Straight, No Chaser: Sexual Assault (Rape) and What To Do If You’re a Victim

Sexualviolence

In this series on sexual assault (aka sexual violence, rape), I’m going to lean on best practices largely provided by the Center for Disease Control and Prevention and the U.S. Department of Health and Human Service. This topic is sensitive enough that nothing needs to be interpreted as subjective.

  • This Straight, No Chaser will address the definition and scope of sexual assault, including actions to take if you’re a victim of sexual assault or an attempted sexual assault.
  • Another post will discuss concrete physical and mental consequences of sexual assault and steps you can take to lower your risk of sexual assault.
  • Another post will discuss signs of sexual assault in children.

The scope of sexual assault is so vast that it’s surprising more isn’t being done to prevent it. Can you imagine the fervor we’d have if 20% of the population had cancer?

  • Nearly 20% (1 in 5) women have been victims of sexual violence at some time in their lives. The rate for men in 1 in 71.
  • It is estimated that 20-25% of college women in the U.S. have experience a rape or rape attempt while in college.
  • When surveyed, 8% of high school students report having been forced to have sex.

These self-reported numbers are generally accepted as underestimates. The stigma, shame, fear of repercussions and unlikelihood of successful prosecution deter many victims of sexual violence from reporting abuse.

 Sexualassaultdef

Is sexual assault as simple as you know it when you see it (figuratively)? Sexual assault and abuse are any sexual activities that you do not agree to, including …

  • Any inappropriate touching of another’s sexual organs
  • Vaginal, anal, or oral penetration and intercourse regardless of “no” or without expressed consent
  • Rape or attempted rape
  • Child molestation

The scope of sexual assault also includes any inappropriate verbalizations or viewing of another person– basically anything that engages another to participate in unwanted sexual contact or attention. The following are included:

  • Voyeurism (someone unknowingly viewing your private sexual acts)
  • Exhibitionism (someone exposes him/herself to you in public)
  • Incest (sexual contact between family members)
  • Sexual harassment

 sexual_assaulthelp

If you are the victim of sexual assault, there are important steps to take immediately:

  • First, get away from the attacker to a safe place as fast as you can.
  • Next, call 911 or the police or go to the emergency room where the staff can call the police and/or arrange for you to file a police report should you so desire.
  • Call a friend or family member you trust.
  • Call a crisis center or a hotline to talk with a counselor if you are experiencing feelings of fear, shame or guilt, all of which are normal after an assault. Emergency room staff will also be able to connect you to a local rape crisis center.
  • Although the urge will be overwhelming to do so, do not wash, comb, or clean any part of your body. Do not change clothes, touch or change anything at the site where the assault occurred. The entirety of your current state is needed evidence, and the emergency room or other hospital staff will need to collect evidence. The evidence obtained from you using a rape kit will include fibers, hairs, saliva, semen, or clothing that the attacker may have left behind.
  • Go to your nearest emergency room as soon as possible. You will need to be examined, treated for any injuries and screened for possible sexually transmitted infections (STIs) and/or pregnancy.

Sexual assault is never the victim’s fault. Help is available but only if you ask. Here is information on services available to you.

  • National Domestic Violence Hotline 800-799-SAFE (7233) or 800-787-3224 (TDD)
  • National Sexual Assault Hotline 800-656-HOPE (4673)

You will also have access to many local resources through your emergency room or police department. The important point is to get to safety and to help.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Filed under Genital/Urinary, Infectious Disease, Public Health, Trauma

Straight, No Chaser: Irritable Bowel Syndrome

irritable_bowel11

The irony of the name “irritable bowel syndrome” (IBS) is found in the connection between stress (in some cases, irritability) and symptoms. This can become a vicious cycle. You care about this condition because once you or your loved ones become afflicted, the symptoms involved present an uncomfortable mix of physical and mental discomfort. As you read this Straight, No Chaser, do so with a mind toward overcoming the anxiety associated with and possibly causing symptoms.

What is irritable bowel syndrome (IBS)? 

IBS is a gastrointestinal (digestive tract) disorder. The gastrointestinal (GI) tract isn’t damaged but symptoms are caused by changes in how the GI tract works. It is important to note that IBS is a group of symptoms that occur together, not a disease. At different points in the past, IBS was called colitis, mucous colitis, spastic colon, nervous colon, and spastic bowel.

How frequent is IBS?

In most studies, estimates of the frequency of IBS range from 10-15 percent. IBS affects about twice as many women as men, and it is most often found in people younger than age 45.

ibs sx

What are the symptoms of IBS?

