As tools to reduce risk for STI transmission, dental dams are not to be ignored.
Many consider oral sex to be a safer form of sexual activity compared to vaginal or anal intercourse. For this reason, they might put less emphasis on the use of latex barriers, such as dental dams and condoms, during oral sex. Unfortunately, this idea is misguided and can lead to the transmission of preventable infections.
It is generally true that oral sex presents less of a risk for contracting sexually transmitted infections (STIs) – but this risk is not trivial, especially when people are under the impression that they don’t need to use barrier methods during oral sex. Most sexually transmitted infections can be passed along by oral sex, including chlamydia, gonorrhea, syphilis, hepatitis B, herpes (which can be transmitted back and forth from the mouth, as cold sores, to the genital region, as genital herpes), human papillomavirus (HPV), and HIV. Even pubic lice can be transferred from the genital region to eyelashes and eyebrows! Additionally, intestinal parasites are more likely to be transmitted via oral sex than through vaginal sex. A microscopic amount of fecal matter containing parasites can be infectious, and can be unknowingly ingested when present on genitals.
Seventy percent of adolescents who reported engaging in oral sex had never used a barrier to protect themselves from sexually transmitted infections during oral sex.
Some bacterial STIs, such as gonorrhea and syphilis, can do permanent damage if not treated in time. Furthermore, gonorrhea of the throat is much more difficult to treat than gonorrhea in the genital or rectal areas. And some viral STIs can’t be cured (such as herpes and HIV), while others can cause chronic infections that have been linked to cancer (such as hepatitis, which is associated with liver cancer, and HPV, which is associated with throat cancer as well as cervical cancer and anal cancer). Continue reading
Posted in Sexual Health
Tagged abstinence, abstinence only, AIDS, barrier methods, barriers, cancer, chlamydia, condom, condoms, dental dam, dental dams, gonnorhea, hepatitis, herpes, HIV, HIV/AIDS, HPV, human papillomavirus, intestinal parasites, latex, latex barriers, liver cancer, oral sex, parasites, pubic lice, safe sex, safer sex, sexual intercourse, sexually transmitted disease, sexually transmitted diseases, sexually transmitted infection, sexually transmitted infections, STD, STDs, STI, STIs, syphilis, teenagers, throat cancer, vaginal intercourse, virginity, virginity pledge, virginity pledges
This scanning electron micrograph shows HIV particles (colored yellow) infecting a human T cell. Image: National Institute of Allergy and Infectious Diseases, National Institutes of Health
In 2006, an HIV-positive man was diagnosed with leukemia. First he received chemotherapy, and when the cancer returned his doctor recommended a stem-cell transplant with tissues obtained from a bone-marrow donor. After finding an unusually high number of compatible donors, his doctor, Gero Hütter, had a simple idea that would change the course of HIV research. Dr. Hütter knew of a rare genetic mutation that confers immunity to many strains of HIV, including the strain that infected his cancer patient. And new blood cells, including immune cells, are manufactured by bone marrow. What if he could find a bone-marrow donor with this mutation? What effect would it have on the HIV infection?
Five years after his cancer diagnosis, the man, known as the Berlin patient and recently identified as Timothy Ray Brown, is in remission from cancer … and the most sensitive tests have been unable to detect HIV anywhere in his body, despite the discontinuation of antiretroviral drugs. Scientists are a cautious lot, careful not to make grand statements without qualifying them with words like “seem” and “suggest.” But more and more, researchers are starting to say that Brown could be the first case in which a cure for HIV was attained.
Human immunodeficiency virus, or HIV, has been the focus of intense research since the 1980s, when it was identified as the causative agent of AIDS. Many anti-HIV drugs have been developed since then, though worldwide, less than a third of people who need the drugs have access to them. Those with access, however, have significantly improved health outcomes and longer life expectancy. Continue reading
Posted in Sexual Health
Tagged acquired immunodeficiency syndrome, acute myeloid leukemia, AIDS, Berlin patient, bone marrow, CCR5, CCR5 delta 32, CCR5Δ32, chemokine receptor 5, chimerism, gene therapy, genes, genetic engineering, genetic mutation, genetics, Gero Hütter, helper T cells, hematopoietic stem cell transplantation, HIV, HIV-1, HIV/AIDS, human immunodeficiency virus, immune system, immunity, lentivirus, leukemia, marker gene, mutation, R5 HIV, retrovirus, sexually transmitted disease, sexually transmitted diseases, sexually transmitted infection, sexually transmitted infections, STD, STDs, stem cells, STI, STIs, T cells, Timothy Brown, vaccine, virus, ZFN, zinc fingers nuclease
December 1st is World AIDS Day, so we’re focusing on HIV this month in our STI Awareness series.
Let’s break down the name:
H – Human: This virus only infects humans and is only passed from human to human.
I – Immunodeficiency: This virus weakens the immune system by destroying cells that fight disease and infection.
V – Virus: This is a virus. Unlike other viruses, however, this virus does not leave the body. This is the mystery that scientists and doctors are working to solve.
HIV is an immune system virus. It hides for a long time in your cells and attacks the T-cells, aka: CD4 cells. Over time HIV can destroy so many CD4 cells that your body cannot fight infection anymore. When that happens, HIV leads to AIDS. While all of this is very scary, the bright spot is that this is an easily preventable disease. Continue reading
Trichomonas vaginalis, normally pear-shaped, flattens itself out after attaching to vaginal epithelial cells, maximizing surface area between parasite and host. The purple rod-shaped organisms are bacteria. Image courtesy of Antonio Pereira-Neves and Marlene Benchimol, Santa Ursula University, Rio de Janeiro, Brazil
Most sexually transmitted infections are caused by viruses or bacteria. STIs caused by viruses include herpes and genital warts, and the viruses that cause them aren’t even technically living organisms – they are pieces of genetic information that are able to infect a host cell. STIs caused by bacteria include gonorrhea and syphilis; bacteria are microscopic, single-celled organisms with relatively simple cell structures.
