THE BASICS

Transmission

STD Means . . .

Modes of STD Transmission: Unprotected Oral Sex Unprotected Vaginal Sex Unprotected Anal Sex Mother to Child Sharing Needles Note to Nora- “Mother to Child” language is consistent with HIV/AIDS powerpoint and is also more accurate since two of the three modes of transmission is happening post partum where the child is no longer a fetus. Your note about yellow on yellow- done with hyperlink. I added shadow but can’t seem to change font color. All modes presume infected partner.

How common are STDs? 1 in 4 young women (between the ages of 14-19) in the U.S. is infected with an STD. [1] More than half of all people will have an STD at some point of their lifetime.[2] Education and awareness is key in reducing transmission of STDs. http://www.cdc.gov/STDConference/2008/media/release-11march2008.htm http://www.cdc.gov/STD/HPV/STDFact-HPV.htm#common http://www.ashastd.org/learn/learn_statistics.cfm SOURCE: 1.CDC www.cdc.gov/STDConference/2008/media/release-11march2008.htm American Social Health Association www.ashastd.org/learn/learn_statistics.cfm

Who has the STD? All of them do! Symptoms can be severe, mild or non- existent!

STD Symptoms Itching Burning Unusual odor/ discharge during urination/ejaculation Unusual odor/ discharge Itching Fever Sores No symptoms 7

Bleeding /pain during sex STD Symptoms Rash Drip from the penis Bleeding /pain during sex Need 8

STDs Matched to Symptoms Bacterial Vaginosis Chlamydia Gonorrhea Trichomoniasis Yeast Pubic Lice Burning during urination/ejaculation Unusual odor/discharge Itching Animate so symptom first then which STDs 9

STDs Matched to Symptoms Herpes AIDS HPV/genital warts Pubic Lice Syphilis Bacterial Vaginosis Chlamydia Gonorrhea HIV HPV Trichomoniasis Yeast Fever Sores No Symptoms

STDs Matched to Symptoms AIDS Pubic Lice Syphilis Chlamydia Gonorrhea Trichomoniasis Herpes Ouch! Rash Drip from the penis Bleeding /pain during sex

STD Prevention When it comes to STD prevention- nothing protects more than not having sexual contact with others, called abstinence. Abstinence is the most effective way to not get or give an STD. 12

STD Prevention When people decide to have oral, anal or vaginal sex, they should: always use a latex condom or dental dam barrier be monogamous (sexually exclusive) with a non-infected partner get tested and if they have an STD, get treated 13

STD Testing Testing for STDs is typically done in one of 4 ways: Physical exam by a healthcare provider Blood test Urine test Urethral, cervical or mouth swab

STD Treatment Curable STDs Non-Curable STDs Bacterial infections like Chlamydia, Gonorrhea, Trichomoniasis, and Syphilis can be treated with antibiotics. Parasitic infections like public lice and scabies can be treated with over the counter medication. Viral infections- herpes, human papilllomavirus (HPV), HIV and Hepatitis B are not curable. Medications are available to help with symptoms. Vaccinations are available for Hepatitis B and certain types of HPV.

Don’t forget… You can’t tell by looking at a person if they are infected or not. Someone can have an STD and not know it. Medical testing is the only way to know for sure if you or a partner have an STD. Testing can be done confidentially. 16

Unprotected Vaginal Sex Definitions Unprotected Oral Sex Using the mouth and/or tongue to stimulate the genitals of a partner for sexual pleasure without a latex barrier/condom Click here to return to presentation Unprotected Vaginal Sex when a couple places an erect penis or object into the vagina for sexual pleasure without a condom or latex barrier Unprotected Anal Sex When a penis or other object is inserted into the anus of another person for sexual pleasure without a condom.

Definitions Mother to Child During pregnancy, during delivery or through breastfeeding for certain infections. Click here to return to presentation Sharing Needles Sharing needles for drug use, tattoos or body piercings Monogamous Having only one partner

Resources/Credits American Social Health Association (Asha) STD fact sheets: www.ashastd.org/ Center for Disease Control (CDC) STD fact sheets: www.cdc.gov/STD/ Presentation-ready color slides from STD surveillance, 2007 : www.cdc.gov/std/stats07/slides.htm Sex,Etc. Stories written by teens, for teens: http://www.sexetc.org/stories/std/