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Therapeutic areas of women's healthcare

Sexually Transmitted Diseases/HIV

A sexually transmitted disease (STD) is defined as a disease-causing virus, bacterium, parasite or fungus spread from person to person primarily through sexual contact. These agents thrive in most warm conditions in the body, such as the mouth and vagina. Some STDs can be transmitted in ways other than just sexual contact, for example contact with infected blood. Sharing infected needles or receiving a transfusion of infected blood can pass on the STD. Bacterial, fungal and parasitic STDs are curable with proper medication. Viral STDs have no cure at this time, but can be managed with proper medication.

Women, it is important to recognize, are more vulnerable to STDs from a biological and socioeconomic perspective. While the majority of STDs show little or no symptoms, the consequences of late diagnosis can be severe for women - cervical cancer, ectopic pregnancy and infertility, to name a few.

Sexually active young adults and teenagers are the largest cohort diagnosed with STDs. An estimated 200 to 400 million people worldwide are affected - 70 million in the U.S.

Click on the links below for more information on sexually transmitted diseases:

  • National Institute of Allergy and Infectious Diseases
    National Institutes of Health
    31 Center Drive, MSC 2520
    Bethesda, MD 20892-2520
    http://www.niaid.nih.gov
  • National Library of Medicine
    MEDLINEplus
    8600 Rockville Pike
    Bethesda, MD 20894
    1-800-338-7657
    http://medlineplus.gov 
  • Centers for Disease Control and Prevention
    1600 Clifton Road
    Atlanta, GA 30333
    1-888-232-3228
    http://www.cdc.gov 
  • National STD and AIDS Hotline
    1-800-227-8922 or 1-800-342-2437
    (24 hours a day, 7 days a week) 
  • American Social Health Association
    P.O. Box 13827
    Research Triangle Park, NC 27709-9940
    http://www.ashastd.org 

Common STDs

CHLAMYDIA
Number Infected: 89 million worldwide; 3 million new cases each year
Cause: Chlamydia trachomitis bacterium
Symptoms: Unnoticeable in 75% of women, 50% of men; painful burning urination; vaginal or penile discharge;
Bleeding between menstrual periods
Treatment: Curable with antibiotics; if left untreated, females will have damage to reproductive tissue; fatal pregnancy complications
Diagnosis: Diagnostic pelvic exam; diagnostic urine test

GONORRHEA

Number Infected: 62 million worldwide; 650,000 in the U.S. annually
Cause: Neisseria gonorrheal bacterium; infects membranes lining certain genital organs 
Symptoms: Often symptomless; similar to Chlamydia
Treatment: Curable with antibiotics; if left untreated, pelvic inflammatory disease (PID) in females; babies have a high risk of infection, can cause eye disease in newborns
Diagnosis: Diagnostic pelvic exam; diagnostic urine test

SYPHILIS

Number Infected: 36,000 per year in the U.S.
Cause: Treponema pallidum bacterium
Symptoms: Early stage - genital sore (chancre) develops shortly after infection and eventually disappears
Treatment: Curable with penicillin; if untreated, disease will progress affecting vertebrae, brain and heart leading to lack of coordination, meningitis and stroke

GENITAL HERPES

Number Infected: One in 5 over the age of 12 in the U.S.
Cause: Herpes Simplex Virus (HSV)
Symptoms: Recurrent outbreaks of painful genital sores, although disease can be dormant for long periods of time
Treatment: Symptoms can be treated, but disease has no cure
Diagnosis: Diagnostic blood test

AIDS

Number Infected: 800,000 - 900,000 in U.S.; 40,000 per year
Cause: Human Immunodeficiency Virus (HIV)
Symptoms: 1 - 3 weeks after infection, flu-like symptoms lasting 1 - 4 weeks; then a prolonged asymptomatic phase that can last 10 years or more; next stage of disease, extensive weight loss, fatigue, periodic fever, recurring diarrhea, thrush, recurring vaginal yeast infection; next phase (full blown AIDS) opportunistic infections, rare cancers, cumulative effects cause death
Treatment: Protease inhibitors prolong survival; AIDS is not curable
Diagnosis: Diagnostic blood test

HEPATITIS B

Number Infected: 120,000 new infections per year; 100 times more contagious than HIV
Symptoms: Attacks liver cells, leading to cirrhosis or cancer of the liver. No symptoms in about 70% of infected people, mild flu-like symptoms in 30 % of infected people; approximately 1% will develop serious symptoms such as severe vomiting, jaundice and bloated, swollen stomach
Treatment: Incurable, but chemotherapy can eliminate the virus in some patients
Diagnosis: Diagnostic blood test; vaccine is available

References

 

 

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