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- STI Transmission
STI Transmission STIs are sexually transmitted infections. This means they are most often -- but not exclusively -- spread by sexual intercourse. HIV, chlamydia, genital herpes, genital warts, gonorrhea, some forms of hepatitis, syphilis, and trichomoniasis are STIs. STIs used to be called venereal diseases or VD. They are among the most common contagious diseases. More than 65 million Americans have an incurable STI. Each year, 20 million new cases are reported; half of these infections are among people ages 15 to 24 and they can have long-term consequences. STIs are serious illnesses that require treatment. Some STIs, such as HIV, cannot be cured and can be deadly. By learning more about STIs, you can learn ways to protect yourself. You can get a STI from vaginal, anal, or oral sex. You can also be infected with trichomoniasis through contact with damp or moist objects such as towels, wet clothing, or toilet seats, although it is more commonly spread by sexual contact. You are at high risk if: You have more than one sex partner You have sex with someone who has had many partners You don't use a condom when having sex You share needles when injecting intravenous drugs You trade sex for money or drugs HIV and herpes are chronic conditions that can be managed but not cured. Hepatitis B also may become chronic but can be managed. You may not realize you have certain STIs until you have damage to your reproductive organs (rendering you infertile), your vision, your heart, or other organs. Having an STI may weaken the immune system, leaving you more vulnerable to other infections. Pelvic inflammatory disease (PID) is a complication of gonorrhea and chlamydia that can leave women unable to have children. It can even kill you. If you pass an STI to your newborn child, the baby may suffer permanent harm or death. What Causes STIs? STIs include just about every kind of infection. Bacterial STIs include chlamydia, gonorrhea, and syphilis. Viral STIs include HIV, genital herpes, genital warts (HPV), and hepatitis B. Trichomoniasis is caused by a parasite. The germs that cause STIs hide in semen, blood, vaginal secretions, and sometimes saliva. Most of the organisms are spread by vaginal, anal, or oral sex, but some, such as those that cause genital herpes and genital warts, may be spread through skin contact. You can get hepatitis B by sharing personal items, such as toothbrushes or razors, with someone who has it. Local Clinics
- One At Home
One At Home This program allows Oregon residents to receive a free envelope of sexual wellness supplies delivered discreetly to their door, up to twice per 30 days.
- HIV/AIDS | The Sex Talk
HIV/AIDS HIV is a virus spread through body fluids that attacks the body’s immune system, specifically the CD4 cells, often called T cells. HIV is a virus spread through certain body fluids that attacks the body’s immune system, specifically the CD4 cells, often called T cells. Over time, HIV can destroy so many of these cells that the body can’t fight off infections and disease. These special cells help the immune system fight off infections. Untreated, HIV reduces the number of CD4 cells (T cells) in the body. This damage to the immune system makes it harder and harder for the body to fight off infections and some other diseases. Opportunistic infections or cancers take advantage of a very weak immune system and signal that the person has AIDS. Learn more about the stages of HIV and how to know whether you have HIV. What is HIV? HIV stands for human immunodeficiency virus. It is the virus that can lead to acquired immunodeficiency syndrome or AIDS if not treated. Unlike some other viruses, the human body can’t get rid of HIV completely, even with treatment. So once you get HIV, you have it for life. HIV attacks the body’s immune system, specifically the CD4 cells (T cells), which help the immune system fight off infections. Untreated, HIV reduces the number of CD4 cells (T cells) in the body, making the person more likely to get other infections or infection-related cancers. Over time, HIV can destroy so many of these cells that the body can’t fight off infections and disease. These opportunistic infections or cancers take advantage of a very weak immune system and signal that the person has AIDS, the last stage of HIV infection. No effective cure currently exists, but with proper medical care, HIV can be controlled. The medicine used to treat HIV is called antiretroviral therapy or ART. If people with HIV take ART as prescribed, their viral load (amount of HIV in their blood) can become undetectable. If it stays undetectable, they can live long, healthy lives and have effectively no risk of transmitting HIV to an HIV-negative partner through sex. Before the introduction of ART in the mid-1990s, people with HIV could progress to AIDS in just a few years. Today, someone diagnosed with HIV and treated before the disease is far advanced can live nearly as long as someone who does not have HIV. Where did HIV come from? Scientists identified a type of chimpanzee in Central Africa as the source of HIV infection in humans. They believe that the chimpanzee version of the immunodeficiency virus (called simian immunodeficiency virus, or SIV) most likely was transmitted to humans and mutated into HIV when humans hunted these chimpanzees for meat and came into contact with their infected blood. Studies show that HIV may have jumped from apes to humans as far back as the late 1800s. Over decades, the