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Sex: Unprotected sex may cause Disease

Sex: Unprotected  sex may cause Disease

Sexually transmitted diseases: health awareness

AIDS is one of the life-threatening diseases which causes the death of a person. A person becomes progressively ill due to lack of immunity. 
Syphilis is another one. Disease transmitted by sexual contact is called a Sexually Transmitted Disease (STD).
There principal mode of transmission is by intimate sexual activity involving the moist mucous membranes of the penis, vulva, vagina, cervix, anus, rectum, mouth and pharynx, along with their adjacent skin surfaces. A wide range of infections may be sexually transmitted, including

syphilis
gonorrhoea,
human immunodeficiency virus (HIV),
genital herpes,
genital warts,
chlamydia
Chancroid
 Hepatitis viruses B, C 

The World Health Organization (WHO) estimates that 357 million curable STDs occur worldwide each year.  The most common treatable STIs diagnosed were chlamydia and gonorrhoea. Genital warts are the second most common complaint. 
The common presentation of sexually transmitted infections is vaginal discharge in sexually active women and urethral discharge in male.
Urethral discharge
The most important causes of urethral discharge are gonorrhoea and chlamydia. Gonorrhoea causes symptoms within 7 days of exposure. The discharge is typically profuse and purulent.
Chlamydial urethritis has an incubation period of 1–4 weeks and tends to result in milder symptoms than gonorrhoea.
 Genital itch and/or rash
Patients may present with Tight prepuce and poor hygiene may be aggravating factors. Fungus infection is sometimes associated with immune deficiency, diabetes mellitus, and the use of antibiotics, steroids. 
Genital ulcer
The most common cause of ulcer is the genital herpes virus.  Classically, multiple painful ulcers affect the glans, coronal sulcus or shaft of the penis. Perianal ulcers may be seen in Male Sex wit Male.
Another important cause is syphilis,  single, painless and indurated ulcer is seen. Ulcer in the anal area may be rare but are often painful.

Common presentation in female 

Vaginal discharge
Worldwide, the most common treatable STI causing vaginal discharge is trichomoniasis; other possibilities include gonorrhoea and chlamydia. Herpes Simplex Virus may cause increased. Discharge associated pain and pain during micturition. The discharge may be profuse yellow
or green colour and is usually associated with significant pain. Pain during coitus, abnormal bleeding fever and malaise may indicate infection.
Genital ulcer
Genital lumps
Chronic vulval pain and/or itch

Treatment 

 Treatment accordingly cause. Prompt treatment required to prevent complications.  
 

 Prevention:

Only Safe sex, sex education can prevent sexual disease.
 Encourage to use of barrier contraception:  Condom
Reducing the number of sexual partners — monogamous relationship reduces the risk of STDs.
Give proper education and rehabilitation to sex workers. 
 

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