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Women who use sex to control. Sexual Transmission Prevention

Peer workers have been shown to be most effective in catalysing change in our communities, from condom use to control. attendance to structural changes. What would such aligned mature efforts include. If you want to share toys, put a cougar over them. Scar tissue from PID can block the fallopian tubes, work to infertility.

Hepatitis A is found in faecal matter, such as contaminated wyo and oral-anal contact. Transmission between women has been known. Hepatitis B is spread by an exchange Women who use sex to control. Sexual Transmission Prevention blood and other body Women who use sex to control. Sexual Transmission Prevention. This includes touching an open cut if you Preventioj broken skin and sharing toothbrushes, nail clippers or razors. Lesbians are invisible as far as Hepatitis B research is concerned, but vaccines for both Hepatitis A and Hepatitis B are available. Hepatitis C is spread mainly through contact with infected blood, and sexual transmission is relatively rare.

Again, there has been no research into whether this can be spread via woman-to-woman sex. It can ues passed on easily through any contact with a sore, so you should avoid going down on someone if you have a cold sore. They go away of their own accord, but are incurable and can recur. Reports of transmission via breast milk seem to have been exaggerated by a certain ethically-challenged baby milk company see Free Formula: A Danger of Disastrous Proportionsfor example. The problem seems to be related to chafing of the nipples causing them to bleed, rather than the milk itself. While still Trasnmission among lesbians, there whp been Tranmission of woman-to-woman transmission and the leading suspects are menstrual blood, vaginal discharge when there is also vaginitis and certain sex practices which can cause bleeding, whether by accident or deliberately.

Human Papillomavirus HPV, Genital Warts There are many different viruses which can produce genital warts, including herpes, which are painless lumps around your genitals and anus. They are treated by freezing them off, or using a paint-on solution. One of the wart viruses has been linked to cervical cancer, and because an exchange of body fluids is not required to spread it, you should insist on having regular smear tests, even if you have never had sex with a man. Pelvic Inflammatory Disease PID Caused by several bacteria, including chlamydia and gonorrhoea, infection usually starts within a few days of sex with an infected person, but it can take up to few months.

Symptoms include abdominal and back pain, nausea, spotting, vaginal discharge and fever, but some women show no symptoms whatsoever. Scar tissue from PID can block the fallopian tubes, leading to infertility. There have been cases of woman-to-woman transmission, but, as usual, no specific studies. Pubic Lice Crabs Lice need human contact to spread, and cannot hop or fly. Spread by any close contact with an affected person, their bed linen or their clothes, symptoms include seeing the lice themselves, and itching. Transmission between female sexual partners is common, and treatment involves special lotions and shampoos available at pharmacies, but cheaper on prescriptionand washing clothing and bed linen in hot water.

Scabies This is an infestation of tiny mites which burrow into the skin and give off a chemical which causes itching. Any close and not-so-close contact can spread the mites, and they can live in fabric for a couple of days. The first time someone gets scabies, the itching will take weeks to start; later infestations show up more quickly as people become sensitised. The main symptom is itching—really evil, nasty itching that keeps you awake at night and causes you to scratch until you bleed. Treatment involves thoroughly putting lotion over your entire body below the neck, including under nails. Partners and friends should also be treated as a precaution, and a second treatment might be required.

Syphilis A serious and devastating if untreated disease which is transmitted via contact with the sores and rashes associated with it. It can also be passed on by a pregnant woman to the foetus. The first sign is a single sore or spot, hard at the edges, which is usually painless and easily mistaken for something else.

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This appears between 10 days and three months after contact, lasts for weeks and is highly contagious. Symptoms at this stage include swollen lymph nodes, rashes and flu-type symptoms. Another kind of highly infections sore sometimes appears—flat greyish warts. The signs of syphilis on the skeleton are quite dramatic, and the bones can look like molten wax. Fortunately, it need not get this far as it is susceptible to penicillin, and partners will also need to be treated. Trichomonas Only found in the vagina, this can lead to an itchy, frothy and smelly discharge. Symptoms start around days after exposure.

Clinical services Clinical interventions can be broadly categorized as STI management approaches for symptomatic patients, screening for asymptomatic infections and partner strategies. All should be supported by appropriate efforts to educate, counsel and provide the means, such as condoms, to prevent infection. Shortening the duration of infectivity is an important objective in the control of STI epidemics. There is strong evidence that syndromic case management Women who use sex to control. Sexual Transmission Prevention an effective approach for patients with urethral discharge and genital ulcers. It has advantages over previous approaches i. STI screening and case finding are time-tested approaches for identifying asymptomatic infections.

Although feasible, screening to detect cervical infection remains problematic since sensitive tests for detecting gonorrhoea and chlamydial infection remain too expensive for widespread use. Breaking the chain of infection also involves treating as many sexual partners of people with STIs as can be identified. Other interventions aim to interrupt transmission through epidemiologic targeting and presumptive treatment. Presumptive treatment has been used to rapidly reduce STI prevalence among populations at highest risk, such as sex workers. Primary prevention STI control cannot be achieved by means of clinical interventions alone. Primary prevention interventions Women who use sex to control.

Sexual Transmission Prevention the clinic and outside, where transmission takes place, are required. Such interventions emphasize the means of prevention, information and referrals to clinical services. Social marketing has proven effective in increasing supply and demand. What matters most is that condoms are used in situations where STIs are most likely to spread. In Thailand, explicit messages to men about the risks of STIs from unprotected commercial sex resulted in higher reported condom use, lower reported numbers of sex worker visits and lower infection rates. Targeting high-risk populations Primary prevention and clinical services contribute synergistically to STI control.

The success of these efforts depends not on reaching all people but on reaching the right people with effective interventions. If there is a fundamental tenet of STI control, it is that transmission depends on high rates of sexual partner change. This principle is implemented through appropriate targeting of STI control interventions. Other interventions target bridge populations — such as clients and partners of high-risk individuals — through STI clinics or workplace interventions. Targeting generally builds on two methods — outreach and peer interventions. Programmes begin with mapping to locate and estimate sizes of target populations.

Peer workers have been shown to be most effective in catalysing change in their communities, from condom use to clinic attendance to structural changes. Structural interventions address root causes of problems, such as the difficulties of individual sex workers to negotiate condom use. Recent successful examples of STI control have integrated basic prevention components — targeted provision of condoms and STI services — into broader community-based efforts for enabling structural change. Feasible methods, based on case reporting and periodic surveys, can identify areas where STI control is poor and provide outcome data needed to monitor programme performance.

Surveillance should be based on routine STI case reporting, supplemented with special surveys of STI and HIV prevalence, assessment of STI syndrome etiologies, antimicrobial resistance monitoring and risk behaviour prevalence. It is also important to monitor coverage of STI services, particularly for priority population groups. Trends of short-duration STIs are more sensitive indicators of high-risk sexual activity than those based on HIV prevalence and can be monitored widely, even in underserved areas where STI control is often poor. Yet few countries maintain systems to collect and use such data.

STI trends have been on the decline since the early twentieth century in many developed countries and increasingly in resource-constrained countries. STI control is relative and dynamic, however, and sensitive to social and economic change. STI rates surged in western Europe and North America following introduction of hormonal contraception and in China following economic liberalization. Chancroid was quickly eliminated, congenital syphilis has become rare and maternal syphilis is stable at about two cases per pregnant women. However, several exceptions, where STI control programmes and surveillance have been maintained, provide examples of the feasibility of improving STI control even where resources are limited.


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