Sexual health Flashcards
key populations
-disproportionately affected by HIV and other STIs
-men who have sex with men
-people who inject drugs
-transgender people
-people in sex trade
-people who have been incarcerated
-barriers to accessing sexual health services, stigma and discrimination, may require targeted interventions to reduce risk of HIV and other STIs
-15-19yo is highest in NY
sexual history
-partners- # and gender
-practices
-protection- STD tests in non-monogamous
-past hx of STD- greater risk for others now
-prevention of pregnancy
know ur rights
-you dont need permission from anyone for:
-OCP
-condoms
-morning after pill
-pregnancy tests and prenatal care
-STI tests
-HIV tests and tx
-PreP and PEP
-HPV vaccine
-abortion
-sexual assualt care
sexual dysfunction
-arousal, desire, orgasm, and resolution
-females- most likely caused by diabetes
-males- erectile dysfunction from chronic diseases (DM)
-premature ejaculation
infertility
-40-50% are due to males
-smoking, alcohol, drug use
-MCC for males is low sperm count
-MCC is ovulation disorder in women
-2nd MCC is tubal blockage and age
low libido
-males:
-MC- decrease testosterone
-age
-SNRI, SSRI
-OSA
-stress
-increased alcohol, drugs, smoke
-women:
-MC- stress in younger women -> 30-50 is perimenopause
-dyspareunia, surgery
-menopause
-stress
-fatigue
decrease in STIs. Why?
-reduced screening
-limited resources
-stay at home orders
syphilis
-on the rise
-only screen women exposed - CDC
-only screen women who are high risk - USPSTF
chlamydia tx
-adults/adolescents- doxy 100mg 2x day for 7 days
-pregnant- azithro 1gm 1x
-infants and children- erythro 50mg/kg 4x/day for 14 days OR ethylsuccinate 50mg/kg 4x/day for 14 days
-children who weight >45kg but at <8- azithro 1gm 1x
gonococcal tx
epididymitis tx
syphilis tx
STI-PEP
-retest 3-6 months after tx, you cant have unprotected sex until after youre cleared and you have finished meds
-post prophylaxis for sex workers
