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236       SEX


        Viral STIs                                                         SEE ALSO
                                                                           ‹
                                                                           ‹ 224–225  Sex
                                                                            230–231  Safer sex
        Sexually transmitted infections (STIs), also known as sexually     ‹ 232–233  Contraception
        transmitted diseases (STDs), can be spread by vaginal, oral, or anal   ‹ 234–235  Bacterial and parasitic STIs
        sex. STIs can have a variety of causes, among them viral infections.

        Viral STIs
        A virus is a microorganism that multiplies inside the cells of other living organisms, and
        can cause serious harm. Unlike bacteria and parasites, viruses can’t survive away from a
        host cell. They need host cells inside which they multiply. Viruses can enter the body from
        the environment or through contact with other people.


                     Causes                  Symptoms                 Diagnosis      Treatment

         Genital     Genital herpes is caused by    Small, painful blisters, or sores   A doctor or    There is no cure for genital
         herpes      the herpes simplex virus (HSV),   usually develop, which may    nurse will   herpes, but the symptoms
                     which can be spread by skin   cause itching or tingling, or    diagnose genital   can usually be controlled
                     contact. HSV remains dormant   make it painful to urinate.  herpes based on   using anti-viral medicines.
                     (inactive) most of the time.                     visible symptoms.
                     Some triggers, such as illness,
                     stress, or alcohol, reactivate
                     the virus, causing blisters to
                     develop. It is highly contagious,
                     especially when a person
                     has sores.


         Hepatitis B  This is an infection of the    Symptoms can include painful   Hepatitis B can    There is a vaccine for
                     liver caused by a virus spread   sores around the genital and    be serious, so it’s   hepatitis B for those most
                     through bodily fluids. Most   anal area, nose, and mouth    important to get   at risk. Treatment varies
                     often spread by unprotected   (cold sores).      medical advice    based on how long it’s
                     sex, hepatitis B can also be                     if there is a   been since the person was
                     spread by blood and bodily                       possibility of   first exposed to the virus.
                     fluids; for example, by a mother                 infection. Hepatitis   After six months, the
                     to her newborn baby, injecting                   B is diagnosed   infection is incurable,
                     drugs, unclean tattoo or body                    with a blood test.  but medicines are
                     piercing equipment, or sharing                                  available to keep the virus
                     infected toothbrushes or razors.
                                                                                     under control and reduce
                                                                                     the risk of liver damage.


         HPV (genital   It is spread by      Small, fleshy growths, bumps,    Diagnosed    It’s treated with creams
         warts)      skin-to-skin contact.   or skin changes can appear on or   with a simple   or by freezing the warts
                                             around the genital or anal area.    examination by a   (cryotherapy). Vaccinations
                                             It can lead to cancerous growths.   doctor or nurse,   are offered to females
                                             Usually HPV is painless, but it    possibly using a   aged 12–13 against HPV
                                             may cause itching, redness, or,   magnifying lens.  because it is the main
                                             occasionally, bleeding.                 cause of cancer of the
                                                                                     cervix (neck of the womb).







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