstrual period

Irritation of the vulva

Lower abdominal pain

Painful intercourse

Painful urination (burning sensation)

Rectal infection

Throat infection

Rectal infection:

Constipation

Creamy, pus-like discharge

Itching

Painful bowel movement with blood in feces

Rectal bleeding

Symptoms usually appear 2-7 days after infection in males, but it can sometimes take up to 30 days for symptoms to appear.

Often there are no symptoms at all in:

10-15 % of men

80% of women

People with no symptoms are at risk of developing complications from Gonorrhea and can unknowingly spread the infection.

From the time of infection gonorrhea can be spread and will continue to be spread until properly treated.

Past infection does not make a person immune to gonorrhea and previous infections with Gonorrhea may allow complications to occur more rapidly and increase your risk of getting HIV.

Long term complications

In Men

Epididymitis

an inflammation of the testicles that can cause sterility

In Women

Abscesses

Ectopic pregnancy

a pregnancy outside of the uterus

Pelvic Inflammatory Disease (PID)

an ascending infection that spreads from the vagina and cervix to the uterus and fallopian tubes, which can lead to sterility

Perihepatitis

an infection around the liver

Sterility

In newborns

Gonorrhea can be transmitted to newborns

Big Sexy · #19 (**permalink**) 16-01-2005, 04:20 PM

Gonorrhea -Diagnosis of Gonorrhea

Many doctors prefer to use more than one test to increase the chance of an accurate diagnosis. There are three laboratory techniques usually used to diagnose Gonorrhea:

Staining Biological Samples

Staining biological samples directly for the bacterium is carried out by placing on a slide a sample of the discharge from the penis or cervix and staining it with a dye

The doctor can usually give you the test results during the consultation

This test is more accurate for men than women, as only 1 in 2 women with the infection have a positive stain

Detection of Bacterial Genes or Nucleic Acid (DNA) Test

Detection of bacterial genes or nucleic acid (DNA) test is carried out using urine or cervical swabs to detect the genes of the bacteria

This test is often more accurate than culturing the bacteria

Gonorrhea- Treatment for Gonorrhea

Gonorrhea is treated with penicillin or other antibiotics in pill form or by injection, however, the disease is becoming more and more resistant to many standard medications.

Antibiotics that are currently used are:

Cefixime

Ceftriaxone

Ciprofloxacin*

Ofloxacin*

Tetracycline

* The antibiotics Ciprofloxacin and Ofloxacin should not be taken if you have Gonorrhea and are:

pregnant

younger than 18 years old

Gonorrhea and Chlamydial infection, another common STD, often infect people at the same time

A combination of antibiotics is taken which will treat both diseases, such as:

Azithromycin

Ceftriaxone

Doxycycline

All sexual partners should be tested and treated if infected, whether or not they have symptoms of the infection.

If untreated the Gonorrhea infection can spread:

Into the reproductive tract

and through the bloodstream infecting:

brain (rarely)

heart valves

joints

The most common result of untreated Gonorrhea is Pelvic Inflammatory Disease (PID), a serious infection of the female reproductive organs.

Gonococcal Pelvic Inflammatory Disease (PID) often appears immediately after menstruation and causes:

In Women

Abscesses

Perihepatitis, an infection around the liver, as a long-term complication

Scar tissue to form in the fallopian tubes

Sterilization in females

The embryo to implant in the tube causing a tubal (ectopic) pregnancy, which can result in miscarriage and sometimes death of the mother

The fertilized egg not to pass into the uterus if the tubes are partially scarred

In Men

Arthritis

Epididymitis, an inflammation of the testicles that can cause sterility in the long term

Other organ infections

Skin problems

Swelling of the testicles and penis

Approximately 2% of persons with untreated gonorrhea may develop Disseminated Gonococcal Infection (DGI).

