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