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Sexually Transmitted Diseases A Teens Worst Nightmare Sexually transmitted diseases are infectious diseases that can be spread by sexual contact Some can also be transmitted by non-sexual ways but these make up a minority of the total number of cases An estimated ten to twelve million Americans have sexually transmitted diseases Sexually transmitted diseases in the United States affect both sexes all races and every economic stature STDs come from different sources Some are epidemic like gonorrhea infections of the urethra genital herpes and genital warts Some diseases are caused by a bacterium such as Chlamydia and others are from protozoan or yeast Many of these infections are transmitted largely by sexual contact with an infected person The practice of anal and oral sex also lead to cases of anal and oral infections Gonorrhea syphilis and chlamydial infections can also be transmitted from a pregnant woman to her infant either in the uterus or during birth Sexually transmitted diseases are very hard to control Some public officials attribute the increase in many of these diseases to increasing sexual activity Others say the replacement of the condom with birth control pills and diaphragms might also increase the risk of STDs Many STDs are transmitted more efficiently from men to women than the reverse perhaps because the vagina serves as a reservoir that prolongs exposure to infectious secretion Handsfield 2 The physical examination of patients with STD or at risk is a simple procedure All patients require inspection of the entire skin surface At a minimum they carefully inspect all skin surfaces that are uncovered or exposed during genital examination This includes the face head hands lower arms lower trunk pubic area thighs mouth and throat Also checked in men are the genitals and the pubic and inguinal regions the penis urethra urethral bulb and the scrotum are checked for tenderness and other abnormalities For homosexually active men the anus and perineum are carefully inspected The examination
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