Symptoms include:

Arthritis type pain

Fever

Skin lesions

Big Sexy · #20 (**permalink**) 16-01-2005, 04:26 PM

What is TRICHOMONIASIS

Trichomonas is a common sexually transmitted disease caused by a single-cell parasitic protozoan, Trichomonas vaginalis, which was first discovered in 1836. and is often diagnosed in patients who are already infected with other STDs such as:

gonorrhea
nongonococcal urethritis (NGU)

TRICHOMONIASIS- Symptoms

Trichomoniasis infection frequently has no symptoms. There have been rare cases where the incubation period of the infection has covered years, but usually symptoms appear within 4-20 days of exposure, and include:

In women

blood spotting in vaginal discharge
heavy, yellowish-green or gray, frothy vaginal discharge
infection in the urethra, the tube that carries urine from the bladder out of the body
itching, burning or pain in the vagina
lower abdominal pain
musty vaginal odor
pain and/or burning when urinating
pain or discomfort during sexual intercourse (dyspareunia)
swelling in the groin
swollen and irritated vagina and cervix
urinating more than usual
vaginal or vulval redness
worsening symptoms when menstruating

In Men

Men rarely have any symptoms, however, if symptoms do occur they include:

infection of the urethra or prostate gland, which is involved in semen production
painful and/or difficult urination
thin, whitish discharge from the penis
tingling inside the penis

Big Sexy · #21 (**permalink**) 16-01-2005, 04:29 PM

TRICHOMONIASIS- Transmission

The parasite rarely causes symptoms in men and re-infection of women by untreated partners can occur.

It can be spread during:

anal sex
mutual masturbation when bodily fluids from one partner come in contact with the other's genitals (in rare cases)
oral sex
vaginal sex
Unlike most STDs, Trichomonas can survive for some hours outside the body on infected objects and can be transmitted by sharing:
bodily fluids
contaminated bedding
damp towels
sheets
toilet seats

TRICHOMONIASIS- Treatment

Antibiotics are usually successful (cure rate 95%) even though this infection is not a bacteria. It is usually administered in a single dose.

Procedure

Sexual partners need treatment at the same time to eliminate the parasite and to prevent re-exposure and re-infection.

Antibiotics used are:

Metronidazole

This antibiotic is also called Flagyl

Caution

If taken with alcohol it can cause severe:

nausea
vomiting
Azithromycin

This antibiotic is also called Zithromax and has fewer side effects but is more expensive

5-notroimidazoles

These drugs are successful for both partners

If left untreated Trichomoniasis can:

be spread to your sexual partner(s)
cause infections in the urethra or prostate gland in men
continue to cause uncomfortable symptoms

TRICHOMONIASIS- Prevention

Transmission of this parasite from one person to the next may be reduced by:

Abstinence from sex until the infection is cured

Consistent and correct male, latex condom use, put on before starting sex and worn until the penis is withdrawn

Spermicides and diaphragms which may provide some protection

Treatment of the male partner

Help Factors

If you have come in contact with trichomoniasis see your doctor, health professional or urologist immediately

Know your partner's sexual history

Limit one's sexual relationship to a single, uninfected partner

Note

Douching or urinating after sex does not prevent STDs
Frequent use of spermicides can cause vaginal inflammation

TRICHOMONIASIS- Prognosis

Complications

It has been shown that Trichomoniasis:

is associated with increased risk of transmission of HIV
may cause a woman to deliver a low-birth-weight or premature infant

Big Sexy · #22 (**permalink**) 16-01-2005, 04:32 PM

Molluscum

Molluscum contagiosum is a benign viral infection of the skin but is not particularly harmful or painful.

Hundreds of thousands of cases of this virus are diagnosed every year.

Molluscum-Symptoms

Molluscum causes normal skin to grow into bumps. There is no pain or discharge from these but they may bleed if cut. Symptoms usually appear between 2-12 weeks after being exposed to the infection, but can take years to manifest.

