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Sexually transmitted diseases (STDs), also called sexually transmitted infections (STIs), are infections that are passed from person to person through sexual contact. HIV is an STD. There are more than 25 other STDs that are mainly spread by sexual contact such as vaginal, anal, and oral sex.
The US has the highest rate of STDs in the developed world. In the US, about 19 million new infections occur each year. Adolescents and young adults ages 15-24 are more at risk for STDs than older adults. There are several reasons why teenage girls and young women are more at risk for STDs. First: the cervix (passage between the vagina and womb) in adolescents and young women is lined with cells that are more likely to become infected with STDs. Second, teenagers and young adults may have many problems getting the information, services, and supplies they need to avoid STDs. They may have trouble accessing STD prevention services because they do not know where to find them, do not have transportation to get there, or cannot pay for them. Even if teenagers and young women can get STD prevention services, they may not feel comfortable in places designed for adults. They may also have concerns about confidentiality.
Teenage girls and women of color have some of the highest rates of STDs, especially for chlamydia and gonorrhea. High rates of STDs among women of color are the result of several factors, including higher rates of poverty, less access to health care, and an already high rate of STDs in communities of color. This already high rate of STDs increases the risk of getting an infection each time a woman has sex because she is more likely to have sex with an infected person.
Regardless of race or age, less than half of all those who should be tested for STDs are receiving STD screening. This is especially important for women, since women suffer more frequent and more serious complications from STDs than men.
Many STDS have no symptoms, but can still be passed from person to person. A lot of people who have an STD do not even know it. They may look healthy, and still have an STD. The only way to know for sure is to have regular STD screenings by your health care provider.
If left untreated, STDs can cause serious health problems including cervical cancer, liver disease, pelvic inflammatory disease (PID), infertility, and pregnancy problems. Having some STDs (such as chancroid, herpes, syphilis, and trichomoniasis) can increase the risk of your getting HIV if you are HIV-negative and get exposed to HIV. People living with HIV (HIV+) may also be at greater risk of getting or passing on other STDs. If and when HIV+ people get STDs, they often experience more serious problems from those infections.
Fortunately, many STDs can be prevented by practicing safer sex. Most STDs, though not all, can be successfully cured through treatment. For other STDs, there are effective medications that can help you manage your condition.
While many people with STDs show no signs or symptoms of their infection, when there are signs of STDs they are most likely to be in the genital area. The genital area in women includes the vulva (the area around the vagina including the lips), vagina (the opening where menstrual blood comes out), buttocks, urethra (the opening above the vagina where urine comes out) and anus (the opening where stool comes out). The genital area in men includes the penis, scrotum ("balls"), urethra, and anus. Some of the most common STDs include:
This STD is caused by a bacterium. Symptoms may include genital sores, vaginal discharge, a burning feeling when urinating, and swollen lymph nodes in the groin. It can be spread by vaginal or anal sex or skin-to-skin contact with sores. Chancroid can be treated with antibiotics.
This is one of the most common STDs. It is caused by a bacterium that exists in vaginal secretions and semen. It can be spread by vaginal, oral, or anal sex without a condom or latex/polyurethane barrier. Pregnant women can pass it on to their babies during delivery. Symptoms may include vaginal discharge and burning during urination, but most women do not have any symptoms. Chlamydia can be successfully treated with antibiotics. If left untreated, it can spread to a woman's upper, internal reproductive organs (ovaries and fallopian tubes) and cause pelvic inflammatory disease (PID). PID can lead to infertility (making it difficult or impossible to become pregnant).
Yearly chlamydia screening is recommended for all sexually-active women under the age of 26, as well as for older women with risk factors such as new or multiple sex partners. Unfortunately, recent reports show that less than half of sexually active women under 26 are screened for chlamydia, in part because of a lack of awareness among health care providers. If you are not offered a chlamydia test, you may want to request one from your health care provider.
HPV (Human Papillomavirus) is the name of a large group of viruses. Certain types of HPV cause warts on the hands or feet. Other types cause infections in the genital area that can lead to genital warts, cervical cancer, or cancer of the vulva, vagina, anus, and penis. Genital HPV is spread easily through skin-to-skin contact during vaginal, oral, or anal sex. Condoms do not totally prevent transmission. HIV+ people are more likely to be infected with HPV than HIV-negative people. HIV+ people with HPV are also more likely to develop genital warts, as well as cervical or anal cancer. It is important to find HPV early and get treatment to prevent health problems. Regular Pap tests are a good way to check for HPV. There are also two HPV vaccines. It is important for young people to get vaccinated before they have sex (before they have been exposed to HPV). People who are already infected with HPV are not protected by the vaccines. For more information, see TWP info sheet on HPV.
Historically called "the clap," this bacterial STD exists in vaginal secretions and semen. It can be spread through vaginal, anal, or oral sex without a condom or latex/polyurethane barrier. Symptoms may include a yellowish or greenish vaginal discharge and a burning feeling when urinating. Gonorrhea can also affect the anus and the throat. Many women have no symptoms. Gonorrhea can be treated with antibiotics. If left untreated, it can cause PID and infertility. All sexually active women should be screened for gonorrhea.
