Common STI symptoms

Dr Tendai Zuze Health Matters
AS we approach ICASA (The International Conference on AIDS and STIs in Africa) which Zimbabwe will host this year, here are a few examples of some common sexually transmitted infections and their symptoms: Remember

though, that STI symptoms aren’t always obvious.

If you think you have an STI, see a doctor. Some STIs can be treated easily and eliminated, but others require more involved, long-term treatment. When you get treatment for an STI, it’s essential to inform all your sexual partners so they can also be evaluated and treated.

Chlamydia is a bacterial infection of your genital tract. Chlamydia may be difficult for you to detect because early-stage infections often cause few or no signs and symptoms. When they do occur, they usually start one to three weeks after you have been exposed to Chlamydia. Even when signs and symptoms do occur, they’re often mild and passing, making them easy to overlook. Signs and symptoms may include:

Painful urination

Lower abdominal pain

Vaginal discharge in women

Discharge from the penis in men

Pain during sexual intercourse in women

Testicular pain in men

Gonorrhoea is a bacterial infection of your genital tract. The first gonorrhoea symptoms generally appear within two to 10 days after exposure. However, some people may be infected for months before signs or symptoms occur. Signs and symptoms of gonorrhoea may include:

Thick, cloudy or bloody discharge from the penis or vagina

Pain or burning sensation when urinating

Abnormal menstrual bleeding

Painful, swollen testicles

Painful bowel movements

Anal itching

Trichomoniasis is a common STI caused by a microscopic, one-celled parasite called Trichomonas vaginalis. This organism spreads during sexual intercourse with someone who already has the infection. The organism usually infects the urinary tract in men, but often causes no symptoms in men. Trichomoniasis typically infects the vagina in women. When trichomoniasis causes symptoms, they may range from mild irritation to severe inflammation. Signs and symptoms may include:

Clear, white, greenish or yellowish vaginal discharge

Discharge from the penis

Strong vaginal odour

Vaginal itching or irritation

Itching or irritation inside the penis

Pain during sexual intercourse

Painful urination

Genital herpes is highly contagious and caused by a type of the herpes simplex virus (HSV). HSV enters your body through small breaks in your skin or mucous membranes. Most people with HSV never know they have it, because they have no signs or symptoms. The signs and symptoms of HSV can be so mild they go unnoticed. When signs and symptoms are noticeable, the first episode is generally the worst. Some people never experience a second episode. Other people, however, can experience recurrent episodes over a period of decades. Genital herpes signs and symptoms may include:

Small, red bumps, blisters or open sores (ulcers) in the genital, anal and nearby areas

Pain or itching around the genital area, buttocks and inner thighs

The initial symptom of genital herpes usually is pain or itching, beginning within a few weeks after exposure to an infected sexual partner. After several days, small, red bumps may appear. They then rupture, becoming ulcers that ooze or bleed. Eventually, scabs form and the ulcers heal. In women, sores can erupt in the vaginal area, external genitals, buttocks, anus or cervix. In men, sores can appear on the penis, scrotum, buttocks, anus or thighs, or inside the urethra, the tube from the bladder through the penis.

While you have ulcers, it may be painful to urinate. You may also experience pain and tenderness in your genital area until the infection clears. During an initial episode, you may have flu-like signs and symptoms, such as headache, muscle aches and fever, as well as swollen lymph nodes in your groin. In some cases, the infection can be active and contagious even when sores aren’t present.

Genital warts, caused by the human papillomavirus (HPV), are one of the most common types of STDs. The signs and symptoms of genital warts include:

Small, flesh-coloured or gray swellings in your genital area

Several warts close together that take on a cauliflower shape

Itching or discomfort in your genital area

Bleeding with intercourse

Often, however, genital warts cause no symptoms. Genital warts may be as small as 1 millimetre in diameter or may multiply into large clusters.

In women, genital warts can grow on the vulva, the walls of the vagina, the area between the external genitals and the anus, and the cervix. In men, they may occur on the tip or shaft of the penis, the scrotum, or the anus. Genital warts can also develop in the mouth or throat of a person who has had oral sex with an infected person.

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