Symptoms include

Small, waxy, round, raised polyp-like growths (often with a tiny depression in the middle) which may be single at first, but can multiply into clusters, containing a firm white substance rather than pus
The blisters occur wherever the virus entered the body, usually on the:

abdomen/belly
genitals
thighs
The blisters can be:

clear
flesh-colored
pink
white
yellow
Other Symptoms

Itching
Red, scaly skin around the blisters
Individual blisters may disappear on their own after about two months, but the general outbreak can last anywhere from six months to three years.

Big Sexy · #23 (**permalink**) 16-01-2005, 04:34 PM

Molluscum-Transmission

The virus is transmitted by:

Direct skin-to-skin contact with infected skin
Manual contact, such as sharing towels and sports/locker room equipment
Nonsexual, intimate contact
Scratching, picking or breaking the blisters and touching one another (especially in preschool and elementary school children)
Vaginal, anal, and oral intercourse

Molluscum-Diagnosis

Diagnosis is usually ascertained by:

Observation of the classical skin lesion
Tissue taken from the sore and examined under a microscope

Big Sexy · #24 (**permalink**) 16-01-2005, 04:36 PM

Molluscum-Treatment

Although the virus remains in the body, the immune system of a healthy person can usually control the outbreaks causing the blisters to disappear.

Outbreaks can recur, possibly triggered by a weakening of the immune system. The infection usually clears up in 6-18 months without any treatment.

Molluscum is treated by destroying the infected skin. Growths are usually removed using one of the following techniques:

Burning growths off with a potent acid, such as Trichloracetic Acid
Electrical current
Freezing the growths with liquid nitrogen
Laser surgery using a blistering agent, such as Podophyllin which is made from rainforest beetles)
Retin A ® a common acne treatment (often used with children)
Note

Always use a recommended health professional trained in these techniques to prevent damage to the normal surrounding tissue.

Molluscum-Prevention

Abstinence
Latex condoms and gloves may offer some protection if the lesion is on the penis, if they are put on before sex and worn until sexual contact is over
Limited sexual partners to one uninfected person
People infected with molloscum contagiosum are best advised to abstain from sex until the blisters have been successfully removed and healed
Restricting body contact between infected and uninfected people can help reduce the chance of spreading infection
Some skin cancers may look like Molluscum so it is important that any abnormal lumps or bumps be examined
Do not

share towels and washcloths
squeeze the lesions which makes them more contagious
Note

The virus may 'shed' beyond the area protected by the condom
Washing, douching or urinating after sex does not prevent STDs

Molluscum-Prognosis

Persons with weak immune systems may experience outbreaks elsewhere on the body

Big Sexy · #25 (**permalink**) 16-01-2005, 04:42 PM

LYMPHOGRANULOMA

What is Lymphogranuloma

Lymphogranuloma inguinale is also known as:

Lymphogranuloma venereum (LGV)
Nicholas-Favre Disease
Sixth VenerealDisease
Tropical Bubo
Lymphogranuloma inguinale is an infection of the lymph tissue in the genital area caused by a strain of Chlamydia trachomatis, the bacterium that produces Nongonococcal Urethritis (NGU).

The disease occurs most often in

Africa
Central America
South America
Southeast Asia
The Caribbean

Big Sexy · #26 (**permalink**) 16-01-2005, 04:45 PM

LYMPHOGRANULOMA -Symptoms

Lymphogranuloma inguinale has three stages:

Stage 1

A small, painless sore similar to a pimple, blister/lesion/soft bump occurring at the point where the bacterium entered the body (usually the penis or vagina) that often goes unnoticed
Some people do not experience this and if they do healing is usually rapid without scarring
The infection then spreads to the lymph nodes in the groin area and from there to the surrounding tissue, where it causes painful swelling closest to the point of infection
Discharge from the penis or vagina from 3-30 days after exposure
Lymphogranuloma inguinale is found:

In Males

On the coronal sulcus of males

In Females

On the cervix

On the fourchette

On the posterior vaginal wall

On the vulva

Lesions have also occurred:

In the oral cavity (tonsil)

Stage 2 (1-2 weeks after initial symptoms appear)

