STD 101 for Non-Clinicians Common Sexually Transmitted Diseases: STD 101 for Non-Clinicians Developed by The Training and Health Communications Branch, in partnership with the Program Development and Support Branch, Division of STD Prevention NCHSTP, CDC 1

STD 101 for Non-Clinicians Topics • Gonorrhea • Chlamydia • Syphilis • Herpes • HPV – genital warts 2

STD 101 for Non-Clinicians Gonorrhea 3

STD 101 for Non-Clinicians Gonorrhea Gonorrhea • Gonorrhea is sometimes called clap, drip, dose, strain, gleet or the whites • Gonorrhea is caused by a bacteria • Incubation Period: 1-30 days (average 2-5 days) • The person can pass it on 4

STD 101 for Non-Clinicians Gonorrhea Gonorrhea Symptoms in Males • Discharge from the penis (may be thick, milky white, yellowish, or greenish) • Burning upon urination 5

Source

: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides

STD 101 for Non-Clinicians Complications in Males Gonorrhea • Swollen or tender testicles (epididymitis) • Disseminated gonococcal infection (DGI) 6

STD 101 for Non-Clinicians Swollen or Tender Testicles (Epididymitis) Gonorrhea

Source

: Health Awareness Connection, http://www.healthac.org/images.html

7

STD 101 for Non-Clinicians Gonorrhea Gonorrhea Symptoms in Females • Painful urination • Abnormal uterine bleeding • Pain during sex • Most are asymptomatic 8

Source

: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides

STD 101 for Non-Clinicians Bartholin’s Abscess Gonorrhea

Source

: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides 9

STD 101 for Non-Clinicians Complications in Females Gonorrhea • Pelvic inflammatory disease (PID) • Disseminated gonococcal infection (DGI) 10

STD 101 for Non-Clinicians Gonorrhea Pelvic Inflammatory Disease (PID)

Source

: Cincinnati STD/HIV Prevention Training Center 11

STD 101 for Non-Clinicians Disseminated Gonococcal (Gonorrhea) Infection Gonorrhea

Source

: CDC/NCHSTP/Division of STD Prevention, STD Clinical Slides 12

STD 101 for Non-Clinicians Testing & Treatment for Gonorrhea • Easily detected by a simple lab test; and • Easily cured with antibiotics; but • Any damage to the body cannot be repaired.

Gonorrhea 13

STD 101 for Non-Clinicians Chlamydia 14

STD 101 for Non-Clinicians Chlamydia • Chlamydia is caused by a bacteria • Incubation Period: 2-3 weeks • The person can pass it on • May be asymptomatic Chlamydia 15

STD 101 for Non-Clinicians Chlamydia Presentation of Chlamydia Symptoms in Females: • Abnormal vaginal discharge • Pain during sex Symptoms in Males: • Discharge from the penis (may be runny, whitish) • Burning upon urination Complications, if not treated: • Pelvic inflammatory

disease (PID)

• Mucopurulent cervicitis (MPC) Complications, if not treated • Swollen and tender

testicles (epididymitis)

• Nongonococcal urethritis (NGU) 16

STD 101 for Non-Clinicians Testing & Treatment for Chlamydia • Easily detected by a urine test; and • Easily cured with antibiotics; but • Any damage to the body cannot be repaired Chlamydia 17

STD 101 for Non-Clinicians Syphilis 18

STD 101 for Non-Clinicians Syphilis • Syphilis is sometimes called “bad blood ,” pox, lues, or a “zipper cut” Syphilis • Syphilis is caused by a bacterium • Incubation Period: 10-90 days (average 21 days) 19

STD 101 for Non-Clinicians Common Symptoms of Syphilis Primary Stage • Occurs in males and females Syphilis • A painless sore called a chancre. The sore may be located on the genitals, lips, anus, or other area of direct contact • The chancre will last 1-5 weeks and heal without treatment • The person can pass it on 20

STD 101 for Non-Clinicians Primary Syphilis Chancre in a Male Syphilis

Source

: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides 21

STD 101 for Non-Clinicians Syphilis Primary Syphilis Chancre in a Female

Source

: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides 22

STD 101 for Non-Clinicians Oral Primary Syphilis Chancre Syphilis

Source

: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides 23

STD 101 for Non-Clinicians Common Symptoms of Syphilis Secondary Stage • May include skin rashes, fever, swollen lymph glands, headache, hair loss, and muscle ache Syphilis • The skin rash may be on the palms of hands, bottoms of the feet, or any part of the body • The rash may last 2-6 weeks (average of 4 weeks); it will heal without treatment • The person may be able to pass it on 24

