Covid and STI in V.

The pandemic has impacted and disrupted healthcare in so many ways. And, as it relates to sexual health, there has been a tremendous rise in sexually transmitted infections (STI) over the last 2 years. In fact, STI have become an ignored epidemic. Why? During the 2020 lockdown many sexually active individuals didn’t seek medical attention. Therefore, prevention counseling, testing, screening and treatment for infections waned as people were hesitant to interact with their provider in person, clinics were closed and labs were overwhelmed with COVID testing. As a result, the rise in STI will come with a new set of challenges as it relates to public health today and reproductive hardships in the future. So, now would be a good time to re-engage and answer some of the most FAQ about sexually transmitted infections.

V. STI questions answered.

I. How often should I get STI tested?

CDC guidelines recommend that everyone gets HIV tested at least once in their lifetime. Men who have sex with other men should be tested for HIV, and other STI, at least once per year. Women, who are 25 years of age and younger, should be tested for gonorrhea and chlamydia every year. Women with new or multiple sexual partners should have annual screenings for gonorrhea and chlamydia. And, men and women who engage in sex with multiple partners should have comprehensive STI testing every year.

II. How can I prevent an STI?

Abstinence is the best prevention but often not a realistic option. Before engaging in sex with a new partner, both should be tested first and then consider re-testing again in a few months. Consistent condom use with all sexual encounters; oral, vaginal intercourse or anal penetration has proven to prevent transmissions. If you are concerned that you might have been exposed to an STI, talk to your healthcare provider about testing, prevention and treatment options. Vaccines for hepatitis and HPV can reduce risk of contracting these viruses while PreP (pre-exposure prophylaxis) is recommended for people who may be at increased risk for contracting HIV.

III. What are the signs of an STI? What should I look out for?

Many STIs are asymptomatic and initially present without symptoms which is why routine testing may be necessary for those who are sexually active or have had multiple/new partners. Other more symptomatic symptons include vaginal discharge or spotting which may indicate a bacterial infection. Bumps or sores in the genital areas may indicate a viral infection. Pelvic pain especially when associated with a fever may indicate a pelvic infection or abscess.. And, lastly viral symptoms such as a rash, temperature and general aches can accompany some STIs as well.

IV. What are treatments for STI?

Early detection and treatment is key in order to prevent long term consequences. Antibiotics can be effective for treatment of some STI such as gonorrhea, chlamydia and syphilis. Specific antiviral medication can help with the prevention and treatment of viral STI for example herpes simples virus. Medical therapy and vaccines can help treat and prevent hepatitis which can be spread sexually, and there are vaccines that protect against HPV. PrEP and antivirals can help prevent and treat HIV.

V. How long does it take for an STI to show up?

It can vary from person to person and based on the type of STI. Typically, 2-4 weeks is the interval from exposure. If you are worried, talk to your doctor and schedule testing

 Verbena does not provide medical advice, diagnosis, or treatment and is not a medical provider. Discuss any/all STI issues or treatment options with your personal doctor.

If you think you may have a medical emergency, call your doctor or 911 immediately.