Sexually Transmitted Diseases

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Basic information on STDs from an American family doctor in Beijing

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Sexually Transmitted Diseases

  1. 1. Sexually Transmitted Disease Richard Saint Cyr MD DABFP [email_address] www.myhealthbeijing.com August 2, 2009
  2. 2. Case: New Boyfriend
  3. 3. Case: New Boyfriend <ul><li>A 22 year old woman has a new boyfriend. </li></ul><ul><li>Sex 2 weeks ago </li></ul><ul><li>Two days slight pain when urinating; whitish urine; mild fever </li></ul>
  4. 4. Q: What Next? <ul><li>Kill your boyfriend </li></ul><ul><li>Drink cranberry juice </li></ul><ul><li>Get antibiotic at pharmacy </li></ul><ul><li>Go to clinic doctor </li></ul>
  5. 5. Dx: Sexually Transmitted Disease <ul><li>“ STD” 性传染病 xìngchuánrǎnbìng </li></ul><ul><li>Any age group </li></ul><ul><li>Many Types </li></ul><ul><ul><li>Bacterial: </li></ul></ul><ul><ul><ul><li>Chlamydia 衣原體 yīyuántǐ </li></ul></ul></ul><ul><ul><ul><li>Gonorrhea 淋病 lìnbìng </li></ul></ul></ul><ul><ul><ul><li>Syphillis 梅毒 méidú </li></ul></ul></ul><ul><ul><li>Viral – HIV, Herpes 疱疹 pàozhěn </li></ul></ul><ul><ul><li>Trichomonas 毛滴虫 máodīchóng </li></ul></ul>www.giantmicrobes.com
  6. 6. Why So Common? <ul><li>ANYONE can have it! </li></ul><ul><li>Many are carriers – no symptoms </li></ul><ul><li>Chlamydia – no symptoms in 75% women, 50% men </li></ul><ul><li>Herpes – most have no rash, but carry virus for lifetime </li></ul><ul><li>HIV – initial illness like any virus; no symptoms for ~10 years </li></ul>
  7. 7. Symptoms: Chlamydia & Gonorrhea <ul><li>Common: </li></ul><ul><ul><li>Nothing! </li></ul></ul><ul><ul><li>Urinary frequency, thick discharge, pain, fever </li></ul></ul><ul><li>Serious: </li></ul><ul><ul><li>Infertility </li></ul></ul><ul><ul><li>Pelvic infection 盆腔炎性疾病 pénqiāngyánxìngjíbìng </li></ul></ul><ul><ul><li>HIV easier to co-infect </li></ul></ul><ul><ul><li>Pregnancy: birth defects or fetal death; ectopic 子宮外孕 zǐgōngwàiyùn </li></ul></ul><ul><li>Usual Course: </li></ul><ul><ul><li>Starts 5-30 days after contact </li></ul></ul>
  8. 8. Prevention <ul><li>Get tested first! </li></ul><ul><li>Safe sex </li></ul><ul><ul><li>Condoms (latex) </li></ul></ul><ul><ul><li>Low risk sex </li></ul></ul><ul><ul><li>Number of partners </li></ul></ul><ul><ul><li>Avoid sex workers </li></ul></ul><ul><li>Women: gynecology 妇科的 exam every 1-3 years </li></ul><ul><ul><li>Make sure doc checks for chlamydia & gonorrhea! </li></ul></ul>
  9. 9. How Not To Spread To Others <ul><li>Get treatment at clinic </li></ul><ul><li>No sex during symptoms </li></ul><ul><li>Inform partners </li></ul><ul><li>Get partner treated before restarting sex </li></ul>
  10. 10. Self Treatment <ul><li>Not a good idea </li></ul><ul><ul><li>No OTC Rx work well </li></ul></ul><ul><ul><li>Many different antibiotics </li></ul></ul><ul><ul><li>Too much at stake </li></ul></ul><ul><ul><ul><li>Your fertility </li></ul></ul></ul><ul><ul><ul><li>Partner’s health </li></ul></ul></ul><ul><ul><ul><li>Your health </li></ul></ul></ul><ul><ul><ul><li>Future baby’s health </li></ul></ul></ul>
  11. 11. What Clinics Can Do <ul><li>Physical exam: </li></ul><ul><ul><li>STD vs. normal bladder infection 尿道感染 niàodàogǎnrǎn </li></ul></ul><ul><li>Lab test: </li></ul><ul><ul><li>STD panel; urinalysis 尿分析 niàofēnxī ; CBC; cultures </li></ul></ul><ul><li>Rx: </li></ul><ul><ul><li>Antibiotics </li></ul></ul><ul><ul><li>Treat your partner(s)! </li></ul></ul><ul><li>Hospital/ER: </li></ul><ul><ul><li>Serious kidney infections 肾盂肾炎 </li></ul></ul>
  12. 12. <ul><li>Drink cranberry juice </li></ul><ul><li>Get antibiotic at pharmacy </li></ul><ul><li>Go to clinic doctor </li></ul>A: What Next?
  13. 14. For More Information… <ul><li>CDC-USA Website: STD Fact Sheets </li></ul><ul><ul><li>http:// www.cdc.gov/std/phq.htm </li></ul></ul>

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