STD SYMPTOMS

Resource about STD Symptoms and General Information about STDs and STD Testing

Bacterial Vaginosis Chlamydia Gonorrhoea Hepatitis B Genital Herpes

Genital HPV

P I D Syphilis

Trichomoniasis

TESTING INFO

 Sexually Transmitted Diseases Symptoms

Bacterial Vaginosis
Bacterial Vaginosis (BV) is a condition in women where the normal balance of bacteria in the vagina is disrupted and replaced by an overgrowth of certain bacteria. It is sometimes accompanied by discharge, odor, pain, itching, or burning. 

Women with BV may have an abnormal vaginal discharge with an unpleasant odor. Some women report a strong fish-like odor, especially after intercourse. Discharge, if present, is usually white or gray; it can be thin. Women with BV may also have burning during urination or itching around the outside of the vagina, or both. Some women with BV report no signs or symptoms at all.

Chlamydia
Chlamydia is known as a "silent" disease because about three quarters of infected women and about half of infected men have no symptoms. If symptoms do occur, they usually appear within 1 to 3 weeks after exposure.

In women, the bacteria initially infect the cervix and the urethra (urine canal). Women who have symptoms might have an abnormal vaginal discharge or a burning sensation when urinating. When the infection spreads from the cervix to the fallopian tubes (tubes that carry eggs from the ovaries to the uterus), some women still have no signs or symptoms; others have lower abdominal pain, low back pain, nausea, fever, pain during intercourse, or bleeding between menstrual periods. Chlamydial infection of the cervix can spread to the rectum.

Men with signs or symptoms might have a discharge from their penis or a burning sensation when urinating. Men might also have burning and itching around the opening of the penis. Pain and swelling in the testicles are uncommon.

Men or women who have receptive anal intercourse may acquire chlamydial infection in the rectum, which can cause rectal pain, discharge, or bleeding. Chlamydia can also be found in the throats of women and men having oral sex with an infected partner.

Gonorrhea
Although many men with gonorrhea may have no symptoms at all, some men have some signs or symptoms that appear two to five days after infection; symptoms can take as long as 30 days to appear. Symptoms and signs include a burning sensation when urinating, or a white, yellow, or green discharge from the penis. Sometimes men with gonorrhea get painful or swollen testicles.

In women, the symptoms of gonorrhea are often mild, but most women who are infected have no symptoms. Even when a woman has symptoms, they can be so non-specific as to be mistaken for a bladder or vaginal infection. The initial symptoms and signs in women include a painful or burning sensation when urinating, increased vaginal discharge, or vaginal bleeding between periods. Women with gonorrhea are at risk of developing serious complications from the infection, regardless of the presence or severity of symptoms.

Symptoms of rectal infection in both men and women may include discharge, anal itching, soreness, bleeding, or painful bowel movements. Rectal infection also may cause no symptoms. Infections in the throat may cause a sore throat but usually causes no symptoms.

Hepatitis B
Sometimes a person with HBV infection has no symptoms at all. Older people are more likely to have symptoms. You might be infected with HBV (and be spreading the virus) and not know it.

If you have symptoms, they might include yellow skin or yellowing of the whites of your eyes (jaundice); tiredness; loss of appetite; nausea; abdominal discomfort; dark urine; grey-colored bowel movements; or joint pain

Genital Herpes
Most people infected with Genital Herpes are not aware of their infection. However, if signs and symptoms occur during the first outbreak, they can be quite pronounced. The first outbreak usually occurs within two weeks after the virus is transmitted, and the sores typically heal within two to four weeks. Other signs and symptoms during the primary episode may include a second crop of sores, and flu-like symptoms, including fever and swollen glands. However, most individuals with Genital Herpes infection may never have sores, or they may have very mild signs that they do not even notice or that they mistake for insect bites or another skin condition. 

Most people diagnosed with a first episode of genital herpes can expect to have several (typically four or five) outbreaks (symptomatic recurrences) within a year. Over time these recurrences usually decrease in frequency.

Genital HPV Infection
Most people who have a genital HPV infection do not know they are infected. The virus lives in the skin or mucous membranes and usually causes no symptoms. Some people get visible genital warts, or have pre-cancerous changes in the cervix, vulva, anus, or penis. Very rarely, HPV infection results in anal or genital cancers.

Genital warts usually appear as soft, moist, pink, or flesh-colored swellings, usually in the genital area. They can be raised or flat, single or multiple, small or large, and sometimes cauliflower shaped. They can appear on the vulva, in or around the vagina or anus, on the cervix, and on the penis, scrotum, groin, or thigh. After sexual contact with an infected person, warts may appear within weeks or months, or not at all.

Genital warts are diagnosed by visual inspection. Visible genital warts can be removed by medications the patient applies, or by treatments performed by a health care provider. Some individuals choose to forego treatment to see if the warts will disappear on their own. No treatment regimen for genital warts is better than another, and no one treatment regimen is ideal for all cases.

Pelvic Inflammatory Disease
Symptoms of Pelvic Inflammatory Disease vary from none to severe. When Pelvic Inflammatory Diseas is caused by chlamydial infection, a woman may experience mild symptoms or no symptoms at all, while serious damage is being done to her reproductive organs. Because of vague symptoms, Pelvic Inflammatory Disease goes unrecognized by women and their health care providers about two thirds of the time. Women who have symptoms of Pelvic Inflammatory Disease most commonly have lower abdominal pain. Other signs and symptoms include fever, unusual vaginal discharge that may have a foul odor, painful intercourse, painful urination, irregular menstrual bleeding, and pain in the right upper abdomen (rare).

