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Talk to your doctor. He or she can examine you and perform tests to determine if you have a sexually transmitted disease. If you think that you have an STD, it’s important to see your doctor. Treatment can:

* Cure many STDs.
* Lessen the symptoms of STDs.
* Make it less likely that you will spread the disease.
* Help you to get healthy and stay healthy.

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Sometimes, there are no symptoms. If symptoms are present, they may include one or more of the following:

* Bumps, sores or warts near the mouth, anus, penis or vagina.
* Swelling or redness near the penis or vagina.
* Skin rash.
* Painful urination.
* Weight loss, loose stools, night sweats.
* Aches, pains, fever, and chills.
* Yellowing of the skin (jaundice).
* Discharge from the penis or vagina (Vaginal discharge may have an odor.)
* Bleeding from the vagina other than during a monthly period.
* Painful sex.
* Severe itching near the penis or vagina.

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Sexually transmitted diseases, commonly called STDs, are diseases that are spread by having sex with someone who has an STD. You can get a sexually transmitted disease from sexual activity that involves the mouth, anus, vagina, or penis.

According to the American Social Health Organization, one out of four teens in the United States becomes infected with an STD each year and by the age of 25, half of all sexually active young adults will get an STD.

STDs are serious illnesses that require treatment. Some STDs, like AIDS, cannot be cured and are deadly. By learning more about STDs, you can find out ways to protect yourself from the following STDs.

* Genital herpes
* Human papilloma virus/Genital warts
* Hepatitis B
* Chlamydia
* Syphilis
* Gonorrhea (”Clap”)

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Sexually transmitted diseases (STDs) are spread by sexual contact involving the genitals, mouth, or rectum, and can also be spread from a pregnant woman to her fetus before or during delivery. STDs, which affect both men and women, are a worldwide public health concern.

Although most STDs can be cured, some cannot, including HIV (which causes AIDS), genital herpes, and human papillomavirus (HPV), which can cause genital warts.

STDs can be spread by people who don’t know they are infected. Always use protection every time you have sex, including oral sex, until you are sure you and your partner are not infected with an STD.

If you are in a relationship, delay having sex until you are physically and emotionally prepared, have agreed to only have sex with each other, and have both been tested for STDs.

Abstinence as prevention

Completely avoiding sexual contact (abstinence), including intercourse or oral sex, is the only certain way to prevent an infection.

Discuss safe sex with your partner

Discuss STDs before you have sex with someone. Even though a sex partner doesn’t have symptoms of an STD, he or she may still be infected.

Questions to ask someone before having sex include:

* How many people have you had sex with?
* Have you had sex without a condom?
* Have you ever had unprotected oral sex?
* Have you had more than one sex partner at a time?
* Do you inject illegal drugs or have you had sex with someone who injects drugs?
* Have you ever had unprotected sex with a prostitute?
* Have you had a test for HIV? What were the results?
* Have you ever had an STD, including hepatitis B or hepatitis C? Was it treated and cured?

Safe sex practices

Some STDs, such as HIV, can take up to 6 months before they can be detected in the blood. Genital herpes and the human papillomavirus (HPV) can be spread when symptoms are not present. Even if you and your partner have been tested, use condoms for all sex until you and your partner haven’t had sex with another person for 6 months. Then get tested again.

* Watch for symptoms of STDs, such as unusual discharge, sores, redness, or growths in your and your partner’s genital area, or pain while urinating.
* Don’t have more than one sex partner at a time. The safest sex is with one partner who has sex only with you. Every time you add a new sex partner, you are being exposed to all of the diseases that all of their partners may have. Your risk for an STD increases if you have several sex partners at the same time.
* Use a condom every time you have sex. A condom is the best way to protect yourself from STDs. Latex and polyurethane condoms do not let STD viruses pass through, so they offer good protection from STDs. Condoms made from sheep intestines do not protect against STDs.
* Use a water-based lubricant such as K-Y Jelly or Astroglide to help prevent tearing of the skin if there is a lack of lubrication during sexual intercourse. Small tears in the vagina during vaginal sex or in the rectum during anal sex allow STDs to get into your blood.
* Avoid douching if you are a woman, because it can change the normal balance of organisms in the vagina and increases the risk of getting an STD.
* Be responsible. Avoid sexual contact if you have symptoms of an infection or if you are being treated for an STD or HIV. If you or your partner has herpes, avoid sexual contact when a blister is present and use condoms at all other times

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Pregnant women with genital herpes should be careful about passing the virus on to the baby, but not overly worried about it.

A mother can infect her baby during delivery, often fatally. But if a woman had genital herpes before getting pregnant, or if she is first infected early in pregnancy, the chance that her baby will be infected is very low — less than 1%. Women with genital herpes are examined carefully for any symptoms before giving birth. If sores or signs that an outbreak is coming show up at the time of delivery, the baby may be delivered by cesarean section (also called a C-section).