The most common symptoms of IBS are abdominal pain, often described as cramping. This is typically accompanied with changes in bowel habits. Other symptoms of IBS may include bloating, constipation or diarrhea, passing mucus or feeling that a bowel movement is incomplete.

To specifically meet the criteria for a diagnosis of IBS, the pain or discomfort will be associated with at least two of the following three symptoms:

  • bowel movements that occur more or less often than usual
  • stool that appears less solid and more watery, or harder and more lumpy, than usual
  • bowel movements that improve the discomfort

What causes IBS?

The causes of IBS are not well understood. Current medical evidence points to a combination of physical and mental health problems.

ibs

How is IBS diagnosed?

There is no test to diagnose IBS; it’s not a disease. Your physician will make the diagnosis based on a complete history, a physical exam and exclusion of other diseases. Although some symptoms will have been present for at least six months, IBS is diagnosed when abdominal pain or discomfort has been present at least three times a month for three consecutive months without other disease or injury that could explain the pain.

IBS-STRESS-management

How is IBS treated?

Though IBS does not have a cure, the symptoms can be treated with changes in eating, diet, and nutrition, medications, probiotics and therapies for any mental health issues. Details on management of IBS can be obtained at http://www.sterlingmedicaladvice.com.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Filed under Gastrointestinal

Straight, No Chaser: Pelvic Inflammatory Disease (PID)

PID1

Straight, No Chaser has discussed several sexually transmitted infections (STIs) at length, including gonorrheachlamydia and herpes. One thing that often gets overlooked or not given enough consideration is the risk of complications that occur when contracting a STI. Pelvic inflammatory disease (PID) is one consideration that should be up front and center as a consideration in your mind (assuming you’re female). If you’re not familiar with the term PID, commit it to memory, as this is a relatively common condition.

PID

Pelvic inflammatory disease (PID) refers to an infection of the upper genital tract in women. It is usually sexually transmitted. PID is the single most common preventable cause of infertility in the U.S. According to the Center for Disease Control and Prevention (CDC); over 750,000 cases of PID occur in the U.S. every year.

Here’s your concern: PID can negatively affect your reproductive organs, including the uterus (womb), fallopian tubes (tubes that carry eggs from the ovaries to the uterus) and ovaries. The inflammation caused by PID scars affects organs and can result in infertility, tubal (ectopic) pregnancy, chronic pelvic pain, abscesses (pus pockets, aka “boils“) and other serious gynecological problems.  Most ominous is the fact that up to 20% of women may become infertile as a result of PID.

As mentioned, PID typically begins as an STI. Among STIs, gonorrhea and chlamydia are the most common causes. Here are additional risk factors for PID.

  • Prior episode of PID
  • Under age 25 – The cervix (opening to the uterus) has greater susceptibility to STIs and thus to PID in this age group.
  • Douching — This can force bacteria from the vagina into the upper reproductive organs.
  • IUD use — In some women, using an intrauterine device (IUD) to prevent pregnancy can also cause PID.
  • Medical care — PID may rarely result from gynecological procedures or surgeries.

There is a pretty significant range in the way PID shows up. You may not have symptoms, or symptoms could be quite severe. Symptoms may include lower abdominal pain, fever and foul-smelling vaginal discharge. You may notice pain with sex or while urinating. Your menstruation may become abnormal.

This may sound odd, but the treatment of PID is much more important than its diagnosis. This is because a diagnosis may be difficult to reach due to the subtlety of symptoms, and the consequences of missing the diagnosis are severe enough that presumptive treatment is commonly done. Early treatment can prevent or limit long-term complications such as infertility and chronic pelvic pain. According to the CDC, without adequate treatment, 20-40% of women with chlamydia and 10-40% of women with gonorrhea may develop PID. Among those with PID, fully one in five (20%) may develop infertility and one in 10 (10%) may develop a tubal (ectopic) pregnancy. Chronic pelvic pain occurs in approximately 18% of cases of PID.

If you are thought to have or are diagnosed with PID, you will need antibiotics. It is critical that you take these until they are all gone. This is not an instance where you should stop taking the pills once you start feeling better. More specifics on the treatment of PID are provided at http://www.sterlingmedicaladvice.com.

What you really want to remember is that prevention is key. The best way to avoid STIs is to abstain from sex or to be in a long-term, mutually monogamous relationship with a partner who has been tested and isn’t infected. In addition, correct and consistent use of condoms further reduces your risk of STIs, including chlamydia and gonorrhea.

