Syphilis: History, Symptoms, Treatment, and Prevention Explained

– Syphilis is a sexually transmitted infection (STI) that can cause serious health problems without treatment.
– Syphilis is spread through direct contact with a syphilis sore during vaginal, anal, or oral sex, and can also be transmitted from a mother with syphilis to her unborn baby.
– Syphilis cannot be spread through casual contact with objects like toilet seats or doorknobs.
– To reduce the risk of getting syphilis, one can abstain from sex or be in a long-term mutually monogamous relationship with a partner who has been tested and does not have syphilis. Using condoms correctly every time during sex can also help prevent transmission.
– People at risk for syphilis include sexually active individuals without condom use with a partner who has syphilis, gay or bisexual men, individuals with HIV, those taking pre-exposure prophylaxis (PrEP) for HIV prevention, and those with partners who have tested positive for syphilis.
– Pregnant people should be tested for syphilis at their first prenatal visit, and some may need additional testing during the third trimester and at delivery.
– Untreated syphilis during pregnancy can result in low birth weight, premature birth, stillbirth, and serious health problems such as cataracts, deafness, seizures, and death for the baby.
– Syphilis has four stages (primary, secondary, latent, and tertiary) and each stage has different signs and symptoms.
– Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum.
– Symptoms of syphilis may include painless sores on or around the genitals, anus, mouth, lips, or rectum.
– The secondary stage of syphilis can involve skin rashes and sores in the mouth, vagina, or anus.
– During the latent stage, there are no visible signs or symptoms of syphilis, but the infection persists in the body.
– Without treatment, syphilis can progress to tertiary stage, affecting various organ systems, including the heart, blood vessels, brain, and nervous system.
– Tertiary syphilis can cause serious damage to internal organs and potentially lead to death.
– Syphilis can spread to the brain and nervous system (neurosyphilis), the eye (ocular syphilis), or the ear (otosyphilis).
– Neurosyphilis may cause severe headaches, muscle weakness, changes in mental state, and dementia.
– Ocular syphilis can lead to eye pain, redness, vision changes, or blindness.
– Otosyphilis may cause hearing loss, tinnitus (ringing in the ears), and dizziness or vertigo.
– Syphilis can be diagnosed through blood tests or by testing fluid from a syphilis sore.
– Treatment for syphilis is necessary to prevent the infection from progressing and may not undo any damage caused by the infection.
– Receiving treatment for syphilis does not protect against getting it again.
– Laboratory tests are necessary to confirm the presence of syphilis.
– Follow-up testing by a healthcare provider is needed to ensure the success of treatment.
– Syphilis sores can be difficult to see in certain areas such as the vagina, anus, mouth, or under the foreskin.
– Getting syphilis again is possible if sex partners do not receive testing and treatment.

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Gonorrhea: Understanding the Silent STI Epidemic & Prevention

– Gonorrhea is a sexually transmitted disease caused by infection with the Neisseria gonorrhoeae bacterium.
– It infects the reproductive tract in women and the urethra in both men and women, but can also infect other mucous membranes.
– Approximately 1.6 million new gonococcal infections occurred in the US in 2018, with more than half occurring among young people aged 15-24.
– Gonorrhea is the second most commonly reported bacterial sexually transmitted infection in the US.
– Gonorrhea is transmitted through sexual contact with an infected partner, and can also be spread from mother to baby during childbirth.
– Any sexually active person can be infected with gonorrhea, with the highest reported rates of infection among sexually active teenagers, young adults, and African Americans.
– Many men and women with gonorrhea are asymptomatic.
– Symptoms in men may include dysuria, urethral discharge, and testicular or scrotal pain.
– Symptoms in women may include dysuria, increased vaginal discharge, vaginal bleeding between periods, and are often mistaken for other infections.
– Rectal infection may cause discharge, itching, soreness, bleeding, or painful bowel movements.
– Pharyngeal infection may cause a sore throat, but is usually asymptomatic.
– Untreated gonorrhea can lead to serious health problems such as pelvic inflammatory disease in women, which can cause abdominal pain, fever, abscesses, chronic pain, infertility, and increased risk of ectopic pregnancy.
– Gonorrhea can cause epididymitis and potentially infertility in men.
– Untreated gonorrhea can also spread to the blood and cause disseminated gonococcal infection (DGI), which can be life-threatening.
– Gonorrhea can increase the risk of acquiring or transmitting HIV.
– Pregnant women with gonorrhea can pass the infection to their baby during delivery, leading to complications such as blindness or blood infection.
– Testing for gonorrhea is recommended for sexually active individuals, especially those with symptoms or who have a partner with gonorrhea.
– The recommended treatment is a single 500 mg intramuscular dose of ceftriaxone, although alternative regimens are available.
– Antimicrobial resistance in gonorrhea is a growing concern.
– Individuals treated for pharyngeal gonorrhea should undergo a test-of-cure 7-14 days after treatment.
– Men and women with gonorrhea should be retested three months after treatment, regardless of their partner’s treatment status.
– Suspected gonorrhea treatment failure or reduced cephalosporin susceptibility can be reported through the Suspected Gonorrhea Treatment Failure Consultation Form.
– It is advised that individuals inform their recent sex partners about their diagnosis so they can seek treatment.
– It is recommended to avoid sexual activity until completing treatment and being symptom-free.
– Latex condoms can reduce the transmission risk of gonorrhea.
– Abstaining from sex or being in a monogamous relationship with a tested and uninfected partner is the most effective way to prevent gonorrhea transmission.
– Genital symptoms such as discharge, burning during urination, sores, or rash should prompt immediate medical attention.
– People who have recently had a sexual partner diagnosed with an STD should seek evaluation.
– Yearly gonorrhea screening is recommended for sexually active women younger than 25 years and older women with risk factors.
– Urogenital gonorrhea can be diagnosed using urine or genital specimens with nucleic acid amplification testing (NAAT) or gonorrhea culture.
– CDC recommends a single 500 mg intramuscular dose of ceftriaxone for the treatment of gonorrhea.
– Alternative regimens are available if ceftriaxone cannot be used.
– Antimicrobial resistance in gonorrhea is a growing concern.
– It is important for individuals who are treated for gonorrhea to return to a healthcare provider for reevaluation and a test-of-cure 7-14 days after treatment for throat infections.
– Both men and women should be retested three months after treatment, regardless of their partners’ treatment outcomes.
– Suspected treatment failure can be reported through a consultation form.
– It is important for individuals to inform their recent sex partners so that they can also seek treatment.
– It is advised to refrain from sexual activity until completion of treatment and symptoms have resolved.
– Latex condoms, when used consistently and correctly, can help reduce the risk of gonorrhea transmission.
– Abstinence or being in a mutually monogamous relationship with a non-infected partner are recommended for preventing STD transmission.

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