source: STDs

Overview

A sexually transmitted disease (STD) is a disease caused by a pathogen (e.g., virus, bacterium, parasite, fungus) that is spread from person to person primarily through sexual contact. STDs can be painful, irritating, debilitating, and life threatening. More than twenty sexually transmitted diseases have been identified.

Incidence and Prevalence
STDs occur most commonly in sexually active teenagers and young adults, especially those with multiple sex partners. An estimated 200 to 400 million people worldwide are infected-representing men and women of all economic classes.

According to the U.S. Department of Health and Human Services, in the United States more than 13 million people are infected each year and more than 65 million have an incurable STD. Generally, STD incidence has declined in the United States over the past 15 years, although rates among certain populations, including men who have sex with men, have increased.

Characteristics
Most STDs cause relatively harmless disease, producing few or no symptoms. However, some produce persistent asymptomatic or minimally symptomatic disease (e.g., chlamydia). Some people carry the disease for days or weeks, while others carry the disease for longer periods, even for life. During this time, an infected individual, or carrier, can spread disease.

In persistent infection, the pathogen evades detection by the immune system and remains fairly inactive, causing no overt disease. This inactivity is called latency. However, certain triggers (e.g., stress, immune suppression, injury) can reactivate latent pathogens. In some cases, reactivated disease is asymptomatic (e.g., chlamydia); in others, overt (e.g., genital herpes); and in still others, severe and even fatal (e.g., HIV/AIDS).

Complications of STD infection include pelvic inflammatory disease (PID) and inflammation of the cervix (cervicitis) in women, inflammation of the urethra (urethritis) and inflammation of the prostate (prostatitis) in men, and fertility and reproductive system problems in both sexes.

Possible consequences to an infant infected while in the womb or during birth, include stillbirth, blindness, and permanent neurological damage.

A person infected with an STD is more likely to become infected with HIV, and a person infected with HIV and another STD is more likely to transmit HIV.

Treatment

Viral STDs, such as genital herpes (HSV) and human immunodeficiency virus (HIV), cannot be cured, but symptoms can be managed with medication. Bacterial STDs, such as gonorrhea and chlamydia, can be cured with antibiotics. Fungal (e.g., vaginal yeast infection) and parasitic (e.g., trichomoniasis) diseases can be cured with antifungal and antihelminthic agents, respectively. Early diagnosis and treatment increase the chances for cure.

Prevention

The only sure way to avoid becoming infected with an STD is monogamy with an uninfected partner. It is important for partners to discuss their sexual and STD history before having sex. Prevention is possible only if sexually active individuals understand STDs and how they are spread.

The risk for transmission is dramatically reduced with the use of condoms. The following behaviors and conditions can increase the risk for STDs:

Engaging in sexual activity when either partner has unhealed lesions (e.g., genital herpes sores, genital warts)
Enema or rectal douching before rectal intercourse
Rectal or vaginal irritation or infection
Sexual activity that may damage the mucosal lining of the vagina or rectum
Tampon use (Tampons can cause vaginal dryness and cellular abnormalities. Sanitary napkins, either disposable or washable cotton pads, are recommended.)
Vaginal dryness (Water-based lubricant is recommended.)
If you suspect you have an STD, see your physician immediately.

Yeast Infection

As many as 75% of women experience genital candidiasis, also known as vulvovaginal candidiasis (VVC), candidal vaginitis, monilial vaginitis, monilial infection, and vaginal yeast infection during their lifetime. Overgrowth of the fungus Candida albicans, normally present in vaginal flora, causes an allergic reaction that produces symptoms. It most commonly occurs in sexually active young women and is the most commonly diagnosed vaginal infection.

Genital yeast infection generally is not considered to be a sexually transmitted disease, but it is possible to acquire infection from a partner with genital or oral colonization. Men with genital yeast infection are usually asymptomatic.