One more crucial means of protection from PID is early detection. If you think you or your sexual partner may have an STI, get evaluated and treated promptly.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Filed under Infectious Disease, Obstetrics and Gynecology

Straight, No Chaser: STDs – Syphilis, The Great Mimicker

Today, Straight, No Chaser will present two phrases that you may not have previously heard: The Great Mimicker and MSM, and that means we’re discussing what has historically been a devastating disease: syphilis. Historically, syphilis really is the most important sexually transmitted disease (For what it’s worth, it’s thought that Columbus’ crew spread the disease between the Americas and Europe.). The great mimicker nickname as applied to syphilis exists because syphilis has many general symptoms that resemble and are often confused with other diseases. MSM points to the fact that treatment in the early stages is so complete that syphilis had been rapidly in decline – until it’s reemergence in a specific population. It is estimated that well over 60% of reported early stage cases of syphilis occurs in men who have sex with men (MSM).

In this review, I want to specifically address the symptoms, which are impressively and dramatically different depending on the stage.

syphilis1

Stage I – Primary Syphilis: Primary syphilis usually presents with the presence of a single, painless sore (a chancre), located wherever it was contracted. As pictured above, the head (glans) of the penis is a typical site. The sore disappears in 3-6 weeks (with or without treatment), and if treatment wasn’t received, the disease progresses. Herein lies the problems. Because it’s painless, you ignore it, perhaps thinking it was a friction sore, or you never gave it much of a thought. Because it went away on its own, you forget about it, thinking that it got better. So sad, so wrong…

syphilis2Syphilis-hands

Stage II – Secondary Syphilis: When syphilis returns days to weeks (more typically) after the primary infection, it does so quite dramatically. Rashes can appear everywhere, including across your back (as noted above) and chest to on your palms and soles, in your mouth, groin, vagina, anus, or armpits. The rash could be warts (condyloma lata) or flat. You should be scared, but you might not be because… the rash and the other symptoms again will disappear on its own. Despite what you may think intuitively, you really don’t want that to happen.

Latent Syphilis: Dormant syphilis can stay that way for decades after secondary syphilis has occurred. What you don’t know can hurt you. Syphilis can be transmitted during the earlier portion of latent phases, including to an unborn child.

Syphilis3

Tertiary Syphilis: Late stage syphilis is a disturbing thing to see (and obviously experience). The disease can result in death, causing damage to the brain, heart, liver, bones, joints, eyes, the nervous system and blood vessels. Before it kills you, it can result in blindness, paralysis, dementia and loss of motor control. If you don’t know how the research discovering all of this was conducted, for now I’ll just say it was one of the most shameful acts of medical history. I’ll blog on it later. The individuals in the above picture were alive when these pictures were taken, by the way.

A special note: The microorganism causing syphilis is rather aggressive, so much so that it can be transmitted by oral, anal or genital sexual contact. By oral, I also mean kissing. Pay attention to those oral sores. Furthermore, syphilis gets transmitted from mother to unborn child. This is a devastating occurrence – if untreated, a child may be born prematurely, with low birth weight or even stillborn. If untreated, once born, a child may suffer deafness, seizures and cataracts before death.

Prevention and Treatment Considerations: Advanced syphilis is especially disheartening because it is so easily treated and prevented. Prevention is as simple as always wearing condoms, being in a monogamous relationship with someone confirmed not to have it, checking your sexual partner prior to sex and not engaging in sex if any type of sore/ulcer is in the mouth, genitalia or anal region. Regarding treatment, syphilis once upon a time was quite the plague until penicillin was discovered; treating syphilis is how penicillin ‘made a name’ for itself. Treatment with penicillin easily kills syphilis but unfortunately does nothing for damage that has already occurred. Remember that treating syphilis at any point can prevent the most severe complications that lead to death.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Filed under General Health and Wellness

Straight, No Chaser: STDs – Chlamydia Infections

Chlamydia_image

For most people, NGU isn’t a college in South Carolina. In fact, non-gonococcal urethritis isn’t really even that anymore, meaning it doesn’t need to be defined by the fact that it’s not gonorrhea. Chlamydia (the most common cause of NGU) by itself causes an estimated 3 million sexually transmitted infections a year. It is the most likely reason you’re coming into the emergency department when someone’s been behaving badly, and it was the most common sexually transmitted infection for a long time (prior to the advent of human papillomavirus – HPV). This Straight, No Chaser gives you some essential information about sexually transmitted infections featuring Chlamydia.
chlamydia

