Sexually Transmitted Infections

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Sexually Transmitted Infections
  1. Definition
    1. STI is an infection that is transmitted via body fluids through sexual contact.
      1. They are caused by bacteria or viruses that can be passed from one person to another during sexual intercourse.
    2. Methods of transmission
      1. Direct contact
        1. Through the blood
          1. Sharing needles
            1. Sexual intercourse, across the placenta
            2. Through other bodily fluids
              1. Sexual intercourse
                1. Semen (male)
                  1. Vaginal discharge (female)
                  2. Breast feeding
                    1. Kissing
                2. How the spread of STis can be controlled
                  1. Abstinence
                    1. The most reliable way to avoid infection is to not have sex (i.e., anal, vaginal or oral)
                    2. Vaccination
                      1. Vaccines are safe, effective, and recommended ways to prevent hepatitis B and HPV.
                        1. HPV vaccines are recommended for all teen girls and women through age 26 and all teen boys and men through age 21. Hepatitis B vaccination should be taken at a much younger age (child).
                      2. Mutual Monogomy
                        1. Being in a long-term mutually monogamous relationship with an uninfected partner.
                        2. Reduced number of sex partners
                          1. Reducing your number of sex partners can decrease your risk for STDs
                            1. Condoms
                              1. Go for an annual STD test
                            2. HIV (Human Immunodeficiency Virus)
                              1. Methods of transmission
                                1. Direct contact of bodily fluids
                                  1. The virus that causes AID cannot live outside the human body as it is less tough than the cold virus. Hence, you could only become infected with HIV through direct contact of your bodily fluids with those of someone with the virus.
                                    1. Sexual intercourse
                                      1. HIV can live in the fluid inside the vagina, rectum and urethra. During sexual intercourse, fluids from one partner come into contact with fluids of the other.
                                        1. The more sexual partners a person has, the higher the chance of them becoming infected with HIV.
                                      2. Blood contact
                                        1. In the 1970s and 1980s (before anyone knew what caused AIDS), blood containing HIV was used in transfusions. Now all blood used in transfusions in most countries is screened for HIV before it is used.
                                          1. By sharing hypodermic needles
                                            1. This most commonly happen in people who inject drugs.
                                      3. How it affects the immune system
                                        1. HIV infects lymphocytes called T cells. HIV slowly destroys T cells and after several years after infection with the virus, the numbers of certain kinds of T cells are so low that they are unable to fight against other pathogens effectively. Because HIV attacks the very cells which would normally kill viruses (T cells), it is very difficult for someone's immune system to protect them against HIV.
                                          1. How HIV may lead to AIDS
                                            1. After several years (about 10) after initial infection with HIV, a person is likely to develop symptoms of AIDS unless they are given effective treatment. They become very vulnerable to other infections such as pneumonia, cancer (bearing in mind that one of the main function of the immune system is to destroy body cells which may be beginning to produce cancers).
                                              1. What is AIDS?
                                                1. The disease, Acquired Immune Deficiency Syndrome (AIDS) is caused by HIV. A person with AIDS usually dies from a collection of several illnesses as the person's body can no longer fight the other viruses due to the destruction of lymphocytes caused by HIV virus.
                                                  1. Symptoms
                                                    1. Soaking night sweats. Shaking chills or fever higher than 100 F (38 C) for several weeks. Cough. Shortness of breath. Chronic diarrhea. Persistent white spots or unusual lesions on your tongue or in your mouth. Headaches. Persistent, unexplained fatigue.
                                            2. Symptoms
                                              1. Rapid weight loss. Recurring fever or profuse night sweats. Extreme and unexplained tiredness. Prolonged swelling of the lymph glands in the armpits, groin, or neck. Diarrhea that lasts for more than a week
                                              2. Treatment plan
                                                1. There are currently five different "classes" of HIV drugs. Each class of drug attacks the virus at different points in its life cycle
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