1. S exually T ransmitted I nfections!!!
Mr. Fischer
Freshman Health

2. Types of STIs Bacterial Viral Genital Warts Gonorrhea
Chlamydia
Syphilis
Vaginosis
Trichomoniasis
Viral
Genital Warts
Human PapilomaVirus
Herpes
Hepatitis B
HIV/ AIDS

3. Gonorrhea- Ewww!

4. Fun Facts Highly contagious
Lives in warm, moist areas like the lining of the urethra or cervix
Likes Ages (how old are you?)
Also called “The drip”
Hangs out with Chlamydia

5. Methods of Transmission
Intimate sexual contact
Oral sex
Childbirth if bacteria enter the baby’s eyes
See first slide

6. Symptoms- Males Usually have a yellow discharge from the penis
Burning sensation during urination
Blood in urine
Swelling of glands in groin
Irritation/redness on tip of penis
May experience pain and increased urination within 2-10 days after infection
50% asymptomatic (may not have symptoms)

7. Symptoms- Females 60% asymptomatic (cervix hard to detect)
If symptoms appear, burning sensation when urinating
Discharge from the vagina that usually appear between 2-10 days after sexual contact with infected partner
Pelvic Inflammatory Disease (PID): pain, high fever

8. Treatment and Complications
Antibiotics: penicillin or tetracycline
Complications
Bacteria can spread to the bloodstream and infect the joints, heart valves, and the brain
Can cause permanent sterility
In newborns can lead to blindness (silver nitrate)
Pelvic Inflammatory Disease (PID): a serious infection of the internal female reproductive system (sterility, ectopic pregnancy, abdominal pain)

9. Chlamydia- Check this out!!

10. Chlamydia- Fun Facts!! Most common STI in teens 15-19
Wait a second… how old are high school kids?!?
Infection that affects urethra or vagina
Hangs out with gonorrhea
They’re great pals!!!

11. Methods of Transmission
Intimate sexual contact
Oral sex
Childbirth if bacteria enter the baby’s eyes

12. Symptoms Male Females 50% asymptomatic
Painful urination, discharge from the penis, inflammation of the urethra, pain or swelling in the scrotum
Symptoms appear 1-3 weeks after exposure
Females
60% asymptomatic
May not know until complications develop
Inflammation of the vagina and cervix, burning sensation during urination, discharge from the vagina

13. Treatment and Complications
Antibiotics
Complications
PID- Pelvic Inflammatory Disease: serious infection of the internal female reproductive organs (no symptoms)
Scarring of the Fallopian Tubes (block the tubes & cause sterility)
Ectopic Pregnancy (tubal): occurs when a fertilized egg implants in a Fallopian tube instead of in the uterus
Death of fetus and can be fatal for the pregnant female
Left untreated, sterility in males
Pneumonia or blindness in babies

14. Syphilis-
Spirochete ->
Stage 1 \/
Stage 2 ->

15. Methods of Transmission
Intimate sexual contact
Oral sex
Not just kissing!!!
Pregnant female to her fetus
Really??? Come on MOM!!

16. Symptoms 1st Stage (primary)
Chancre: painless, open sore that appears on the genitals or the mouth (see first pictures)
May not be noticed
Chancre will disappear within a few weeks whether or not a person is treated (disease progresses to secondary syphilis)

17. Symptoms
2nd Stage
Skin rash 3-6 weeks after the chancre appears (looks like allergy)
Rash may cover the whole body or only a few areas; hands or soles of feet
Very contagious
Rash heals within several weeks or months
Other symptoms: fever, tiredness, headache, sore throat, swollen lymph glands, weight loss
Symptoms will disappear without treatment and may come and go during the next 1 or 2 years

18. Treatment/ Complications
Antibiotics (penicillin)
Treatment in the later stages can’t reverse the damage
done to body organs in early stages
Complications
Latent syphilis (3rd stage): if secondary syphilis is not treated it may become
No symptoms but bacteria still present; may damage tissues and organs
Can last for years or decades

19. Treatment/ Complications
Tertiary Syphilis (4th Stage): final stage in which bacteria damage body organs
Heart, eyes, brain, nervous system, bones, joints are damaged
Mental illness, blindness, paralysis, heart disease, liver damage, and death may occur
Damage to body organs can’t be reversed
2 out of 3 babies born to a mother with syphilis are born with syphilis