virus slowly spread across Africa and later into other parts of the world. We know that the virus has existed in the United States since at least the mid to late 1970s. To learn more about the spread of HIV in the United States and CDC’s response to the epidemic, see CDC’s HIV and AIDS Timeline. What are the stages of HIV? When people get HIV and don’t receive treatment, they will typically progress through three stages of disease. Medicine to treat HIV, known as antiretroviral therapy (ART), helps people at all stages of the disease if taken as prescribed. Treatment can slow or prevent progression from one stage to the next. Also, people with HIV who take HIV medicine as prescribed and get and keep an undetectable viral load have effectively no risk of transmitting HIV to an HIV-negative partner through sex. Stage 1: Acute HIV infection Within 2 to 4 weeks after infection with HIV, people may experience a flu-like illness, which may last for a few weeks. This is the body’s natural response to infection. When people have acute HIV infection, they have a large amount of virus in their blood and are very contagious. But people with acute infection are often unaware that they’re infected because they may not feel sick right away or at all. To know whether someone has acute infection, either an antigen/antibody test or a nucleic acid (NAT) test is necessary. If you think you have been exposed to HIV through sex or drug use and you have flu-like symptoms, seek medical care and ask for a test to diagnose acute infection. Stage 2: Clinical latency (HIV inactivity or dormancy) This period is sometimes called asymptomatic HIV infection or chronic HIV infection. During this phase, HIV is still active but reproduces at very low levels. People may not have any symptoms or get sick during this time. For people who aren’t taking medicine to treat HIV, this period can last a decade or longer, but some may progress through this phase faster. People who are taking medicine to treat HIV (ART) as prescribed may be in this stage for several decades. It’s important to remember that people can still transmit HIV to others during this phase. However, people who take HIV medicine as prescribed and get and keep an undetectable viral load (or stay virally suppressed) have effectively no risk of transmitting HIV to their HIV-negative sexual partners. At the end of this phase, a person’s viral load starts to go up and the CD4 cell count begins to go down. As this happens, the person may begin to have symptoms as the virus levels increase in the body, and the person moves into Stage 3. Stage 3: Acquired immunodeficiency syndrome (AIDS) AIDS is the most severe phase of HIV infection. People with AIDS have such badly damaged immune systems that they get an increasing number of severe illnesses, called opportunistic illnesses. Without treatment, people with AIDS typically survive about 3 years. Common symptoms of AIDS include chills, fever, sweats, swollen lymph glands, weakness, and weight loss. People are diagnosed with AIDS when their CD4 cell count drops below 200 cells/mm or if they develop certain opportunistic illnesses. People with AIDS can have a high viral load and be very infectious. How do I know if I have HIV? The only way to know for sure whether you have HIV is to get tested. Knowing your status is important because it helps you make healthy decisions to prevent getting or transmitting HIV. Some people may experience a flu-like illness within 2 to 4 weeks after infection (Stage 1 HIV infection). But some people may not feel sick during this stage. Flu-like symptoms include fever, chills, rash, night sweats, muscle aches, sore throat, fatigue, swollen lymph nodes, or mouth ulcers. These symptoms can last anywhere from a few days to several weeks. During this time, HIV infection may not show up on an HIV test, but people who have it are highly infectious and can spread the infection to others. If you have these symptoms, that doesn’t mean you have HIV. Each of these symptoms can be caused by other illnesses. But if you have these symptoms after a potential exposure to HIV, see a health care provider and tell them about your risk. The only way to determine whether you have HIV is to be tested for HIV infection. After you get tested, it’s important to find out the result of your test so you can talk to your health care provider about treatment options if you’re HIV-positive or learn ways to prevent getting HIV if you’re HIV-negative. Is there a cure for HIV? No effective cure currently exists for HIV. But with proper medical care, HIV can be controlled. Treatment for HIV is called antiretroviral therapy or ART. If people with HIV take ART as prescribed, their viral load (amount of HIV in their blood) can become undetectable. If it stays undetectable, they can live long, healthy lives and have effectively no risk of transmitting HIV to an HIV-negative partner through sex. Before the introduction of ART in the mid-1990s, people with HIV could progress to AIDS (the last stage of HIV infection) in a few years. Today, someone diagnosed with HIV and treated before the disease is far advanced can live nearly as long as someone who does not have HIV. < Previous Next >
- Birth Control Bedsider
Birth Control Bedsider The explorer is a place to learn about all your birth control options. We cover every available method, from the IUD (and others on our most effective list) to condoms, the pill, the patch, and more. Click on any method for more details. Want a more apples-to-apples way to compare?
