A sexually transmitted infection (STI), also known as a sexually transmitted disease (STD) or venereal disease (VD), is an infection that is spread by sexual activity, especially vaginal intercourse, anal sex, oral sex, or sometimes manual sex. STIs often do not initially cause symptoms, which results in a risk of transmitting them to others. The term sexually transmitted infection is generally preferred over sexually transmitted disease or venereal disease, as it includes cases with no symptomatic disease. Symptoms and signs of STIs may include vaginal discharge, penile discharge, ulcers on or around the genitals, and pelvic pain. Some STIs can cause infertility. Bacterial STIs include chlamydia, gonorrhea, and syphilis. Viral STIs include genital warts, genital herpes, and HIV/AIDS. Parasitic STIs include trichomoniasis. Most STIs, such as syphilis, gonorrhea, chlamydia and trichomoniasis, are treatable and curable. Others, such as HIV/AIDS and genital herpes, are not curable. Some vaccinations have been known to decrease the risk of certain infections including hepatitis B and a few types of HPV. Using condoms, having a smaller number of sexual partners, and being in a relationship in which each person only has sex with the other are all safe sex practises that decreases the risk of contracting STIs. Comprehensive sex education may also be useful. STI diagnostic tests are usually easily available in the developed world, but they are often unavailable in the developing world. There is often shame and stigma associated with STIs. In 2015, STIs (excluding HIV) resulted in 108,000 deaths worldwide. Globally, in 2015, about 1.1 billion people had STIs other than HIV/AIDS. About 500 million have syphilis, gonorrhea, chlamydia or trichomoniasis. At least an additional 530 million have genital herpes, and 290 million women have human papillomavirus. Historical documentation of STIs in antiquity dates back to at least the Ebers Papyrus (c. 1550 BCE) and the Hebrew Bible/Old Testament (8th/7th C. BCE).
Signs and symptoms
Not all STIs are symptomatic, and symptoms may not appear immediately after infection. In some instances a disease can be carried with no symptoms, which leaves a greater risk of passing it on to others. Depending on the disease, some untreated STIs can lead to infertility, chronic pain or death. The presence of an STI in prepubescent children may indicate sexual abuse.
Cause
Transmission A sexually transmitted infection present in a pregnant woman may be passed on to the infant before or after birth.
Bacterial Chancroid (Haemophilus ducreyi) Chlamydia (Chlamydia trachomatis) Gonorrhea (Neisseria gonorrhoeae) Granuloma inguinale or (Klebsiella granulomatis) Mycoplasma genitalium Mycoplasma hominis Syphilis (Treponema pallidum) Ureaplasma infection
Viral
Viral hepatitis (hepatitis B virus)—saliva, venereal fluids.(Note: hepatitis A and hepatitis E are transmitted via the fecal–oral route; hepatitis C is rarely sexually transmittable, and the route of transmission of hepatitis D (only if infected with B) is uncertain, but may include sexual transmission.) Herpes simplex (Herpes simplex virus 1, 2) skin and mucosal, transmissible with or without visible blisters HIV (Human Immunodeficiency Virus)—venereal fluids, semen, breast milk, blood HPV (Human Papillomavirus)—skin and mucosal contact. 'High risk' types of HPV cause almost all cervical cancers, as well as some anal, penile, and vulvar cancer. Some other types of HPV cause genital warts. Molluscum contagiosum (molluscum contagiosum virus MCV)—close contact Zika virus
Parasites Crab louse, colloquially known as "crabs" or "pubic lice" (Pthirus pubis). The infestation and accompanying inflammation is Pediculosis pubis Scabies (Sarcoptes scabiei) Trichomoniasis (Trichomonas vaginalis), colloquially known as "trich"
Fungal Trichophyton mentagrophytes type VII is an emerging fungal infection (tinea or ringworm) that is spread through sexual activity and other close contact.
Main types Sexually transmitted infections include:
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