Sexually transmitted infections screening & counseling
Sexually transmitted diseases (STDs) are infections that are passed from one person to another through sexual contact. The causes of STDs are bacteria, parasites, yeast, and viruses. There are more than 20 types of STDs, including
- Genital herpes
Most STDs affect both men and women, but in many cases the health problems they cause can be more severe for women. If a pregnant woman has an STD, it can cause serious health problems for the baby.
Who is at risk
- More than one sexual partner
- A partner who has or has had more than one sexual partner
- Sex with someone who has an STI
- History of STIs
- Use of intravenous drugs (injected into a vein) or partner use of intravenous drugs
- Painful urination
- Lower abdominal pain
- Vaginal discharge in women
- Discharge from the penis in men
- Pain during sexual intercourse in women
- Bleeding between periods in women
- Testicular pain in men
- Thick, cloudy or bloody discharge from the penis or vagina
- Pain or burning sensation when urinating
- Heavy menstrual bleeding or bleeding between periods
- Painful, swollen testicles
- Painful bowel movements
- Anal itching
- Sore throat
- Swollen lymph glands
- Small, flesh-colored or gray swellings in your genital area
- Several warts close together that take on a cauliflower shape
- Itching or discomfort in your genital area
- Bleeding with intercourse
Hepatitis A, B, C:
- Nausea and vomiting
- Abdominal pain or discomfort, especially in the area of your liver on your right side beneath your lower ribs
- Loss of appetite
- Dark urine
- Muscle or joint pain
- Yellowing of your skin and the whites of your eyes (jaundice)
- Rash marked by red or reddish-brown, penny-sized sores over any area of your body, including your palms and soles
- Enlarged lymph nodes
- Fatigue and a vague feeling of discomfort
- Soreness and aching
What you can do
There are several things you can do to reduce your risk:
- Reduce number of sex partners
- Mutual monogamy
- Use condoms
Preventive service at no cost
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum
Human Papillomavirus Testing
Human Papillomavirus Vaccination
Sexually Transmitted Infection (STI) and HIV Prevention Counseling
Why the services are important
STI symptoms aren't always obvious. Sexually transmitted infections are frequently asymptomatic, which leads persons to unknowingly transmit STIs to others. If left untreated, STIs can cause reproductive health problems including infertility, perinatal health problems, cancer, and health problems for your baby.
Behavioral counseling interventions can reduce a person's likelihood of acquiring an STI in the first place.
What the services are
Screenings may be questionnaires that your primary care doctor asks you to complete to determine your personal risk for STIs. It may be blood tests. Intensive behavioral counseling may be delivered in your primary care doctor’s office or he or she may refer to another network provider.
Some STIs are easy to treat and cure; others require more-complicated treatment to manage them.
STIs caused by bacteria are treated with antibiotics. Those caused by viruses cannot be cured, but symptoms can be treated.
If you test positive for any STI, it is essential to inform your partner or partners so that they can be evaluated and treated.
You may need to be tested for STIs, even if they aren’t included in the preventive services at no cost.