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      MBBS, DHMS, DPA, MAS, MRSH
  PROVINCIAL BCC COORDINATOR

ENHANCED HIV / AIDS CONTROL PROGRAM
  Health Department, Government of Sindh
Dr Munawar Khan Bcc SACP
What is a Sexually Transmitted Infection or STI?

• STI’s are infections that are spread from
  person to person through intimate/close
  sexual contact.

• STI’s are dangerous because they are easily
  spread and it is hard to tell just by looking who
  has an STI.

• 1 in 4 sexually active teens has an STI.
Prevention is the Key
• Abstinence, or not having oral, vaginal or
  anal sex, is the best way to protect yourself.

• It is possible to get an STD even without
  having intercourse through skin-to-skin
  contact.

• Use latex condoms correctly for any type of
  sex (vaginal, oral or anal) from start to finish.
Common STI’s

•   Chlamydia                •   HIV and AIDS
•   Gonorrhea                •   Pubic Lice
•   Genital Herpes (HSV-2)   •   Syphilis
•   Genital Warts (HPV)      •   Trichomoniasis
•   Hepatitis B
How do I know if I have an STI?
• Most people who have an STI have no symptoms.
  A test from your health care provider or local health
  clinic may be the only way to tell for sure if you're
  infected.

• If you do become infected, symptoms may appear
  right away. Or, they may not show up for weeks or
  months or even years. They may come and go.
  Even if the signs and symptoms go away, you can still
  infect other people if you have sex with them. Or,
  they can still infect you!
Common Symptoms for Men
Some symptoms you may have are:

• Sores, bumps or blisters near your genitals, anus
  (butt hole) or mouth

• Burning or pain when you urinate (pee)

• Drip or discharge from your penis

• Itching, pain or discharge from your anus (butt hole)

• Remember: Sometimes symptoms don't show up for
  weeks or months.
What do I do if I have
        symptoms?
• If you think you have an STI you need to see a
  healthcare provider for treatment.

• If you feel nervous about getting checked for STDs,
  take a few deep breaths and try to relax. You may be
  shy about having doctors and nurses look at your
  genitals. The tests are usually quick, and it may help
  to remember that the nurses and doctors are there
  to help you, and do this kind of test all the time.
How will they know I have an STI?
• The doctor or nurse will probably ask for you to
  pee in a cup. They can look under a microscope
  at the organisms in your urine.
• Some STI’s are diagnosed by taking a swab of the
  vagina or penis for secretions.
• Other STI’s can be diagnosed by looking at the
  sores or bumps on your genitals.
• Some STI’s are diagnosed by testing
  your blood.
Hepatitis B
• Hepatitis is a disease of the liver.
• Hepatitis B is transmitted person to person
  through blood and body fluids.
• There is no treatment for the virus after it
  has been contracted.
• The only treatment is prevention:
  –   Abstain from sex
  –   Always use latex condoms
  –   Avoid contact with other people’s blood
  –   Get immunized
H   Human

I   Immunodeficiency

V   Virus
AIDS
 • A                      Acquired

 • I                      Immunity

 • D                      Deficiency

 • S                      Syndrome

It destroys the immune system of infected person.
HIV and AIDS
• AIDS is one of the most deadly diseases in
  history.
• AIDS is caused by HIV (Human
  immunodeficiency virus).
• HIV destroys the body’s defense system
  (the immune system).
• Thousands of teens in the all over the world
  become infected each year.
How do you get HIV?
• HIV can be transmitted from an infected
  person to another person through blood,
  semen, vaginal fluids, and breast milk.

• People who have another STD are at higher
  risk for contracting HIV during sex with
  infected partners.
How do people know they have HIV?
• Many people do not know they have it.

• Symptoms may not appear for up to 10 years.

• Some people may feel and look healthy for
  years while they are infected with HIV.

• It is possible to infect others with HIV, even if
  the person has absolutely no symptoms.
Symptoms of AIDS
• Extreme weakness and      • Minor infections that
  fatigue                     cause skin rashes and
                              mouth, genital, and
• Rapid weight loss           anal sores.
• Frequent fevers with      • White spots in the
  not explanation             mouth or throat
                            • Chronic diarrhea
• Heavy sweating at night
                            • A cough that won’t go
• Swollen lymph glands        away
                            • Short-term memory
                              loss
Kaposi’s sarcoma
      (Cancer associated with AIDS)




                                        Oral Leukoplakia



Oral Thrush (yeast infection)
Common infection associated with AIDS
How is HIV treated?
• There is NO cure.
• If you think you or your partner may have HIV
  or AIDS you need to see a healthcare provider
  who can do blood tests.
• Prevention is the only way to protect yourself
  from contracting the virus.
What Happens if I don’t get treated?

