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A 22-year-old woman has new symptoms including pain when urinating and a mild fever two days after having sex with her new boyfriend two weeks ago. She should go to a clinic to get tested and treated for a potential sexually transmitted disease (STD) by a doctor, as her symptoms could indicate an infection like chlamydia or gonorrhea. It is common for STDs to show no symptoms, so testing and treatment by a medical professional is important to prevent further spread and long term health issues.
![Sexually Transmitted Disease Richard Saint Cyr MD DABFP UN Medical Advisor [email_address] August 2, 2009](https://image.slidesharecdn.com/std-091103030553-phpapp02/85/UNStd-1-320.jpg)
UNStd
- 1. Sexually Transmitted Disease Richard Saint Cyr MD DABFP UN Medical Advisor [email_address] August 2, 2009
- 3. Case: New Boyfriend A 22 year old woman has a new boyfriend. Sex 2 weeks ago Two days slight pain when urinating; whitish urine; mild fever
- 4. Q: What Next? Kill your boyfriend Drink cranberry juice Get antibiotic at pharmacy Go to clinic doctor
- 5. Dx: Sexually Transmitted Disease “ STD” 性传染病 xìngchuánrǎnbìng Any age group Many Types Bacterial: Chlamydia 衣原體 yīyuántǐ Gonorrhea 淋病 lìnbìng Syphillis 梅毒 méidú Viral – HIV, Herpes 疱疹 pàozhěn Trichomonas 毛滴虫 máodīchóng www.giantmicrobes.com
- 6. Why So Common? ANYONE can have it! Many are carriers – no symptoms Chlamydia – no symptoms in 75% women, 50% men Herpes – most have no rash, but carry virus for lifetime HIV – initial illness like any virus; no symptoms for ~10 years
- 7. Symptoms: Chlamydia & Gonorrhea Common: Nothing! Urinary frequency, thick discharge, pain, fever Serious: Infertility Pelvic infection 盆腔炎性疾病 pénqiāngyánxìngjíbìng HIV easier to co-infect Pregnancy: birth defects or fetal death; ectopic 子宮外孕 zǐgōngwàiyùn Usual Course: Starts 5-30 days after contact
- 8. Prevention Get tested first! Safe sex Condoms (latex) Low risk sex Number of partners Avoid sex workers Women: gynecology 妇科的 exam every 1-3 years Make sure doc checks for chlamydia & gonorrhea!
- 9. How Not To Spread To Others Get treatment at clinic No sex during symptoms Inform partners Get partner treated before restarting sex
- 10. Self Treatment Not a good idea No OTC Rx work well Many different antibiotics Too much at stake Your fertility Partner’s health Your health Future baby’s health
- 11. What Clinics Can Do Physical exam: STD vs. normal bladder infection 尿道感染 niàodàogǎnrǎn Lab test: STD panel; urinalysis 尿分析 niàofēnxī ; CBC; cultures Rx: Antibiotics Treat your partner(s)! Hospital/ER: Serious kidney infections 肾盂肾炎
- 12. Drink cranberry juice Get antibiotic at pharmacy Go to clinic doctor A: What Next?
- 14. For More Information… CDC-USA Website: STD Fact Sheets http:// www.cdc.gov/std/phq.htm