But some STIs are caused by other types of living organisms. Protozoan organisms are microscopic and unicellular, like bacteria; unlike bacteria, their cell structures more closely resemble that of the so-called “higher” life forms such as animals and plants. While protozoa are considered to be “animal-like,” they are not animals at all – they are single-celled organisms that reproduce asexually. When certain types of protozoans get into your body, they can cause infections – such as trichomoniasis, the most common curable STI among young females (as well as more females over 40 than previously thought). It is estimated that 7.4 million new cases of trichomoniasis occur annually in the United States; worldwide, there are about 170 million cases each year.
Trichomoniasis, colloquially known as trich, is spread by vaginal or anal intercourse, direct vulva-to-vulva contact, and other activities that involve passing secretions from one partner to another (e.g., sharing sex toys or mutual masturbation). Sexually active people can reduce the risk of contracting trichomoniasis by using latex barriers, such as condoms. Continue reading
Posted in Sexual Health
Tagged bacteria, discharge, flagella, flagellum, HIV, immune system, latex barriers, metronidazole, parasite, parasites, protozoa, protozoans, sexually transmitted disease, sexually transmitted diseases, sexually transmitted infection, sexually transmitted infections, STD, STDs, STI, STIs, T. vaginalis, tinidazole, trich, Trichomonas vaginalis, trichomoniasis, trichomonosis, urogenital tract, vaginal discharge
- Woman Sues Over Ex-Boyfriend’s Heinous Miscarriage Billboard. Ugh. (Jezebel)
- Apparently, Americans are sick and freaking tired of Congress’s obsession with restricting abortion. Nice sentiment but they should have thought about that before electing these clowns into office. (Politico)
- Abortion “showdown” could cost Indiana $4.3 billion. And it’s a “showdown” they ain’t gonna win anyway. So move on already Hoosier State. (AP)
- Ohio Lawmakers Vote to Ban Abortions at Publicly Funded Clinics, Hospitals. No word yet on whether there will be exceptions based on the life and health of the mother but if you remember the debacle at St. Joseph’s in Phoenix a while back, it’s probably safe to assume there won’t be any exceptions. (RH Reality Check)
- Ovarian cancer screening doesn’t actually save lives? Someone should probably alert the medical field about that. (MSNBC)
- Remember those anti-choice billboards targeting blacks stating “The Most Dangerous Place For an African American Is The Womb”? Well, now Latinos are the target. Wonder if white women will be next? Something tells me no. (The Daily Caller)
- The Pill does not cause weight gain. However, food, in large quantities without adequate exercise, does. (EurekAlert)
- The CDC estimates that 20% of people infected with HIV don’t know it and one-third are diagnosed so late in the course of their infection that they develop AIDS within one year. This is why it’s so important to be tested regularly! (USA Today)
- When in Doubt About Sexual Health, Teens Turn to Google. Not their parents, Google! (Huff Po)
Posted in Rundowns
Tagged abortion, AIDS, anti choice, birth control, congress, contraception, HIV, Indiana, ovarian cancer, sexually transmitted disease, the Pill, women, women's health
Neisseria gonorrhoeae, the bacteria species that causes gonorrhea, is pictured here in a photograph taken with a scanning electron microscope. Projecting from the organism’s surface are many pili, powerful appendages that enable the bacteria to adhere to human cells. Image from the National Institute of Biomedical Imaging and Bioengineering.
April is STD Awareness Month, but this blog has sought to increase your awareness of sexually transmitted infections on a monthly basis. So far in 2011 we’ve pointed the spotlight at human papillomavirus, barrier methods, and herpes. This month’s installment will focus on gonorrhea, colloquially known as “the clap,” a common sexually transmitted infection caused by sneaky bacteria called Neisseria gonorrhoeae. It is spread by vaginal, anal, and oral sex, and can infect certain cells in the throat, mouth, rectum, urethra, or cervix. It can also be transmitted manually to infect the eye. If you are sexually active, you can reduce risk of transmission by consistently and correctly using latex barriers such as condoms and dental dams.
Four out of five females infected with gonorrhea do not experience symptoms – males, however, usually do, but they can be mild and therefore easy to overlook. Symptoms can appear within a month, and might include painful or frequent urination, vaginal or penile discharge, painful bowel movements, itching, or sore throat. Additionally, females can experience abdominal pain, fever, irregular menstruation, or bleeding between periods. In pregnant women, untreated gonorrhea infections can lead to complications such as premature labor or stillbirth. The infection can also be passed from mother to infant during delivery. Continue reading
Posted in Sexual Health
Tagged antibiotic resistant gonorrhea, antibiotics, antigenic variation, ARG, bacteria, bacterium, DGI, disseminated gonococcal infection, epididymitis, evolution, fimbriae, flagella, flagellum, GC, gonococci, gonococcus, gonorrhea, HIV, immune response, immune system, microbe, microorganism, N. gonorrhoeae, Neisseria gonorrhoeae, Opa protein, Opa proteins, pelvic inflammatory disease, PID, pili, pilus, retractile pili, sexually transmitted disease, sexually transmitted infection, STD, STI, sulfa drugs, sulfanilamide, sulfonamides, the clap, type IV pili