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Caught in the Web of Sexually
    Transmitted Infections

The Free Medical Clinic of Greater Cleveland
           12201 Euclid Avenue
          Cleveland, Ohio 44106
What Are Sexually
 Transmitted Infections???
 Sexually Transmitted Infections or STIs
  (also known as Sexually Transmitted
  Diseases STDs) are caught by having
  unprotected sex with someone who has an
  STI.
 You can get an STI from all forms of sex.
   Vaginal Sex
   Anal Sex
   And yes you can get an STI from Oral Sex
Just How Serious are STIs???
• STIs can cause sterility, infertility and
  numerous health related complications.
• STIs are very serious especially when left
  untreated.
• 1 in 4 teens between the ages of 13-24 will
  contract an STI within a year.
• Certain STIs can be spread from an
  infected mother to her unborn baby or
  infant.
How Will I Know if I Have an
Sexually Transmitted Infection???
• Most STIs have No Symptoms.
• Sores or irritation to the penis,
  vagina, anus, mouth or throat.
• Unusual discharge
• Painful or burning urination
• Itching, rashes, warts, etc.
Common Sexually
    Transmitted Infections
• Chlamydia           •   HIV/AIDS
• Gonorrhea           •   Trichomoniasis
• Syphilis            •   Pubic Lice/ Crabs
• Genital Herpes      •   Scabies
• HPV (Human          •   Vaginitis
  Papilloma Virus)/   •   Cystitis
  Genital Warts
• Hepatitis B Virus
Types of Sexually
Transmitted Infections

• Bacterial STIs
  – Curable
• Parasitic & Fungal STIs
  – Curable
• Viral STIs
  – Treatable
Chlamydia
• Most common
  bacterial STI.
• Over millions cases
  of Chlamydia are
  reported each
  year.
• Most of the time is
  is asymptomatic.
• It is curable.
Chlamydia Complications
• If left untreated, Chlamydia can
  cause:
    Epididymitis
    Pelvic Inflammatory Disease (PID)
    Cervicitis
    Ectopic Pregnancy
    Sterility
Chlamydia Images
Epididymitis and Cervicitis




 Epididymitis      Cervicitis
Pelvic Inflammatory Disease




Normal Uterus    Uterus with PID
Ectopic Pregnancy




Human Conception   Ectopic Pregnancy
Gonorrhea
• Gonorrhea is the
  oldest of all STIs.
   – Check out The Book of
     Leviticus Ch. 15
• Some strands of
  Gonorrhea are
  resistant to
  antibiotics.
• It is also know as the
  drip and the clap.
• It is usually curable
  with antibiotics.
Symptoms of Gonorrhea
• Thick white,
  yellowish, or
  yellow-green pus
  like discharge from
  the penis or vagina.
• Itching or burning
  during urination.
• Gonorrhea can be
  asymptomatic.
Symptoms of Gonorrhea

• Gonorrhea can
  effect the eyes
  and throat.
• Mothers can pass
  Gonorrhea to the
  baby during birth.
Complications of Gonorrhea
• If left untreated, Gonorrhea can
  cause:
   Epididymitis
   Pelvic Inflammatory Disease
   Sterility
Syphilis
• Syphilis is the 3rd
  bacterial STI.
• It is also known as
  “The Great
  Imitator.”
  – it mimics the
    symptoms of other
    STIs
• It is curable with
  antibiotics.
• Syphilis occurs in 3
  stages.
Symptoms of Syphilis
• Painless sores on
  the genitals called
  chancre sores.
• Rash over the body.
• Syphilis can cause
  sterility and death
  if it is left
  untreated.
More Complications of Syphilis
Complications of Syphilis
• If left untreated, Syphilis can cause:
      Brain Damage
      Dementia
      Sterility
      Blindness
      Death
Trichomoniasis
• Trich is a common
  parasitic STI that
  affects both men and
  women.
• Trich is caused by the
  protozoan parasite
  Trichomonas vaginalis.
• Trich is curable with
  medication.
Symptoms of Trichomoniasis
• Unusual discharge
  from the penis or
  vagina.
• Discharge with a
  strange odor.
• Slight burning
  sensation after
  urinating or
  ejaculating (males).
• Damage to the cervix
Complications of
          Trichomoniasis
• If left untreated, Trichomoniasis can
  cause:
     An increase in a woman's susceptibility
     to HIV infection if she is exposed to the
     virus.
     An increased chance of an HIV-infected
     woman passing HIV to her sex partner(s).
Pubic Lice
• Pubic lice or crab lice
  are small, light brown,
  flat insects that cling
  to pubic hair.
• Pubic lice suck blood
  for nourishment, and
  fix their eggs (nits) to
  the pubic hairs.
• Pubic Lice are curable.
Symptoms of Crabs
• Little red sores in
  your pubic area
  and/or lower
  abdomen.
• Itching in the pubic
  area.
• Visible nits
• Crawling lice
Scabies
• Scabies can be
  transmitted
  through sexual
  contact.
• Anyone can get
  Scabies.
• Scabies is curable.
Symptoms of Scabies
• Intense itching,
  especially at night
• Red rash
• Crusty and scaly
  skin
• Little red bumps
• Pimples
• Tiny bites
Genital Herpes
• Genital Herpes is
  caused by the
  Herpes Simplex II
  Virus.
• 1 out of 5 teen and
  adults in the U.S.
  has genital herpes.
• There is NO cure
  for Herpes.
Symptoms of Genital Herpes