Causes and Risk Factors

Vulvovaginal candidiasis is an opportunistic infection associated with risk factors that disrupt the body's natural defense against proliferation and infection, such as the following:

Broad-spectrum antibiotic use
Diabetes mellitus
Douching
Immunodeficiency
IUDs
Pregnancy
Scented feminine hygiene products
Steroid use
Signs and Symptoms
Itching, burning, and vulvovaginal pain, irritation, and inflammation are common symptoms of yeast infection. Thick, white, cottage-cheesy vaginal discharge may coat the vaginal walls. There is no foul odor. Urination and intercourse may be painful.

Diagnosis

Cultures, a pH level check, and microscopic examination of vaginal secretions are usually performed to confirm the diagnosis and help rule out other possible infections.

Treatment

A single dose of fluconazole or antifungal vaginal cream containing miconazole or clotrimazole is typically prescribed. Creams usually are used for 3 to 7 days. Chronic yeast infection may be treated with oral antifungal drugs for an extended period of time.

Most physicians discourage women from diagnosing and treating themselves with over-the-counter medications, because symptoms may be produced by more serious vaginal infections, such as bacterial vaginosis or trichomoniasis. Some over-the-counter medications contain ingredients that relieve symptoms but do not effectively treat the infection.

Chancroid

Chancroid is a highly infectious bacterial disease caused by Haemophilus ducreyi that affects the skin and mucous membranes of the penis, vulva, urethra, and anus. It produces painful irregularly shaped nonsyphilitic ulcers (called chancroids, soft chancres, or soft sores) that may heal without treatment.

Incidence and Prevalence
THe number of new cases of chancroid in the United States dropped to approximately 140 in 1999. Chancroid is most common in men aged 25 to 35. Some tropical regions, Canada, and some European countries have experienced recent outbreaks.

Causes and Risk Factors

A person who has a chancroid sore may transmit the disease during vaginal, anal, or oral sex. Ejaculation is not necessary for infection to spread. An uncircumcised man is more likely to contract the disease, because foreskin may hinder hygiene, hide sores, and promote the spread of bacteria. The disease cannot be spread to infants during childbirth.

Signs and Symptoms

First signs of infection typically appear 3 to 5 days after exposure, although symptoms can take up to 2 weeks to appear. Initially, a tender bump develops at the site of contact. After 1 or 2 days, the bump develops into one or more shallow sores (ulcers) that break open, deepen, and become inflamed. Ulcers are pus filled, painful, and may persist for several weeks. In men, they are most common at the base of the head of the penis (glans), though they can appear on the penis shaft. In women, ulcers are typically found on the labia and near the clitoris.

Less commonly, infection spreads to the scrotum, perineum (between scrotum or vagina and anus), anus, rectum, and thighs. Touching the ulcers can transfer bacteria to the fingers, which can transfer bacteria to other areas, including the mouth, during contact. Anal sores may bleed and cause pain during defecation. Men often develop one to four sores on the penis, and foreskin may swell. Women may develop ulcers around the vagina and rectum and may experience vaginal discharge. Painless sores can also develop on the cervix.

In about 50% of cases, mostly men, the lymph nodes in the groin develop into inflamed, pus-filled swellings (buboes) that can develop and enlarge until they burst the skin. They drain continuously, remain open, and can become infected by other bacteria. The infection can spread to other parts of the body by scratching or rubbing. A burst bubo can take months to heal completely. Open ulcers increase the risk for contracting other STDs, including HIV.

Diagnosis

The presence of Haemophilus ducreyi, seen under a microscope, indicates the disease. Diagnosis is often confirmed by a culture or biopsy of an ulcer. Although the bacteria do not enter the bloodstream, a blood test is performed to rule out or identify the presence of other STDs, including syphilis and genital herpes.

