Sexually transmitted infections (STIs) may sound scary, but they are common infections that are carried from one person to the other through intimate sexual contact. Some STIs do not have symptoms so it is important to get tested regularly.
STIs is the term used for a group of common infections known as sexually transmitted infections. According to the Centers for Disease Control and Prevention, about 20 million new cases of STIs are diagnosed each year in the United States alone. Some of the better-known STIs are syphilis, gonorrhea, and chlamydia. STIs are primarily spread through heavy petting and sexual contact with the vagina, mouth, and anus. The only absolute method to prevent STIs is abstaining from sex. The next best method to prevent STIs is to use barrier protection such as condoms (both male and female condoms.) If you are sexually active, you may wish to be tested since some STIs do not have any symptoms.
Factors that may put you at risk for STIs include:
Having unprotected sex with a new partner or multiple partners
Being a man having sex with other men
Having been raped
Having human immunodeficiency virus (HIV)
Most STIs can be treated with medications. Depending on the type you have it is possible to completely cure an STI. Sexually transmitted infections are generally treated by one of two categories of medicine:
Antiviral medications: Antivirals can lessen the occurrence of outbreaks; however, you can still spread the infection to your sexual partner.
Antibiotic drugs: Antibiotics are effective in curing many STIs, such as syphilis, gonorrhea, trichomoniasis, and chlamydia. The key to successful treatment with antibiotics is to take the medicine as directed by your doctor.
While taking your medication you should also abstain from sex until you have completed your treatment.
In the very technical sense, yes. “STD” stands for Sexual Transmitted Disease. “STI” stands for Sexually Transmitted Infection.
A disease typically signifies a more advanced condition or infection and may carry an associated stigma, which is why there has been an effort to shift the term to infection. Many infections can be asymptomatic and are not considered a disease until they present with symptoms.
Regardless of what you call them, it is important to know that both STDs and STIs need to be screened for and treated.
It ultimately depends on your sexual behaviors.
The Centers for Disease Control (CDC) recommends that any sexually active female under the age of 25 receive at least annual screenings for gonorrhea and chlamydia because a majority of cases in the United States occur in this age group. There are not specific guidelines beyond age 25, but if you are having intercourse outside of a trusted, monogamous relationship or are having symptoms, you should get screened. If you are entering a relationship with a new sexual partner, it may also be a good idea for both partners to get screened to ensure a “clean bill of health” before any activity.
It is also important to know that there are two parts to testing and screening: swabs and blood tests. Swabs will test for things like gonorrhea, chlamydia or HPV. Other STIs including HIV, hepatitis, and syphilis must be tested through blood work. If you are looking for a full spectrum of screenings, both blood and swab tests are recommended.
Yes, some STIs can be present without symptoms and others may have delayed symptoms. For example, gonorrhea and chlamydia can be present without any symptoms. Similarly, syphilis initially presents as a painless ulcer which if it is located inside the vagina may go unrecognized. Other sexually-transmitted viruses like human papilloma virus (HPV) or human immunodeficiency virus (HIV) can take weeks, months, or years for symptoms to develop. This is why screening for STIs even when a patient doesn’t have symptoms is so important.
Pelvic pain, discharge, and lesions may be more obvious symptoms of an STD. If you are experiencing any of these symptoms and are (or have been) sexually active, it is important to contact your doctor.