THEMOST COMMON STDS:AN OVERVIEWSan Francisco Department of Public HealthSTD Prevention and Control Unit
STD – Sexually Transmitted Disease An infection that is transmitted through sexualactivity, i.e. oral, anal, or vaginal/frontal sex. There are two types of STDs discussed today: viraland bacterial.
Bacterial Are living organisms that have cells. Treatable and repeatable. Are curable with antibiotics.
Transmission sexual fluids (precum, cum, vaginal/frontal hole secretions) oral, anal or vaginal/frontal hole sexSymptoms no signs/symptoms sore throat discharge from affected area painful urination pain/itching at affected area penile swelling abdominal pain unusual vaginal bleedingTesting urine test oral, anal or vaginal swabTreatmentpill
Transmission sexual fluids oral, anal or vaginal/frontal hole sexSymptoms no signs/symptoms discharge from affected area painful urination pain/itching at affected area penile swelling abdominal pain unusual vaginal bleedingTesting urine test oral, anal or vaginal/frontal hole swabTreatmentpill
Transmission direct contact with syphilis sore or mucous patcheson the penis, anus, mouth vaginal/frontal holeSymptomsprimary stage no signs/symptoms hard and painless sore called a chancresecondary stage a rash and mucous patches can occur.latent stage no signs or symptoms may be present but if leftuntreated irreversible damage to body can occur.Testing blood testTreatmentshot of penicillin on each side of the butt(*Syphilis is curable at every stage!)
Transmission sexual fluids (precum, cum or vaginal/frontal hole secretions) sexual intercourse – oral, anal and vaginal/frontal hole (including sextoys)Symptoms no signs/symptoms unpleasant odor and discharge from vagina/frontal hole pain/itching in vaginal area/frontal holeTesting examination and swab of the vaginal/frontal holeTreatmentpill or cream
Transmissionsexual fluids, vaginal /frontal hole intercourse(women affected more than men usually)Symptoms no signs/symptoms unpleasant odor/discharge painful urination burning/itching around affected areaTestinggenital examination and swab ofgenital fluidTreatmentpills
Viral STD:A virus is a non-living organism thatdoes not have cells.A viral STD cannot be cured but can betreated.Medications are available to reduce thefrequency and severity of symptoms.
Transmission oral transmission through contaminated food or water oral - anal sexual activity (rimming)Symptoms no signs/symptoms general flu like symptoms (fever, nausea, fatigue, loss of appetite) abdominal pain dark urine light colored stools yellowing of the skin and eyes (jaundice)Testing blood testTreatmentrest and water, body will usually clear the virus within6 months
Transmission mother to infant during birth, body fluids ( blood, precum, cum and vaginal/frontal holesecretions) sharing works (needles/injection drug equipment)Symptoms no signs/symptoms similar to Hepatitis ATesting blood testTreatmentcan be lifelong, medication treatment available throughmedical provider
Transmission blood to blood contact from sharing needles with an infected person rough sexSymptoms no signs/symptoms similar to Hepatitis A & BTesting blood testTreatmentcan be lifelong, medication treatment availablethrough medical provider
Transmission skin to skin contact (direct contact with wart(s) oreffected skin area)Symptoms no sign/symptoms wart(s) on the genital areaTesting collection of culture/skin cells with pap smear invaginal/frontal hole or rectum*HPV can cause anal and cervical cancer, pap screeningsare helpful in prevention.Treatmentno cure – treatment available through medicalprovider
Transmission direct contact with herpes sore(s)Symptoms no signs/symptoms fever blisters/cold sores around mouth general flu like symptoms (fever, nausea, fatigue, loss of appetite) tingling/burning sensation in affected area before an outbreak ofsoresTesting vaginal/frontal hole or anal swab blood drawTreatmentno cure, treatment available to manage symptoms usually inpill form
Communication with sex partners Limiting the number of sex partners Condom use (male or FC2) – may not be 100%effective as with some STDs, warts/sores ormucous patches may be outside the condomcovered skin area Barriers for oral-anal activity (rimming) and ensuringproper hand washing, sex toy washing, and washing genitals Using clean works (injection drug supplies) andneedles when injecting drugs Vaccinations: currently HPV and Hep A and B havevaccinations that prevent transmission for people notinfected with either STD STD testing/screening regularly (every 3-6 months) Abstinence
Making it sexy, discuss what you’re comfortablewith and what your boundaries are with safer sex. Have a stash close by, have a supply of safer sexmaterials in an accessible place. Finger sex, be aware of fingernails if you chose toengage in finger sex. Use lube – decrease in friction in the anal andvaginal/frontal hole areas. *Avoid oil basedlubes, silicon can have a negative effect on sex toys. Fisting – be aware of how you are fisting and theeffect on your skin where the fisting isoccurring, it’s common to get tears in the anus withfisting. Rimming – use a barrier, get creative with it! Topping during vaginal/frontal hole or anal sex cancome with risks, know the risks.
Magnet:4122 18th St. (Castro) 415-581-1600www.magnetsf.orgSan Francisco City Clinic:356 7th Street (between Harrison and Folsom St)415-487-5500www.SFcityclinic.orgConfidential, free/low-cost, comprehensive STD/HIV and familyplanning servicesServices provided to patients age 12 and up – parental consent is notrequired, per California law.Monday, Wednesday, Friday:Open 8:00 am - 4:00 pmWe will accept provider referrals until 4:00; call 487-5500Tuesday:1:00pm - 6:00pmThursday 1:00pm - 4:00pm*Clinic may be unable to see patients without symptoms if maximumcapacity has been reached. Urge your referrals to visit earlier duringclinic hours.
San Francisco City Clinic:www.SFCityClinic.org An online partner notification:www.Inspot.org