Treatment

Chancroid has become resistant to penicillin and tetracycline. Regular doses of erythromycin, trimethoprin, or ciprofloxacin are given for up to 2 weeks. Alternatively, azithromycin or ceftriaxone may be given in a single dose. A follow-up examination is typically required 7 days after starting treatment. Healing usually takes 10 to 11 days, but may take 2 weeks. Buboes may need to be drained with a needle (aspirated) under local anesthesia and scarring may occur from those that burst on their own.

Chancroid is a local infection that has no long-term effects. Recurrence is experienced in less than 10% of cases and may result from improper use of medication (e.g., not taking the entire prescription), a weakened immune system, or re-exposure to the bacteria through recently healed skin.

Chlamydia

Nongonococcal urethritis (NGU) is a nongonorrheal bacterial infection of the urethra (tube that carries urine out of the body) in men. NGU involves Chlamydia trachomatis, which causes chlamydia. The term NGU refers to the condition in men and chlamydia refers to the condition in women.

Incidence and Prevalence
According to the Centers for Disease Control and Prevention (CDC), chlamydia is the most common bacterial infection in the United States. The CDC estimates that 3 million new cases occur each year; however, because as many as 75% of infected women and 50% of infected men do not experience symptoms, only about 500,000 cases are reported annually.

Chlamydia is most prevalent among teenagers. Nearly 75% of all new cases occur in women under the age of 25. By age 30, 50% of sexually active women have been exposed to chlamydia. NGU is the most commonly diagnosed sexually transmitted disease in men in the United States.

Causes

Bacteria are spread through direct sexual contact involving the genitals, anus, or mouth. Several types of bacteria cause NGU and many are undetectable during diagnosis. The most common are Chlamydia trachomatis (causes 50% of cases), Mycoplasma genitalium, and Ureaplasma urealyticum.

Signs and Symptoms

Most people who develop NGU for the first time do so 1 to 3 weeks after having sex with a new partner. Symptoms may be similar to those of gonorrhea and include yellow or clear urethral discharge; pain and tenderness in the genitals; pain, burning, and itching during urination; and low-grade fever. Orogenital or oral-anal contact can result in throat infection (pharyngitis) and inflammation of the rectum (proctitis). Some women experience pain or cramping in the lower abdomen, especially during intercourse, and bleeding between menstrual periods.

Inflammation of the cervix (cervicitis) with discharge is common. Notably, most infected women and 50% of infected men experience no symptoms.

Complications
In men, untreated NGU can cause epididymitis, inflammation of the reproductive system that may result in fertility problems. Symptoms resolve in about 60% of untreated chalmydial infections.

About 40% of women with untreated chlamydia develop pelvic inflammatory disease (PID), which creates a risk for infertility, endometriosis, and other reproductive tract problems.

Pregnant women with chlamydia are at increased risk for miscarriage and premature detachment of the placenta (abruptio placentae). Babies born to infected women may suffer eye, ear, genital, and lung infections; serious infection can be fatal to an infant.

Women with chlamydia are 3 to 5 times more likely to become infected with HIV if they are exposed to the virus.

Diagnosis

Diagnosis involves observing signs and symptoms and analyzing urethral discharge (usually at least 4 hours after urination). Urine is usually collected in the morning. Urethral inflammation may be noticeable. If discharge is present, a sample is collected and cultured to determine the presence of and identify bacteria. Blood tests are performed to check for signs of infection. A small cotton swab is inserted just inside the urethra to collect cells to check for other STDs.

Because infection may be asymptomatic, people with multiple sex partners should be tested annually, even if they feel fine.

Treatment

Antibiotics are used to fight the infection; treatments may vary for men and women. A single dose of azithromycin (Zithromax®) or a 7-day course of doxycycline (Periostat®) usually is prescribed. Erythromycin is the preferred treatment for pregnant women, nursing mothers, infants, children, and adults unable to tolerate tetracycline. Recurrent NGU that is not associated with re-exposure may be treated with a drug that was not previously used. Ofloxacin (Floxin®) may be used for recurrent NGU if the white blood cell count is high.

