Monday, October 19, 2009

The conclusion (the end?) of STDs

STD 10
I've started seeing this guy I'm crazy about and, yes, we're having sex. Or we were. Now I've got these horrible symptoms. I'm having a lot of greenish yellow, frothy discharge from my vagina. I'm sore all around my vaginal area and upper thighs. My boyfriend is just fine. Is it just me or what?

Answer:

Men usually don't get symptoms of trichomoniasis infection. But if they look early in the morning, infected men may see a slight discharge from the penis. Sometimes, women get only a slight discharge.

The bug that causes trichomoniasis is a protozoon. See a doctor -- both of you. A single treatment almost always does the trick, if both partners are treated at the same time. If you have more than one sex partner, all of your partners must be examined and treated.

STD 11

OK, I had an affair. But I broke it off after just a couple of times. I feel terrible about it. I'll never do it again. Since my wife doesn't know about it, I don't want to hurt her feelings for no reason. Only problem is, about three weeks later I got this sore. Just one of them. It was on my penis, but it didn't hurt at all. I made excuses not to have sex with my wife, and it healed after about a month. I thought it was all over. But now I'm getting these rashes on my palms and soles. Any connection?

Answer:

Syphilis used to be a terrible thing. It still is -- if not treated. The sore on your penis is called a chancre. It's the sign of primary syphilis. Secondary syphilis comes next. The symptoms begin with a rash, usually starting on the palms and soles. These rashes come and go, but cover various places on the body. Mucous membranes may erode in the mouth, penis, vulva, or anus. Hair falls out in patches, leaving a moth-eaten look. And that's still not the worst of it. Untreated syphilis eventually damages the heart and brain. In fact, if you've already got secondary syphilis the germs that cause the disease may already have invaded your brain.

Fortunately, antibiotics cure the disease. You'll have to see a doctor to get diagnosed and treated. And you'll have to tell your wife. If you've had sex with her, she may be infected.

STD 12
I've got a lot of boyfriends. Sure, they get jealous that I sleep with other guys, but I'm not ready to commit to just one person -- or even just one person at a time. Lately, though, I don't feel like seeing anybody. I'm tired all the time and feel like I'm coming down with something. Usually you don't have to call me twice for dinner. Now my appetite is gone, and I feel sick to my stomach. My belly hurts and my urine has kind of a dark color. What's wrong with me?

Answer:

Only half of people who get hepatitis B infection have symptoms. On the other hand, there may other symptoms besides the ones you mention. Some people get rashes or joint pain in the early stages of infection. Some get jaundice, a yellowing of the skin and the whites of the eyes. About one in 100 people get sudden liver failure and may suddenly collapse with fatigue. Symptoms may first appear six weeks to six months after infection.

Having multiple sex partners is a major risk factor for hepatitis B infection. Also at risk are men who have sex with men, injection drug users and their sex partners, and household contacts of people with chronic infection.

The good news is that the vast majority of adults who become infected with hepatitis B will clear the infection on their own. But 2% to 6% of infected adults get chronic, lifelong infection. That's why it's important to see a doctor if you're at risk for hepatitis B infection.

The bad news is there is no specific treatment. Antiviral medications can keep the virus at bay and may even put hepatitis B liver disease into remission.

Fortunately, there is a vaccine. It's now routine for infants; since 1996 more than 80% of U.S. infants have been getting the vaccine. If your sexual behavior puts you at risk of hepatitis B infection, you should get vaccinated.

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