ANHB2216 Study Guide - Final Guide: Trichomonas, Congenital Syphilis, Hiv

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Sexually Transmitted Infections (STIs)
Human Papilloma Virus (HPV)
o Why is it a problem?
Some types can cause pre-cancer or cancer of genital
tissues
Some types cause warts which can cause symptoms
o Very common prior to vaccination availability
o Vaccine Gardasil or Cervavix
Usually given at age 12
Provide excellent prevention of the 2-4 most important
types
o Prevention
Barriers moderately effective
Cervical screening detects important changes
o Caught by skin-skin contact
o Immune system usually clears it after months-years
o Treatment of warts creams, freezing, heating, surgery
Herpes
o Why is it a problem?
Lesions can be painful
Lesions can occur
Lesions during childbirth can transmit virus to baby
o 80% of population have antibodies
o HS1 and HS2 can occur anyway prefer mouth and genital region
o Many infections cause no symptoms or symptoms aren’t
recognized
o Prevention
Barriers partly effective
Antiviral medication reduces risk
o Testing swabs of viable lesions
o Management
Symptomatic pain relief, salty baths
Antiviral treatment
Episodic commence at first sign of episode
Preventative daily treatment for 6+ months
May reduce transmission
Counseling the couple or individual
Chlamydia and Gonorrhoea
o Why is it a problem?
Untreated infection can lead to chronic inflammation and
scarring
This can lead to blocked Fallopian tubes or vas infertility
Inflammation can also lead to chronic pain
o Prevention barriers highly effective
o Bacterial early treatment usually effective
o Treatment
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