Gardnerella Vaginitis

Bacterial vaginosis (BV) is characterized by the overgrowth of certain bacteria in the vagina, including Gardnerella vaginalis, Gardneralla mobiluncus, and Mycoplasma hominis. Bacterial vaginosis is grossly underdiagnosed because many women assume they have a yeast infection and treat symptoms with over-the-counter medications.

Incidence and Prevalence
Bacterial vaginosis accounts for 60% of vulvovaginal infections. Young adult women, particularly those who are sexually active, are most commonly affected.

Causes and Risk Factors

BV is caused by a change in the natural balance of bacteria in the vagina. Lacotbacillus, helpful bacteria, metabolizes glycogen to lactic acid in the vagina and maintains normal vaginal pH, which provides a natural defense against unhealthy bacteria proliferation.

When the defense is weakened, other bacteria present in the vagina (e.g., Bacteroides sp, Peptostreptococcus sp, Gardnerella vaginalis, G. mobiluncus, Mycoplasma hominis) proliferate and cause symptoms. Aboout 50% of women have G. vaginalis in their vaginal flora but do not develop infection.

Broad-spectrum antibiotics may destroy healthy bacteria, disrupt the vagina's normal flora, and promote infection. Douching, overused or retained tampons, intrauterine contraceptive devices (IUDs), diaphragms, contraceptive sponges, and products containing nonoxynol-9 may also disrupt the balance.

Bacterial vaginosis also is associated with having multiple sex partners, a new monogamous sexual relationship, and a history of STDs.

Signs and Symptoms

A fishy vaginal odor, itching, and irritation are common signs of BV and may be particularly noticeable after intercourse or menses. It may be accompanied by a smooth, sticky white or gray discharge 4 days to 4 weeks following exposure. Elevated vaginal pH level is also a symptom.

Complications
BV is associated with pelvic inflammatory disease (PID), infertility, tubal (ectopic) pregnancy, premature birth, and low birth weight in infants born to infected mothers.

Diagnosis

Diagnosis is usually made by visual observation and by smell. A pelvic examination is performed to determine whether the cervix is producing abnormal secretions and to check for other diseases.

Vaginal fluid may be treated with a 10% solution of potassium hydroxide (KOH), which makes the characteristic odor more pronounced. A sample is usually taken for microscopic examination to confirm the presence of bacteria, and pH levels are checked. Most physicians recommend a full STD screening.

Treatment

Antibiotics such as metronidazole and clindamycin are generally prescribed, as oral (pill) or topical (cream) treatments. When used topically, these medications may cause side effects such as stinging, burning, and irritation. Douching should be avoided.

Sex partners may require treatment if infection recurs.

read the rest here:

Genital warts
Gonorrhea
Granuloma
Herpes
Lymphogranuloma
Molloscum
Crabs
Scabies
Syphilis
Trichomoniasis

very good piece of information

shadow.....got alot of experience.....nice piece of work though......

thank you!!!

thank you but very long le...need free time only can read de...

Very good information u got there

A lot of my frens (who r sexually active) r ignorant about STDs

Should show 'em this. But it is rather long. Is there a quick summary tat shows Name, Symptoms, What happens to u if u get the dieases, Treatment? Sumthing like how CLEO mag would summarize it

it's better not to know much bout std if wanna do ons

coz i know a lot...make me dun dare to do it altho got chances...

just make sure ur partner is clean... or condom all the time.. condom reduce risk of STD

yeah...
too many to read... so lazy! anyway, the info is good
avoid raw-sex, or sex rambang, then u safe lor!
or else, limit ur partner no., never change frequently
or do with strangers! I think so...

Duh......avoid (never) have sex b4 marriage...

Done.....I rest my case.

Sex is good
But play safe at all times

Yup.

Sky jumping is dangerous but fun.

If you want to do it, make sure to equip a parachute.

