1. THE
MOST COMMON STDS:
AN OVERVIEW
San Francisco Department of Public Health
STD Prevention and Control Unit
2. STD – Sexually Transmitted Disease
An infection that is transmitted through sexual
activity, i.e. oral, anal, or vaginal/frontal sex.
There are two types of STDs discussed today: viral
and bacterial.
3. Bacterial
Are living organisms that have cells.
Treatable and repeatable.
Are curable with antibiotics.
5. Transmission
sexual fluids (precum, cum, vaginal/frontal hole secretions)
oral, anal or vaginal/frontal hole sex
Symptoms
no signs/symptoms
sore throat
discharge from affected area
painful urination
pain/itching at affected area
penile swelling
abdominal pain
unusual vaginal bleeding
Testing
urine test
oral, anal or vaginal swab
Treatment
pill
6. Transmission
sexual fluids
oral, anal or vaginal/frontal hole sex
Symptoms
no signs/symptoms
discharge from affected area
painful urination
pain/itching at affected area
penile swelling
abdominal pain
unusual vaginal bleeding
Testing
urine test
oral, anal or vaginal/frontal hole swab
Treatment
pill
7. Transmission
direct contact with syphilis sore or mucous patches
on the penis, anus, mouth vaginal/frontal hole
Symptoms
primary stage
no signs/symptoms
hard and painless sore called a chancre
secondary stage
a rash and mucous patches can occur.
latent stage
no signs or symptoms may be present but if left
untreated irreversible damage to body can occur.
Testing
blood test
Treatment
shot of penicillin on each side of the butt
(*Syphilis is curable at every stage!)
8. Transmission
sexual fluids (precum, cum or vaginal/frontal hole secretions)
sexual intercourse – oral, anal and vaginal/frontal hole (including sex
toys)
Symptoms
no signs/symptoms
unpleasant odor and discharge from vagina/frontal hole
pain/itching in vaginal area/frontal hole
Testing
examination and swab of the vaginal/frontal hole
Treatment
pill or cream
9. Transmission
sexual fluids, vaginal /frontal hole intercourse
(women affected more than men usually)
Symptoms
no signs/symptoms
unpleasant odor/discharge
painful urination
burning/itching around affected area
Testing
genital examination and swab of
genital fluid
Treatment
pills
10. Viral STD:
A virus is a non-living organism that
does not have cells.
A viral STD cannot be cured but can be
treated.
Medications are available to reduce the
frequency and severity of symptoms.
12. 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 test
Treatment
rest and water, body will usually clear the virus within
6 months
13. Transmission
mother to infant during birth,
body fluids ( blood, precum, cum and vaginal/frontal hole
secretions)
sharing works (needles/injection drug equipment)
Symptoms
no signs/symptoms
similar to Hepatitis A
Testing
blood test
Treatment
can be lifelong, medication treatment available through
medical provider
14. Transmission
blood to blood contact
from sharing needles with an infected person
rough sex
Symptoms
no signs/symptoms
similar to Hepatitis A & B
Testing
blood test
Treatment
can be lifelong, medication treatment available
through medical provider
15. Transmission
skin to skin contact (direct contact with wart(s) or
effected skin area)
Symptoms
no sign/symptoms
wart(s) on the genital area
Testing
collection of culture/skin cells with pap smear in
vaginal/frontal hole or rectum
*HPV can cause anal and cervical cancer, pap screenings
are helpful in prevention.
Treatment
no cure – treatment available through medical
provider
16. 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 of
sores
Testing
vaginal/frontal hole or anal swab
blood draw
Treatment
no cure, treatment available to manage symptoms usually in
pill form
17. 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 or
mucous patches may be outside the condom
covered skin area
Barriers for oral-anal activity (rimming) and ensuring
proper hand washing, sex toy washing, and washing genitals
Using clean works (injection drug supplies) and
needles when injecting drugs
Vaccinations: currently HPV and Hep A and B have
vaccinations that prevent transmission for people not
infected with either STD
STD testing/screening regularly (every 3-6 months)
Abstinence
18. Making it sexy, discuss what you’re comfortable
with and what your boundaries are with safer sex.
Have a stash close by, have a supply of safer sex
materials in an accessible place.
Finger sex, be aware of fingernails if you chose to
engage in finger sex.
Use lube – decrease in friction in the anal and
vaginal/frontal hole areas. *Avoid oil based
lubes, silicon can have a negative effect on sex toys.
Fisting – be aware of how you are fisting and the
effect on your skin where the fisting is
occurring, it’s common to get tears in the anus with
fisting.
Rimming – use a barrier, get creative with it!
Topping during vaginal/frontal hole or anal sex can
come with risks, know the risks.
19. Magnet:
4122 18th St. (Castro) 415-581-1600
www.magnetsf.org
San Francisco City Clinic:
356 7th Street (between Harrison and Folsom St)
415-487-5500
www.SFcityclinic.org
Confidential, free/low-cost, comprehensive STD/HIV and family
planning services
Services provided to patients age 12 and up – parental consent is not
required, per California law.
Monday, Wednesday, Friday:
Open 8:00 am - 4:00 pm
We will accept provider referrals until 4:00; call 487-5500
Tuesday:1:00pm - 6:00pm
Thursday 1:00pm - 4:00pm
*Clinic may be unable to see patients without symptoms if maximum
capacity has been reached. Urge your referrals to visit earlier during
clinic hours.
20. San Francisco City Clinic:
www.SFCityClinic.org
An online partner notification:
www.Inspot.org
