Sexually transmitted diseases

Venereal diseases include all diseases caused by the transmission of infectious agents during intercourse.


OVERVIEW

The onset of sex life now begins at an earlier age and therefore these diseases are common even in post-adolescent individuals. The most common ailments for which the dermatologist is consulted are warts. These are due to the HPV virus and appear as small patches of skin color on the genital area. They are transmitted by skin rubbing, but can also be dispersed by e.g. the shaving of the area, because it is a minor injury and disrupts the continuity of the skin. The persistence in treating warts is essentially done to avoid the possibility of developing malignant lesions of the skin epithelium. These malignant lesions are rare and are due to the limited number of HPV subtypes for which a vaccine is now available.


Another STD is the infectious termini, which is also caused by a virus. It is also often found in childhood, without suspicion of malignancy, unless it is found in the perineal area. The treatment is simple and does not require continuous monitoring.


Finally, another common viral illness is the simple genital herpes which is often excruciating and painful. The clinical picture is more intense at its first appearance, but often there are relapses that are equally excruciating. The treatment is based on taking antiviral medications. In the case of frequent relapses, it is recommended to take suppressive treatment for a long time and to monitor the functioning of the immune system. Particular attention should be paid in the case of pregnancy, depending on the trimester of pregnancy.


In recent years, a well-known disease, syphilis, has again come to the fore. Syphilis is the largest mimic of dermatology, as it can mimic most dermatological diseases. This is why it is often delayed to make the right diagnosis. The treatment is also after laboratory confirmation and involves the use of Penicillin.


STDs also include gonorrhea. Characteristic is the point of severe discomfort and morning drop of urine exudate. In this case, the treatment is by taking antibiotics orally. Usually, in the case of gonorrhea, chlamydia is also treated, as they often coexist.


In general, because sexually transmitted diseases occur in sexually active individuals, it is prudent and recommended that if one is found to conduct a clinical and laboratory screening for the partner, including AIDS.

MYTH OR TRUTH?

“In a monogamous relationship an HPV diagnosis always means infidelity!”

This myth is responsible for much anger & confusion. It has led many people to wrong conclusions and tragic consequences, simply because it fails to take into account the most mysterious element of HPV: its ability to remain latent in the body.


So in a monogamous relationship, just like in a one-night stand, an HPV diagnosis only means that a person became infected during its sex life in general (recent or the past).