Sexually Transmitted Infections (STIs) : be.georgetown.edu

Sexually Transmitted Infections (STIs)

Chlamydia
Genital Herpes
Gonorrhea
Hepatitis B
HIV/AIDS
Human Papilloma Virus (HPV)
Pelvic Inflammatory Disease (PID)
Syphilis
Trichomoniasis
 

One in four college students today has some kind of sexually transmitted infection (STI). According to the CDC, 19 million new cases of STIs occur every year, half of them being among 15-24 year olds.

While awareness about the risks of sexual activity has grown in the past decade, many people still do not realize that condoms are only effective at protecting against certain STIs. Some STIs, such as herpes and HPV, which causes genital warts, can be transmitted from contact with skin that is NOT covered by a condom. It is also important to note that STIs can be transmitted through ALL forms of sex — vaginal, anal, AND oral. The surest way to avoid transmission of STIs is to abstain from sexual contact, or to be in a long-term mutually monogamous relationship with a partner who has been tested and is known to be uninfected.

STIs are either bacterial, viral, or parasitic. Bacterial and parasitic infections are commonly treated with antibiotics or other prescription drugs. There is no cure for viral infections; treatment aims to eliminate or reduce symptoms.

Individuals who are thinking about having sex should have an open and honest conversation with their partners about their concerns, values, and STI prevention. Getting tested regularly is essential for sexually active individuals. If an infection is detected, early treatment of BOTH partners is essential to avoid complications, re-infection, and infertility. Many people believe they can “tell” if someone has an STI. This is false. It is not possible to assess whether someone has an STI due to their looks, number of partners, or sexual orientation. STIs do not discriminate. Also, many STIs have no symptoms.

On-campus STI Testing:
Student Health Center
202-687-2200

To find off-campus locations for HIV and STI testing and for additional information and resource links on this subject visit the National HIV and STI Testing Resources Web Site.  A service of the Centers for Disease Control and Prevention (CDC).

The following chart provides an overview of the most common STIs:
 

Infection

Facts

Transmission 

Symptoms   

Complications (if left untreated or not treat early)      

Treatment     

Chlamydia

 

 

 

Bacteria

 

Known as "silent" STI; 3/4 of infected women and about 1/2 of infected 
men have no symptoms

If symptoms do occur, they usually appear within 1 to 3 weeks after exposure2

Vaginal, anal, and oral sex

Mother to child during childbirth

Men: Usually none; Some experience discharge from the penis and burning during urination; pain or swelling in the testicles

Women: Usually none; Some experience abnormal vaginal discharge; painful urination; fever; abdominal pain; vaginal bleeding; low back pain; nausea; painful intercourse

Men: Inflammation of male organs, which can lead to sterility

Women: Pelvic Inflammatory Disease (PID); infertility; tubal pregnancies

Curable with antibiotics

Surgery may be needed if PID has developed

Infertility is permanent

Genital Herpes

 

 

 

Virus

 

 

 

 

 

Caused by herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2)

 

 

 

Virus is released from sores and from skin that does not appear to have a sore

Skin-to-skin contact

Vaginal, anal, and oral sex

 

 

 

Men and women: Usually none, but if symptoms appear, they can be pronounced

Some experience lesions at the site of infection within two weeks of infection; sores typically heal within two to four weeks

Subsequent outbreaks may occur, but are usually less severe than the first

Men and women: Recurrent  outbreaks; more severe in people with suppressed immune systems

It is important that women avoid contracting herpes during pregnancy; can lead to fatal infection in babies

Suppressive drugs can help prevent outbreaks during pregnancy and delivery; C-section is performed if mother has an active infection during delivery

No medical cure

Antiviral drugs can reduce the number and duration of outbreaks

 

 

 

Gonorrhea

 

 

 

Bacteria

 

Common STI that grows and multiplies in warm areas, such as cervix, uterus, fallopian tubes (women), and urethra, mouth, throat, eyes, and anus. (men and women)

Contact with the penis, vagina, mouth, or anus (ejaculation does not have to occur)

Mother to baby during delivery

Men: Usually none; Some experience white, yellow, or green discharge from penis; burning during urination; painful or swollen testicles

Women: Usually none; Some experience pelvic pain; painful urination; pus-like discharge; and/or bleeding between periods

Rectum: Discharge, anal itching, soreness, bleeding, or painful bowel movements

Men: Epididymitis (may lead to infertility)

Women: PID; infertility; tubal pregnancies; long-lasting pelvic pain

Curable with antibiotics

Some strains are drug-resistant, making treatment difficult

Surgery may be needed if PID has developed

Infertility is permanent

Hepatitis B

 

 

 

Virus

 

 

 

 

 

“Hepatitis” means inflammation of the liver

Hepatitis B is a contagious liver disease, which ranges from mild (lasting a few weeks) to serious (lasting a lifetime)

Can either be acute or chronic

When blood, semen or another body fluid from an infected person enters the body of an non-infected person

