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SEXUALLY TRANSMITTED DISEASES (STDS)

"In the United States, more than 65 million people are currently living with an incurable STD. An additional 15 million people become infected each year." -Center for Disease Control

History of STDs
Pre 1960's: Syphilis and Gonorrhea were the only major STDs
1976: Chlamydia first recognized
1981: AIDS identified
1982: Herpes became very prevalent
1992: PID or Pelvic Inflammatory Disease recognized
1996: HPV or Human Papilloma Virus recognized as the cause of 90% of all cervical cancer, and is the reason for yearly PAP smears.
1980-present: 8 NEW diseases identified including HIV

* It is important to note that this is not just a case of medical science diagnosing what has existed all along. These are NEW diseases, caused by sexual activity with multiple partners. Viruses continue to mutate and multiply, all the while becoming more resistant to treatment.

Statistics
1 in 5 Americans has been infected with an STD (American Social Health Association).

The fastest growing population contracting AIDS is women. In 1985, 7% of AIDS cases reported were women. That percentage increased to 14% in 1992, and to 23% in 1999 (AIDS.ORG).

Sexually active adolescent girls have the highest risk of cervical infections because the ectropion, or delicate tissue that surrounds a young woman's cervix, is not fully formed until she is 18 years old. It is, therefore, very vulnerable to blood borne infections (Alan Gutmacher Institute, 1994).

Approximately 2/3 of all people who acquire STDs are under 25 (American Social Health Association).

PID or Pelvic Inflammatory Disease is the most rapidly increasing cause of infertility in the United States. Researchers have estimated that a sexually active 15-year-old has a 1 in 8 chance of developing PID. By the age of 24, the probability decreases to 1 in 80 (The Medical Institute).

There are presently more than 25 significant STDs (Center for Disease Control).

In the United States, more than 65 million people are currently living with an incurable STD. An additional 15 million people become infected each year (ibid).

In 1999, reports indicated that strains of Human Papilloma Virus (HPV) were present in 99% of samples tested for cervical cancer. It is estimated that 75% of sexually active Americans are or have previously been infected with HPV (The Medical Institute).

While almost all STDs can be treated to relieve pain or minimize symptoms, there is no cure for viral STDs, including Human Papilloma Virus (HPV), Human Immunodeficiency Virus (HIV), and Herpes (ibid).

Prevention
Abstaining from sex is the only way to be 100 percent confident of avoiding STD infection. Prevention through avoiding exposure is the best strategy for controlling the spread of sexually transmitted diseases. Proper use of condoms with each act of sexual intercourse can reduce, but not eliminate, risk of STDs. (Center for Disease Control and Prevention)
What are STDs?
STDs are Sexually Transmitted Diseases

There are over 50 different kinds including chlamydia, gonorrhea, syphilis, herpes, human papilloma virus (HPV), chancroid, hepatitis B, HIV and AIDS.

How do I get it?
Sex is not necessary to get an STD. STDs can be passed through vaginal, anal and oral sex. But STDs can also be passed by skin to skin contact and by contact with infected body fluids. You can get AIDs from sex or sharing needles with someone who has AIDS or is HIV positive.

Who gets it?
1 in 5 Americans has been infected with a STD. Both men and women are vulnerable to STDs at any age. The fastest growing population contracting AIDS is women. Sexually active preteen and teenage girls have the highest risk of cervical infections due to the fact that the delicate tissue that surrounds a young woman's cervix is not fully developed.

Do you have an STD?
In the July 2002 issue of SHAPE magazines, there is a report showing that "silent" infections can outnumber not-so-silent. A study by the Reserch Triangle Institute reports that, of randomly tested Baltimore residents ages 18-35, there were more "silent" infections than diagnosed and treated cases.

Not all STDs have symptoms. You could have one right now and not even know it. Read "How do I get it?" (above). If this applies to you GET TESTED.

