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Chapter 12 - Sexually transmitted diseases

from Section 3 - Genitourinary concerns

Published online by Cambridge University Press:  26 December 2009

By
Kay Bauman
Edited by
Jo Ann Rosenfeld
Jo Ann Rosenfeld
Affiliation:
The Johns Hopkins University School of Medicine
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Summary

This chapter discusses the etiology, diagnosis and treatment of certain sexually transmitted diseases (STDs), including gonococcal (GC) infections, chlamydia infections, syphilis, genital herpes, pelvic inflammatory disease, HIV/AIDS, and hepatitis B. Gonorrhea is frequently asymptomatic in both men and women. Patients with gonococcal infections need to be evaluated for other sexually transmitted diseases, including chlamydia, HIV, hepatitis B and/or syphilis when appropriate. Neurosyphilis can occur, with symptoms of central nervous system (CNS) changes such as tabes dorsalis or dementia. All patients with syphilis should be tested for hepatitis B and HIV infections. Sex partners of women with pelvic inflammatory disease (PID) should be treated, especially to cover chlamydia and gonorrhea. Testing for HIV should be offered to all women, not just those whose behaviors may put them at risk of transmission, but to all women with an STD, including HPV.

Keywords

anhedoniachronic illnessdementiapsychological changesexual intimacypregnancydepression
Type
Chapter
Information
Handbook of Women's Health , pp. 145 - 160
Publisher: Cambridge University Press
Print publication year: 2009

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