Sexually transmitted diseases

Factors

Number of sexual partners

Number of partners of a partner

General health, nutritional status etc.

Clinical features

Vaginal discharge

Urethral discharge

Genital ulceration

Gonorrhoea

Gonococcus infects epithelium of urogenital tract

40% of women are asymptomatic

Incubation 2 - 14 days

In men - discharge and dysuria

In women infection of the cervical canal caused discharge and intermenstural bleeding, there may also be dysuria

Complications

Ascending infection

Men - infection of epididymus, testes, prostate

Women - salpingitis, pelvic pain, fever

Arthritis

Chlamydia

Men - urithritis, dysuria

Women - cervical infection which may ascend

Treat with tetracycline usually

Urethritis

C and S the discharge

Syphilis

Primary - local, secondary - systemic, fevers tertiary - skin, bones, CNS

Diagnose with direct microscopy

Other STDs

Human papilloma virus

Herpes simplex; Type I mouth cold sores Type II genital

Hepatitis B

Hepatitis C

Candidiasis

Genital warts