- Chlamydia | The Sex Talk
Chlamydia Chlamydia is a common sexually transmitted infection (STI) that can be easily cured. If left untreated, chlamydia can make it difficult for a woman to get pregnant. What is chlamydia? Chlamydia is a common STI that can infect both men and women. It can cause serious, permanent damage to a woman’s reproductive system. This can make it difficult or impossible for her to get pregnant later on. Chlamydia can also cause a potentially fatal ectopic pregnancy (pregnancy that occurs outside the womb). How is chlamydia spread? You can get chlamydia by having vaginal, anal, or oral sex with someone who has chlamydia. If your sex partner is male you can still get chlamydia even if he does not ejaculate (cum). If you’ve had chlamydia and were treated in the past, you can still get infected again. This can happen if you have unprotected sex with someone who has chlamydia. If you are pregnant, you can give chlamydia to your baby during childbirth. How can I reduce my risk of getting chlamydia? The only way to avoid STDs is to not have vaginal, anal, or oral sex. If you are sexually active, you can do the following things to lower your chances of getting chlamydia: Be in a long-term mutually monogamous relationship with a partner who has been tested and has negative STD test results; Use latex condoms the right way every time you have sex. Am I at risk for chlamydia? Anyone who has sex can get chlamydia through unprotected vaginal, anal, or oral sex. However, sexually active young people are at a higher risk of getting chlamydia. This is due to behaviors and biological factors common among young people. Gay, bisexual, and other men who have sex with men are also at risk since chlamydia can spread through oral and anal sex. Have an honest and open talk with your healthcare provider. Ask whether you should be tested for chlamydia or other STIs. If you are a sexually active woman younger than 25 years, you should get a test for chlamydia every year. If you are an older woman with risk factors such as new or multiple sex partners, or a sex partner who has an STI, you should get a test for chlamydia every year. Gay, bisexual, and other men who have sex with men; as well as pregnant women should also get tested for chlamydia. I’m pregnant. How does chlamydia affect my baby? If you are pregnant and have chlamydia, you can pass the infection to your baby during delivery. This could cause an eye infection or pneumonia in your newborn. Having chlamydia may also make it more likely to deliver your baby too early. If you are pregnant, you should get tested for chlamydia at your first prenatal visit. Testing and treatment are the best ways to prevent health problems. How do I know if I have chlamydia? Most people who have chlamydia have no symptoms. If you do have symptoms, they may not appear until several weeks after you have sex with an infected partner. Even when chlamydia causes no symptoms, it can damage your reproductive system. Women with symptoms may notice An abnormal vaginal discharge; A burning sensation when urinating. Symptoms in men can include A discharge from their penis; A burning sensation when urinating; Pain and swelling in one or both testicles (although this is less common). Men and women can also get infected with chlamydia in their rectum. This happens either by having receptive anal sex, or by spread from another infected site (such as the vagina). While these infections often cause no symptoms, they can cause rectal pain; discharge and bleeding. You should be examined by your doctor if you notice any of these symptoms or if your partner has an STI or symptoms of an STI. STI symptoms can include an unusual sore, a smelly discharge, burning when urinating, or bleeding between periods. I was just diagnosed. What do I do now? How will my doctor know if I have chlamydia? Laboratory