Casual Sex – “50 Shades” of problems

Dr. Maria Zweig MD

 

Met a beautiful boy/girl today – body, mind, everything was great- there was an attraction, and had sex using a condom. But it broke – 25 seconds – placed another, and there was no ejaculation without a condom. What is the problem? That’s all you need to acquire STD’s! Before ejaculation, “or the finish”, you can also get pregnant due to the pre – ejaculatory secretions which many contain sperm!

 

What are we talking about?

When you have sex with this “dreamy” partner, you are exposing yourself to this person and to all the people with whom he or she has had sex in the past.

Chlamydia

The most common bacterial sexually transmitted infection and man or woman can acquire is this. It is transmitted through vaginal, oral or anal sex – without the need for ejaculation (complete) – without adequate protection. There are no obvious signs at the time of having sex that will alert you that this couple is a carrier for this infection.In both sexes there can be burning or painful urination, vaginal or penile discharge, testicular pain in men, pelvic pain and abnormal bleeding in women, or no symptoms.

Consequences – can cause serious and permanent damage to the reproductive system of women.

 

Consequences include difficulty or inability to become pregnant in the future as well as an increase in the risk of developing future pelvic pain – possibly incapacitating. There is an increase in the risk of pelvic surgeries and ectopic pregnancies. An ectopic pregnancy is a pregnancy occurring outside the uterus that can be fatal if not treated in time.

 

When a sexually transmitted infection is present, this causes the person to be more susceptible to acquiring the virus responsible for AIDS.

 

Chlamydia is curable but if the infection progresses and causes damage to the reproductive system it becomes permanent.

 

Gonorrhea

 

Also a common infection, especially among sexually active young people. It is acquired through oral, vaginal or anal sex without protection.

 

Sometimes, gonorrhea causes no symptoms. In men, gonorrhea can cause painful urination and discharge from the penis. If left untreated, it can cause problems in the prostate and testicles.

 

In women, the early symptoms of gonorrhea are usually mild. As time passes, it can cause bleeding between menstrual periods, pain during urination and increased vaginal secretions. If left untreated, can cause pelvic inflammatory a disease which causes problems in pregnancy and infertility.

 

Consequences – can cause serious and permanent reproductive system damage in women.

 

Like chlamydia, if not properly treated can have the same impact on the; further, gonorrhea can irrigate to the joints and can even be fatal.

 

Symptoms may be present or present as asymptomatic, without symptoms, similar to chlamydia. If you previously acquired gonorrhea, it can also promote acquiring the AIDS virus if exposed to it.

 

Gonorrhea can be cured, but again, the damage if the infection persists is permanent.

 

Genital Herpes

Genital herpes is a viral disease transmitted by two types of virus. These are called herpes simplex 1 and herpes simplex 2. Approximately 1 in 6 people between 14 and 49 has genital herpes. It is acquired through vaginal, anal, or oral sex with a person who has the disease.

Most people who have acquired genital herpes do not know they have it. In most cases, one is infected with herpes during a sexual encounter with someone not showing symptoms for genital herpes.

 

The latex condom helps protect against genital herpes but not completely.

Symptoms may include ulcers, blisters or no symptoms.

There is no cure for herpes, but its symptoms can be controlled as well as its transmission with the use of lifelong antiviral drugs.

 

Syphilis

Syphilis is acquired if you have direct contact with a syphilis sore during vaginal, oral or anal sex. Syphilis is divided in phases related to symptoms of infection – primary, secondary, latent and advanced .

During the first stage of syphilis, you may notice a single sore or many. Because the sore is painless, it may go unnoticed. The sores last 3 to 6 weeks and may disappear independent of treatment, hence the problem. The infection can remain latent, without showing symptoms and may go on to affect other organs. Besides skin and mouth rashes the following may present:

 

  • fatigue
  • Fever
  • Hair Loss
  • Lymphatic Inflammation
  • Sore Throat
  • Weight Loss
  • Mental Disorder
  • Paralysis
  • Uncoordinated Movement
  • Muscular Pain
  • Death

 

Syphilis can be cured with proper treatment in its early stages. However, the treatment will not reverse any damage that has already been caused by the infection.

AIDS – HIV

 

The HIV virus is contracted through vaginal, anal or oral sex without proper protection. People who have a sexually transmitted disease are more likely to get HIV.

 

HIV has serious health effects, including cancer and death if unattended. HIV cannot be cured, but it can be treated. There is pre/post exposure prophylaxis to HIV infection. To be effective it should be delivered as soon as possible and within 72 hours of contact with an HIV infected person.

HPV – Human Papiloma Virus

HPV infection is the most common sexually transmitted. HPV is so common that almost all men and all sexually active women get it at some point in their lives. There are many different types of HPV virus. Some types can cause problems like genital warts and cancers.

 

HPV is transmitted by skin to skin infection, no exchange of fluids is needed. Symptoms may be sudden or appear after many years. Symptoms are going to look like genital warts, in the minority of cases, or in the case of most women an abnormal PAP in the visit to your gynecologist.

 

In most cases, HPV infection goes away by itself and will not become a persistent infection hence, the problem. Pre-cancerous and cancerous lesions can develop in the area of ​​the uterus (cervix), vagina, vulva, anus, mouth and throat neck that have HPV infection.

 

There is a vaccine for HPV that covers 70% of HPV strains that cause cancer. There will soon be a vaccine with broader coverage that will cover against 90% of the known cancer causing strains.

 

If HPV does not resolved by itself, it does not heal. With proper monitoring and careful good gynecological care the infection can be detected in their pre-cancerous stages and prevent the possibility of progression to cancer.

 

Hepatitis

 

Hepatitis B and C are liver diseases caused by the hepatitis B and C (HBV, HCV) viruses. These viruses can cause lifelong infection, cirrhosis (scarring) of the liver, liver failure and death.

 

These viruses are acquired by contact with body fluids from an infected person. There must be contact between one person’s blood and the fluids of the other person via a cut or abrasion. Previously, infection was usually acquired mostly by blood transfusion or needle sharing among drug users. Today, there is more surveillance regarding blood transfusions, it is now more common for a woman to acquire hepatitis through sexual, vaginal, anal and oral contact. Men acquire hepatitis similarly.

 

There is a vaccine for hepatitis B but not for hepatitis C. Hepatitis has treatment options as well as disease management.

 

The problem with STIs is that without adequate screening there is no sure way to know that a person does not carry one. A physical examination, including by a physician trained in the field, may not detect the STI in most cases without a blood test, culture, urine or PAP.

 

That is why it is recommended for young people up to 25 years perform tests for such diseases annually and each time they change sexual partners. Over 25 year olds should also routinely have screening for STI’s, especially if it is a non-monogamous relationship or they change partners.

 

The condom does not always protect against STI’s and if it breaks, one is left at the mercy of luck. Some infections are cured, but other, particularly viral, cannot be.

 

With vaccination and prevention education we have the ability for early detection of STI’s, before suffering serious insults to our health. One must be proactive with their health. We must educate, protect ourselves and confidently know our partners. You can have a healthy sex life while maintaining your health and preventing sexually transmitted diseases.