Hepatitis is an inflammation (irritation) of the liver. Some types of hepatitis are caused by viruses that exist in blood, vaginal secretions, semen, and breast milk. These include hepatitis A (HAV), hepatitis B (HBV), and hepatitis C (HCV), all of which can be sexually transmitted. HAV goes away on its own, but HBV and HCV can become chronic (long-term) and very serious. Because HBV and HCV often have no symptoms, most people are not aware that they have the infection. It is important for HIV+ people to be tested for HBV and HCV and treated if necessary. There is also a vaccine to prevent HAV and HBV, but not for HCV. See more on each type of hepatitis in TWP info sheets.
This STD is caused by a virus that lives in the nerves. There are two common types of herpes. Herpes simplex type 1 (HSV-1) usually causes cold sores around the mouth. Herpes simplex type 2 (HSV-2) usually causes sores in the genital area. However, it is possible to get HSV-2 in the mouth and HSV-1 in the genital area. Symptoms include itchy or painful blisters. The virus is spread through skin-to-skin contact with sores, but it may also spread even before sores can be seen on the infected person. In most people, the sores come and go, but the virus stays in the body for life. Genital HSV-2 infection is more common in women than men. In addition, HIV+ women may have more frequent or difficult to treat herpes outbreaks. There is no cure for herpes, but the antiviral drugs Zovirax (acyclovir), Valtrex (valacyclovir), and Famvir (famciclovir) can reduce the number of outbreaks if taken daily and can shorten outbreaks and make them less severe if taken as soon as symptoms begin. Valtrex has also been shown to lower your risk of passing the infection to someone else. Pregnant women can pass herpes to their babies, so it is important to let your health care provider know if you have genital herpes and you are pregnant or planning to become pregnant.
HIV stands for Human Immunodeficiency Virus. HIV is the virus that causes AIDS. It is present in blood, vaginal secretions, semen, and breast milk. HIV can be spread through vaginal, oral, or anal sex without a condom or latex/polyurethane barrier. As many as 25 percent of HIV+ people in the US do not know they are infected. Many people living with HIV look and feel healthy and do not think they are at risk. However, you should be tested if:
If left untreated, HIV can cause serious illness and death. If you test HIV+ there are effective medications to help you stay well. But you cannot get the health care and treatment you need if you do not know your HIV status. For more information on HIV, go to the section on TWP website called HIV: The Basics.
Pubic lice live in the pubic hair and can be transmitted by skin-to-skin contact. They can also be spread through infected clothes and bedding. Symptoms may include intense itching and seeing lice or eggs in the hair. Pubic lice can be treated with over-the-counter medications. However, pregnant women must use products specially designed for them. Contaminated clothes, bedding, and towels should be washed in hot water and laundry soap to kill lice and eggs and to prevent being infected again.
This STD is caused by a bacterium. It can be spread by vaginal, anal, or oral sex without a condom or latex/polyurethane barrier. The disease has several phases. People with primary syphilis (early disease) may have pain-free open sores, called chancres, in the genital area or around the mouth. The sores usually heal on their own in 3-6 weeks. People with secondary syphilis (a later stage of the disease) often have a rash and/or hair loss. If left untreated, syphilis can proceed to the latent stage during which it may have no visible symptoms but can cause damage to the heart, brain, and other organs. Syphilis can be successfully treated with antibiotics. Without treatment, it can hurt your body's organs, leading to severe illness and even death. Pregnant women can pass syphilis to their babies during pregnancy and childbirth, so it is important that pregnant women get tested for syphilis.
This STD is caused by a single-celled organism called a protozoa. It can be spread during vaginal, oral, or anal sex without a condom or latex/polyurethane barrier. Trichomoniasis is a common cause of vaginal infections. Symptoms may include a foamy, foul-smelling vaginal discharge and itching. Trichomoniasis can be successfully treated with antibiotics.
You can greatly reduce your risk of getting many STDs by practicing safer sex. Be aware that some STDs like genital warts, herpes, and syphilis can be spread through contact with infected skin. If that skin is not inside the vagina or anus or on the penis (for example, if it is in the mouth or throat), a condom will not protect you. Here are some tips for protecting yourself:
There are many sexually transmitted diseases including HIV. Some can be cured with treatment. Some, like HIV, herpes, and HPV, cannot be cured, but can be managed. Many can cause serious health and fertility problems or even death if left untreated. Practicing safer sex can protect you from many, but not all, STDs.
See your health care provider right away about STDs if:
You should get regular STD tests if you are sexually active, especially if you have sex with more than one partner. Many STDs do not have symptoms. If needed, get the treatment your health care provider recommends. Even if the symptoms go away, you still need to finish treatment. If symptoms continue after treatment, see your health care provider. Also make sure your partner(s) gets treated, so that you do not pass an infection back and forth.