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Sexually Transmitted Infections Cathlene Hardy Hansen and Pat Nagel--Health Educator 1 IU Health Center Services Massage: $33 with paid health fee Nutrition: 1 session free/semester Tobacco Cessation: Free, including cessation products CAPS therapy sessions: 2 free semester Sexual Assault Counseling: free, unlimited sessions Gynecological exams: free (tests, pay) 2 INTRODUCTION “This is a hidden and silent epidemic. Normally an epidemic of this proportion would have attracted more attention.” 1996, Chancellor of Baylor College of Medicine Refers to the 12 million new STI cases/year in 1996; now estimated to be 15 million/year (increase due to higher numbers and better testing) http://www.medicinenet.com/stds_pictures_slideshow/article.htm 3 INTRODUCTION Hidden – 2 meanings 1. taboo subject of sex; not talked about publicly in a serious way 2. most Americans not aware of this epidemic Silent – 3 meanings 1. some STIs have no symptoms 2. lack of communication between individuals and their health care providers 3. lack of communication between sexual partners 4 STI vs. STD STI Someone who is an infected person ASYMPTOMATIC may not have any symptoms, Could be unaware that they are even sick. STD A disease is any abnormal condition of the body or mind with some type of symptom, in other words your body tells you that you are unwell. 5 BACTERIA VIRUS Living organism May be stopped with appropriate antibiotic Mild Severe Not “alive;” lives on host No known cures Controlled by vaccine Mild Severe IMPACT ON WOMEN Lack of symptoms; more difficult to diagnose until serious problems develop 150,000 (estimate) women become infertile each year due to PID (pelvic inflammatory disease)as a result of an STI 15-30% (estimate) of the 2.3 million US couples who are infertile may by result of an STI 7 RISK FACTORS Most STIs more easily transmitted to women than to men Co-factor: infected with an STI makes one more likely to contract another STI, including HIV, after unprotected sexual contact with an infected partner Multiple sex partners increase risk of exposure over one’s lifetime 8 Viral Viral: Herpes HPV HIV Hepatitis B 9 HERPES GENITALIS Caused by: Herpes Simplex Virus (HSV); Type 1: 50-80% exposure rate; prefers facial area; Type 2: 20% exposure rate; prefers genital areas; Once in body, migrates to a nerve cluster (ganglia) and goes dormant; evades detection from body’s immune system; probably not contagious at this time. May stay dormant forever or may migrate back to its first entry point on skin (active phase); it infects healthy cells, making new viruses. The immune system attacks and destroys infected cells; this “battle” is a herpes “outbreak.” 10 Herpes - symptoms Incubation period: 1-12 days after sex with an infected person; may not appear for months or years Duration: may last 12 days; flu-like symptoms; avera.
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