tests can diagnose chlamydia. Your health care provider may ask you to provide a urine sample or may use (or ask you to use) a cotton swab to get a sample from your vagina to test for chlamydia. Can chlamydia be cured? Yes, chlamydia can be cured with the right treatment. It is important that you take all of the medication your doctor prescribes to cure your infection. When taken properly it will stop the infection and could decrease your chances of having complications later on. You should not share medication for chlamydia with anyone. Repeat infection with chlamydia is common. You should be tested again about three months after you are treated, even if your sex partner(s) was treated. I was treated for chlamydia. When can I have sex again? You should not have sex again until you and your sex partner(s) have completed treatment. If your doctor prescribes a single dose of medication, you should wait seven days after taking the medicine before having sex. If your doctor prescribes a medicine for you to take for seven days, you should wait until you have taken all of the doses before having sex. What happens if I don’t get treated? The initial damage that chlamydia causes often goes unnoticed. However, chlamydia can lead to serious health problems. If you are a woman, untreated chlamydia can spread to your uterus and fallopian tubes (tubes that carry fertilized eggs from the ovaries to the uterus). This can cause pelvic inflammatory disease (PID). PID often has no symptoms, however some women may have abdominal and pelvic pain. Even if it doesn’t cause symptoms initially, PID can cause permanent damage to your reproductive system. PID can lead to long-term pelvic pain, inability to get pregnant, and potentially deadly ectopic pregnancy (pregnancy outside the uterus). Men rarely have health problems linked to chlamydia. Infection sometimes spreads to the tube that carries sperm from the testicles, causing pain and fever. Rarely, chlamydia can prevent a man from being able to have children. Untreated chlamydia may also increase your chances of getting or giving HIV – the virus that causes AIDS. < Previous Next >
- More Safer Sex
More Safer Sex Local Clinics
- Be An Ally And A Friend, 10 Ways To Be An Ally And A Friend, Be a listener. Be open-minded. Be willing to talk. Be inclusive and invite LGBT friends to hang out with your friends and family. Don't assume that all your friends and co-workers are straight. Someone close to you could be looking for support in their coming-out process. Not making assumptions will give them the space they need. Anti-LGBT comments and jokes are harmful. Let your friends, family and co-workers know that you find them offensive. Confront your own prejudices and bias, even if it is uncomfortable to do so. Defend your LGBT friends against discrimination. Believe that all people, regardless of gender identity and sexual orientation, should be treated with dignity and respect. If you see LGBT people being misrepresented in the media, contact glaad.org., 597fca6f-30a1-4587-81c8-6edd7fb5fc59
Be An Ally And A Friend Be a listener. Be open-minded. Be willing to talk. Be inclusive and invite LGBT friends to hang out with your friends and family. Don't assume that all your friends and co-workers are straight. Someone close to you could be looking for support in their coming-out process. Not making assumptions will give them the space they need. Anti-LGBT comments and jokes are harmful. Let your friends, family and co-workers know that you find them offensive. Confront your own prejudices and bias, even if it is uncomfortable to do so. Defend your LGBT friends against discrimination. Believe that all people, regardless of gender identity and sexual orientation, should be treated with dignity and respect. If you see LGBT people being misrepresented in the media, contact glaad.org.