Inflammation and swelling of lymph nodes and surrounding tissue

Lymph nodes closest to the infection continue to swell until a pus-filled bulge is created, called a bubo

Throbbing pain and fever

The buboes can:

Grow very big, until the skin covering them turns blue
Open through the skin, drain continuously and remain open (about 30% of cases)
Can become infected by other bacteria
In Women the buboes may cause:

Erosion of the skin and tissue between the legs
Erosion of the vagina or rectum walls
Painful swelling in the groin
Buboes near the anus may cause:

Discharge from the rectum
Infection of the penis
Infection of the rectum
Swelling, bleeding and erosion of the lining of the rectum, which can spread upwards into the colon
The rectum may swell almost shut
Buboes in the penis or vagina

Affect the nodes on either or both sides of the groin
May cause sores or pus-filled sacks to develop on the genitals
Buboes in the throat affect:

The nodes in the jaw and neck

Big Sexy · #27 (**permalink**) 16-01-2005, 04:46 PM

LYMPHOGRANULOMA -Transmission

Lymphogranuloma inguinale is spread by direct sexual contact with the:

genitals
mouth
rectum
Note

An individual is infectious for as long as the lesions remain active
Ejaculation is not necessary for the disease to be spread
The germ is passed from partner to partner as long as there are sores
The infection is spread by unprotected sexual contact
In Pregnancy and Birth

Infected mothers can transmit the disease to their babies at birth

It can not be spread from person to person by casual contact, such as

clothing
door knobs
eating utensils
swimming pools
toilet seats

LYMPHOGRANULOMA -Diagnosis

Diagnosis is usually ascertained by:

A blood test
A sample of the discharge for a culture test
Visual observation

Big Sexy · #28 (**permalink**) 16-01-2005, 04:50 PM

Lymphogranuloma-Treatment

Lymphogranuloma inguinale is a very persistent bacterium, and Penicillins are ineffective in treatment and can suppress the bacterium without killing it.

Early treatment is essential to reduce the severity of the chronic phase.

A 3 week program of antibiotics is recommended to kill the infection.

Antibiotics used:

Azithromycin

Chloramphenicol (effective against Chlamydia trachomatis)

Doxycycline

Erythromycin

Isulfamethoxazole

Minocycline

Rifampicin

Sulfadiazine

Tetracycline

Patients allergic to Cyclines should be treated with Erythromycin.

Follow-Up

Patients should be followed clinically until signs and symptoms have resolved.

Treatment for pregnant or lactating mothers
Pregnant and lactating women should be treated with Erythromycin.

Note
In HIV patients:

Delay in healing may occur

Development of multiple abscesses can occur

Latent Lymphogranuloma inguinale may be reactivated

Prolonged therapy may be required

Lymphogranuloma-Prevention

If you have had sexual contact with a person infected with Lymphogranuloma inguinale within 30 days before onset of the person's symptoms you should be:

examined
tested for urethral or cervical chlamydial infection
treated if the infection shows up in tests
receive presumptive treatment

Lymphogranuloma-Prognosis

Complications

A burst bubo can take months to heal completely and often leaves a deep scar or a hard mass of scar tissue
Buboes may ulcerate and discharge pus from multiple points creating chronic fistulas
Inflamed, swollen lymph glands may drain and bleed
Spontaneous remissions and exacerbations can occur usually within 8 weeks after treatment
Surgery may be needed to repair the internal and external scars and erosions caused by advanced infection
The systemic spread of Chlamydia trachomatis may be associated with:

Arthritis

Fever

Perihepatitis

Pneumonitis

Stage 3

Most people recover after the secondary stage without any complication. In a few cases, however, mostly among women, the persistence and progressive spread of Chlamydia trachomatis in anal-genital tissues will cause chronic inflammation and destruction of tissues, which can lead to:

Acute Proctocolitis (symptoms similar to Crohn's disease)

Chronic granuloma, a disfiguring condition of the vulva

Fibrotic lesions

Fistulae

Proctitis

Stricture

Surgical repair, including reconstructive genital surgery may be necessary