Questions About Sexually Transmitted Diseases

When a group of adolescent girls were surveyed 87% reported having "considerable knowledge" about sexually transmitted diseases. However they underestimated the incidence of STDs and their chances of becoming infected. Another study found that only 26% of adults could name an STD other than infection with the virus that causes AIDS. Given the health consequences and the sobering fact that 12 million Americans are infected with an STD each year see how well you do on this STD quiz. For more information on specific STD’s look at www.ashastd.org or www.cdc.gov.

I would know if my partner or I had an STD (true or false).

STD’s can have serious health consequences (true or false).

Which STDs can result in infertility in women?

Which STD is linked to the development of cervical cancer?

What STD’s can cause death?

Condoms provide complete protection from STD’s (true or false).

Who should be screened for STDs?

 

Answers:

This is unfortunately false. Although infection with any STD can cause symptoms such as an abnormal discharge, genital lesions or pelvic pain all of the STDs can exist without symptoms. STDs can be transmitted to sexual partners in the absence of any symptoms. For example 80% of women with chlamydia do not have any symptoms, 90% of people with genital herpes are not aware they are infected but over 50% of these people will continue to shed the virus with the ability to infect other sexual partners.

True. Some STDs are merely annoying causing some discomfort but with no real implications for overall health. However STDs can lead to infertility, cervical cancer, recurrent and painful genital lesions, severe pelvic infections and even death.

Infections with either chlamydia or gonorrhea are linked to infertility. Chlamydia infection is more common than gonorrhea but more insidious as it is more likely to exist without symptoms. These bacteria can ascend from the cervix to the uterus and fallopian tubes resulting in a serious infection called pelvic inflammatory disease. This can be accompanied by severe pain and fevers that prompt a visit to the doctor. It is treated with powerful antibiotics and may require hospitalization. However chlamydia can cause damage to the fallopian tubes even in the absence of an obvious infection such as pelvic inflammatory disease. It is very important that all sexually active young women as well as older women with a new or multiple partners be screened annually for chlamydia and gonorrhea.

Human papilloma virus. There are many types of HPV some of which cause genital warts and some that have been linked to the development of cervical cancer. Almost 50% of sexually active women (and presumably their male partners) are infected with HPV; many times the immune system will get rid of the virus without any medical intervention. However in some women infected with so-called "high risk" types of HPV their cervix will develop precancerous changes and ultimately cervical cancer if the precancerous lesions are not detected and treated. A yearly PAP smear is the best way to detect these lesions.

If you answered AIDS you are partly correct, but hepatitis (infection of the liver) can lead to cirrhosis of the liver, liver failure and death. Hepatitis B virus and to a lesser degree Hepatitis C virus are both transmitted sexually and cause infections of the liver. These may be symptomatic infections with nausea, pain, vomiting and jaundice, or may cause liver damage with no symptoms at all. Fortunately a vaccine against hepatitis B is available and recommended for all newborns and adolescents, and for adults who are at risk. There is no vaccine against hepatitis C.

False. Condoms will reduce the risk of acquiring the AIDS virus by 87% if used correctly and consistently. However many couples use them only some of the time or incorrectly. Condoms also break about 2-4% of the time. They do provide protection against acquiring chlamydia and gonorrhea but are not as effective in preventing transmission of HPV or the herpes virus. Adolescent females because of their immature reproductive tract are at greater risk of acquiring certain STD’s than adult women. Some adolescents are not aware that all forms of sexual contact, not just intercourse can result in infection with STDs. Delaying the onset of sexual activity, minimizing the number of partners along with consistent use of condoms all need to be practiced to decrease the chances of acquiring an STD.

All sexually active women 25 years or younger should be screened yearly for Chlamydia, older women with multiple partners and pregnant women should also be screened. PAP smears should be obtained on a yearly basis after the age of 18 or when an adolescent becomes sexually active. Screening for other STDs should be discussed with your physician.