Category Archives: STDs

Gender-Diverse Teens More Likely to Have Risky Sex Than Cisgender Peers

From Poz.com

Compared with their cisgender peers, gender-diverse teens are more likely to report sexual behaviors that put them at risk for HIV and other sexual health concerns, including the use of drugs or alcohol prior to sex, MedPage Today reports.

Brianna S. McMichael, MSN, MPH, of Children’s Minnesota in Minneapolis, conducted a survey of 411 teenagers who came into two emergency departments in the Midwestern city. She presented findings from the study at the American Academy of Pediatrics virtual meeting.

The study recruited young people 12 to 18 years old and provided them with an iPad on which to complete a survey while their parents stepped out of the room. Young people who came to the emergency department for mental health reasons or who were considered at risk for suicide were excluded.

Read the full article on Poz.com or from the original source, MedPage Today.

What STDs Can Tell Us About How To Fight Covid

From Politico…

As Covid-19 has rampaged across the United States, government officials have struggled with the basic steps needed to contain the pandemic. Should everyone get tested, or just people with symptoms? Should public health officials require Americans to wear masks or not? What’s the best way to track the infection, particularly in marginalized communities?

For one set of public health experts, the heated debates over testing, wearing masks and contact tracing were eerily familiar — as odd as it might seem, these are similar to arguments that officials and academics working to eradicate sexually transmitted diseases have been having for decades as they’ve worked to bring down the rates of infections like HIV, syphilis, gonorrhea and chlamydia.

Read the full article.

Chlamydia and gonorrhea have increased among younger women, study finds

From the Philadelphia Inquirer

Rates of chlamydia and gonorrhea are increasing among women ages 18 to 30 in the United States, a recent study by Quest Diagnostics suggests.

The study, recently published in the American Journal of Preventive Medicine, analyzed more than 17 million laboratory samples taken between 2010 and 2017 from females ages 12 to 30. Researchers found that while there was a decline in cases of chlamydia and gonorrhea among adolescents ages 12 to 17, women of ages 25 to 30 experienced a 50% increase in positive test results. Women 18 to 24 had a 21% increase in positive test results over the period of the study.

The U.S. Centers for Disease Control and Prevention (CDC) recommends annual screenings for sexually transmitted diseases (STDs) among sexually active women under 25, said Harvey Kaufman, director of Quest’s Health Trends Research Program. For women 25 and older, the CDC recommends screenings only for those with specific risk factors, such as reporting that their sex partner may have a concurrent sex partner. Kaufman, a co-author of the study, said the findings suggest that sexual and contraceptive practices have changed since 2002, when the CDC guidelines were first published.

Kaufman pointed out that the CDC guidelines were largely influenced by a 1998 study published in the New England Journal of Medicine that found that the overall rate of chlamydia among female Army recruits was 9.2%. As a result, the authors of the study recommended a screening program for female recruits 25 and under.

Read the full article. 

Women’s Health: Facts about Birth Control, STIs and Condoms

From the Society of Behavioral Medicine

A Sexually Transmitted Infection (STI) is a bacterial or viral infection that is passed from one person to another through sexual contact (i.e., anal, vaginal, or oral). More than 25 STIs have been identified, affecting 20+ million men and women in the U.S. each year.

Anyone who is sexually active can get an STI, even without having penetrative sex (i.e., vaginal or anal sex). Some STIs, like herpes and HPV, are spread by skin-to-skin contact. Many STIs don’t show symptoms for a long time. Even without the presence of symptoms, they can still be harmful and passed between partners during sex (i.e., anal, vaginal, or oral).

woman holding condoms

STIs occur in all parts of the population.

Young adults between the ages of 15 to 24 account for nearly half of all new STIs infections each year.

Racial and ethnic minority groups are experiencing significant increases in STI rates. In 2017, the rate of reported cases of Chlamydia among Black females was five times the rate of White females and 6.6 times greater in Black males than White males.

STI rates have significantly increased within the LGBTQIA+ community. A 2018 CDC report states Gonorrhea diagnoses nearly doubled between 2013-2018 in gay and bisexual men, and men who have sex with men (MSM). Data from 2018 indicate that gay and bisexual men accounted for 54% of all syphilis cases.

People 60+ account for the largest increase of in-office STI treatment. Between 2014-2017, rates for Herpes simplex, Gonorrhea, Syphilis, Hepatitis B, Trichomoniasis, and Chlamydia rose 23% in this population.

Women who are pregnant can become infected with the same STDs as women who are not pregnant.

Fact: Oral contraceptives (birth control) cannot prevent an STI.

A common myth is that birth controls can prevent the spread of STIs. Two of the most common forms of birth controls are oral contraceptives and condoms. Many people may not use condoms because they are using another form of birth control, and feel they are safe from STIs.

Oral contraception is only effective in preventing pregnancy and cannot stop STIs from being passed between sexual partners.

Fact: Condoms can prevent an STI.

Correctly using male and female condoms can help prevent the spread of STIs and help prevent pregnancy. Dental dams, a barrier method for oral sex, can also help prevent STIs when used correctly. Most condoms and dental dams are made from latex or polyurethane, which may be preferable for individuals with a latex allergy.

Read the full article on Society of Behavioral Medicine.

STDs are sexist

From CNN

America is in the middle of an epidemic of sexually transmitted infections, and when it comes to heterosexual transmission, it’s hitting women the hardest. Why is that?

