WOMEN'S HEALTH: SEXUALLY TRANSMITTED INFECTIONS

Question 1

Most frequently diagnosed STIs:

Answer 1

• Chlamydia
• Gential Herpes
• Gonorrhea
• Genital Warts
• Trichomoniasis
• Syphylis

Question 2

TRICHMONIASIS

Answer 2

• Protozoa
• Yellow, green, frothy odorous discharge
• Treatment: Flagyl
• Oral or IV

Question 3

CHLAMYDIA

Answer 3

• Most common STI
• World’s leading cause of blindness
• Infects the fallopian tubes, cervix, urethra, Bartholin’s glands and leads to PID, ectopic pregnancy, and Infertility
• Can be asymptomatic
• Males: Urethritis
• Females: purulent discharge, burning & frequency, lower abd. pain
• Treatment doxycycline, tetracycline; azithromycin (if pregnant)
  — All orally
  — Causes Photosensitivity

Question 4

GONORRHEA

Answer 4

• Women- may be asymptomatic
• May have purulent, green- yellow odorous discharge, dysuria (painful urination) frequency
• Males- Urethritis- discharge and dysuria
• Treatment: Ceftriaxone (rocephin)
  — IM

Question 5

HERPES

Answer 5

• HSV-2
• Lesions, painful
• Treatment: Acyclovir (anti viral) (zovirax)
• Can cause Congenital herpes
  — History of herpes= schedule C-section

Question 6

SYPHILIS

Answer 6

• Spirochete
• Early stage: chancre (open wound). Fever, weight loss, malaise. (Feels like the flu) Lasts 4 weeks
• Late Stage: starts in 6 weeks to 6 months.
• skin eruptions-congylomata lata (infectious), arthritis, hepatomegaly and spleenomegaly, nontender enlarge lymph nodes, iritis( inflamation or iris of the eye; reddened), chronic sore throat and hoarsness.
• Treatment: Pencillin G
• Contact precautions
• Can treat during pregnancy
  — If not treated, will be passed to baby

Question 7

GENITAL WARTS:

Answer 7

• HPV- Human Papillomavirus
• Causes cervical cancer
• Incubation period 3 weeks to 3 years
• Vaccine: Gardisil protects against 4 types. Age 9-26 yrs.
• May treat with cryotherapy, surgical excision