STIs

Question 1

Contributing factors to STI rates

Answer 1

Earlier reproductive maturity 
Longer sexual lifespan
Greater sexual freedom
Media emphasis
Lack of barrier methods during sexual activity
Changes in methods of contraception

Question 2

Gonorrhea Symptoms

Answer 2

Men
• Dysuria
• Profuse, purulent urethral discharge

Women
• Redness and swelling occur at site of contact.
• Greenish, yellow purulent exudate often develops.

• Eye infections in newborns

Question 3

Gonorrhea treatment

Answer 3

• Drug therapy
• Treatment in early stage is curative
• Oral dose of cefixime (Suprax)

Question 4

Syphilis treatment

Answer 4

• Benzathine penicillin G (Bicillin)
• Recurring or persistent symptoms after drug therapy are re-treated
• Monitor neurosyphilis with periodic serological testing, clinical evaluation, and repeat CSF exams.
• Confidential counselling and HIV testing

Question 5

SyphilisComplications

Answer 5

Occur most often in late syphilis
Gummas can produce irreparable damage to bone, liver, or skin.
Aneurysm may press on structures such as intercostal nerves, causing pain.
Neurosyphilis causes degeneration of brain with mental deterioration.
Neurological deficits possible
Tabes dorsalis causes nerve involvement.

Question 6

STIs can contribute to

Answer 6

Ectopic pregnancy

Infertility in women

Question 7

Chlamydial Symptoms

Answer 7

Men
Urethritis
Proctitis
Epididymitis

Women
Cervicitis 
Urethritis
Bartholinitis
Dyspareunia
Menstrual abnormalities

Question 8

Chlamydial Treatment

Answer 8

• Doxycycline (Vibramycin)

Azithromycin (Zithromax)

Question 9

Genital Herpes Symptoms

Answer 9

• Burning or tingling at site
• Small vesicular lesion appears on penis, scrotum, vulva, perineum, perianal areas, vagina, or cervix.
• Lesions rupture and form ulcerations.
• Crusting and epithelialization occur.
• Urination may be painful from urine touching lesion.
• Purulent vaginal discharge may develop

Question 10

Genital Herpes Treatment

Answer 10

• Inhibit viral replication
• Suppress frequent recurrences
• Acyclovir (Zovirax)
• Valacyclovir (Valtrex)
• Famciclovir (Famvir)
• Not a cure, but shorten duration and healing time and reduce outbreaks
• Genital hygiene
• Loose-fitting cotton underwear
• Lesions clean and dry
• Sitz baths
• Barrier methods during sexual activity

Question 11

Human Papillomavirus Infection Treatment

Answer 11

• Primary goal: removal of symptomatic warts
• Removal may or may not decrease infectivity.
• Difficult to treat
• Often require multiple office visits and variety of treatment modalities
• Recurrences and reinfection possible
• Careful long-term follow-up advised
• Vaccine to prevent cervical cancer, precancerous genital lesion, and genital warts due to HPV