11.sexually Transmitted Infections
11.sexually Transmitted Infections
TRANSMITTED
INFECTIONS
DR AMIT KUMAR
ASSISTANT PROFESSOR (OBG)
MADHAV HOMOEOPATHIC MEDICAL
COLLEGE,PINDWARA,SIROHI.
SEXUALLY TRANSMITTED
INFECTIONS
INTRODUCTION
Preventive
• Adequate therapy for Gonococcal infection
and meticulous follow up are to be done till the
patient is declared cured.
• To treat adequately the male sexual partner
simultaneously.
• To avoid multiple sex partners.
• To use condom till both the sexual partners
are free from disease.
SYPHILIS
• Syphilis is caused by the anaerobic spirocheta
treponema pallidum.
• Syphilitic lesion of the genital tract is acquired
by direct contact with another person who has
open primary or secondary syphilitic lesion.
• Transmission occurs through the abraded skin
or mucosal surface.
• The incubation period ranges between 9 and 90
days.
Clinical features
• The primary lesion (chancre) may be single
or multiple and is usually located in the labia.
• Fourchette, anus, cervix, and nipples are the
other sites of lesion.
• A small papule is formed, which is quickly
eroded to form an ulcer.
• The margins are raised with smooth shiny floor.
The ulcer is painless without any surrounding
inflammatory reaction.
• The inguinal glands are enlarged, discrete, and
painless.
• The primary chancre heals spontaneously in 1–
8 weeks leaving behind a scar.
• The tubes are not affected and infertility does not
occur unless associated with gonococcal infection.
• Secondary syphilis—
• Within 6 weeks to 6 months from the onset of
primary chancre, the secondary syphilis may
be evidenced in the vulva in the form of
condyloma lata.
• These are coarse, flat-topped, moist, necrotic
lesions and teeming with treponemes.
• Patient may present with systemic symptoms
like fever, headache, and sore throat.
• Maculopapular skin rashes are seen on the
palms and soles. Other features include
generalized lymphadenopathy, mucosal ulcers,
and alopecia.