• If you have an STD and don’t get treatment
  you can have some long-term effects such
  as:
  – Infertility (Unable to have babies)
  – Cancer
  – Long-term pain
  – Can pass disease from mother to baby
  – Death
Conclusion
• It is much easier to prevent an STI than to cure one.
• The ONLY way to prevent STI’s is to abstain from ALL types
  of sexual intercourse.
• However, if you have sex, you must use a latex condom,
  EVERY TIME. However, condoms do not always protect
  you from STI’s such as G. Herpes HSV-2, G.warts HPV, and
  Pubic Lice.
• Remember, just because you and your partner may be
  monogamous(Greek: marriage) with each other, the risk of
  getting an     STI is increased by the number of previous
  sexual partners either partner has had.
Thanks

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STI and HIV for boys By Dr Munawar Khan SACP

  • 1. PRESENTED BY: MBBS, DHMS, DPA, MAS, MRSH PROVINCIAL BCC COORDINATOR ENHANCED HIV / AIDS CONTROL PROGRAM Health Department, Government of Sindh
  • 2. Dr Munawar Khan Bcc SACP
  • 3. What is a Sexually Transmitted Infection or STI? • STI’s are infections that are spread from person to person through intimate/close sexual contact. • STI’s are dangerous because they are easily spread and it is hard to tell just by looking who has an STI. • 1 in 4 sexually active teens has an STI.
  • 4. Prevention is the Key • Abstinence, or not having oral, vaginal or anal sex, is the best way to protect yourself. • It is possible to get an STD even without having intercourse through skin-to-skin contact. • Use latex condoms correctly for any type of sex (vaginal, oral or anal) from start to finish.
  • 5. Common STI’s • Chlamydia • HIV and AIDS • Gonorrhea • Pubic Lice • Genital Herpes (HSV-2) • Syphilis • Genital Warts (HPV) • Trichomoniasis • Hepatitis B
  • 6. How do I know if I have an STI? • Most people who have an STI have no symptoms. A test from your health care provider or local health clinic may be the only way to tell for sure if you're infected. • If you do become infected, symptoms may appear right away. Or, they may not show up for weeks or months or even years. They may come and go. Even if the signs and symptoms go away, you can still infect other people if you have sex with them. Or, they can still infect you!
  • 7. Common Symptoms for Men Some symptoms you may have are: • Sores, bumps or blisters near your genitals, anus (butt hole) or mouth • Burning or pain when you urinate (pee) • Drip or discharge from your penis • Itching, pain or discharge from your anus (butt hole) • Remember: Sometimes symptoms don't show up for weeks or months.
  • 8. What do I do if I have symptoms? • If you think you have an STI you need to see a healthcare provider for treatment. • If you feel nervous about getting checked for STDs, take a few deep breaths and try to relax. You may be shy about having doctors and nurses look at your genitals. The tests are usually quick, and it may help to remember that the nurses and doctors are there to help you, and do this kind of test all the time.
  • 9. How will they know I have an STI? • The doctor or nurse will probably ask for you to pee in a cup. They can look under a microscope at the organisms in your urine. • Some STI’s are diagnosed by taking a swab of the vagina or penis for secretions. • Other STI’s can be diagnosed by looking at the sores or bumps on your genitals. • Some STI’s are diagnosed by testing your blood.
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  • 11. Hepatitis B • Hepatitis is a disease of the liver. • Hepatitis B is transmitted person to person through blood and body fluids. • There is no treatment for the virus after it has been contracted. • The only treatment is prevention: – Abstain from sex – Always use latex condoms – Avoid contact with other people’s blood – Get immunized
  • 12.
  • 13. H Human I Immunodeficiency V Virus
  • 14. AIDS • A Acquired • I Immunity • D Deficiency • S Syndrome It destroys the immune system of infected person.
  • 15. HIV and AIDS • AIDS is one of the most deadly diseases in history. • AIDS is caused by HIV (Human immunodeficiency virus). • HIV destroys the body’s defense system (the immune system). • Thousands of teens in the all over the world become infected each year.
  • 16. How do you get HIV? • HIV can be transmitted from an infected person to another person through blood, semen, vaginal fluids, and breast milk. • People who have another STD are at higher risk for contracting HIV during sex with infected partners.
  • 17. How do people know they have HIV? • Many people do not know they have it. • Symptoms may not appear for up to 10 years. • Some people may feel and look healthy for years while they are infected with HIV. • It is possible to infect others with HIV, even if the person has absolutely no symptoms.
  • 18. Symptoms of AIDS • Extreme weakness and • Minor infections that fatigue cause skin rashes and mouth, genital, and • Rapid weight loss anal sores. • Frequent fevers with • White spots in the not explanation mouth or throat • Chronic diarrhea • Heavy sweating at night • A cough that won’t go • Swollen lymph glands away • Short-term memory loss
  • 19. Kaposi’s sarcoma (Cancer associated with AIDS) Oral Leukoplakia Oral Thrush (yeast infection) Common infection associated with AIDS
  • 20. How is HIV treated? • There is NO cure. • If you think you or your partner may have HIV or AIDS you need to see a healthcare provider who can do blood tests. • Prevention is the only way to protect yourself from contracting the virus.
  • 21. What Happens if I don’t get treated? • If you have an STD and don’t get treatment you can have some long-term effects such as: – Infertility (Unable to have babies) – Cancer – Long-term pain – Can pass disease from mother to baby – Death
  • 22. Conclusion • It is much easier to prevent an STI than to cure one. • The ONLY way to prevent STI’s is to abstain from ALL types of sexual intercourse. • However, if you have sex, you must use a latex condom, EVERY TIME. However, condoms do not always protect you from STI’s such as G. Herpes HSV-2, G.warts HPV, and Pubic Lice. • Remember, just because you and your partner may be monogamous(Greek: marriage) with each other, the risk of getting an STI is increased by the number of previous sexual partners either partner has had.