Detection of sexual diseases: symptoms, tests and treatment

Sexually transferable infections (STI, called frueher sexual diseases) are higher to the most common infectious diseases worldwide. In Germany, the number of cases increased for several STIs for years. Chlamydia infections are about 300,000 people, and the Gonorrhoe band have more than doubled over the last ten years.

The problem: Many STIs initially run without symptoms. Affected persons often do not know that they are infected, and may pass on the infection ignorantly. Untreated, some STI can lead to serious consequences, including infertility, chronic pain, and increased risk for certain types of cancer.

The more important are regular tests, especially with changing sexual partners, and an open approach to the topic. Shame should not be a reason to do without an investigation.

Chlamydien: The most common bacterial STI. Often symptomless, but can cause effluent, burning when watering and in women underlying pain. Untreated threatens infertility.

Gonorrhoe (Tripper): Eager effluent, pain in urination and swelling. In women often symptom arm, in men more clearly. Increasing antibiotic resistances make treatment more complex.

genital herpes (HSV-2): Painful blaeches in the genital area that occur in strokes. After the first infection, the virus remains in the Koerper for a long period of life, but it is rarer and milder.

HPV (Humane Papillomviruses): The most common STI. Certain types cause genital warts, others can lead to cervical cancer. A vaccination is in front of the most important guys.

Syphilis: Exploited in stages: painless wound, skin rash, later moegous organ damage. Well treatable with antibiotics when recognized frueh. The fall figures increase in Germany.

HIV: Attacks the immune system. Frueh detection and antiretroviral therapy today could be an almost normal life. PrEP (Praeexpositionsprophylaxe) protects risk persons from being infected.

The diagnosis of STI includes various methods, depending on the pathogen:

Cover: In case of suspicion of chlamydia, gonorrhoe or HPV, a smear is taken from the affected area (genital area, throat, after).

Blood test: HIV, syphilis and hepatitis B/C are detected by blood tests. For HIV, there are also quick tests that deliver a result within minutes.

Urine test: Chlamydia and gonorrhoea can also be diagnosed with a urine test in maennians.

When should you be tested?

• After unharmed intercourse with a new partner
• In symptoms such as outflow, burning or blaeches
• When a sexual partner was tested positively
• Regular in changing partners (at least once yes)
• In pregnancy (Routinescreening)

Note the window phases: After a possible contagion it takes a few days to weeks until a test is reliable. For HIV, this phase is entrusted with modern tests for about 6 weeks.

The good news: Most bacterial STI can be treated well with antibiotics. Viral STI may not be fully cured but effectively controlled.

Chlamydien: One-time or one-way antibiotic therapy (e.g. aziithromycin or doxycycline). Healing rate above 95 percent. Partners must be treated.

Gonorrhoe: Combination therapy with two antibiotics due to increasing resistance. Control after treatment is important.

genital herpes: Antiviral medicines (Aciclovir, Valaciclovir) enrich and reduce the risk of infection. Suppression therapy can prevent ruthless skin.

Syphilis: Penicillin injection, usually very effective. Fruehe stages are easier to treat than spaete.

HIV: Lifelong antiretroviral therapy that pushes the virus load below the detection limit. With successful therapy, a transmission is no longer possible.

The best protection against STI is condoms that significantly reduce transmission risk for most pathogens. Other interventions include:

HPV vaccine: Fuer Maedchen and boys from 9 to 14 years recommended, post-holiosis until 17 years. Checks out the most important cancerous HPV types.

HIV PrEP: Daily current medicines are pushing risk individuals too much ahead of HIV infection. In Germany, the PrEP is reimbursed by statutory health insurance.

Regular tests: Frue detection and treatment not only protects you, but also your partners.

If you like to notice symptoms or test yourself, telemedical platforms offer a discreet flexibility to receive aerial advice. Through your recipe.de you can conduct a consultation and, if necessary, receive a prescription for the treatment without having to appear in a practice.