Sexually transmitted infection
Sexually transmitted infection
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Sexually transmitted infection

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Sexually transmitted infection

A sexually transmitted infection (STI), also referred to as a sexually transmitted disease (STD) and the older term venereal disease (VD), is an infection that is spread by sexual activity, especially vaginal intercourse, anal sex, oral sex, or sometimes manual sex. STIs often do not initially cause symptoms, which results in a risk of transmitting them to others. The term sexually transmitted infection is generally preferred over sexually transmitted disease or venereal disease, as it includes cases with no symptomatic disease. Symptoms and signs of STIs may include vaginal discharge, penile discharge, ulcers on or around the genitals, and pelvic pain. Some STIs can cause infertility.

Bacterial STIs include chlamydia, gonorrhea, and syphilis. Viral STIs include genital warts, genital herpes, and HIV/AIDS. Parasitic STIs include trichomoniasis. Most STIs are treatable and curable; of the most common infections, syphilis, gonorrhea, chlamydia, and trichomoniasis are curable, while HIV/AIDS and genital herpes are not curable. Some vaccinations may decrease the risk of certain infections including hepatitis B and a few types of HPV. Safe sex practices such as the use of condoms, having smaller number of sexual partners, and being in a relationship in which each person only has sex with the other also decreases STIs risk. Comprehensive sex education may also be useful.

STI diagnostic tests are usually easily available in the developed world, but they are often unavailable in the developing world. There is often shame and stigma associated with STIs. In 2015, STIs other than HIV resulted in 108,000 deaths worldwide. Globally, in 2015, about 1.1 billion people had STIs other than HIV/AIDS. About 500 million have either syphilis, gonorrhea, chlamydia or trichomoniasis. At least an additional 530 million have genital herpes, and 290 million women have human papillomavirus. Historical documentation of STIs in antiquity dates back to at least the Ebers Papyrus (c. 1550 BCE) and the Hebrew Bible/Old Testament (8th/7th C. BCE).

Not all STIs are symptomatic, and symptoms may not appear immediately after infection. In some instances a disease can be carried with no symptoms, which leaves a greater risk of passing the disease on to others. Depending on the disease, some untreated STIs can lead to infertility, chronic pain or death.[12]

The presence of an STI in prepubescent children may indicate sexual abuse.[13]

Common signs and symptoms of sexually transmitted infections include genital discharge, pain during urination, genital ulcers or sores, pelvic pain, and rashes.[14][15]

Some infections, such as chlamydia and gonorrhea, are often asymptomatic, particularly in women, which increases the risk of delayed diagnosis and complications.[16]

Viral STIs such as herpes simplex virus and human papillomavirus (HPV) may cause recurrent symptoms, including blisters, warts, or cervical changes that can lead to cancer if untreated.[17][18]

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