• Oral Herpes causes
  tiny blister to appear
  around your mouth.
• Genital Herpes causes
  tiny blisters to appear
  on your genitals.
• Fever
• Painful urination
• Headaches
Complications of Genital
           Herpes
• Lifetime complications of Genital
  Herpes include:

  Reoccurring outbreaks
  Suppressed immune system
  More susceptible to HIV infection.
Human Papilloma Virus
• HPV is the virus that
  causes genital warts.
• Certain strands of
  HPV causes cervical
  cancer and penile
  cancer.
• Most HPV infections
  are asymptomatic.
• There is NO cure
  available for HPV.
• The new HPV Vaccine.
Symptoms of Genital Warts
• Warts, small fleshy
  bumps on the penis or
  vaginal area.
• White patches on the
  labia, inside the vagina,
  on the penis or around
  the anus.
• Not everyone with
  HPV will have genital
  warts.
Cervical Cancer and Cervical
             Warts
                Cervical
                Cancer




                 Cervical
                  Warts
Normal Cervix
Hepatitis B
• Hepatitis B is a serious
  disease caused by a
  virus that attacks the
  liver.
• HBV is considered an
  STI because it can be
  transmitted through
  semen, vaginal fluid,
  and blood.
• Jaundice
• Swelling of the liver
• There are vaccines
  available to protect
  people from
  contracting HBV.
HIV and AIDS
• HIV is Human
  Immunodeficiency
  Virus.
• AIDS is Acquired
  Immune Deficiency
  Syndrome.
• There is NO cure
  for HIV or AIDS.
HIV Transmission
• Unprotect sexual
  intercourse
   – Vaginal
   – Anal
   – Oral
• Contact with
  contaminated blood
• Using shared needles
  for drug use
• Infected pregnant      HIV Attacking a
  women can pass HIV     White Blood Cell
  infection to their
  infant during
  childbirth.
HIV and AIDS Complications

• Susceptibility to
  other infections
• Cancers
• Pneumonia
• Death



                        Oral Thrush
                      Kaposi Sarcoma
Other Sexual Related
         Infections
• Vaginitis                  Vaginal Yeast
     • Yeast Infections        Infection
     • Bacterial Vaginosis


• Cystitis
     • Urinary Tract
       Infections              Bacterial
     • Bladder Infections      Vaginosis
Still Think You Are Not At
          Risk???
Practicing Safer Sex
• Use condoms for all
  types of sex.
• Use dental dams
• Use condoms
  correctly
• Remember condoms
  do not offer
  protection against all
  STIs.
• Limit your number of
  sex partners
• Practice Abstinence
Where Can I Go If I Think I
     Have an STI???
• The Free Medical
  Clinic of Greater
  Cleveland
• Teen Health Center
  of Lakewood
• Planned Parenthood
• Metro Hospital
• Your primary care
  physician
References
• http://www.cads.go/chest/dusted/disease
  _info.him
• http://www.healthcare.org/images.html
• Hyde, J.S. & DeLamater. Understanding
  Human Sexuality 8th ed. McGraw-Hill
  Publishing Company, Boston 8th edition,
  2003.
• Huether, S.E. & McCance, K.L.
  Understanding Pathophysiology.
  Mosby;Publishing Company, St. Louis, 3rd
  edition, 2004.
Free Clinic Contact Information

