| Being
aware of your body is always important, especially if you are sexually
active. Noticing unusual changes in penile or vaginal discharges,
along with various rashes or growths can help you in early detection
of several of the sexually transmitted infections. Some sexually
transmitted infections and diseases produce no obvious symptoms—especially
among women—which helps explain why it has been difficult to
curb the spread of many of the sexual pathogens. The following chart
is for informational purposes only. If you believe that you or your
partner may have a sexually transmitted infection, please see your
physician for testing. Everyone who is sexually active should receive
periodic STD checks to ensure their own health and the health of
their partner.
There are several factors that may contribute to the rising incidence
of STDs. There is an increasing tendency for young adults to have multiple
sexual partners and increased sexual activity among adolescents. The
increased use of birth control pills rather than condoms or vaginal spermicides
increases the risks of transmitting STIs. Even more alarming in this
day and age is that many people remain uneducated or uninterested in
the causes and consequences of STDs.
Unfortunately, women and teenagers may be at greatest risk for contracting
a STD. The delicate lining and warm, moist environment of the vagina
makes it twice as easy for a male to transmit a STD to a female than
vice-versa. Anal sex also increases the receiver’s risk for similar
reasons: The anus’s highly sensitive tissue may tear easily,
creating opening large enough for infections to enter easily. Also,
there is a higher incidence of STDs among younger women than older
women: This is due to the fact that the opening of the cervix in adolescent
girls and young women is surrounded by the ectropion, a rim of red
tissue composed of immature cervical cells, that can be invaded easily
by sexually transmitted viruses and bacteria. As women age the ectropion
recedes into the cervical canal, women become less vulnerable to infection.
Sexually transmitted infections are a risk to the whole sexually active
population, yet certain behaviors are classified as “high risk”.
These behaviors include: oral-genital sex without a condom or dental
dam; semen in mouth; vaginal intercourse without a condom; anal intercourse
without a condom; and other oral or manual contact with the anus.
Local Testing Sites:
NC State Health Services STD Testing
Wake County Testing Sites
Safer Sex Practices
Safer sex means talking openly with your partner in order to find
out about your partner's health and sexual patterns and to communicate
your own. It means discussing what will happen between the two of you
and making choices to protect yourselves during sexual activity. It
is WHAT you do, not WHO you are, that creates a risk for sexually transmitted
diseases.
Safer:
Dry kissing
Masturbation on skin with no open sores/cuts
Oral sex on a man wearing a condom
External watersports (urinating on skin without open sores)
Touching, Massaging
Sharing fantasies (the brain is the largest, most versatile sex organ)
Less Risky:
Vaginal intercourse with a condom
Wet kissing
Risky:
Oral sex on a man without a condom
Masturbation on open or broken skin
Oral sex on a woman
Anal intercourse with a condom
Engaging in sexual contact after alcohol or drug use
Oral sex with dental dam
Vaginal sex with female condom
Dangerous:
Vaginal intercourse without a condom
Anal intercourse without a condom
Internal watersports (urinating into mouth, vagina or rectum)
Sharing a needle for intravenous drug use
Fisting (putting hand or fist into someone's rectum or vagina, easily
tears skin, allowing germs to enter bloodstream)
Rimming (oral to anal contact)
Other Useful Links:
NC State Health Promotion Information regarding STD's
STD's A to Z
Symptoms of STD's
Guide to Safer Sex
CDC informtation on STD's
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