1. It’s a real good reason to wear condoms. Chlamydia most commonly presents with no symptoms but may present with burning with urination, having to go more often (that’s the urethritis; the urethra is the tube through which urine flows) and a cloudy discharge. Less commonly, it can affect the rectum (proctitis) or a portion of the testicles (epidydimitis).

chlaymdia neonatal

2. It’s contagious. If you’re sexually active with someone infected, odds are you’ll get it. It can be acquired via oral, vaginal or anal sex, and ejaculation isn’t required for transmission. Even worse, that means you can pass it to your newborn child (to disastrous effects to the baby, as noted in the lead picture of the newborn; Chlamydia has long been a significant cause of blindness worldwide, though thankfully the rate is decreasing).

Chlamydia-rate

2. Treatment doesn’t prevent you from reacquiring it. If you don’t change the behavior, you won’t change the future risk.

3. If both partners aren’t treated, then neither is treated. This can just get passed back and forth like a ping-pong ball. If you have several sexual partners, you’ll manage to introduce a lot of drama into a lot of lives. If you are treated, you should not engage in sexual activity until one week after your partner(s) have completed treatment.

Chlamydia stats

4. It causes serious damage to females. PID (pelvic inflammatory disease – a complication of untreated Chlamydia) is a serious enough topic to warrant its own post, but untreated infections lead to infertility, an increased rate of tubal (ectopic) pregnancies and other complications. This needs to be identified and treated.

5. STDs hang out together. Chlamydia that goes untreated increases the chances of acquiring or transmitting HIV/AIDS. An infection with Chlamydia should prompt treatment for other STDs and testing for HIV.

chlamydia infection condom

6. It is easily prevented and treated. Wear condoms each time, every time. Get evaluated early with development of signs or symptoms. Discuss the discovery of Chlamydia with all sexual contacts from the last several months. This is an infection you don’t have to catch.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Filed under General Health and Wellness, Infectious Disease, Obstetrics and Gynecology

Straight, No Chaser: STDs – Multidrug Resistant Gonorrhea

Gonorrhea threat

This post is the second of two discussing gonorrhea. Today we discuss multidrug resistant gonorrhea. That’s right. There are new strains of gonorrhea emerging and spreading, as if the existing strains weren’t devastating enough already.

The development of multidrug resistant gonorrhea has occurred. Gonorrhea has affected humans for centuries, and the organism causing it has been identified for over one hundred years. According to the Center for Disease Control and Prevention (CDC), there were over 468,500 cases of gonorrhea in the U.S. alone in 2016. That represents an increase of 48.6% since the record low in 2009. (On a tangential note, this represents another significant cause of health care disparities; Blacks are 17 times more likely to be affected that Whites. This isn’t just due to behavioral patterns. In fact, it’s largely due to the asymptomatic nature of gonorrhea and the relative lack of access to care among Blacks, impacting ability to get treated).

Gonorrhea has proven itself to be especially wily. We’ve had access to effective antibiotics against it since the 1930s. Still, it continues to plague us. In the 1940s, the 1970s, and again in the 1990s, gonorrhea mutated and developed immunity to treatments that had been effective. In addition most cases of gonorrhea don’t cause symptoms, allowing itself to be spread in a “stealth” manner (Read: get checked).

 gonorrhea

Even more so than other instances of gonorrhea resistance, this instance poses especially concerning dangers. Treatment of multi-drug resistant gonorrhea infections (particularly those resistant to the standard of care medicine ceftriaxone) will be much more complicated that it had been previously. Specifically, there is no ready replacement on standby that can be administered in emergency rooms, offices and clinics as easily as a simple shot of ceftriaxone is. Our most recent magic bullet is going by the wayside. Other available treatments also have varying degrees of emerging resistance and thus are likely to be sporadically ineffective. Until on-site testing is put in place that allows determination of susceptibility to various treatment regimens, patients infected with gonorrhea will run the risk of receiving medicines that are no longer effective. Current and future treatment regimens will involve the use of more than one medicine and higher doses of medicine than had previously been effective.