STD 101 for Non-Clinicians Secondary Syphilis Body Rash Syphilis

Source

: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides 25

STD 101 for Non-Clinicians Secondary Syphilis Rash Syphilis

Source

: Cincinnati STD/HIV Prevention Training Center 26

STD 101 for Non-Clinicians Secondary Syphilis Palm Rash Syphilis

Source

: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides 27

STD 101 for Non-Clinicians Common Symptoms of Syphilis Late Stage Syphilis • Symptoms may include: paralysis, insanity, blindness, damage to knee joints, personality changes, impotency, aneurysm (ballooning of a blood vessel), or tumor on the skin or internal organs 28

STD 101 for Non-Clinicians Late Stage Syphilis Ulcerating Gumma Syphilis

Source

: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides 29

STD 101 for Non-Clinicians Congenital Syphilis • A mother can pass syphilis on to her unborn child Syphilis 30

STD 101 for Non-Clinicians Testing & Treatment for Syphilis • Easily detected by a blood test; and • Easily cured with antibiotics; • But any damage done to the body cannot be repaired. 31 Syphilis

STD 101 for Non-Clinicians Herpes Simplex Virus (HSV) 32

STD 101 for Non-Clinicians Genital Herpes • There are two common kinds of Herpes and both are caused by a virus • Herpes I is also called a cold sore, or a fever blister • Herpes II is Genital Herpes – Incubation Period: 2-7 days 33 Herpes

STD 101 for Non-Clinicians Common Symptoms of Genital Herpes • Small red sores that can last up to 2-3 weeks, and may be on the: penis, vagina, anus, buttocks, thighs, mouth, or finger Herpes • Symptoms may include swollen lymph glands, muscle aches, headache, fever, and difficult urination • Symptoms may or may not recur. On average, symptoms can occur approximately 5 times a year 34

STD 101 for Non-Clinicians Genital Herpes in a Male Herpes

Source

: CDC/NCHSTP/Division of STD, STD Clinical Slides 35

STD 101 for Non-Clinicians Herpes in a Male Herpes

Source

: Cincinnati STD/HIV Prevention Training Center 36

STD 101 for Non-Clinicians Herpes in a Female Herpes

Source

: CDC/NCHSTP/Division of STD, STD Clinical Slides

Source

: Cincinnati STD/HIV Prevention Training Center 37

STD 101 for Non-Clinicians Herpes You can get herpes anywhere . . .

Source

: Cincinnati STD/HIV Prevention Training Center 38

STD 101 for Non-Clinicians Herpes Complications • If not treated in adults Genital Herpes may cause stress and pain • Lethal to neonates Herpes 39

STD 101 for Non-Clinicians Testing & Treatment for Genital Herpes • Can be detected by culturing the lesion • Symptoms can be treated with prescribed medications • You can still spread Herpes even if you are taking medicine!

Herpes • Herpes cannot be cured 40

STD 101 for Non-Clinicians Human Papillomavirus (HPV) Genital Warts 41

STD 101 for Non-Clinicians Human Papillomavirus (commonly called Genital Warts) • Human Papillomavirus (HPV) is also known as “venereal warts” • Genital Warts are caused by a virus • Incubation Period: 3 weeks—9 months • HPV infection is causally associated with cervical cancer and probably other anal, penile, vulvar, vaginal cancers • Over 99% of cervical cancers have HPV DNA detected within the tumor 42 HPV

STD 101 for Non-Clinicians Common Symptoms of Genital Warts in Males & Females • The symptoms may include single or multiple fleshy growths around the penis, vagina, anus, urethra HPV • They may also include: itching, bleeding, or burning, and pain • The symptoms may recur from time to time 43

STD 101 for Non-Clinicians Genital Warts in a Male HPV

Source

: CDC/ NCHSTP/ Division of STD Prevention, STD Clinical Slides

Source

: Cincinnati STD/HIV Prevention Training Center 44

STD 101 for Non-Clinicians HPV Penile Warts HPV

Source

: Cincinnati STD/HIV Prevention Training Center 45

STD 101 for Non-Clinicians Female Genital Warts HPV

Source

: CDC/NCHSTP/Division of STD, STD Clinical Slides 46

STD 101 for Non-Clinicians Female Genital Warts - Cervix HPV

Source

: Cincinnati STD/HIV Prevention Training Center 47

STD 101 for Non-Clinicians Oral Warts HPV

Source

: Cincinnati STD/HIV Prevention Training Center 48

STD 101 for Non-Clinicians Perianal Wart HPV

Source

: Cincinnati STD/HIV Prevention Training Center 49

STD 101 for Non-Clinicians Complications of Genital Warts (if untreated) HPV • It may destroy body tissue around the genitals and anus • It may lead to cancer of the cervix in women 50

STD 101 for Non-Clinicians Testing & Treatment for Genital Warts • Can be detected in a clinical exam; • Can be treated by removing the warts; • The virus cannot be removed, so the warts may grow back. HPV 51