1. Sexually Transmitted
Infections

2. Syphilis

3. What is it? Cause by the ___________ Treponema pallidum
Can be very serious, even deadly. If untreated.
It is the __________prevalent of the STI’s at this time with 70,000 cases annually in the US.

4. How do you get it? Contracted during Vaginal intercourse
Anal intercourse
Oral intercourse

5. Incubation period 10 days to 3 months
Average incubation period is 21 days

6. Symptoms

7. First stage Appear 1-12 weeks after sex
A painless, reddish-brown sore on the mouth or genitals appear
Lasting ______________
Sore goes away but ____________ is still present

8. Second stage
Starts to appear 2-10 weeks after sore appear and lasts 2-6 weeks
A __________anywhere on the body
_______________ symptoms
Rash ad flu-like symptoms disappear, but syphilis is still present

9. Latent stage
No symptoms, but 25% of those infected may have relapse of second stage symptoms
May last years

10. Late stage
May occur 1-2 years after _________ of infection or years later
Ulcers or gummas (soft rubbery tumors) form on internal organs
_______damage can result in insanity or death in 20% of the people that get to this stage

11. Diagnosis
If sore is present, they obtain a sample of the ________ from the sore for examination.
There is also a ____________ test.
+ test can occur 7 days after sore appears.
However the disease can incubate from days
Diagnosis can also be made by examining the ___________.

12. Treatment or cure?
Can be cured! 
Antibiotics
Injection
orally

13. What if you don’t get treated?
You can give it to your partner(s).
A mother with syphilis can give it to her baby during pregnancy.
Heart disease, brain damage, blindness and death may result.

14. HPV
Human Papillomavirus

15. Some facts… The most common sexually transmitted infection (STI).
There are more than 100 strains, but 40 HPV types can infect the genital areas of men and women
You cannot see HPV. Most people who become infected with HPV do not even know they have it.

16. Genital HPV is passed on through genital contact, most often during ___________and _________ sex.
A person can have HPV even if years have passed since he or she had sex.
Most ___________ persons do not realize they are infected or that they are passing the virus to a sex partner.

17. HPV can cause normal cells on infected skin or _______________ to turn abnormal.
Most of the time, you cannot see or feel these cell changes.
In some cases, the body ______off HPV naturally and the infected cells then go back to normal. 
Sometimes, low-risk types of HPV can cause visible changes that take the form of genital warts.

18. HPV infection. Genital warts. Cervical cancer.
Approximately 20 million Americans are currently ________ with HPV, and another 6.2 million people become newly infected each year. At least 50% of sexually active men and women acquire genital HPV infection at some point in their lives.
Genital warts.
About 1% of sexually active adults in the U.S. have genital warts at any one time.
Cervical cancer.
The American Cancer Society estimates that in 2008, 11,070 women will be diagnosed with cervical cancer in the U.S. 

19. Other HPV-related cancers are much less common than cervical cancer
Other HPV-related cancers are much less common than cervical cancer. The American Cancer Society estimates that in 2008, there will be:
3,460 women diagnosed with vulvar cancer;
2,210 women diagnosed with vaginal and other female genital cancers;
1,250 men diagnosed with penile and other male genital cancers; and
3,050 women and 2,020 men diagnosed with anal cancer.

20. GARDASIL
GARDASIL is the only _________________ vaccine that helps protect against 4 types of human papillomavirus (HPV):
2 types that cause 70% of cervical cancer cases
2 more types that cause 90% of genital warts cases.
GARDASIL is for girls and young women ages 9 to 26.
GARDASIL may not fully protect everyone, and does not prevent all types of cervical cancer, so it’s important to continue routine cervical cancer screenings.
GARDASIL does not treat _____________ or genital warts.
GARDASIL will not ___________ against diseases caused by other HPV types or against diseases not caused by HPV.
GARDASIL is given as 3 injections over 6 months.

21. Genital Warts

22.                                                                                                                              
Illustration copyright 2002 Nucleus Communications, Inc. All rights reserved.

23. What is it?
Cause by the human papilloma virus (HPV) (Types 6 and 11 cause most visible genital warts)
It is the fastest growing STI with over 5.5 million new cases each year.
Estimates show 20 million Americans have genital warts.

24. How do you get it? Spread by _______ to ______ contact Or during
Oral Intercourse
Anal Intercourse
Vaginal Intercourse

25. Incubation period
Symptoms usually show up _____ months after having sex
It may take even longer with some people

26. Symptoms
Small ______ (warts) sometimes occurring in clusters like cauliflower
Warts may go away by themselves, but usually takes several months
Are the color of your skin and painless
May feel _________ while growing
Some HPV infections are asymptomatic and the person can still give it to their partner.

27. Diagnosis Usually ______________ visually.
Can also be diagnosed with a PAP smear.
There is no _______ to diagnosis asymptomatic infections.
* PAP smears are recommended all sexually active women.

28. Treatment
Involves ___________ of skin cells that contain virus particles.
Most common treatment is a mild acid applied to the warts.
Removal sometimes takes several treatments over a few months

29. Treatment
More serious warts can be treated by freezing, laser, or surgery.
The can recur after they have been removed.