 PHIL_3766

This brings to mind two important points. Gonorrhea is not just an infection that affects sexual organs. It produces devastating consequences throughout the body, including the facilitation of human immunodeficiency virus (HIV) transmission (i.e. the presence of gonorrhea makes acquiring HIV easier). It also causes serious reproductive complications in women, such as pelvic inflammatory disease (PID), ectopic pregnancy, and infertility. It causes eye infections in newborns (they pick it up from mom) and infected persons who rub their eyes or otherwise place their fingers in their eyes without appropriate hand washing. Either failure to get treated or receiving ineffective treatment is a precarious situation.

 condom

Of course, this also creates and reinforces the urgency of practicing safe sexual behaviors. Straight, No Chaser has multiple postings on safe sex and best practices of preventing sexually transmitted infections. Here is a summary post for your review. Of course you can type any topic in the search engine for greater ability to explore these topics.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

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Filed under Genital/Urinary, Infectious Disease, Obstetrics and Gynecology

Straight, No Chaser: STDs – Gonorrhea

Gonorrhea_enHD_1

Some of you are old enough to remember when Gonorrhea was called ‘The Clap’, but do any of you know why it was called that? Read on for the answer. In the meantime, realize how disgusting a disease this is. The Center for Disease Control and Prevention (CDC) estimates that well over 800,000 cases of gonorrhea occur yearly. To make matters worse, have you heard about the new ‘Super Gonorrhea’? Don’t let this happen to you.

Here’s what I want you to know about Gonorrhea:

Gonorrhea

1. It’s a real good reason to wear condoms and a just as good of a reason to wash your hands. Gonorrhea most commonly presents with no symptoms (more often the case in women), but it has two symptoms that won’t let you forget it. It’s the STD that may present with burning upon urination so severe that you feel like you are peeing razor blades. It’s also defined by copious discharge. If you’re exuding white, yellow or green pus, think gonorrhea. As was the case with Chlamydia, it can affect the rectum (proctitis) or a portion of the testicles (epidydimitis), as well as the throat or eyes. Wash your hands after using the bathroom, gents.

PHIL_3766

2. It’s contagious. If you’re sexually active with someone infected, odds are you’ll get it. It can be acquired via oral, vaginal or anal sex, and ejaculation isn’t required for transmission. Even worse, that means you can pass it to your newborn child (There’s even a name for the condition: ophthalmia neonatorum, as seen in the above picture.).

2. Treatment doesn’t prevent you from reacquiring it. If you don’t change the behavior, you won’t change the future risk.

gonorrhea dc

3. If both partners aren’t treated, then neither is treated. This can just get passed back and forth like a ping-pong ball. If you have several sexual partners, you’ll manage to introduce a lot of drama into a lot of lives. If you are treated, you should not engage in sexual activity until one week after your partner has completed treatment.

4. It causes serious complications. PID (pelvic inflammatory disease – a complication of untreated Gonorrhea and Chlamydia) is a serious enough topic to warrant its own post, but untreated infections lead to infertility and an increased rate of tubal (ectopic) pregnancies. Gonorrhea also spreads through the blood and joints. Many of these complications are life-threatening.

gonorrhea stat

5. STDs hang out together. Gonorrhea that goes untreated increases the chances of acquiring or transmitting HIV/AIDS. An infection with Gonorrhea should prompt treatment for other STDs and testing for HIV. It is generally assumed that if you have gonorrhea, you’ve likely been infected with Chlamydia.

6. It is easily prevented and treated. Wear condoms each time, every time. Get evaluated early with the development of signs or symptoms. Discuss the discovery of Gonorrhea with all sexual contacts from the last several months. This is an infection you don’t have to catch.

7. It is now super, but not in a good way. Due to antibiotic resistance, treatment of gonorrhea is becoming more complicated. We are seeing more patients who don’t respond to the first course of treatment. Consider antibiotic resistance if symptoms persists more than three days after completion of treatment.

Now, about The Clap.

gonorrhea1

Traditionally, there have been three theories about why gonorrhea used to be commonly called the clap, only one of which sound legitimate to me.

1. Treatment (allegedly) used to involved ‘clapping’ a book together around the penis to expel the discharge. Not only does that not make sense, I can’t imagine men letting someone smash their penis in that manner, when you could just ‘milk’ the discharge out (no pun intended). This is a very common explanation, though…

2. The clap may be a mispronunciation of the phrase ‘the collapse’, which is what gonorrhea was called by medics when GIs were being infected with gonorrhea in WWII.

3. Finally, perhaps, clap is derived from the French word for brothel, “clapper.” Makes sense if you’re in Paris, but in NY, why wouldn’t it have been called ‘the broth’, because that’s kind of how it looks… Sorry if you’re reading this during breakfast. Then again, I did spare you a picture of genital gonorrhea.

Feel free to ask your SMA expert consultant any questions you may have on this topic.

Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!

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