Sexual Health
Pregnancy
When you’re sexually active, pregnancy is usually the greatest concern. You may be afraid of what your parents or partner will do if you become pregnant. You may also be concerned that you won’t be able to finish school or go after that career you always wanted. While pregnancy is a valid concern, sexually transmitted infections are equally, if not more, worrisome. You’re at risk for pregnancy if you have sex around ovulation (about 3 days a month), but getting an STI is a risk every time you have sex.
During pregnancy, your body goes through many changes. Some common symptoms of early pregnancy include a missed period, nausea, breast tenderness, frequent urination, tiredness, and mood swings. If you think you might be pregnant, the only way to know for sure is to take a pregnancy test. Pregnancy tests check for a hormone called HCG that is produced by the embryo during pregnancy. The longer you wait to take the test, the more accurate it becomes. It’s best to wait until your first missed period before taking a pregnancy test. You can test sooner, but you may need to take a confirming pregnancy test later.
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The Basics
There are now more than a dozen STIs (Sexually Transmitted Infections), many of them chronic, life-long infections. In the United States, it’s estimated there are 19 million new infections every year - over half of them occurring in young people, ages 15-24. Presently, over 70 million people in the U.S. are infected, or have been infected with an STI or STD (Sexually Transmitted Disease).
+ What Are STIs & STDs?
An STI (Sexually Transmitted Infection) is an infection that does not show any physical signs or symptoms. They’re contracted from another infected person through sexual activity. It becomes an STD (Sexually Transmitted Disease) when symptoms appear. It’s important to remember that not all infected people will have signs or symptoms. The problem is that some of these STDs can cause lots of damage, and can be passed to your partner without your knowledge. You don’t have to have symptoms to be contagious. You can spread the disease any time.
+ What is Chlamydia?
Chlamydia is a common STI caused by the bacteria Chlamydia Trachomatis. It can cause permanent and lasting damage to a woman’s reproductive organs (uterus, fallopian tubes and ovaries) if left untreated. It’s the most frequently reported bacterial STI in the U.S. Often Chlamydia shows no signs or symptoms, yet it can cause irreversible damage.
Chlamydia can affect both men and women at any time, regardless of age. It’s spread through body fluids during vaginal, oral, or anal sex. Condoms offer a measure of protection against Chlamydia, but even with protection you can still contract the disease. Chlamydia can also be found in the throats of men and women who have oral sex with an infected partner.
The damage done by Chlamydia is often discovered years later when previously infected women try to become pregnant and are unable to do so.
+ What is Genital Herpes?
Genital Herpes (HSV-2) is a sexually transmitted infection. Many people infected with this disease don’t have symptoms. When signs do occur, they typically appear as one or more blisters on or around the genitals or rectum. The blisters break, leaving sores that may take 2-4 weeks to heal the first time they occur. Infected people can also have pain or burning during urination.
HSV-1 is typically oral herpes, which causes cold sores, and isn’t generally sexually related. However, it’s becoming common to find both versions of the virus in the genital and oral areas, due to oral sex.
HSV-2 is typically found in the genital area.
There is no cure for Genital Herpes; however, there are medications that can help suppress and/or reduce outbreaks. A person with Genital Herpes may be contagious and not be aware. Between outbreaks, it lies dormant in a nerve root, but a variety of stressors can cause the virus to emerge resulting in an active infection. Even correct use of a condom doesn’t guarantee protection from getting or spreading Genital Herpes.
+ What is Gonorrhea?
Gonorrhea is caused by the bacteria Neisseria Gonorrhea. The Center for Disease Control (CDC) estimates that over 700,000 people in the U.S. develop a new Gonorrhea infection every year.
Gonorrhea can be spread through contact with the penis, vagina, mouth, anus, and mother to baby during delivery. Ejaculation does not have to occur for it to be transmitted or acquired.
Not all people who contract Gonorrhea experience symptoms, but an infection can cause serious complications. Men may experience symptoms such as burning sensation while urinating, white, yellow, or green discharge from the penis, and sometimes pain and swelling in the testicles. Some signs of Gonorrhea in women may be discomfort or burning while urinating, increased vaginal discharge, and bleeding between periods.
Gonorrhea can be cured with antibiotics, but may cause serious side effects. Some forms of Gonorrhea are drug-resistant, making treatment of this disease more difficult.
+ What is Hepatitis B?
Hepatitis B is a disease that affects the liver. It’s a sexually transmitted infection, but can also be spread through blood or other body fluids. There is no cure for Hepatitis B once contracted, but before contraction, a vaccine is available to protect against it.