Don't Condoms prevent STDs?
Condoms are used correctly less than 50% of the time. A condom can break, leak or slip off during intercourse. In one test, 33% (1/3) of the latex condoms leaked HIV(the virus that causes AIDS). 1 Unlike the AIDS virus, HPV (human papillomavirus) is a STD that is passed by direct intimate (skin to skin) contact. HPV is the most common viral STD in the United States. Experts report that condoms provide little, if any, protection against this STD. 2 The Center for Disease Control says, "Used inconsistently (less than 100 percent of the time), condoms offer little more protection than when they are not used at all."

Condoms provide the best (though not complete) protection against HIV and Gonorrhea. They are less effective protecting against Herpes type 2 and Chlamydia. Condoms provide little protection against bacterial vaginosis and HPV (the most common STD). (Cates, W. Jr & Stone, K.M. (1992, March/April). Family Planning, Sexually Transmitted Diseases and Contraceptive Choice: A Literature Update- Part I. Family Planning Perspectives, 24(2), 75-84) Condoms must be used consistently and correctly each time to protect against infection.

The ONLY "Safe Sex" is sex with your uninfected spouse and ONLY them!
The most common STDs and how they can affect you: 4,5

Name Symptoms Health Effects Treatment
Acquired Immune Deficiency Syndrome (AIDS) Long-lasting infections, diarrhea, night sweats, fever, weight loss, swollen glands, coughing, shortness of breath Immune system damage leading to cancer, pneumonia, brain damage, death There is no cure for AIDs. Drugs now improve outlook for infected individuals.
Human Immunodeficiency Virus (HIV) Most people have no symptoms until the virus has developed into AIDS. Causes Acquired Immune Deficiency Syndrome (AIDS)
Chlamydia Most people don't know they are infected because they have no symptoms. When people do have symptoms they may include pain when going to the bathroom or a "discharge" from the penis or vagina. It can cause pelvic inflammatory disease. PID causes abdominal pain and makes it difficult or impossible to get pregnant. It can be treated with antibiotics. But treatment is not provided if you don't get tested. Remember, most people don't know they have it!
Human Papilloma Virus (HPV) Some people have warts on (or in) their genitals, but most people don't know they are infected. A Pap smear can detect HPV infection in females. Sexually active females should contact their doctor and be tested. It can cause genital warts and cervical cancer. There is no cure for HPV. Most people don't know they have HPV, so they don't seek treatment. Warts can be treated , but may return. Cancer can be treated, if found early.
Genital Herpes Sores on penis or vagina, vaginal discharge, fever, tiredness, itching, aches and pains. First signs can be very painful, recurrent flareups may occur 4 to 7 times per year. There is no cure for Herpes. Symptoms can be treated. Greater risk for getting HIV.
Gonorrhea Most people do not know they are infected, because they have no symptoms. This is especially true of females. When symptoms are present they include pain when going to the bathroom or a discharge from the penis or vagina. Yes, it can cause pelvic inflammatory disease. This disease causes abdominal pain, difficulty getting pregnant or infertility. It can be treated with antibiotics. But if you don't know you have it how will you know to get treated. If you have had sex then get tested.
Syphilis Sores on penis or vagina, mouth, anus or elsewhere; low fever, sore throat, other sores or rashes. If untreated, can cause damage to heart, blood vessels and nervous system, blindness, insanity and death. Can be cured with drugs.
Trichomonas Most people do not know they are infected because they have no symptoms. When symptoms are present they include watery vaginal discharge, vaginal irritation, pain during intercourse and burning when going to the bathroom. Trichomonas is a parasite that causes genital infection. It causes more new infections each year than any other STD (with the exception of HPV). Can be treated with oral medication.

Some STDs can be treated and cured, however, if left untreated, some STDs keep getting worse, causing permanent damage or death.

Notes:
1 Sexually Transmitted Diseases vol. 19, 230-234 (1992)
2 The Medical Institute "Condom Sense", (1999)
3 The Medical Institue "If Someone Tells You a Condom Will Keep You Safe... They're Stretching the Truth."
4 The Medical Institute "Get Your Facts Straight", (2000)
5 March of Dimes "Sexually Transmitted Diseases", (2000)


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