- STI Prevention
STI Prevention Learn more about how you can prevent STIs and keep you and your partners safe. Get the Facts Arm yourself with basic information about STIs: How are these diseases spread? How can you protect yourself? What are the treatment options? Learn the answers to these questions by reading the STI Fact Sheets. Take Control You have the facts; now protect yourself and your sexual partners. Abstinence The most reliable way to avoid infection is to not have sex (i.e., anal, vaginal or oral). Vaccination Vaccines are safe, effective, and recommended ways to prevent hepatitis B and HPV. HPV vaccines for males and females can protect against some of the most common types of HPV. It is best to get all three doses (shots) before becoming sexually active. However, HPV vaccines are recommended for all teen girls and women through age 26 and all teen boys and men through age 21, who did not get all three doses of the vaccine when they were younger. You should also get vaccinated for hepatitis B if you were not vaccinated when you were younger. Reduce Number of Sex Partners Reducing your number of sex partners can decrease your risk for STIs. It is still important that you and your partner get tested, and that you share your test results with one another. Mutual Monogamy Mutual monogamy means that you agree to be sexually active with only one person, who has agreed to be sexually active only with you. Being in a long-term mutually monogamous relationship with an uninfected partner is one of the most reliable ways to avoid STIs. But you must both be certain you are not infected with STIs. It is important to have an open and honest conversation with your partner. Use Condoms Correct and consistent use of the male latex condom is highly effective in reducing STI transmission. Use a condom every time you have anal, vaginal, or oral sex. If you have latex allergies, synthetic non-latex condoms can be used. But it is important to note that these condoms have higher breakage rates than latex condoms. Natural membrane condoms are not recommended for STI prevention. Put Yourself to the Test Knowing your STI status is a critical step to stopping STI transmission. If you know you are infected you can take steps to protect yourself and your partners. Be sure to ask your healthcare provider to test you for STIs — asking is the only way to know whether you are receiving the right tests. And don’t forget to tell your partner to ask a healthcare provider about STD testing as well. Many STIs can be easily diagnosed and treated. If either you or your partner is infected, both of you need to receive treatment at the same time to avoid getting re-infected. Local Clinics
- Cost Of Raising a Kid
Cost Of Raising a Kid For a middle-income family to raise a child born in 2015 through the age of 17, the cost of rearing a child has hit $233,610, according to the report. The price jump is a 3% increase from the previous year, according to the report, with housing taking up a bulk of the expense at 29% of the cost. Food took the second biggest expense at 18%, according to the report. The report, which tracks seven categories of family spending, including housing, transportation and clothing, helps court systems and government agencies determine the costs of child-support. The report does not track payments for college or financial contributions from non-parental sources, including government aid, Bloomberg reported. The increase this year falls below the historic average annual increase of 4.3%, according to Bloomberg. Transportation expenses, driving in particular, have fallen due to lower projected energy costs. Among upper-income families, costs for childcare and education have increased. The report classifies middle-class families as having a before-tax income of $59,200 to $107,000. Families with lower incomes are expected to spend $174,690, while families with higher incomes will likely spend $372,210.
- Hepatitis A | The Sex Talk
Hepatitis A Hepatitis A is a contagious liver infection caused by the hepatitis A virus. Hepatitis A can be prevented with a vaccine. People who get hepatitis A may feel sick for a few weeks to several months but usually recover completely and do not have lasting liver damage. In rare cases, hepatitis A can cause liver failure and even death; this is more common in older people and in people with other serious health issues, such as chronic liver disease. How common is hepatitis A? Since the hepatitis A vaccine was first recommended in 1996, cases of hepatitis A in the United States have declined dramatically. Unfortunately, in recent years the number of people infected has been increasing because there have been multiple outbreaks of hepatitis A in the United States. These outbreaks have primarily been from person-to-person contact, especially among people who use drugs, people experiencing homelessness, and men who have sex with men. How is hepatitis A spread? The hepatitis A virus is found in the stool and blood of people who are infected. The hepatitis A virus is spread when someone ingests the virus, usually through: personal contact with an infected person, such as through having sex, caring for someone who is ill, using drugs with others, or through food. Contamination of food with the hepatitis A virus can happen at any point: growing, harvesting, processing, handling, and even after cooking. Contamination of food and water happens more often in