Same thing with sex.

i think its best to put a condom on at all times. its not just abt STD we're preventing but unwanted pregnancy as well. we have to be responsible for ourselves and also our partner.

theres nothing wrong in having sex(im not promoting pre-marital sex), but do the right thing, put on a rubber. ignore ppl who tell u without rubber more siok la etc etc. those ppl are just plain ignorant. wait till they kena HIV or something then we'll see what so siok abt that.

The parachute might fail sometimes. Same thing with sex.

the safest sex is no sex

by the way, how to know that our partner is free from STD? I mean beside checking with the medical?

Check for synptom?

I don't think so. The person might be a carrier and yet does not display the symptoms until later.

Yep, looking for signs of infection doesnt work. For example: a person with aids taking modern medications would look like everyone else, and be in relative good health.

LOL..You cannot check whether the person is clean or not via physical examinations itself since it depends totally on the stages of the manifestation of the disease.

Like wise with condom, it can reduce the risk but there's also a few percentage of risks which includes if there's any minor cuts/injury from oral sex.

I have patients whom the wife has been "playing" around and the husband did not know until his wife was pregnant and a mandatory STD test was taken proven to be positive for herpes infection. The fetal life was in danger, the first thing that came to our mind was the husband's "fault" but when we did the test on him, the results came back to be negative. So how sure are u along the road of marrige that such things could not happen?

This post has been edited by hamster9: Oct 14 2006, 10:42 AM

there is no safest way to have sex ,but use condom if still hassitate about someone status , just remember that prevent is better than cure , and there is no cure for hiv/aids , we still have to practice safe sex like mastubation or use condom , but still can get infected ,because if you practice safe sex use condom ,how can you ejaculate and have a baby

I've one question to ask though - my cousin just found out that she's 2 months pregnant and during a recent trip to a clinic, the doctor said she had contracted VD ( I don't remember the name of it ).

She's seeking a 2nd opinion now and I was wondering, would it harm her foetus? The VD, I mean. I haven't ask her about it because I'm afraid of freaking her out.

VD as in venereal diease?
i thought that was just another way of saying STD (sexually transmitted diease)

Ya, I meant, the doctor told her that she contracted a STD. She told me the name of the STD, but I don't remember what it's called. Herpes? Hermes?

google it
there's plenty of info on the net

http://familydoctor.org/091.xml

according to this site there's a chance of it spreading to her child

edit: -
i feel sorry for ur cousin

This post has been edited by nezzy: Dec 11 2006, 09:05 PM

Oh My God.

Thanks for the link Nezzy. I'll call her later.

No problem

hopefully she'll be ok

speaking of STDs, i have found this website and i have read about it. you might want to check it out.

walau make me scare

STDs can kill you... the most common one is getting HIV/AIDS

follow the link i gave and read about it

may i know if aids can be transmitted by touching hand?

No. http://en.wikipedia.org/wiki/Aids

They really should teach these kinds of things in school.

HIV and AIDS aren't really detectable STDs.

it may vary from individual and time. sometime one may not know he or she has contracted HIV/AIDS even after a few years.

this webpage here can tell you a little more about the common STDs on how they can be transmitted and some general details about them

http://www.ruthinking.co.uk/help/sti.aspx

depends la. Usually the doctor will give her antibiotics jab la (but not most of the time since the doctor need to further examine the mother again)

no sex? i think it is quite imposible la.. i think the safest is to make sure your partner do not carry any STD.

add picture ^^ 100% will cause at least one of the forummers to stop.... doing it everywhere... experience am i

I agree...i might happen Sometimes

Try trees. Trees don't have STD. Pokok getah for extra protection.

gosh getting protection directly from the latex???

Hehe. But be careful la don't do it at night. Later see wrongly, actually it's banana tree. Banana tree not on pill.

Stay on topic.

Here's another link i've got

http://www.hesaysyousay.co.uk
http://ruthinking.co.uk

All the STDs are notifiable diseases in Malaysia.....means, when u get it, everyone beside u will nkow it IF u seek treatment..

