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Sexual & Reproductive Health

 

HIV and AIDS

 

Worldwide, an estimated 630,000 people died of AIDS-related illnesses in 2022, while an estimated thirty-nine million people were living with HIV infection at the end of 2022.

 

Symptoms:

Stage 1: fever, enlarged lymph nodes, sore throat, muscle and joint pain, rash, and malaise.

Stage 2: The asymptomatic phase: all flulike symptoms vanish

Stage 3: AIDS. Signs include infections: the most common are Pneumonia and Tuberculosis. Dementia and cancer may also develop.

Causes: Acquiring human immunodeficiency virus (HIV) through sexual contact, intravenous drug use, or blood transfusions.

Testing: Blood or saliva test.

This is part three of a three part documentary filmed to commemorate New England Journal of Medicine's 200th Anniversary. The entire documentary is entitled "Getting Better".

Jonathan Van Ness discusses 40 years of HIV/AIDS by hearing from the people who have survived the global pandemic, what it’s like living with HIV & how it’s stigmatized now.

 

Viral STIs:

 

Genital Herpes: 

Symptoms: Fluid-filled blisters or sores on the skin of the genitals, anal opening, on the buttocks or thighs, inside the vagina on the cervix, or in the urinary tract. 

Causes: The infection is caused by the herpes simplex virus (HSV).

Testing: Viral culture, Blood Test

 

Human papillomavirus (HPV): 

Symptoms: Warts in genital and anal areas.

Causes: Viral infection spread through skin (usually sexual) contact

Testing: Frequent Pap Smears for women and physical examination of warts. 

 

Viral STIs. Bad news. Can't be cured. Galena succintly explains what viral STIs are and the risks to your health they pose.

 

Bacterial STIs:

 

Chlamydia:

Symptoms: Often asymptomatic, but include: watery discharge, frequent urination, and mild inflammation of the cervix.

Causes:  The bacteria Chlamydia trachomatis

Testing: Men and Women can be screened via a sample from the infected site, a swab, or a urine sample. 

 

Gonnorhea: 

Symptoms:  

In men, sometimes urinary discomfort and discharge

 In women, sometimes vaginal discharge, urinary discomfort, urethral discharge, lower abdominal discomfort, and pain with intercourse

Causes: Bacterial infection through intercourse

Testing: Culture of urine or discharge sample

 

Syphillis:

Symptoms: 

In sexually transmitted form, painless skin lesion (chancre), malaise, headache, fever, joint aches, rash, sores in mouth and throat

In congenital form, stillbirth, blindness, physical abnormalities

Causes: Bacterial infection from Treponema palladum transmitted through sexual contact or congenitally

Testing: Microscopic examination of lesions, testing of serum antibodies or tissue lipids

 

Except for HIV, the number of STIs/STDs has been growing for two decades, and surged during the pandemic. People aren’t having more sex, so… why is this?

 

Parasitic STIs

 

Pubic Lice (Crabs):

Symptoms: Itching in the genital area, visible nits (lice eggs) or crawling lice

Causes: Sexual contact

Testing: Finding a “crab” louse or egg (nit) on hair in the pubic region or, less commonly, elsewhere on the body

 

Scabies:

Symptoms: Rash, severe itching

Causes:  Skin infestation by mites

Testing:  Examination with a magnifying lens

 

Trichomoniasis:

Symptoms: Often Asymptomatic

Men with trich may notice:

  • Itching or irritation inside the penis;
  • Burning after peeing or ejaculating; and
  • Discharge from the penis.

Women with trich may notice:

  • Itching, burning, redness or soreness of the genitals;
  • Discomfort when peeing; and
  • A clear, white, yellowish, or greenish vaginal discharge (i.e., thin discharge or increased volume) with a fishy smell.

Causes: Infection with Trichomonas vaginalis (a protozoan parasite); Sexually active people can get trich by having sex without a condom with a partner who has trich.

Testing: Physical Examination combined with laboratory test