countries where hepatitis A is common. Although uncommon, forborne outbreaks have occurred in the United States from people eating contaminated fresh and frozen imported food products. Hepatitis A is very contagious, and people can even spread the virus before they feel sick. Vaccination is the best way to prevent hepatitis A. The hepatitis A vaccine is safe and effective. The vaccine series usually consists of 2 shots, given 6 months apart. Getting both shots provides the best protection against hepatitis A. Hepatitis A vaccination is recommended for: • All children at age 1 year • Travelers to countries where hepatitis A is common • Family and caregivers of adoptees from countries where hepatitis A is common • Men who have sexual encounters with other men • People who use or inject drugs • People with chronic or long-term liver disease, including hepatitis B or hepatitis C • People with clotting factor disorders • People with direct contact with others who have hepatitis A • People experiencing homelessness You can prevent infection even after you have been exposed. If you have been exposed to the hepatitis A virus in the last 2 weeks, talk to your doctor about getting vaccinated. A single shot of the hepatitis A vaccine can help prevent hepatitis A if given within 2 weeks of exposure. Depending upon your age and health, your doctor may recommend immune globulin in addition to the hepatitis A vaccine. Hand washing plays an important role in prevention. Practicing good hand hygiene—including thoroughly washing hands with soap and warm water after using the bathroom, changing diapers, and before preparing or eating food—plays an important role in preventing the spread of many illnesses, including hepatitis A. Symptoms Not everyone with hepatitis A has symptoms. Adults are more likely to have symptoms than children. If symptoms develop, they usually appear 2 to 7 weeks after infection and can include: Yellow skin or eyes Not wanting to eat Upset stomach Stomach pain Throwing up Fever Dark urine or light colored stools Joint pain Diarrhea Feeling tired Symptoms usually last less than 2 months, although some people can be ill for as long as 6 months. Diagnosis and treatment A doctor can determine if you have hepatitis A by discussing your symptoms and taking a blood sample. To treat the symptoms of hepatitis A, doctors usually recommend rest, adequate nutrition, and fluids. Some people will need medical care in a hospital. International travel and hepatitis A If you are planning to travel to countries where hepatitis A is common, talk to your doctor about getting vaccinated before you travel. Travelers to urban areas, resorts, and luxury hotels in countries where hepatitis A is common are still at risk. International travelers have been infected, even though they regularly washed their hands and were careful about what they drank and ate. < Previous Next >
- Syphilis | The Sex Talk
Syphilis Syphilis is a sexually transmitted infection (STI) that can have very serious complications when left untreated, but it is simple to cure with the right treatment. What is syphilis? Syphilis is a sexually transmitted infection that can cause serious health problems if it is not treated. Syphilis is divided into stages (primary, secondary, latent, and tertiary). There are different signs and symptoms associated with each stage. How is syphilis spread? You can get syphilis by direct contact with a syphilis sore during vaginal, anal, or oral sex. You can find sores on or around the penis, vagina, or anus, or in the rectum, on the lips, or in the mouth. Syphilis can spread from an infected mother to her unborn baby. What does syphilis look like? Syphilis is divided into stages (primary, secondary, latent, and tertiary), with different signs and symptoms associated with each stage. A person with primary syphilis generally has a sore or sores at the original site of infection. These sores usually occur on or around the genitals, around the anus or in the rectum, or in or around the mouth. These sores are usually (but not always) firm, round, and painless. Symptoms of secondary syphilis include skin rash, swollen lymph nodes, and fever. The signs and symptoms of primary and secondary syphilis can be mild, and they might not be noticed. During the latent stage, there are no signs or symptoms. Tertiary syphilis is associated with severe medical problems. A doctor can usually diagnose tertiary syphilis with the help of multiple tests. It can affect the heart, brain, and other organs of the body. How can I reduce my risk of getting syphilis? The only way to avoid STDs is to not have vaginal, anal, or oral sex. If you are sexually active, you can do the following things to lower your chances of getting syphilis: Being in a long-term mutually monogamous relationship with a partner who has been tested for syphilis and does not have syphilis; Using latex condoms the right way every time you have sex. Condoms prevent transmission of syphilis by preventing contact with a sore. Sometimes sores occur in areas not covered by a condom. Contact with these sores can still transmit syphilis. Am I at risk for syphilis? Any sexually active person can get syphilis through unprotected vaginal, anal, or oral sex. Have an honest and open talk with your health care provider and ask whether you should be tested for syphilis or other STDs. All pregnant women should be tested for syphilis at their first prenatal