Overview:  Chlamydial infection is most commonly reported as a bacterial sexually transmitted disease (STD) with highest prevalence among persons aged ≤24 years and a leading cause of infertility in women.

Asymptomatic infection is common among both 50% men and 80% women. While treatment can be initiated presumptively, a lab test is the most accurate way to get a diagnosis

Symptoms: Clear to yellow mucopurulent, vaginal discharge, abnormal vaginal bleeding, (postcoital or unrelated to menses), dysuria, dyspareunia, slow onset and progression of lower abdominal pain, fever

In Men: Dysuria, clear to yellow mucopurulent, urethral discharge, unilateral pain and swelling of the scrotum.

The goals of pharmacotherapy: are to reduce morbidity and to prevent complications. We will review your information and prescribe an appropriate medication.

Overview: Gonorrhea is a purulent infection of the mucous membrane surfaces caused by Neisseria gonorrhoeae. N gonorrhoeae is spread by sexual contact or through transmission during childbirth.  Some people many have minimal or no symptoms

Symptoms:

In women: Thin, purulent, and mildly odorous vaginal discharge, dysuria, usually without urgency or frequency, intermenstrual bleeding, dyspareunia (painful intercourse), mild lower abdominal pain.

In Men:  Urethritis: initial characteristics include burning upon urination, and a serous discharge; a few days later, the discharge usually becomes more profuse, purulent, and, at times, tinged with blood. 

Management: We will review your information and proscribe an appropriate medication.

Overview: Genital herpes is a chronic, lifelong recurrent viral infection caused by HSV-2 mostly transmitted by persons unaware that they have the infection.  The virus lies dormant in the body and the symptoms can recur for years.

Symptoms:  Pain, itching, and small sores, pins and needles sensation, small itching bumps or blisters, around the genitals or anus, vesicular lesions that ooze into painful ulcers and scab as they heal.

Management: We will review your information and prescribe an antiviral and any other appropriate intervention if indicated.

Overview:  Genital warts are epidermal manifestation of the human papillomavirus (HPV).  It is transmitted through direct skin-to-skin contact and looks like cauliflower growth in the genital areas. The lesions develop about 3 months after contact exposure. They may regress spontaneously, remain static, or progress.

Symptoms: Painless bumps, Pruritus (itching), and discharge, coital bleeding (during sex) also may occur.

Management: Warts generally regress spontaneously within months or years. In the absence of Ablative therapy or Cryotherapy, Keratolytic topical solution or Immune-response modifiers  can be used for selective people. Discuss your medical conditions and history with one of our Nurse Practitioners so we can help you determine the appropriate intervertion.

Overview: Trichomoniasis is a sexually transmitted infection (STI) caused by the parasitic protozoan Trichomonas vaginalis. Some people have no symptoms.

In women: Yellow-green, frothy vaginal discharge,  fishy vaginal odor, vulvar irritation, redness, and soreness, painful urination and sexual intercourse, burning sensation when urinating

In Men:  Frothy or purulent penile discharge, burning and frequent urination, usually early in the morning, urethral irritation and moisture at the penile tip and under the foreskin.

Management: An antimicrobial medication is recommended.

You are also advised to get tested for other STIs, including HIV, Syphilis, gonorrhea, and chlamydia

Sexually active women: Retest for T-vaginalis approximately 3 months after initial treatment

Ureaplasma

Overview: Mycoplasma hominis and Ureaplasma species, known collectively as the genital mycoplasmal organisms, are generally considered opportunists that cause invasive infections in susceptible populations.Currently, one in five adults in the U.S. have an STD.

Symptoms: Genital ureaplasma symptoms generally appear as discharge from the genitals, discomfort through burning or stinging, frequent need to urinate, irritation around the genitals, painful sex or climaxes, and blood in urine or semen.

Management: Treatment is often empiric but ideally should be based on a microbiological diagnosis proving their presence. We will review your information and prescribe an appropriate medication.

Overview: Urethritis is an inflammation of the urethra that can have either infectious or non-infectious causes. However, the term urethritis is typically associated with urethral inflammation caused by a sexually transmitted disease (STD) as a result of Neisseria gonorrhoeae, Chlamydia, trachomatis, or Mycoplasma genitalium.

Symptoms: Many people can be asymptomatic, but symptoms may include:

• Mucoid, mucopurulent, or purulent discharge.

• Dysuria/ burning localized to the meatus or distal penis, worst during the first morning void, and made (with no urine frequency, or urgency).

• Urethral itching or stinging between voids.

• Orchalgia (Pain in the testicles)
• Symptoms may worsen during menstrual cycle.

Management:

Symptoms of urethritis typically resolve spontaneously over time, regardless of treatment. To prevent morbidity and to reduce disease transmission to others, antibiotic therapy is considered:

We will review your information and prescribe an appropriate medication.

Encourage your partner to seek treatment as well.