The risk of infecting the baby is high (30% to 50%) when a woman is newly infected late in pregnancy, however. That’s because the mother’s immune system has not developed protective antibodies against the virus. Women with an older herpes infection have antibodies against the virus, which help protect the baby. If you are pregnant and you think you may have been infected recently, tell your doctor right away.

Ways to Avoid Risks of Getting Herpes While Pregnant

Women who don’t have genital herpes should be careful about sex during the third trimester. Unless you know for sure that your partner is herpes free, you should avoid sex altogether during the third trimester. If your partner gets cold sores (oral herpes), he or she should not perform oral sex on you during this time.

Some doctors think all women should be tested for herpes when they get pregnant, especially if their sex partners have herpes. Ask your doctor if you or your partner should be tested.

Treatment Issues

Women taking antiviral drugs for herpes — either daily suppressive therapy or occasional therapy for outbreaks — should consult their doctor about whether to take the drugs during pregnancy. The answer is not set in stone: You and your doctor have to discuss the risks and benefits to decide what’s right for you.

Herpes infection in a newborn is also serious. Do not allow anyone with a cold sore on the mouth to kiss the baby. If you have a cold sore, don’t kiss the baby, and wash your hands with soap and water before touching the baby.

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Having genital herpes can increase the risk of being infected with HIV, the virus that causes AIDS, and it can cause serious problems for people living with HIV.

People who have genital herpes sores are more likely to be infected with HIV during intercourse. When you develop a sore, your immune system tries to heal it, so there are many immune cells concentrated in that spot. Those are the cells that HIV infects. If HIV in semen, vaginal fluid, or blood comes in contact with a herpes sore, the risk for infection is high.

The Compound Effect of Genital Herpes and HIV

HIV and the herpes virus are a troublesome duo. One can worsen the effects of the other. Research shows that when the herpes virus is active, it may cause HIV to make more copies of itself (the process called replication) than it would otherwise. The more HIV replicates, the more of the body’s infection-fighting cells it destroys, eventually leading to AIDS (acquired immune deficiency syndrome).

People infected with both HIV and the herpes virus may have longer-lasting, more frequent, and more severe outbreaks of herpes symptoms, because a weakened immune system can’t keep the herpes virus under control as well as a healthy immune system can.

Treatment Issues

It’s more difficult to treat genital herpes if you also have HIV. Higher doses of antiviral drugs are often needed to treat herpes in people with HIV. Also, many people with HIV have strains of the herpes virus that are resistant to treatment with the standard antiviral drugs.

If you take antiviral drugs for genital herpes and the treatment isn’t working, your doctor can test the virus you have for resistance. If the virus is resistant, there are other possible treatment alternatives, including the drugs Foscavir and Vistide. These drugs can be given through an IV, or a Vistide gel can be applied to the herpes sores.

If you have HIV, ask your doctor if you should be tested for genital herpes. If you already know that you have herpes and HIV, discuss treatment options with your doctor.

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It’s very rare, if not impossible, to get genital herpes any other way than by sexual contact.

Keep in mind, however, that many people have genital herpes for years or even decades without knowing it. When they are diagnosed, their monogamous partners often assume they were unfaithful, which may not be true.

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For starters, you can understand that having genital herpes isn’t all that unusual. If you were to leave your partner to find someone else, you’d have nearly a one-in-five chance of meeting another man with genital herpes, or about a one-in-four chance of meeting another woman who is infected.

If your partner isn’t coping well, you may want to suggest joining a support group. If you think genital herpes is harming your relationship, you could try couple’s therapy.

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The biggest impact of genital herpes is usually emotional. Painful symptoms, limitations on sexual activity, and that it’s an incurable, lifelong condition can lead to depression. If your partner is pregnant or trying to get pregnant, however, genital herpes is a major concern. Her doctor must be made aware of it. Genital herpes is also more serious for people with HIV and other conditions that weaken the immune system.

You may have heard that genital herpes causes cervical cancer. That’s not exactly true. It may be a factor, but it’s not the main cause.

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Go to your doctor and get tested for genital herpes. A doctor may take a sample from what appears to be a genital herpes sore and examine it under a microscope.

You can also have a blood test for genital herpes. The blood test looks for antibodies to the virus that your immune system would have made when you were infected. The second type of herpes simplex virus, HSV-2, almost always infects the genitals, so if antibodies to HSV-2 are detected in your blood, you probably have genital herpes. A blood test that shows antibodies to the other type of herpes virus, HSV-1, means you could have genital or oral herpes. That’s because oral herpes, typically caused by HSV-1, can be spread to the genitals during oral sex.

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