Sexually Transmitted Infections Bacterial Viral Parasitic CHLAMYDIA GONORRHEA

Sexually Transmitted Infections • Bacterial • Viral • Parasitic

CHLAMYDIA & GONORRHEA 1

Healthy Cervix 2

Cervix with Chlamydia 4

Penis with Chlamydia

Chlamydia

Chlamydia—Prevalence Among Persons Aged 14– 39 Years by Sex, Race/Ethnicity, or Age Group, National Health and Nutrition Examination Survey, 2005– 2008 NOTE: Error bars indicate 95% confidence intervals. 2012 -Fig 10. SR, Pg 13

Chlamydia—Proportion of STD Clinic Patients* Testing Positive by Age, Sex and Sexual Behavior, STD Surveillance Network (SSu. N), 2012 *Only includes patients tested for chlamydia †MSM=men who have sex with men; MSW=men who have sex with women only. 2012 -Fig 9. SR, Pg 13

Gonorrhea 3 Chlamydia

Cervix with Gonorrhea 5

Penis with Gonorrhea 6

Baby infected with Gonorrhea 8

Estimated Proportion of MSM*, MSW*, and Women Among Gonorrhea Cases† by Site, STD Surveillance Network (SSu. N), 2012 *MSM=men who have sex with men; MSW=men who have sex with women only. †Estimate based on interviews (n=6, 228) conducted from a random sample of reported cases of gonorrhea in 2012; cases weighted for analysis by county and to adjust for non-response. ‡California data excludes San Francisco County (shown separately). 2012 -Fig 22. SR, Pg 24

Pelvic Inflammatory Disease (PID)

9

10

HERPES SIMPLEX VIRUS (HSV) 12

Herpes • Simplex 1 vs Simplex 2

Herpes

Herpes on the Lip 13

Herpes Blister on head of penis 14

Herpes Outbreak on Penis 15

Herpes on Cervix 16

Herpes

Baby born with Herpes infection 19

Genital Herpes—Initial Visits to Physicians’ Offices, United States, 1966– 2012 NOTE: The relative standard errors for genital herpes estimates of more than 100, 000 range from 18% to 30%. SOURCE: IMS Health, Integrated Promotional Services ™. IMS Health Report, 1966– 2012 -Fig 48. SR, Pg 45

HUMAN PAPILLOMA VIRUS (HPV) 21

22

24

25

Genital Warts—Prevalence Among STD Clinic Patients by Sex, Sex of Partners, and Site, STD Surveillance Network (SSu. N), 2012 *MSM=men who have sex with men; MSW=men who have sex with women only. 2012 -Fig 47. SR, Pg 44

SYPHILIS 27

Stage 1: Primary (Chancre) 28

Stage 2: Secondary (Rash)

Stage 3: Latent • The latent (hidden) stage of syphilis begins when secondary syphilis symptoms end. This stage can start from 2 years to over 30 years after the initial infection. • In early latent syphilis, you may not have syphilis symptoms, but the infection remains in your body. When you are in this stage, you can infect a sexual partner. • In latent syphilis, the infection is quiet and the risk of infecting a sexual partner is low or absent. If you don't get treated for latent syphilis, you will progress to tertiary syphilis, the most serious stage of the disease.

4 th Stage: Tertiary • Even without syphilis treatment, only a minority of infected people develop the complications associated with tertiary (or late) syphilis. In this stage of syphilis, the bacteria can damage almost any part of the body, but most commonly affects the: • Heart • Eyes • Brain • Nervous system • Bones • Liver • Joints (see Infectious Arthritis). • This damage can happen years or even decades after the primary stage of syphilis.

Syphilis—Reported Cases by Stage of Infection, United States, 1941– 2012 -Fig 29. SR, Pg 32

PUBIC LICE 34

SCABIES 38

Hepatitis B • Virus (HBV) that causes infection of the liver. • No symptoms for most! • Transmitted through tiny amounts of blood (100 times more easily spread than HIV). • Same modes of transmission as HIV. • Antiviral drugs may help relieve symptoms, but no cure. • Vaccine

Trichomoniasis • Parasite (protozoa) • Most men have no symptoms. Women often have frothy, yellow discharge w/ odor, pain with intercourse, itching in genital area. • There are drug treatments.

Bacterial Vaginosis • Not just an STD! Caused by an overgrowth of one or more types of bacteria. Most commonly found in women who are sexually active though. • “fishy smell”, itching, burning sensation. Often confused with a yeast infection. • Antibiotics.