Simply put, because “STDs are biologically and psycho-socially sexist at all levels,” said Dr. Hunter Handsfield, a professor emeritus of medicine at the University of Washington Center for AIDS and STD who has studied sexually transmitted diseases for 40 years.

“Women bear the largest burden of these diseases,” agreed Dr. Edward Hook, co-director of the Center for Social Medicine and Sexually Transmitted Diseases at the University of Alabama at Birmingham. “Chlamydia and gonorrhea, for example, are two of the leading preventable causes of infertility and ectopic pregnancies in the United States, and on Earth.”

Read the full article.

STIs During Pregnancy: Knowing The Signs & Risks

From Babygaga.com

Sexually transmitted infections (STIs) pose a serious risk to the health of an expecting woman’s pregnancy, particularly if left untreated. Luckily, most STIs are caught at the first prenatal screening, as the doctor will test for a variety of sexually transmitted diseases, such as HIV, chlamydia, and syphilis, as many STIs go untreated if a woman isn’t showing symptoms. Your doctor may also recommend testing for gonorrhea or hepatitis C during if you have been promiscuous prior to or during pregnancy. If a woman is sexually active throughout her pregnancy, particularly if she has multiple partners, then she runs the risk of contracting an STI. The later the trimester, the more harmful an STI can be to the pregnancy.

Read the full article.

Can STDs Go Away On Their Own?

From Shape.com

On some level, you probably know that STDs are far more common than your middle school sex ed teacher led you to believe. But get ready for a stat-attack: Every day, more than 1.2 million STDs are acquired worldwide, and in the United States alone there are nearly 20 million new STD cases each year, according to a report from The World Health Organization (WHO). Wowza!

decorative imageWhat’s more, experts say that they’re likely even more prevalent than these numbers suggest, because the numbers reported above are only confirmed cases. Meaning, someone got tested and was positive.

“While it’s best practice to get tested every year or after every new partner—whichever comes first—most folks with an STI don’t have symptoms and most folks don’t get tested unless they have symptoms,” explains Sherry A. Ross, M.D., ob-gyn and author of She-ology. Hey, there’s no way for the Centers for Disease Control and Prevention (CDC) or WHO to know if you have an STI you don’t even know about! There’s also the chance that you think something is up, but you decide to wait it out and see if it’ll “take care of itself.”

Here’s the thing: While STIs are definitely not a death sentence for you or your sexcapades, if left untreated, they can cause some serious health conditions. Below, experts answer all your questions about whether STIs can go away on their own, the risks of leaving an STI untreated, how to get rid of an STD if you have one, and why regular STI testing is so important.

STD RATES LIKELY SKYROCKETING IN US AS FEWER PEOPLE GET TESTED DURING PANDEMIC

As clinics and health departments across the country have shuttered during the coronavirus pandemic, the nation’s roughly 2,200 disease detectives, the so-called “contact tracers” of infectious disease outbreaks, have been re-deployed to track where cases of COVID-19 — the disease caused by the novel coronavirus — are spreading, to try to stop those outbreaks in their tracks. It’s a necessary shift, but one that may have serious, long-term impacts for the country’s sexual health, and for President Trump’s year-and-a-half-old plan to “eliminate” HIV from the US by 2030.decorative image

click to find nearby HIV and STD testing

 

[…] According to a recent NCSD survey of HIV and STD disease tracers around the country, 83% are forgoing their usual field visits as a result of this pandemic. Two-thirds of the country’s clinics (66%) have also reported decreases in health screenings and testing due to COVID-19.

Read the article.

Self-obtained samples show similar performance as lab diagnostics for gonorrhea, chlamydia testing

From Helio.com...

Vaginal swab samples collected by patients performed similarly to lab-based molecular diagnostics for chlamydia and gonorrhea testing, therefore supporting the use of a new 30-minute point-of-case assay, according to findings published in JAMA Network Open.

Barbara Van Der Pol, PhD, MPH
Barbara Van Der Pol, PhD, MPH

“The new binx io CT/NG assay can facilitate a complete paradigm shift in how we offer testing for the two most commonly reported notifiable diseases in the United States — chlamydia and gonorrhea,” Barbara Van Der Pol, PhD, MPH, professor of medicine and public health at the University of Alabama at Birmingham and president of the American STD Association, told Healio. “Rates of infection with chlamydia and gonorrhea continue to rise, suggesting the need for additional tools in order to effectively reduce the burden of disease. Providers can now identify and treat infections (that are predominately asymptomatic) during a single office visit to prevent transmission and development of sequelea.”

[…] “Sample-first collection by clients seeking sexual health care (or who are eligible for routine screening according to the CDC guidelines) immediately upon arrival at the clinic can enable rapid, accurate results that allow the provider to offer both accurate treatment and appropriate counseling,” Van Der Pol said. “This is the first truly rapid molecular assay for chlamydia and gonorrhea. It is a breakthrough development.”

Read the full article.

Pandemic sparks concerns about surging STD, HIV rates

The pandemic that has upended life in the U.S. could lead to increased STD rates and setbacks in the fight against HIV as public health resources are shifted to the coronavirus response.

Access to STD and HIV testing and treatment services are dwindling as local health departments shuffle staff to respond to COVID-19 and clinics reduce hours or close altogether and cancel outreach programs.

“We are seeing a complete disruption to STD prevention here in the United States,” said David Harvey, executive director of the National Coalition of STD Directors (NCSD). “We expect to experience even higher STD rates as a result.”

Read the full article.