20. Vaginosis/ Trichomoniasis
Bad bacteria
Caused by dirty hands
Discharge
Odor
Trichomoniasis
*Caused by protozoa
Males asymptomatic
Caused by sex
Females: foul fishy odor and yellow- green frothy fluid

21. Genital Warts

22. Fun Facts about HPV
Caused by the human papillomavirus (HPV); over 100 types
The vaccine only protects against the 2 types of HPV (HPV-16 and HPV-18) most likely to cause cancer
50-75% of sexually active people not a problem
FACT- At least 50% of sexually active people will get Genital HPV and most won’t know they have it.
Forms tumors or warts
Most common with general population

23. Methods of Transmission and Symptoms
Intimate sexual contact
Skin to skin contact
Direct contact with infected bed linens, towels, and clothing
Through birth (again?!?!?!?!?!)
Symptoms
Genital warts appear 3-8 months after infection
Soft, red, or pink & resemble a cauliflower
May develop in the mouth

24. Methods of Transmission and Symptoms
Males
Usually appear on the tip of the penis
Also on the shaft of the penis, scrotum, or in the anus
Females
May appear on the labia, inside the vagina, cervix or around the anus

25. Treatment and Complications
People will always have the virus
Skin medication, laser surgery, or liquid nitrogen (freeze them off)
Warts may appear after removal
Complications
Embarrassing
Increases the risk of cervix, anus, and penis
cancers
Babies may have warts in their throats (need laser surgery)

26. Herpes- “That stuff comes back with you!!”

27. Herpes- Fun Facts
Caused by the herpes simplex virus (HSV) that produces cold sores or fever blisters in the genital area and mouth
Herpes simplex virus type 1 (HSV-1): a virus that causes cold sores or fever blisters in the mouth or on the lips; may also cause genital sores
Herpes simplex virus type 2 (HSV-2): a virus that causes genital sores but also may cause sores in the mouth
Both viruses remain in the body for life

28. Methods of Transmission
Spread by intimate sexual contact with an infected person
Infected people are highly contagious when blisters break and form red, painful open sores
Through touch: If infected person touches lesions in the mouth and place their fingers there and then touch the genitals or eyes, the virus is spread

29. Symptoms Occur within a week after contact with an infected person
Early symptoms: itching or burning sensation; pain in the legs, buttocks, or genital area; vaginal discharge; or a feeling of pressure in the abdominal area
Clusters of small, painful blisters that may develop into open sores appear in the genital area

30. Symptoms
Other symptoms that accompany the outbreak of the blisters can be fever, headache, muscle aches, painful or difficult urination, vaginal discharge, and swollen glands in the groin area
Symptoms may last from 2-4 weeks and then disappear
Symptoms may reappear during times of stress or illness

31. Treatment and Complications
Acyclovir or Valtrex
They relieve symptoms and
prevent some recurrences
Sores need to be kept clean and dry
Hands need to be washed after contact with the sores
Complications
Sores are painful and disrupt people’s lives (long-lasting & severe)
People fear recurrences and spreading infection to others
Increase the risk of HIV infection
Infected pregnant female can infect her baby (MOM?!?!)

32. Hepatitis-B Liver disease Flu-like symptoms Vaccine Sex, Needles,
Childbirth

33. HIV and AIDS *Attacks the immune system
5,000,000,000 T-Cells (white blood cells)
Less than 200 T cells = AIDS
4 Ways to Contract HIV and AIDS
Sex,
blood,
needles,
breast feeding, mother to child (amniotic fluid)
Not from spit
Kaposi Sarcoma (skin cancer)
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34. Nuisances Pubic Lice- AKA Crabs
Infestation of the pubic hair by pubic or crab lice that survive by feeding on human blood
*Lice are insects that pierce the skin and secrete a substance that causes itching and swelling
*Transmitted through infected sheets, clothing, towels, toilet seat
*Transmitted through intimate sexual contact
* Lice can live outside of the body for as long as one day
* May be visible (black spots with hair)

35. Nuisances Yeast Infections *No sexual contact
*Caused by fungus Candida
*Warm, dark, moist areas
*White cottage cheese discharge
*Burning, soreness

36. What have we learned???
Anything to add????