Q: Define ‘sexual health’ and ‘sexually transmitted infections (STIs). Describe the sexually transmitted infections and their symptoms
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Definitions
1. Sexual Health
Definition: Sexual health is a state of physical, emotional, mental, and social well-being in relation to sexuality. It involves a positive and respectful approach to sexuality and sexual relationships, free from coercion, discrimination, and violence. Sexual health encompasses the ability to have safe, satisfying, and consensual sexual experiences and includes access to accurate information, resources for prevention and treatment of sexually transmitted infections (STIs), and the right to make informed choices about one’s sexual and reproductive life.
2. Sexually Transmitted Infections (STIs)
Definition: Sexually transmitted infections (STIs) are infections that are primarily spread through sexual contact, including vaginal, anal, and oral sex. They can also be transmitted through non-sexual means such as sharing needles or from mother to baby during childbirth. STIs affect various parts of the body and can lead to serious health issues if left untreated. They can be caused by bacteria, viruses, or parasites.
Common Sexually Transmitted Infections and Their Symptoms
**1. *Chlamydia*
- Description: Chlamydia is a bacterial infection caused by Chlamydia trachomatis. It is one of the most prevalent STIs and can affect the reproductive organs, throat, and eyes.
- Symptoms:
- In Women: Often asymptomatic; may include abnormal vaginal discharge, burning sensation during urination, and pain during intercourse.
- In Men: Often asymptomatic; may include penile discharge, burning sensation during urination, and swollen testicles.
- In Both: If untreated, can lead to pelvic inflammatory disease (PID) in women and potential fertility issues in both genders.
**2. *Gonorrhea*
- Description: Gonorrhea is a bacterial infection caused by Neisseria gonorrhoeae. It can infect the genital tract, rectum, throat, and eyes.
- Symptoms:
- In Women: Often asymptomatic; may include abnormal vaginal discharge, painful urination, and pelvic pain.
- In Men: Symptoms include a white, yellow, or green discharge from the penis, painful urination, and swollen testicles.
- In Both: Can cause complications such as PID in women and epididymitis in men if left untreated.
**3. *Syphilis*
- Description: Syphilis is a bacterial infection caused by Treponema pallidum. It progresses through stages, each with different symptoms.
- Symptoms:
- Primary Stage: Painless sore (chancre) at the site of infection, such as the genital area, anus, or mouth.
- Secondary Stage: Skin rashes, mucous membrane lesions, and flu-like symptoms.
- Latent Stage: No symptoms but infection remains in the body.
- Tertiary Stage: Can occur years later and cause severe health issues such as heart disease, neurological problems, and damage to organs.
**4. *Human Papillomavirus (HPV)*
- Description: HPV is a group of viruses that can cause genital warts and is associated with several types of cancer, including cervical cancer.
- Symptoms:
- Genital Warts: Small, flesh-colored bumps or clusters of bumps in the genital area.
- In Women: Abnormal cervical cells that can lead to cervical cancer.
- In Men: Warts on the penis, scrotum, or around the anus.
- Many HPV infections are asymptomatic and may resolve on their own.
**5. *Herpes Simplex Virus (HSV)*
- Description: HSV is a viral infection caused by HSV type 1 (commonly oral herpes) and HSV type 2 (commonly genital herpes).
- Symptoms:
- Oral Herpes (HSV-1): Cold sores or fever blisters on the lips or around the mouth.
- Genital Herpes (HSV-2): Painful sores or blisters in the genital area, itching, and flu-like symptoms.
- Recurrent Outbreaks: Both types can cause recurrent outbreaks of sores and symptoms.
**6. *HIV/AIDS*
- Description: Human Immunodeficiency Virus (HIV) attacks the immune system, specifically CD4 cells, and can lead to Acquired Immunodeficiency Syndrome (AIDS) if untreated.
- Symptoms:
- Acute HIV Infection: Flu-like symptoms, including fever, sore throat, and rash, usually within 2-4 weeks of exposure.
- Chronic HIV Infection: May be asymptomatic for years but gradually weakens the immune system.
- AIDS: Characterized by opportunistic infections, cancers, and severe immune system damage.
**7. *Trichomoniasis*
- Description: Trichomoniasis is a parasitic infection caused by Trichomonas vaginalis.
- Symptoms:
- In Women: Vaginal discharge that is often frothy and greenish-yellow, itching, and discomfort during urination.
- In Men: Often asymptomatic; may include irritation inside the penis and discharge.
**8. *Hepatitis B and C*
- Description: Hepatitis B and C are viral infections that affect the liver and can be transmitted through blood and sexual contact.
- Symptoms:
- Hepatitis B: May include jaundice, abdominal pain, dark urine, and chronic liver issues. Often asymptomatic in the acute phase.
- Hepatitis C: Often asymptomatic but can lead to chronic liver disease, jaundice, and abdominal pain.
Conclusion
Sexually transmitted infections (STIs) are diverse in their causes and symptoms. Understanding these infections and their signs is crucial for early detection, treatment, and prevention. Regular screening, safe sexual practices, and accurate information are key components in managing sexual health and reducing the risk of STIs.