]
And they will stay away from you being fear of getting contracted. Well who wouldn't?

dude....what is STD???standing side by side can get infected???lol

No it's not that i am meaning way... Who wouldn't fear of contracting STDs???

very good and professional articles. are you from pharmachy or medical course?

'STD' has been changed to 'STI' a couple of years back
If possible pls refrain from saying STD to your patients, many are only minor infections and can be easily treated
The hosp that I am working in has informed all docs to use 'STI' instead
Misinterpretation of the terminology by patients may result in psycho-immuno complications as well as treatment behaviour/ compliance
Thanks

This post has been edited by veon: Jan 27 2007, 03:00 PM

You asking me?

Yes I did realized a while ago. But we are so used to saying STD instead of STI.

can gential wart been healed? where can check whether got STD or not? If never have sex b4 but only masturbate will carry STD or not?

This post has been edited by ben3003: Feb 17 2007, 02:14 AM

I just wonder will those HIV Positive ppl able to get healthy baby...saying like if a men got HIV and they took his sperm via laboratory without any physical contact between male and female and inject the sperm to a women who is HIV Negative.............

afaik,it depends,some are infected as well some are not

how about my question? Anyone plz? If the penis head there got like bintik bintik kecil consider as gential wart or herpes? I just wanted to ask if never have sex b4 but got masturbate will get this two disease or not. Thanks!

Dude, please go see a doctor for a proper assesment.

This is just like asking you: How you like the dots on my tie?

Have u try to wash it? mayb is the leftover after u masturbate

lolz.. impossible is leftover ma, oleidi so long at there.. is like tiny little dots on some area at the skin there..

I am very curious. I read somewhere that you can't contract HIV/AIDS by kissing.

But the same article mentioned that toothbrushes should not be shared. How exactly is the virus spread through anal sex? Will it only happen if there is a cut or tear in the rectum? In that case, does that mean that if both partners have cuts in their mouths, it is possible to spread the virus through kissing?

I'm sorry if I sound ignorant, I've tried to find the answer but generally, no articles provide the information I'm seeking.

My layman knowledge:
HIV/AIDS not contracted via saliva, but by blood can... so if tongue has a cut, then good luck to u!

Toothbrushes not to be shared... coz brushing of gums might cause bleeding (for hardcore brushes) and thus contract the virus via the toothbrush

spreading by anal sex... dono how its spread... but know that any sex wif HIV/AIDS person is habis liao... tentu spread ady

both have cuts in mouth, yes, can contract if 1 of em HIV positive...

Thats my layman knowledge... maybe those in medic line can help.. ehhe

p/s: my Ques: If have sex wif a person HIV positive but am wearing condom... can the virus spread? thanks

---

Added on February 26, 2007, 10:59 pmmaybe its tissue paper u used to wipe it... ehehehe

This post has been edited by khangchween: Feb 26 2007, 10:59 PM

when i was 18,
i discovered i got some bintik on my brother
scared like hell
went to a few normal doctors nearby, say is fungus la, bacteria la.
***
then i went skin specialist,
he says
"whats the problem young man? ok what.."
so actually i had frotcher spots and pearls penis
only 5% of world population has it
come to think of it, hey i've a cool d***!

what's the % of getting it(STI) with protection?

NO SEX is definitely NO!! Everyone has got to have sex!! Cause it's healthy to have sex!! Use condoms!! Well, luckily I'm aware of STD in my uni!

oral sex cant transmit std?

http://sexuality.about.com/od/saferse1/a/safer_oral_sex.htm

There you go!

of course can.

safe sex = have something between you and your partner. e.g. condom.

its called 'sebaceous promenade' i think . So how do u deal with ur gal when she saw it??

haha.. I once read an article from Cleo stated that sexual activity can burn calories. . I also think that it's true la coz sex needs a lot of energy :shy:

sex is pleasant. sex is good. but sex might also be ur miserable company in the future.

