Tuesday, December 18, 2007

Hello everyone,its wei feng again,today we're gonna talk about a sensitive topic..STDs.

sexually transmitted diseases (STD), a.k.a. Venereal disease (VD), is an illness that has a significant probability of transmission between humans or animals by means of sexual contact, including vaginal intercourse, oral sex, and anal sex. Increasingly, the term sexually transmitted infection (STI) is used, as it has a broader range of meaning; a person may be infected, and may potentially infect others, without showing signs of disease. Some STIs can also be transmitted via the needles used in IV drug use, as well as through childbirth or breastfeeding. Sexually transmitted infections have been well known for hundreds of years.

Acquired immune deficiency syndrome or acquired immunodeficiency syndrome (AIDS or Aids) is a collection of symptoms and infections resulting from the specific damage to the immune system caused by the human immunodeficiency virus (HIV) in humans,[1] and similar viruses in other species (SIV, FIV, etc.). The late stage of the condition leaves individuals susceptible to opportunistic infections and tumors. Although treatments for AIDS and HIV exist to decelerate the virus' progression, there is currently no known cure. HIV, et al., are transmitted through direct contact of a mucous membrane or the bloodstream with a bodily fluid containing HIV, such as blood, semen, vaginal fluid, preseminal fluid, and breast milk.[2][3] This transmission can come in the form of anal, vaginal or oral sex, blood transfusion, contaminated hypodermic needles, exchange between mother and baby during pregnancy, childbirth, or breastfeeding, or other exposure to one of the above bodily fluids.

Most researchers believe that HIV originated in sub-Saharan Africa during the twentieth century;[4] it is now a pandemic, with an estimated 33.2 million people now living with the disease worldwide.[5] As of January 2006, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO) estimate that AIDS has killed more than 25 million people since it was first recognized on June 5, 1981, making it one of the most destructive epidemics in recorded history. In 2005 alone, AIDS claimed an estimated 2.4–3.3 million lives, of which more than 570,000 were children.[6] A third of these deaths are occurring in sub-Saharan Africa, retarding economic growth and destroying human capital. Antiretroviral treatment reduces both the mortality and the morbidity of HIV infection, but routine access to antiretroviral medication is not available in all countries.[7] HIV/AIDS stigma is more severe than that associated with other life-threatening conditions and extends beyond the disease itself to providers and even volunteers involved with the care of people living with HIV.

Prevention

The most effective way to prevent sexual transmission of STIs is to avoid contact of body parts or fluids which can lead to transfer, not necessarily any sexual activity with an infected partner. (No contact equals no risk, not all sexual activities involve contact, like cybersex, masturbation from a distance, etc) Abstinence is one method of avoiding contact. Ideally, both partners should get tested for STIs before initiating sexual contact, or if a partner engaged in contact with someone else, but even then, certain STIs, particularly certain persistent viruses like HPV, may be impossible to detect with current medical procedures as they may be asymptomatic. Prevention is also key in addressing viral STIs such as HIV & herpes, as they are currently incurable. Many diseases that establish permanent infections can so occupy the immune system that other diseases become more easily transmitted.

The Innate immune system led by defensins against HIV can prevent transmission of HIV when viral counts are very low, but if busy with other viruses or overwhelmed, HIV can establish itself. Certain viral STI's also greatly increase the risk of death for HIV infected patients.

[edit] Condoms

Condoms only provide protection when used properly as a barrier and to and from the area that it covers. Uncovered areas are still susceptible to many STI's. In the case of HIV, sexual transmission routes almost always involve the penis, as HIV cannot spread through unbroken skin, thus properly shielding the insertive penis with a properly worn condom from the vagina and anus effectively stops HIV transmission. An infected fluid to broken skin borne direct transmission of HIV would not be considered "sexually transmitted", but can still theoretically occur during sexual contact, this can be avoided simply by not engaging in sexual contact when having open bleeding wounds. However, other STI's, usually persistent viral ones like Herpes and HPV, invade skin and mucous membranes, so a condom in that case may do little to stop transmission.

Condoms are designed, tested, and manufactured to never fail if used properly. There has not been one documented case of an HIV transmission due to an improperly manufactured condom. However, there have been cases of condom recall, as in a case in South Africa.[2]

Proper usage entails:

  • Not putting the condom on too tight at the end, and leaving 1.5 cm (3/4 inch) room at the tip for ejaculate. Putting the condom on snug can and often does lead to failure.
  • Wearing a condom too loose can defeat the barrier.
  • Avoiding inverting, spilling a condom once worn, whether it has ejaculate in it or not, even for a second.
  • Avoiding condoms made of substances other than latex or polyurethane, as they don't protect against HIV.
  • Avoiding the use of oil based lubricants (or anything with oil in it) with latex condoms, as oil can eat holes into them.

Not following the five guidelines above perpetuates the common misconception that condoms aren't tested or designed properly.

In order to best protect oneself and the partner from STI's, the old condom and its contents should be assumed to be still infectious. Therefore the old condom must be properly disposed of. A new condom should be used for each act of intercourse, as multiple usage increases the chance of breakage, defeating the primary purpose as a barrier. Defeated barrier equals potential transmission.

Once again,the world is coming to an end,because people can't control their sexual desires,like me! YEA! (wf)


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