HIV

Refer toSTD testing clinics to know more on proper HIV detection and treatment available to remedy symptoms.

Syphilis
Many people infected with syphilis do not have any symptoms for years, yet remain at risk for late complications if they are not treated. Although transmission appears to occur from persons with sores who are in the primary or secondary stage, many of these sores are unrecognized. Thus, most transmission is from persons who are unaware of their infection.

Primary Stage
The primary stage of syphilis is usually marked by the appearance of a single sore (called a chancre), but there may be multiple sores. The time between infection with syphilis and the start of the first symptom can range from 10 to 90 days (average 21 days). The chancre is usually firm, round, small, and painless. It appears at the spot where syphilis entered the body. The chancre lasts 3 to 6 weeks, and it heals without treatment. However, if adequate treatment is not administered, the infection progresses to the secondary stage.

Secondary Stage
Skin rash and mucous membrane lesions characterize the secondary stage. This stage typically starts with the development of a rash on one or more areas of the body. The rash usually does not cause itching. Rashes associated with secondary syphilis can appear as the chancre is healing or several weeks after the chancre has healed. The characteristic rash of secondary syphilis may appear as rough, red, or reddish brown spots both on the palms of the hands and the bottoms of the feet. However, rashes with a different appearance may occur on other parts of the body, sometimes resembling rashes caused by other diseases. Sometimes rashes associated with secondary syphilis are so faint that they are not noticed. In addition to rashes, symptoms of secondary syphilis may include fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and fatigue. The signs and symptoms of secondary syphilis will resolve with or without treatment, but without treatment, the infection will progress to the latent and late stages of disease.

Late Stage
The latent (hidden) stage of syphilis begins when secondary symptoms disappear. Without treatment, the infected person will continue to have syphilis even though there are no signs or symptoms; infection remains in the body. In the late stages of syphilis, it may subsequently damage the internal organs, including the brain, nerves, eyes, heart, blood vessels, liver, bones, and joints. This internal damage may show up many years later. Signs and symptoms of the late stage of syphilis include difficulty coordinating muscle movements, paralysis, numbness, gradual blindness, and dementia. This damage may be serious enough to cause death.

Trichomoniasis
Most men with trichomoniasis do not have signs or symptoms; however, some men may temporarily have an irritation inside the penis, mild discharge, or slight burning after urination or ejaculation.

Some women have signs or symptoms of infection which include a frothy, yellow-green vaginal discharge with a strong odor. The infection also may cause discomfort during intercourse and urination, as well as irritation and itching of the female genital area. In rare cases, lower abdominal pain can occur. Symptoms usually appear in women within 5 to 28 days of exposure.

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STD  FACTS

More than half of all people will have an STD at some point in their lifetime.  

The estimated total number of people living in the US with a viral STD is over 65 million.  Every year, there are at least 15 million new cases of STDs, some of which are curable.  

More than $8 billion is spent each year to diagnose and treat STDs and their complications. This figure does not include HIV.  

In a national survey of US physicians, fewer than one-third routinely screened patients for STDs.  

Less than half of adults ages 18 to 44 have ever been tested for an STD other than HIV/AIDS.

Each year, one in four teens contracts an STD.

One in two sexually active persons will contact an STD by age 25.

About half of all new STDs in 2000 occurred among youth ages 15 to 24.

Of the STDs that are diagnosed, only some (gonorrhea, syphilis, chlamydia, hepatitis A and B) are required to be reported to statehealth departments and the CDC.

One out of 20 people in the United States will get infected with hepatitis B (HBV) some time during their lives.

Hepatitis B is 100 times more infectious than HIV.

Approximately half of HBV infections are transmitted sexually.

Hepatitis A and hepatitis B are the only two vaccine-preventable STDs.

It is estimated that as many as one in four Americans have genital herpes, a lifelong (but manageable) infection, yet up to 90 percent of those with herpes are unaware they have it.  

With more than 50 million adults in the US with genital herpes and up to 1.6 million new infections each year, some estimates suggest that by 2025 up to 40% of all men and half of all women could be infected. ]

Over 6 million people acquire HPV each year, and by age 50, at least 80 percent of women will have acquired genital HPV infection. Most people with HPV do not develop symptoms. Some researchers believe that HPV infections may self-resolve and may not be lifelong like herpes.

Cervical cancer in women, while preventable through regular Paps, is linked to high-risk types of HPV.

Each year, there are almost 3 million new cases of chlamydia, many of which are in adolescents and young adults. The CDC recommends that sexually active females 25 and under should be screened at least once a year for chlamydia, even if no symptoms are present.

About two-thirds of young females believe doctors routinely screen teens for chlamydia.  However, in 2003 only 30% of women 25 and under with commercial health care plans and 45% in Medicaid plans were screened for chlamydia.

At least 15 percent of all American women who are infertile can attribute it to tubal damage caused by pelvic inflammatory disease (PID) , the result of an untreated STD. Consistent condom use reduces the risk of recurrent PID and related complications: significantly, women who reported regular use of condoms in one study were 60 percent less likely to become infertile.

Consistent condom use provides substantial protection against the acquisition of many STDs, including statistically significant reduction of risk against HIV, chlamydia, gonorrhea, herpes, and syphilis.

Some studies show that, for those who already have a clinically apparent genital HPV infection, using condoms promotes the regression of HPV lesions in both women and men

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