Safest sex are masturbation and sex-chat. But not as pleasant, isn't it?

There's no telling u can get STDs or not. You might be wearing 5 layers of condoms but still get one, or threesome homosexuals would do anal and blowjob without wearing anything but are still perfectly healthy. At this rate, if you still wanna get some pleasure, u just have to take the risk.

Different people have different upbringing and their own POVs about sex and romance. As for me, the one who keeps his/her virginity until marriage will lead happier and healthier lives, because sex is not the only thing that keeps them alive.

hey, sleeping also burn calories lah...
if you want people to have sex or masturbate until drop 10kg, that's impossible.
btw, girls don't burn a lot of calories when they get laid, most of the time they just lie there like kayu.

not all girls like that .... some like to sit upsite haha....

I should stop doing orals.

for ur info, masturbation aint sex
sex requires 2 unless its asex

haha
and my view is that, sex should be when ur most ready for the consequences of it and willing to do it mutually...then its good
sex in marriage does not mean its happy...haha
nor would it necessecarily be healthy

ala...orals does not need to be stopped
felatio can be done anytime
but cunninlingus...require female to wash up first la...
if not, there'll be white substances creaking out from the lady's promised land...hahaha...although its nothing
busuk la

^i don't believe so. IIRC, oral sex can get lovebugs on u too.

i've been tryin to get some answers abt oral. so far most sites addresses fellatio only. muff-divin still remains a gray area for me. hence my question:

i heard of an oral contraceptive from somewhere. does anyone know its safety percentage and where can i get it. Heck, if u can tell me how nasty it tastes, that would be better.

This post has been edited by YenS: May 23 2007, 04:22 PM

oral herpes can kena by sharing drinking water?

I sweat alot when I do it. That means calories are being burnt.

would just like to enquire about something
can we get STDs if both partners are negative? sorry for my blatant ignorance but i cant seem to find anything on this case..
if so, how does STDs originate?
thanks in advance

avoid have sex b4 marriage...

Wow! now i know the detail information about STD!

many thanks

yeah, i agree, avoid sex before marriage! haha

contom helps alot... owes use it when having a "hot dinner"..

Just make sure to put the safety cap on. Dun be stingy about that. 7-11 24 hours. Even oral sex can spread STD so becareful. Your bodily fluids carry many things.

sex is good.... good sex brings good health..but please pakai' condom la'. .. use those with nonocylonine ( sorry for the wrong spelling).. for extra protection

Is condom can prevent std???? Feel a bit scare get infected. But no sex b4 married, no way for me. Can't wait till married. Started it back 4 years ago.

Abstinence?no in this century anymore.

To prevent STD,most effective way is through oral sex.

Even AIDS is hardly infected from it.

I have sex almost everyday ...
If want purchase condom ... I'll broke ...

oral sex oso can get std?



This post has been edited by DaBestOne: Sep 28 2007, 03:00 AM

wear a condom for oral sex? tat's so potong steam

Extensive STD review by shadow.
Self written or compiled from other sources?

std can spread thru oral if u got an oral ulcer... eg herpes..

make sure u and ur partner is clean from std and play only 1 to 1 sex..

how to make sure? if u ask me to give her a third base , i scare herpes, these days siapa tau when the partner's been

Haha, as long as you have sex with the same partner, and know that she is clean then its ok.

Anyone can be at risk of contracting HIV. The only way to find out is go to any government clinic for an anonymous HIV test. Most effective result is wait until the window period of 3 months from last contact.

Unprotected oral can spread STD and HIV as well. It all depends on your luck. For more info, pls visit : HIV Questions & Answers

The best is to think before acting. Don't find prostitutes, Don't go ONS, Don't share needles = no worries

This post has been edited by fr33dom: Nov 18 2007, 08:29 AM

always get a dom dom with you, break it when emergency..then i would help u to prevent many things syphilis??HIV?? or a small life?? hehe