Many people with Hepatitis B infection do not know they have the disease. People typically don’t look or feel sick, but are still able to pass the disease to other sexual partners. If symptoms do occur, people may experience: fever, fatigue, loss of appetite, nausea, vomiting, and more. Since the majority of people don’t have symptoms, it’s important to talk to your doctor about being tested.
The use of a condom does not guarantee protection against Hepatitis B.
+ What is HPV?
Human Papillomavirus (HPV) is the most common sexually transmitted infection, with about 20 million American’s infected. About half of sexually active men and women will acquire an HPV infection at some point in their life. Currently, there are over 40 different types that can infect the genital areas of both men and women. Most people who have HPV don’t know they have it. Even if there are no symptoms, you can still spread it to your partner. This disease is important because it’s responsible for abnormal pap smears, and is the cause of cervical cancer.
HPV is contracted through genital contact. In 90% of cases a person’s body is able to clear the HPV infection on its own, but a person will still be contagious until the infection is cleared. There are no tests for a general HPV infection. The only test on the market is used for cervical cancer screening. The best way to protect yourself from HPV is not engaging in sexual activity until marriage, and remaining faithful to your partner after marriage.
HPV Symptoms
Genital Warts – Genital warts usually appear as small bumps or groups of bumps, most often in the genital area. They can be raised or flat, single or multiple, small or large, and sometimes cauliflower shaped. Warts may appear within weeks or months after sexual contact with an infected person, or they may not appear at all. If left untreated, genital warts may go away, remain unchanged, or increase in size or number. This form of the disease will not turn into cancer.
Cervical Cancer – Cervical cancer doesn’t have symptoms until it’s quite advanced. For this reason, it’s important for women to get a regular pap test to detect it early. The pap test detects microscopic changes that HPV causes. Usually, these changes can be picked up and treated long before cancer develops.
HPV Vaccination
In June of 2006, the FDA approved the vaccine, Gardasil, which was developed for the prevention of cervical cancer, pre-cancer and genital warts due to HPV infection. The vaccine is designed to prevent the types of HPV that cause approximately 70% of cervical cancers, and 90% of genital warts cases. It does not protect against less common strains or strains not yet discovered. Additionally, it cannot protect someone who has already contracted the HPV types included in the vaccine.
The most commonly reported adverse reactions of the vaccine were: fever, nausea, dizziness, and injection-site pain. Serious adverse reactions were: Guillain-Barré Syndrome, blood clots, and 27 reported deaths.
Abstaining from sexual activity prior to marriage and fidelity after marriage is the best way to prevent STIs including HPV.
+ What is PID?
Pelvic Inflammatory Disease (PID) is a serious infection that usually involves the fallopian tubes, and can be caused by many different bacteria. In addition to infecting the fallopian tubes (the tubes that carry the eggs from the ovaries to the uterus), PID can also infect the tissues around and in the uterus and ovaries. It’s most frequently caused by Gonorrhea and Chlamydia; often both at the same time.
One way PID can occur is when bacteria (in many cases from a sexually transmitted infection) move from the vagina into the uterus. This can result in serious consequences including infertility, ectopic pregnancy (a pregnancy in the fallopian tube or outside of the womb), abscess formation, and chronic pelvic pain.
The symptoms of PID can range from none to severe. About two-thirds of the time, PID goes undetected by health care providers. If symptoms occur, they may include lower back pain, unusual discharge, odor, painful urination, and irregular menstrual bleeding. If PID is left untreated, it can cause serious, permanent damage. If detected, it can be treated with antibiotics with the possibility of long-term damage.
If you’ve had PID before, you’re more at risk for another episode, which can cause further damage to your reproductive organs. One out of every 10 women is left infertile after one episode of PID.
+ What is Syphilis?
Syphilis is often referred to as “The Great Imitator” because its symptoms are sometimes very similar to the symptoms of other diseases or disorders. It’s passed through direct contact with a Syphilis sore. It cannot be contracted through contact with objects like toilet seats, doorknobs, swimming pools, bathtubs, clothing, or eating utensils.
Symptoms occur in three stages, but people infected with Syphilis may not show any symptoms for years. However, they are at risk of suffering health complications later if they do not receive treatment. Even if a person has no symptoms they can still pass and spread the disease.
If caught early, Syphilis can be cured with antibiotics, but not without the possibility of it causing serious damage. The use of a condom does not guarantee protection from getting or spreading Syphilis.
Sex is a big deal. Know the facts. Make informed decisions. Respect yourself.
Find out if you need to get tested for an STD: Online STD Risk Calculator
Source: Medical Institute