Among US 18-19 year olds,nearly
3/4 report ever having sex:
78% African Americans
74% white
70% Hispanic
1/4 of all sexually active adolescents contract an STD prior to leaving high school
Many STD’s are asymptomatic
Noted in Greek and Roman texts.
Different from common skin warts but look more or less the same.
Result from contact with infected skin or mucosa during sexual
activity.
Certain subtypes common in young people associated with cancer of the cervix.Premalignant/ malignant changes can be
detected by routine Pap smears.
Virus may be shed even if no warts are visible.
HPV male
Pearly
Papules
HPV freezing
Pelvic examination and Pap smears done at
SMU Health Center.Pap test cost $75,Patients needing follow-up may be seen by
our Gynecology specialist at SMU for a small fee.
Most treatments relatively painless, available at the clinic.
Abstinence, minimizing the total number of lifetime partners, and
condom use decrease transmission.
Popular with the media in the 1980’s;
hasn’t decreased, just lost the spotlight to HIV.
Not reportable in most states (including Texas), so figures of incidence and prevalence
vary.Some reports indicate up to 20%
of young adults in the US are infected with HSV 2.
60%--70% of people infected may never experience symptoms.
Transmitted by direct sexual contact (genital or oral).
Incubation 2-20 days.
.
Vesicles/blisters
form, rupture, form painful ulcers.
Men--glans,
prepuce, penile shaft.
Women--vulva,
cervix.
First
outbreak resolves in 10-14 days.
Recurrences
often less severe, shorter duration, especially when
medication
started promptly.
HSV
blisters
Hsv ulcer
Healing hsv
Hsv
blisters
HSV ulcers
HSV ulcers
Incubation 1-3 weeks.
Treatment:Doxycycline--7 days,
inexpensive
Azithromycin--1
dose, expensive
Chlamydia discharge
Chlamydia drip
Neonate with Chlamydia infection
Similar profile to Chlamydia re:
transmission, symptoms