Sexually Transmitted Infections ( Stis )

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Sexually transmitted infections (STIs) are caused by more than 25 infectious pathogens transmitted from one person to the other during anal, vaginal as well as oral intercourse. More so, infected pregnant women can transmit STIs to infants in utero, during birth, or through breastfeeding. The most common STIs in the U.S. include chlamydia, gonorrhea, genital herpes, human papillomavirus, trichomoniasis, and bacterial vaginosis (Buttaro, Trybulski, Bailey, & Sandberg-Cook, 2013). According to the Centers for disease control and prevention, CDC (2015), human immunodeficiency virus (HIV) infection is a common STD affecting more than 1.2 million people in the United States (CDC, 2015). Compared to men, women are more biologically susceptible to STIs. Adolescents and young adults are at higher risk of transmitting STIs due to their sexual behaviors that consists of several partners, unsafe sex without condoms, and endocervical ectopia in female patients (Buttaro et al., 2013).
The gram-negative diplococcus N. gonorrhoeae is the common pathogen for gonorrhea. About 80% of female with this infection are asymptomatic. However, if symptomatic, female initially present with symptoms such as dysuria, leukorrhea, lower abdominal discomfort, and abnormal uterine bleeding. Later signs may include adnexal tenderness, cervical motion tenderness, purulent vaginal discharge, elevated temperature, right upper quadrant pain, joint pain or swelling, skin lesions, nausea, and vomiting. Other

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