visit. You should get tested regularly for syphilis if you are sexually active and are a man who has sex with men; are living with HIV; or have partner(s) who have tested positive for syphilis. I’m pregnant. How does syphilis affect my baby? If you are pregnant and have syphilis, you can give the infection to your unborn baby. Having syphilis can lead to a low birth weight baby. It can also make it more likely you will deliver your baby too early or stillborn (a baby born dead). To protect your baby, you should be tested for syphilis at least once during your pregnancy. Receive immediate treatment if you test positive. An infected baby may be born without signs or symptoms of disease. However, if not treated immediately, the baby may develop serious problems within a few weeks. Untreated babies can have health problems such as cataracts, deafness, or seizures, and can die. What are the signs and symptoms of syphilis? Symptoms of syphilis in adults vary by stage: Primary Stage During the first (primary) stage of syphilis, you may notice a single sore or multiple sores. The sore is the location where syphilis entered your body. Sores are usually (but not always) firm, round, and painless. Because the sore is painless, it can easily go unnoticed. The sore usually lasts 3 to 6 weeks and heals regardless of whether or not you receive treatment. Even after the sore goes away, you must still receive treatment. This will stop your infection from moving to the secondary stage. Secondary Stage During the secondary stage, you may have skin rashes and/or mucous membrane lesions. Mucous membrane lesions are sores in your mouth, vagina, or anus. This stage usually starts with a rash on one or more areas of your body. The rash can show up when your primary sore is healing or several weeks after the sore has healed. The rash can look like rough, red, or reddish brown spots on the palms of your hands and/or the bottoms of your feet. The rash usually won’t itch and it is sometimes so faint that you won’t notice it. Other symptoms you may have can include fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and fatigue (feeling very tired). The symptoms from this stage will go away whether or not you receive treatment. Without the right treatment, your infection will move to the latent and possibly tertiary stages of syphilis. Latent Stage The latent stage of syphilis is a period of time when there are no visible signs or symptoms of syphilis. If you do not receive treatment, you can continue to have syphilis in your body for years without any signs or symptoms. Tertiary Stage Most people with untreated syphilis do not develop tertiary syphilis. However, when it does happen it can affect many different organ systems. These include the heart and blood vessels, and the brain and nervous system. Tertiary syphilis is very serious and would occur 10–30 years after your infection began. In tertiary syphilis, the disease damages your internal organs and can result in death. Neurosyphilis and Ocular Syphilis Without treatment, syphilis can spread to the brain and nervous system (neurosyphilis) or to the eye (ocular syphilis). This can happen during any of the stages described above. Symptoms of neurosyphilis include: severe headache; difficulty coordinating muscle movements; paralysis (not able to move certain parts of your body); numbness; and dementia (mental disorder). Symptoms of ocular syphilis include changes in your vision and even blindness. How will I or my doctor know if I have syphilis? Most of the time, a blood test is used to test for syphilis. Some health care providers will diagnose syphilis by testing fluid from a syphilis sore. Can syphilis be cured? Yes, syphilis can be cured with the right antibiotics from your healthcare provider. However, treatment might not undo any damage that the infection has already done. I’ve been treated. Can I get syphilis again? Having syphilis once does not protect you from getting it again. Even after you’ve been successfully treated, you can still be re-infected. Only laboratory tests can confirm whether you have syphilis. Follow-up testing by your healthcare provider is recommended to make sure that your treatment was successful. It may not be obvious that a sex partner has syphilis. This is because syphilis sores can be hidden in the vagina, anus, under the foreskin of the penis, or in the mouth. Unless you know that your sex partner(s) has been tested and treated, you may be at risk of getting syphilis again from an infected sex partner. < Previous Next >
- Prep
Prep Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take daily medicine to prevent HIV. PrEP can stop HIV from taking hold and spreading throughout your body. When taken daily, PrEP is highly effective for preventing HIV from sex or injection drug use. PrEP is much less effective when it is not taken consistently. Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take HIV medicines daily to lower their chances of getting infected. A combination of two HIV medicines (tenofovir and emtricitabine), sold under the name Truvada® (pronounced tru vá duh), is approved for daily use as PrEP to help prevent an HIV-negative person from getting HIV from a sexual or injection-drug-using partner who’s positive. Studies have shown that PrEP is highly effective for preventing HIV if it is used as prescribed. PrEP is much less effective when it is not taken consistently. Local Clinics