    Hours of Operations: 10-9 p.m.
       For Appointments Call:
            216-721-4010
Caught in the Web of Sexually
   Transmitted Infections
          Kalia M. Johnson, M.Ed.
The Free Medical Clinic of Greater Cleveland
            12201 Euclid Avenue
           Cleveland, Ohio 44106

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Caught In The Web Of STIs Updated Version

  • 1. Caught in the Web of Sexually Transmitted Infections The Free Medical Clinic of Greater Cleveland 12201 Euclid Avenue Cleveland, Ohio 44106
  • 2. What Are Sexually Transmitted Infections???  Sexually Transmitted Infections or STIs (also known as Sexually Transmitted Diseases STDs) are caught by having unprotected sex with someone who has an STI.  You can get an STI from all forms of sex.  Vaginal Sex  Anal Sex  And yes you can get an STI from Oral Sex
  • 3. Just How Serious are STIs??? • STIs can cause sterility, infertility and numerous health related complications. • STIs are very serious especially when left untreated. • 1 in 4 teens between the ages of 13-24 will contract an STI within a year. • Certain STIs can be spread from an infected mother to her unborn baby or infant.
  • 4. How Will I Know if I Have an Sexually Transmitted Infection??? • Most STIs have No Symptoms. • Sores or irritation to the penis, vagina, anus, mouth or throat. • Unusual discharge • Painful or burning urination • Itching, rashes, warts, etc.
  • 5. Common Sexually Transmitted Infections • Chlamydia • HIV/AIDS • Gonorrhea • Trichomoniasis • Syphilis • Pubic Lice/ Crabs • Genital Herpes • Scabies • HPV (Human • Vaginitis Papilloma Virus)/ • Cystitis Genital Warts • Hepatitis B Virus
  • 6. Types of Sexually Transmitted Infections • Bacterial STIs – Curable • Parasitic & Fungal STIs – Curable • Viral STIs – Treatable
  • 7. Chlamydia • Most common bacterial STI. • Over millions cases of Chlamydia are reported each year. • Most of the time is is asymptomatic. • It is curable.
  • 8. Chlamydia Complications • If left untreated, Chlamydia can cause: Epididymitis Pelvic Inflammatory Disease (PID) Cervicitis Ectopic Pregnancy Sterility
  • 10. Epididymitis and Cervicitis Epididymitis Cervicitis
  • 11. Pelvic Inflammatory Disease Normal Uterus Uterus with PID
  • 13. Gonorrhea • Gonorrhea is the oldest of all STIs. – Check out The Book of Leviticus Ch. 15 • Some strands of Gonorrhea are resistant to antibiotics. • It is also know as the drip and the clap. • It is usually curable with antibiotics.
  • 14. Symptoms of Gonorrhea • Thick white, yellowish, or yellow-green pus like discharge from the penis or vagina. • Itching or burning during urination. • Gonorrhea can be asymptomatic.
  • 15. Symptoms of Gonorrhea • Gonorrhea can effect the eyes and throat. • Mothers can pass Gonorrhea to the baby during birth.
  • 16. Complications of Gonorrhea • If left untreated, Gonorrhea can cause: Epididymitis Pelvic Inflammatory Disease Sterility
  • 17. Syphilis • Syphilis is the 3rd bacterial STI. • It is also known as “The Great Imitator.” – it mimics the symptoms of other STIs • It is curable with antibiotics. • Syphilis occurs in 3 stages.
  • 18. Symptoms of Syphilis • Painless sores on the genitals called chancre sores. • Rash over the body. • Syphilis can cause sterility and death if it is left untreated.
  • 20. Complications of Syphilis • If left untreated, Syphilis can cause: Brain Damage Dementia Sterility Blindness Death
  • 21. Trichomoniasis • Trich is a common parasitic STI that affects both men and women. • Trich is caused by the protozoan parasite Trichomonas vaginalis. • Trich is curable with medication.
  • 22. Symptoms of Trichomoniasis • Unusual discharge from the penis or vagina. • Discharge with a strange odor. • Slight burning sensation after urinating or ejaculating (males). • Damage to the cervix
  • 23. Complications of Trichomoniasis • If left untreated, Trichomoniasis can cause: An increase in a woman's susceptibility to HIV infection if she is exposed to the virus. An increased chance of an HIV-infected woman passing HIV to her sex partner(s).
