What's STI?

Sexually Transmitted Infection (STI) is an infection caused by bacteria, viruses, fungi or protozoa, which can be transmitted through sexual intercourse or close body contact with another person who is infected with an STI.

·         Transmission of some STIs e.g. NGU, HIV, Hepatitis B and gonorrhoea occurs when there is transfer of body fluids (e.g. semen from the male genital tract or vaginal and cervical secretions from the female genital tract) from an infected person to the sex partner.

·         Transmission of other STIs, e.g. scabies, pubic lice, syphilis, herpes and warts occurs when there is intimate skin-to-skin contact.

·         Some STIs e.g. syphilis, hepatitis B and HIV may be transmitted from an infected mother to her baby during pregnancy or delivery.

·         These infections may also be transmitted through sharing of injection needles or through contaminated blood transfusions.

 

TYPE OF STI

AGENTS CAUSING THE STI

BACTERIA

Syphilis

Treponema pallidum

Gonorrhoea 

 

Neisseria gonorrhoeae

Non-gonococcal Urethritis (NGU)

Chlamydia trachomatis

Ureaplasma urealyticum

Mycoplasma genitalium

Chancroid

 

Haemophilus ducreyi

Lymphogranuloma venereum (LGV)

 

Chlamydia trachomatis

Granuloma inguinale

Calymmatobacteria granulomatis 

VIRUS

Genital herpes -

herpes simplex virus type 1 & 2

Molluscum contagiosum - molluscum contagiosum virus 

human papilloma virus

Genital warts -  Viral Hepatitis

hepatitis A, B and C viruses

HIV and AIDs infection

human immunodeficiency virus type 1 & 2

Fungi

Vaginal candidiasis

candida albicans

PROTOZOA

Trichomoniasis

trichomonas vaginalis

PARASITES

Scabies

sarcoptes scabiei

Pubic lice infestation

pediculosis pubic

 

FACT SHEET


What are the common types of STI?


The common STIs are:

·       Non-gonococcal urethritis (NGU)

·       Syphilis

·       Chlamydia infections

·       Gonorrhoea

·       Genital herpes

·       Genital warts

·       AIDS/HIV infection

 

What are the common symptoms and signs of STIs?

·       STIs may present in a number of ways. The commonest symptoms of STI are:

·       Genital discharge (from the urethra or the vagina)

·       Dysuria (pain on passing urine)

·       Genital sores or ulcers (these may be painful or painless)

·       Blisters on genitals

·       Growths on genitals

·       Swelling of lymph glands (in the groin)

·       Rash on genitals and other parts of the body

Sometimes an infection can present in the absence of any symptoms or signs -This is called an asymptomatic infection 

 

Do these symptoms and signs occur only in STIs?


Not necessarily. Rashes and growths on genitals may be signs of conditions that are not sexually-transmitted. Similarly not all discharges and dysuria are due to STIs. You should consult your doctor if you develop these symptoms and signs.

 

How long does it take for the symptoms and signs of STIs to appear after infection?


The incubation period is the period of time from infection to the appearance of symptoms and signs; it can vary according to the type of STI. Some infections such as gonorrhoea, non-gonococcal urethritis (NGU) and genital herpes have short incubation periods, ranging from 2 days to 3 weeks. The incubation period of other STIs such as syphilis may range from 2 weeks to many months, and that for HIV infections may be several years.

 

What must you do if you suspect that you have contracted a STI?

See a doctor immediately. Avoid sex as you may pass on an infection. Do not self-medicate.

 

How soon should you see a doctor after having sex with a stranger?

You should see a doctor as soon as you notice any of the symptoms and signs of STI. If none of the symptoms or signs occurs, blood tests for syphilis and HIV should be carried out after about 4 weeks. Your doctor should be able to provide further advice or order other tests. Do refrain from unprotected sexual intercourse until the doctor has given you the all clear. Do not self-medicate as this is usually ineffective and may lead to complications.

 

What will happen to the symptoms and signs of various STIs if you do not seek treatment?

In some cases, the symptoms and signs of the STI may disappear even without treatment. This however does not mean that the infection is cured. Even if you do not have any symptoms or signs, the infection may still be present and may spread to the other parts of the body. The organisms may begin to invade the internal organs and cause irreversible damage.
 

Can a person with STI not have any symptoms or signs?


Certainly. All STIs are symptomless during the incubation period. More than 10% of males, more than half of females with gonorrhoea and chlamydia trachomatis infection do not show any symptoms or signs. Asymptomatic STIs are also more common in individuals who are incorrectly treated i.e. who have self-medicated with antibiotics or those who did not follow prescribed antibiotic treatment. Individuals with an asymptomatic STI can still transmit the infection to their sexual partners.


Are all STIs curable? Why do I need to seek early treatment for STIs?
Bacterial STIs are curable if treated early. Early treatment of an STI prevents transmission to others and also prevents complications. Most viral STIs however are not curable.


Can all STIs be diagnosed or confirmed by blood tests?

Blood tests are useful only for a few STIs. These include syphilis, hepatitis B infection and AIDS/HIV infection. For the other STIs, examination of specimens from the discharge and samples from the skin and mucous membranes are used to confirm diagnosis.


How are STIs treated?


Different STIs are treated differently. Those caused by bacteria are treated with antibiotics; those caused by viruses with antiviral drugs; and those caused by parasites with antiparasitic drugs. There is no single medication that can treat and cure all STIs. It is therefore important to identify the type(s) of STI before treatment.


Can a person take antibiotics before sex to prevent STI?


No. Oral antibiotics before sex or after sex are not useful. Different STIs require different antimicrobial medications. Antimicrobials taken before sex as a preventive measure may actually mask the symptoms and signs of infection in an infected person, he or she is still carrying the infection. Preventive antimicrobials will also promote the development of resistant organisms. STIs caused by resistant organisms are more difficult to cure. The only recommended prophylaxis against STI before sex is a condom.


Can a person be immunized against STIs? Does a person develop immunity to a STI once he is cured of the infection?


Two vaccines are available to prevent hepatitis B infection and human papillomavirus.
And with the exception of hepatitis B infection, a person can be infected repeatedly despite having been cured of an STI.Back

 

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