sexuality (STI's & STD's)

• risk factors

  substance use, multiple partners, inconsistent barrier use, sharing needles, previous STI, no vaccination, men on men sex,
• bacterial diseases

  chlamydia, gonorrhea, syphilis
• chlamydia

  chlamydia trachomatis, inc. 1-3 weeks.
• s/s of chlamydia

  yellow discharge, pelvic pain, dysuria
• test for chlamydia

  urine test, culture
• treatment for chlamydia

  antibiotics (doxycycline or azithromycin in pregnancy), expedite partner therapy. retest in 4 weeks, and every 3 months
• gonorrhe


  neisseria gonorrhoease
• gonorrhea

  inc 1-14 days
• s/s of gonorrhea


  yellow discharge, pelvic pain, dysuria, frequent urination, increased discharge, conjuctivitis
• test for gonorrhea


  urine, NAAT, culture
• treatment for gonorrhea

  2 antibiotics: IM ceftriaxone w/ oral azithromycin. retest 7-14 days, rescreen 3-12 months
• syphilis


  treponema pallidum
• syphilis

  inc 10-90 days
• s/s of syphilis

  primary (chancre), secondary (flu like symptoms, palmar lesions, rash, weight loss). tertiary (latent for years, affect heart, gummas, neuro)
• syphilis test

  VDRL and RPR (blood)
• syphilis treatment

  antibiotics: penicillin. retest at 6 and 12 months up to 2 years
• viral diseases

  genital herpes (herpes 1/2), genital warts (HPV)
• genital herpes

  inc. 2-14 days lifelong infection
• genital herpes s/s

  malaise, body ache, headache, painful and itchy lesions
• genital herpes test

  diagnosed through exam and lesion culture
• HSV 1

  primarily oral lesion
• HSV 2

  primarily perineal lesion
• genital herpes treatment

  valacyclovir or acyclovir
• genital warts

  HPV
• genital warts

  inc. days-years
• s/s genital warts

  genital or anal warts, white-gray, pink fleshy or hyperpigmented
• genital warts treatment

  cleared by immune system, PAP smears. gardasil vaccine
• HPV vaccines


  2 vaccines if started by 11-12 y/o. 3 vaccines if started by 15 y/o