  • 24. Pubic Lice • Pubic lice or crab lice are small, light brown, flat insects that cling to pubic hair. • Pubic lice suck blood for nourishment, and fix their eggs (nits) to the pubic hairs. • Pubic Lice are curable.
  • 25. Symptoms of Crabs • Little red sores in your pubic area and/or lower abdomen. • Itching in the pubic area. • Visible nits • Crawling lice
  • 26. Scabies • Scabies can be transmitted through sexual contact. • Anyone can get Scabies. • Scabies is curable.
  • 27. Symptoms of Scabies • Intense itching, especially at night • Red rash • Crusty and scaly skin • Little red bumps • Pimples • Tiny bites
  • 28. Genital Herpes • Genital Herpes is caused by the Herpes Simplex II Virus. • 1 out of 5 teen and adults in the U.S. has genital herpes. • There is NO cure for Herpes.
  • 29. Symptoms of Genital Herpes • Oral Herpes causes tiny blister to appear around your mouth. • Genital Herpes causes tiny blisters to appear on your genitals. • Fever • Painful urination • Headaches
  • 30. Complications of Genital Herpes • Lifetime complications of Genital Herpes include: Reoccurring outbreaks Suppressed immune system More susceptible to HIV infection.
  • 31. Human Papilloma Virus • HPV is the virus that causes genital warts. • Certain strands of HPV causes cervical cancer and penile cancer. • Most HPV infections are asymptomatic. • There is NO cure available for HPV. • The new HPV Vaccine.
  • 32. Symptoms of Genital Warts • Warts, small fleshy bumps on the penis or vaginal area. • White patches on the labia, inside the vagina, on the penis or around the anus. • Not everyone with HPV will have genital warts.
  • 33. Cervical Cancer and Cervical Warts Cervical Cancer Cervical Warts Normal Cervix
  • 34. Hepatitis B • Hepatitis B is a serious disease caused by a virus that attacks the liver. • HBV is considered an STI because it can be transmitted through semen, vaginal fluid, and blood. • Jaundice • Swelling of the liver • There are vaccines available to protect people from contracting HBV.
  • 35. HIV and AIDS • HIV is Human Immunodeficiency Virus. • AIDS is Acquired Immune Deficiency Syndrome. • There is NO cure for HIV or AIDS.
  • 36. HIV Transmission • Unprotect sexual intercourse – Vaginal – Anal – Oral • Contact with contaminated blood • Using shared needles for drug use • Infected pregnant HIV Attacking a women can pass HIV White Blood Cell infection to their infant during childbirth.
  • 37. HIV and AIDS Complications • Susceptibility to other infections • Cancers • Pneumonia • Death Oral Thrush Kaposi Sarcoma
  • 38. Other Sexual Related Infections • Vaginitis Vaginal Yeast • Yeast Infections Infection • Bacterial Vaginosis • Cystitis • Urinary Tract Infections Bacterial • Bladder Infections Vaginosis
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  • 41. Still Think You Are Not At Risk???
  • 42. Practicing Safer Sex • Use condoms for all types of sex. • Use dental dams • Use condoms correctly • Remember condoms do not offer protection against all STIs. • Limit your number of sex partners • Practice Abstinence
  • 43. Where Can I Go If I Think I Have an STI??? • The Free Medical Clinic of Greater Cleveland • Teen Health Center of Lakewood • Planned Parenthood • Metro Hospital • Your primary care physician
  • 44. References • http://www.cads.go/chest/dusted/disease _info.him • http://www.healthcare.org/images.html • Hyde, J.S. & DeLamater. Understanding Human Sexuality 8th ed. McGraw-Hill Publishing Company, Boston 8th edition, 2003. • Huether, S.E. & McCance, K.L. Understanding Pathophysiology. Mosby;Publishing Company, St. Louis, 3rd edition, 2004.
  • 45. Free Clinic Contact Information Hours of Operations: 10-9 p.m. For Appointments Call: 216-721-4010
  • 46. Caught in the Web of Sexually Transmitted Infections Kalia M. Johnson, M.Ed. The Free Medical Clinic of Greater Cleveland 12201 Euclid Avenue Cleveland, Ohio 44106