Management or Treatment of Sexually Transmitted Diseases (STDs)

Definition of Sexually Transmitted Diseases (STDs):

The sexually transmitted diseases (STD) are a group of communicable disease that are transmitted predominantly by sexual contact and caused by wide range of bacterial, viral, protozoal, and fungal agents and ectoparasites.

Sexually Transmitted Diseases (STDs) Management
Fig: Sexually Transmitted Diseases (STDs) Management

How to Manage or Treat Sexually Transmitted Diseases (STDs)?

1. Syndromic treatment:

  1. For vaginal discharge in all cases: Treat for vaginitis (Trichomoniasis and BV plus candidiasis).
  2. If the risk assessment is positive and or discharge from the cervix is detected: Treat for cervicitis (Gonorrhea and chlamydial infection).
  3. Syndromic treatment for urethral discharge includes both gonorrhea and chlamida.
  4. Therapy for uncomplicated gonorrhea:
  • Ciprofloxacin, 500 mg orally, as a single dose (for 7 days. Or
  • Ceftriaxone, 125 mg by intramuscular injection, as a single dose. Or
  • Cefixime, 400mg orally, as a single dose.

2. Therapy for Chlamydia:

  • Doxycycline, 100 mg orally, twice daily for 7 days. Or
  • Azithromycin, 1 gm orally, as a single dose.

3. Recommended regimen for chlamydial infection during pregnancy:

  • Erythromycin, 500 mg orally, 4 times a days for 7 days. Or
  • Amoxycillin, 500 mg orally, three times a day for 7 days.

[Patients should be advised to return if symptoms persist 7 days after start of therapy]

Social and Behavioral Factors Involved in the Spread of Sexually Transmitted Diseases (STDs):

Social and behavioral factors involved in the spread of Sexual Transmitted Disease STDs are-

  1. Prostitution: The prostitute acts as a reservoir of infection. The prostituant (male component of prostitution) is equally important.
  2. Broken homes: Children of broken families are frustrated and go to prostitutes.
  3. Sexual disharmony.
  4. Easy money: Prostitution provides an occupation for earning easy money.
  5. Emotional immaturity of teenagers.
  6. Social disruption.
  7. International behavioral pattern: Freedom from supervision, equal right for both sexes, relaxation of moral and cultural values, live together.
  8. Social stigma: Shy to go to VD clinic. Not disclosing the source of contact, going to quacks for treatment, and dropping out drugs before treatment is complete.
  9. Greater sexual encounter: More female employment, more co-educational sch0oling.
  10. Alcoholism: as it may encourage prostitution.
  11. Homosexuality.
  12. Easy to get contraceptive.
  13. Availability of photograph blue film pornography etc.
  14. Economic factors: Rapid economic development, greater prosperity and affluence.
  15. Absence of heal thy recreation facilities.
  16. Frequent partner change.
  17. Having more partners.
  18. Sex with casual partners.

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