Dr. MJ Bazos MD, Patient Handout
STDs: Learn How to Protect Yourself
What is an STD?
An STD -- short for sexually transmitted disease -- is an infection you can get by having sex. Sex in this case includes intercourse, anal sex, oral sex or skin-to-skin contact. Some of the most common STDs are listed below.
How can I protect myself against an STD?
The only 100% sure way to protect yourself is NOT TO HAVE SEX. It only takes one sexual contact with someone who has an STD to catch it. If you are sexually active, protect yourself by using a latex condom and a spermicide foam, cream or jelly with nonoxynol-9 (check the label on the box) every time you have sex.
Did you know that...
  • One out of every 8 adolescents gets an STD.
  • The number of 15 to 19 year olds who said they used condoms the first time they had sex tripled in the past 20 years: From 18% in 1975 to 58% in 1999.
Pubic lice (crabs)
Symptoms: Girls and guys may have redness and itching around the genitals.
Treatment: Medicine can kill the lice, but they can come back if clothes, sheets and towels aren't washed to get rid of the lice. Usually both partners need to be treated.
Trichomoniasis
Symptoms: Girls can have a heavy, greenish-yellow frothy discharge and pain when urinating. Guys don't usually have symptoms.
Treatment: Antibiotics. Usually both partners need to be treated.
Chlamydia
Symptoms: Girls may have no symptoms or may have pain when urinating, itching around the vagina, yellow fluid (discharge) from the vagina, bleeding between periods or pain in the lower abdomen. Guys may feel a burning when urinating and have milky colored discharge from the penis. If not treated, chlamydia can cause infertility and other problems in girls and painful swelling of the scrotum in guys.
Treatment: Antibiotics. Usually both partners should be treated.
Syphilis
Symptoms: An early symptom is a red painless sore, called a chancre. The sore can be on the penis, vagina, tongue or throat. The glands near the sore may be swollen. After a few months, both guys and girls can get a fever, sore throat, headache, or pain in their joints. Another symptom is a scaly rash on the palms of the hands or the bottom of the feet. The sores and other symptoms go away, but this does not mean that the infection is gone. Syphilis can cause serious health problems if it's not treated.
Treatment: Antibiotics. If one partner is infected, the other should be tested.
HIV/AIDS
Symptoms: HIV (human immunodeficiency virus) causes AIDS. HIV makes the body's immune system weak so it can't fight disease. Symptoms may take years to develop, and can include infections, feeling tired for no reason, and night sweats.
Treatment: Medicines can treat symptoms but can't cure AIDS. If one partner is infected, the other should be checked by a doctor.
Herpes
Symptoms: Girls and guys may have tingling, pain or itching around the vagina or penis. Small blisters can form in these areas and then break open. When they break open, the sores can cause a burning feeling. It may hurt to urinate. Some people have swollen glands, fever and body aches. The sores and other symptoms go away, but this does not mean that the infection is gone. The sores and blisters can come back (called an "outbreak").
Treatment: Medicine can treat symptoms but can't cure herpes. If one partner is infected, the other should by checked by a doctor.
Gonorrhea
Symptoms: Girls may have no symptoms or may have white, green or yellow discharge from the vagina, pain when urinating, bleeding between periods, heavy bleeding during a period or a fever. Both girls and guys can get sore throats if they've had mouth to penis or vagina contact (oral sex). Guys may have thick, yellow discharge from the penis and pain when urinating. The opening of the penis may be sore. Gonorrhea can cause serious health problems if it's not treated.
Treatment: Antibiotics. Usually both partners should be treated.
HPV/Genital Warts
Symptoms: HPV (human papillomavirus) can cause warts in or around the vagina, penis or rectum. In girls, the warts can be inside the body on the cervix or vagina so you can't see them. Or they can be on the outside of the body, but be too small to see. The warts usually don't hurt.
Treatment: No medicine cures HPV. External warts can be removed. Warts on the cervix or in the vagina can cause changes that may lead to cancer. Doctors will watch these changes. If one partner is infected, the other should be checked by a doctor.
How do I know if my partner has an STD?
Ask. Although it may be uncomfortable, talk to your partner before having any sexual contact. Ask if he or she is at risk for having an STD. Some of the risk factors are having sex with several partners, using injected drugs, and having had an STD in the past. To be safe, protect yourself no matter what the person says. You must also tell your partner if you have an STD. You aren't doing yourself or your partner any favors by trying to hide it.
How do I know if I have an STD?
Watch for the symptoms listed above, but remember that most STDs don't cause any symptoms.
If you are sexually active, you should get regular check-ups and tell your doctor that you are sexually active. If you're worried that your parents will find out, you can ask your doctor not to discuss it with your parents. You can also go to a free health clinic. Don't let fear keep you from getting checked out. Imagine how you'd feel -- and how your parents would feel -- if you got really sick because you didn't get help. If you find out you have an STD, both you and your partner should get treated right away.
Can STDs be cured?
Some can. STDs like chlamydia that are caused by bacteria can be cured with antibiotics. But STDs caused by a virus (like HIV or herpes) can't be cured. Your doctor can only treat the symptoms that the virus causes.
Don't wait to be treated! Early treatment helps prevent serious health problems. Even if medicine can't completely cure the STD, it can help keep you from getting really sick. If you are given medicine for an STD, take it exactly as the doctor says.
Websites:
Not Me, Not Now: What Smart Kids Say to Sex:
www.notmenotnow.org
Unspeakable: The Naked Truth About STDs
www.unspeakable.com