30. What if you don’t get treated?
You can give _________ warts to your sexual partner(s).
A mother with warts can ______ it to her baby during childbirth.
More warts grow and are _______ to get rid of.
HPV is associated with cervical cancer in women.

31. HERPES

32. What is it?
Herpes Simplex is a ______ estimated to affect 45 million people in the US.
There are about 1 million new cases of herpes diagnosed each year.

33. How do you get it? Spread by skin to skin contact During
Anal
Vaginal
Oral
Oral ________ can be spread to the genital regions during oral sex

34. Incubation Period Symptoms show up 2-30 days after having sex
Many HSV infections are without symptoms.
Some patients may be __________ for weeks or months before suffering the first episode of herpes lesions

35. Symptoms- mild to severe
Flu-like feelings; swollen lymph nodes in groin
Itching or __________ before the blisters appear
Small, painful blisters on the sex organs and mouth

36. Blisters last and average of 10 days
Blisters go away, but herpes is still present
Blisters may appear again

37. Diagnosis Clinician swabs some of the fluid and cells from the lesion.
Culture is then sent to the lab.

38. Treatment There is NO cure.
Anti-viral pills and ointments will lessen the severity and duration of the first outbreak.
May also lesson the severity and duration of outbreaks or prevent outbreaks.

39. What if you don’t get treated?
You can give it to your partner(s).
A mother can give it to her _______during childbirth and therefore must have a cesarean section if she has an active lesion at the time of labor.

40. Gonorrhea

41. What is it? Caused by the ___________ Neiseria gonorrhoeae
It is considered the oldest STI (first reported in 1879)
About 650,000 new cases occur each year.

42. How do you get it? Vaginal intercourse Anal intercourse
Oral intercourse

43. Symptoms
Most men and women have NO symptoms!

44. WOMEN Unusually heavy discharge from the vagina
Burning or ______ during urination
Bleeding _____________periods
Cramps and pain in lower abdomen
Sore __________ that doesn’t go away

45. MEN Thick yellow or white drip from the penis
Burning or pain during urination
Sore throat that doesn’t go away

46. Diagnosis
A clinician uses a ________ to remove cells from the cervix in women
Swab of the ___________ in men.
Cultures are sent to the lab.

47. Treatment
Antibiotics by:
Injection
Orally

48. What if you don’t get treated?
You can give gonorrhea to your sexual partner(s)
A more serious __________ can occur, possibly damage to the reproductive organs.
Both men and women may no longer be able to have children.
A mother can give it to her child during childbirth, causing blindness.

49. Chlamydia

50. What is it? Caused by the ____________ Chlamydia trachomatis.
Estimated that 2-4 million cases occur annually in the US and it t is most prevalent among young men and women who have multiple partners.
Leading cause of preventable infertility and ectopic pregnancy.

51. How do you get it?
Spread during sexual intercourse with someone who has Chlamydia.

52. Incubation Period
If symptoms occur, then they usually show up 1-2 weeks after having sexual intercourse.

53. Women Unusually heavy ___________ from the vagina
Bleeding from the vagina between periods
Burning or pain during urination
Pain is abdomen (sometimes with fever and nausea)

54. Men Watery, white drip from the penis
Burning or ______ during urination

55. Diagnosis
A clinician uses a _____ to remove cells from the cervix in women
Clinician takes a swab of the urethra in men.
Culture is then sent to the lab.

56. Treatment
Antibiotics taken orally.

57. What if you don’t get treated?
You can give it to your partner(s).
A more serious ____________ can occur, possibly damage to reproductive organs.
Both men & women may ___longer be able to bear children.
A mother can give it to her _______ during birth, causing blindness.

58. Symptoms
Most women and some men have NO symptoms.

59. Hepatitis B

60. What is it?
Hepatitis B is an infection of the liver caused by a _________.
Most infected people get well, but sometimes hepatitis can lead to _________ cancer and cause death.
Estimated 77,000 cases of sexually transmitted hepatitis B occur in the US each year.

61. How do you get it?
The hepatitis B is a virus that lives in body fluids, for example:
___________
Semen
Vaginal Fluid
____________
Hepatitis B __________ easily from person to person through these body fluids.

62. You can get it by…
Having vaginal, anal, or oral ______ with someone who has the virus.
Sharing needles-ear-piercing, tattoo, and ____________ drug needles can all spread the virus.
Being born to a mother who has the virus in her body.

63. Symptoms Yellow skin/eyes Feeling very tired Fever Loss of appetite
Stomach pain
Nausea / Vomiting
Swollen Glands
Joint pain
Dark Urine
Skin rash
Weight loss
Liver pain
(upper right side of belly)

64. Diagnosis
A simple _________ test can tell if you have hepatitis B now or in the past.
Some people have ____ symptoms.
Get tested if you think you have been exposed to the virus.

65. Treatment There is no cure for hepatitis B.
There is a ___________ that will protect you from getting it.
The vaccination is given in three shots over a 6-month period.
If you are ___________to hepatitis B and have not been vaccinated you can get a special shot tight away to help you.

66. What if you don’t get treated?
Some people who get hepatitis B may get well on their own.
Others may get _________ but still have the virus in their bodies.
So even though they feel fine, they can __________the virus on to others.
Sometimes the virus can __________the liver and lead to liver cancer or death.