1. Who Are We & What Do we Do

2. Key Teaching Points
 Youth risk for STDs
 STDS are preventable
 Transmission
 Testing & Treatment

3. Let’s Play a Game!

4. GAME??

5. Chlamydia
 Semen
& Vaginal Fluids (mother/child)
 Young women at greater risk because
of immature cervix
 Commonly NO symptoms (discharge
penis/vagina/anal), painful urination,
anal pain, anal bleeding)

6. Chlamydia (cont.)
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75% women/50% men have No Sxs
Urine Test
Antibiotics very effective
Untreated ~ infertility/sterility, premature
delivery, infant blindness

7. Gonorrhea
Semen & Vaginal Fluids (mother to child)
 Young women at
risk ~ immature cervix
 Men’s Sx: discharge (penis, anal), painful
urination and/or swollen testicles
 Women’s Sx: usually very mild if present
(bleeding between periods, pain/burning
with urination, vaginal discharge


8. Gonorrhea (cont.)
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Pelvic Inflammatory disease = can lead to
internal abscesses & long-lasting (chronic)
pelvic pain
Sterility/infertility, ectopic pregnancy,
epididymitis
Disseminated GC = infection goes to blood or
joints
Urine test, swab (throat, rectal)
Antibiotics very effective

9. 
Syphili
Contact with sore/lesion (chancre),
s
mother/fetus
Diagnosed by blood test or examination of
ulcerative sore
 MSM
risk ~ #’s in population
 Mother/fetus = stillbirth, developmental
issues, seizures, death
 Curable in early stages with antibiotics


10. Herpes Simplex Virus
Skin - Skin
 Diagnosed via blood test/culture/visual
 Sores don’t have to be present - transmit
 HSV-I (cold sores)
 HSV-II (genital sores)
 Virus ~ no cure (daily suppressive therapy)


11. Human Papilloma
Virus
AKA: Genital Warts
 Skin - Skin
 Approx. 30 types of genital HPV: 4 related
to cervical/anal cancer
 Diagnosed by visual inspection (no blood
test)
 Virus ~ No Cure (warts can be frozen off)


12. Youth
risk for STDS
People < 25 account for over 9 million
new STD infections every year
 The most common STD for people
between the ages of 15-24 is Chlamydia

 Young women are at increased risk
 Decrease in condom use
 Prevention message

13. If You Are Sexually
Active…
…Get Tested for
 Many STDS have NO symptoms
STDs!
Routine physicals do not include STD
screening ~ ask to be tested
 Easily Treated (in most cases)
 Untreated = serious consequences
 Where can you get tested?


14. Where Can You Get
Tested?
Snohomish Health District
Planned Parenthood Clinic
Community Health Center Clinic
* We Have a Handout w/ addresses &

15. HIV
Human Immunodeficiency Virus
Why didn’t we include HIV in the _____
game?  Risk (young MSM & Bi-)
 Transmission
 Window Period
 Testing
&

16. WARNING:
Prevention not as effective at
 Abstinence
Condoms are
preventing herpes or genital warts
 Mutual monogamy
(HPV) transmission as they are at
 Not “going all the way”
preventing the transmission of
 Reduce number of sexual partners
other sexually transmitted
diseases.partners
 Talk with You may have sores or
viral shedding in the genital
 Get Tested (and treated!)
region which may not be covered
 condoms (e.g., labia, scrotum).
by Condoms

17. Condom
Effectiveness
Intact latex/polyurethane condoms do NOT
allow air, water, viruses or bacteria to pass
through
 97% effective against infection (if used
properly and consistently)
 One study showed, among 124 discordant
couples who used condoms consistently
over 2 years, the negative partner did not
get infected with HIV


18. Harm
Reduction
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Abstinence (no sex of any kind with anyone)
Have sex with only one person who does not have an
STD and/or HIV and only has sex with you
Limit sexual contact (non-penetrative)
Condoms - correct and consistent use
Reduce number of sexual partners
Use a clean needle/injection equipment every time
Do not share needles and/or injection equipment
Talk with new partners about risk reduction
Get Tested for STDs (take medicine for bacterial
infections)
*Avoid sex if you have symptoms of an STD
*Notify recent sex partners if you have an STD

19. Questions/Discussi
on
Snohomish Health District
HIV Program
425.339.5298