Sharing needles; Vaginal, anal, or oral sex

Mother to baby during delivery

Men and women: Sometimes none; Some experience fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, gray-colored stool, joint pain, and jaundice

Symptoms appear within three months of exposure and can last from a few weeks to several months

Men and women: Severe liver damage; liver cancer; cirrhosis of the liver; inflammation of the liver

Acute infection can – but not always – lead to chronic infection

 

 

 

No medication for acute hepatitis B; doctors recommend rest, adequate nutrition, and fluids

Chronic hepatitis B patients are monitored for signs of liver disease; some people benefit from specific medications   

Best way to prevent hepatitis B is to get vaccinated

HIV/AIDS

 

 

 

Virus

 

 

 

 

 

HIV finds and destroys  a type of white blood cell (T cells or CD4 cells) that the immune system must have to fight disease

When someone has one or more specific infections, certain cancers, or a very low number of T cells, he/she is considered to have AIDS

Transmission of body fluids (blood, sexual fluids, breast milk)

Vaginal, anal, and oral sex; sharing needles

Mother to baby before or during birth or through breastfeeding

Symptoms may not appear for up to ten years

When symptoms appear, they may include weight loss, chronic diarrhea, thrush, fever, tiredness, and purplish growths on the skin

HIV: Development of AIDS, weekend immune system and susceptibility of acquiring other illnesses and diseases

AIDS: Susceptibility of acquiring other illnesses and diseases; death

 

 

 

No medical cure

Anti-retroviral drugs have markedly decreased the amount of infections patients experience and have prolonged life

Early treatment can prevent HIV from developing into AIDS

Human Papilloma Virus (HPV)

 

 

 

Virus

 

 

 

 

 

There are over 40 different types of HPV. Some types cause genital warts, while others can cause cancer

 

 

 

HPV types are often referred to as “low-risk” (wart-causing) or “high-risk” (cancer-causing)

 

Passed through genital contact, most often during vaginal and anal sex

Mother to baby during delivery (very rare)

 

 

 

Usually no symptoms

 

 

 

 

 

 

Genital warts: Fleshy warts that can be flat, raised, or shaped like cauliflower on the genitals or anus

 

 

 

Cancer-causing warts: Changes occur in cells, but often cause no symptoms

 

 

 

Can lead to cervical, vaginal, or anal cancer

Can block vaginal opening

No medical cure for virus, but a healthy immune system can usually fight off HPV naturally

Visible warts: surgical removal, laser, freezing, or acid

Cervical cancer: More treatable when diagnosed and treated early; routine Pap tests are recommended; a vaccine can help protect against most cervical cancers

Pelvic Inflammatory Disease (PID)

 

 

 

Bacteria

 

PID refers to infection of the uterus, fallopian tubes, and other reproductive organs

100,000 people become infertile yearly due to PID

Vaginal, anal, or oral sex

Occurs when bacteria move upward from a woman’s vagina or cervix into her reproductive organs

Usually caused by gonorrhea or Chlamydia, but can be caused by other organisms as well

Affects only women

Symptoms are none to severe; some experience lower abdominal pain, fever, unusual vaginal discharge, painful intercourse, painful urination, irregular menstrual bleeding, pain in the right upper abdomen (rare)

See Chlamydia and Gonorrhea

Scaring to normal tissue and permanent damage to  reproductive organs leading to infertility and ectopic pregnancy (fertilized egg implants in the fallopian tubes instead of the uterus); also may cause chronic pelvic pain

Can be cured with antibiotics

Hospitalization may be needed

Syphilis

 

 

 

Bacteria

 

Syphilis has been called “the great imitator” since its symptoms mimics those of other diseases

It has three stages: primary (1), secondary (2), and late and latent (3)

Vaginal, anal, or oral sex

 

 

 

Stage 1: Painless sores that may last 3-6 weeks and disappear; Stage 1 is often unnoticed

Stage 2: Rashes (usually painless), fever, sore throat, hair loss, headaches, weight loss, fatigue, muscle pain

Stage 3: Can appear 10-20 years after infection; causes damage to internal organs (brain, nerves, eyes, heart, blood vessels, liver, bones, and joints); signs includes paralysis, numbness, gradual blindness, dementia, and even death

If untreated, severe damage to the brain, heart, eyes, nervous system, bones, and joints; paralysis, death, increased risk of HIV/AIDS

Curable with antibiotics if treated early

Damage caused by the infection in the later stages may be irreversible

Trichomoniasis

 

 

 

 

Affects both men and women, although symptoms are more common in women

Penis-to-vagina intercourse or vulva-to-vulva contact

Men: Usually no symptoms; some experience irritation inside the penis, mild discharge, or slight burning after urination or ejaculation

Women: Yellow-green vaginal discharge with a strong odor; painful intercourse and urination; itching of genital area; lower abdominal pain (rare); symptoms appear within 5 to 28 days of infection

Increased women’s susceptibility to HIV infection

Prescription drugs