There are three pathways for pathogens to enter the ear: Via the eustachian (auditory) tube, from the throat and nasopharynx; Via the external ear canal; Via the blood or lymph
Sexually transmitted diseases (STDs) include any of the infections transmitted by sexual activities, and sometimes include diseases of not only the genital and urinary tracts, but other areas of the body as well (e.g., skin, mucous membranes)