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Sexually transmitted infections

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Written by experienced doctors, midwives and other medical professionals – and approved by a specialist Editorial Board

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Enhancing the Welfare of Women

Expert Health Information for Women

Sexually Transmitted Infections
STI stands for sexually transmitted infection. This is an infection that is passed from one person to another during sex.
STIs are very common and there is no need to be embarrassed.
STIs can be passed on when the sexual organs touch each other, for example, when a penis touches the vagina, the mouth or anus.
They cannot be passed on by kissing, holding hands or sharing clothes.
Condoms can help to stop you from getting an STI. You can use male or female condoms. Other types of contraception do not stop STIs.
STIs can cause problems if they are not treated quickly. You often have no symptoms at all. They might make you unwell, make it difficult for you to get pregnant when you want to, or harm your baby if you are pregnant.
But most STIs can be easily treated using medication, such as tablets, creams or injections.
STIs often cause no symptoms and anyone can get tested whether they have symptoms or not. Speak to your healthcare worker to find out more.
Sometimes STIs do cause symptoms. Such as:
changes to your vaginal discharge, bleeding in between your periods or after sex, pain when you pass urine, itching, rashes, lumps or cuts to the skin, pain in your tummy or pain during sex.
If you have symptoms like these, or you have had sex without a condom, then you should get tested or speak to your healthcare worker as soon as possible.
They will ask you some questions, may examine you and offer you tests such as swabs, urine or blood tests.
If you have an STI then you should not have sex until you have been treated, so it does not get passed on.
It is important to tell anyone that you have had sex with recently, so they can get treated as well. This stops the spread of STIs. Your clinic might be able to help you with this.
STIs are very common, and you don’t need to be shy about getting advice and treatment from a healthcare worker. Getting tested and being treated quickly are important.
Remember, condoms can help to stop you from getting an STI if you have sex.

The authors of this SEXUALLY TRANSMITTED INFECTIONS program are:

  • Dr Eloise Smellie
    Specialty trainee in Sexual and Reproductive Health, NHS Lothian, UK
  • Dr Sinead Cook
    Consultant in Sexual and Reproductive Health, NHS Grampian, UK

The Welfare of Women program has been created under the General Editorship of Dr Kate Lightly, University of Liverpool, UK and is overseen by an expert International Editorial Board

The cost of producing this resource has been partly funded by an educational grant from GSK

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What are sexually transmitted infections (STIs)?

STI stands for sexually transmitted infection. STIs are infections that are passed from one person to another during sex. Condoms can help to stop you from getting an STI.

There are many different types of STI. These can affect the body in different ways. Some (such as chlamydia, gonorrhea, trichomonas vaginalis and genital herpes) might affect the genitals. Others (such as HIV, syphilis and hepatitis) can affect other parts of the body.

STIs are very common and there is no need to be embarrassed. It is important to learn how to protect yourself from STIs so you can have healthy sexual relationships.

How do I get an STI?

STIs can be passed from one person to another by vaginal sex (when a penis touches the vagina). They can also be passed on by oral sex (when a penis touches the mouth) or anal sex (when a penis touches the anus).

Some STIs can be passed from a mother to her baby when she is pregnant.

STIs cannot be passed on by kissing, holding hands or sharing clothes.

You can have more than one STI at a time and get an STI more than once.

Why are STIs important?

If STIs are not treated quickly then they can cause serious problems. They can make you very unwell (fever, pain), make it difficult for you to get pregnant when you want to or harm your baby if you are pregnant already. But most STIs can be easily treated using medication.

How are STIs treated?

If your healthcare worker thinks you have an STI or you have a positive test, then they will usually give you medication. This can be tablets, creams or an injection.

There are different treatments for different infections, and your healthcare worker will advise you.

Most STIs can be cured with medication.

Some STIs (such as HIV) cannot be cured, but you can take medication which helps you to live a normal, healthy life.

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How do I know if I have an STI?

You don't know if you have an STI until you have had a test. Often, they cause no symptoms at all. This means that you might not know if you (or the person you have sex with) have an STI.

Sometimes STIs do cause symptoms, such as: bleeding in between your periods or after sex, changes to your vaginal discharge, pain when you pass urine, itching, rashes, lumps or cuts to the skin, pain in your tummy or pain during sex.

Most women who have these symptoms do not have an STI, but it is always best to check.

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If think I have an STI, what should I do?

If you have any of these symptoms, or you have had sex without a condom, then you should speak to your healthcare worker. They will ask you about your symptoms and they might examine you and offer some tests such as swabs, urine or blood tests. If they think you have an STI then they might give you medication.

STIs are very common and there is no need to be embarrassed about getting advice or treatment.

Your healthcare worker will not tell anybody why you have consulted them.

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Can I have sex when I have an STI?

No, if you think you have an STI, then you should not have sex until both you and your partner have been tested and treated. If you need medication, then you should wait until you and your partner have finished taking this before having sex.

Why do I need to tell my partner?

It is important to tell anyone that you have had sex with recently, so they can get tested and treated as well. This stops the spread of STIs. Your healthcare worker might be able to help you with this.

How can I prevent STIs?

Using condoms when you have sex can help to stop STIs. You can use male or female condoms. Other types of contraception (family planning) help to stop you from getting pregnant but do not stop STIs. It is safe to use condoms and all other types of family planning at the same time.

STIs are passed from one person to another during sex. This means that, when you have sex with different people, you are more likely to get an STI. You can test for STIs even if you don’t have any symptoms. This means you can test for an infection whenever you have sex with somebody new.

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The authors of this SEXUALLY TRANSMITTED INFECTIONS program are

  • Dr Eloise Smellie, Specialty trainee in Sexual and Reproductive Health, NHS Lothian, UK
  • Dr Sinead Cook, Consultant in Sexual and Reproductive Health, NHS Grampian, UK

The Welfare of Women program has been created under the General Editorship of Dr Kate Lightly, University of Liverpool, UK and is overseen by an expert International Editorial Board

The publishing reference for this program is: DOI 10.3843/GLOWM.w10089

The Welfare of Women information program is an attempt to provide women everywhere with access to reliable information about key health issues that may be relevant to them. Information is offered at three separate levels which women may select according to their preferences; firstly, short video animations with voice commentary, secondly, more detailed text-based descriptions, and thirdly, links to recommended further reading. With the animated videos, women can also select the images that they feel most comfortable in viewing from a short range of very generalized and non-specific ethnicity options. Because of the special programming used, both the videos and the text information can – when authorized – be translated into any language in a simple and rapid manner.

Recommended links for more comprehensive and detailed reading

Resources the author(s) used in preparing this guidance