Sexually transmitted diseases (STDs) are infectious diseases that are spread through sexual contact. STDs are among the most common infectious diseases in the world today. There are more than 20 types, affecting more than 13 million men and women in the United States each year. Some of the most common STDs include chlamydia infection, genital herpes, genital warts, gonorrhea, syphilis, and HIV (human immunodeficiency virus).
Alamat/signs and symptoms
STDs may not produce any symptoms, especially in women. However, when symptoms do occur, they may include the following:
Itching
Discharge from the penis or
vagina
Pus-containing blisters
Genital sores including ulcers, blisters, rashes, and warts
Abdominal pain
Rectal infection and inflammation of the rectum
Fever
Muscle pain
Painful urination
Painful sex
Bleeding between menstrual cycles
Repeated urinary tract infections
Swollen lymph glands in the groin
Asbab/causal factor
STDs are caused by viruses, bacteria, and parasites spread most often (but not always) through sexual contact. Some STDs can be passed from a mother to her baby during delivery and through breast-feeding while infected. Others may be passed by sharing infected needles. Common STDs include:
Sexually transmitted bacterial infections
Atishak/ Syphillis (Treponema pallidum)
Suzak/ Gonorrhoeae (Neisseria gonorrhoeae)
Chlamydia (Chlamydia trachomatis)
Chanchroid (Haemophilus ducreyi)
Sexually transmitted protozoa infections
Trichomoniasis, Trichomonas
Sexually transmitted viral infections
AIDS, HIV
Viral Hepatitis, Hepatitis B, Hepatitis C
Genital wart, Human Papilloma Virus
Genital Herpes , (Herpes Simplex)
Risk factors
These conditions or characteristics put you at risk for developing STDs
Sexually active adults ages 18 to 28. Teens are at highest risk for acquiring an STD for the first time.
Having a sexual partner with an STD. In many cases, the infected person may not have symptoms.
Having many sexual partners, or a partner who has many sexual partners
Having sex without a condom or other protection
Having one STD increases the chance of getting another
Living under stress from poverty, poor nutrition, or lack of health care
Having anal intercourse increases risk for HIV, gonorrhea, and syphilis
Having a weakened immune system
Using IV drugs and sharing needles
Tashkhis/diagnostic testing
Your doctor will do an examination and check for physical signs of disease. Swab test from Urethra, Cervix, Vagina Anus or Throat, Blood & Urine tests can help find what is causing the infection so you can get the right treatment.
The method used is based on the specific bacteria, protozoa, viruses, candida suspected
Usule -Alaz/method of management
1. Medications according to the Underlying causes.
2. Dawa-e Qatele Zarasim should be given orally
3. Topical medication used according to cause.
Alaz/ medication
Medicinal plants have a long history of use and their use is widespread in both developing and developed countries. Unani & Ethno-medicines provide rational means for the treatment of many diseases that are determined and incurable in other systems of medicine. STDs are generally treated with antibiotic and antiviral medicines.
But some microorganisms may become resistant to the antibiotics & antivirals drugs. These complications have necessitated the search for new antimicrobial substances from medicinal plant enrich Unani & Ethno medicine source. For these reasons, you should take medicinal plant enrich Unani & Ethno medicine with care, under the supervision of a health care provider.
Dawaul Mufrada (Single Medication)
1. Medicinal plants reported to possess anti- Herpetic activity: Aloe (Aloe vera), 0.5% cream. Early evidence suggests that aloe gel used topically may improve the symptoms of genital herpes in men. In two studies, men who used the aloe vera cream saw lesions heal faster than those who used a placebo cream.
Garlic has antiviral, antibacterial, and antifungal properties that fight viral infections.
Crush a garlic clove and apply it on the affected area. Cover it with a bandage.
Leave it on for about 20 minutes and then wash the area thoroughly.
Repeat this treatment twice daily for about a week. The caustic effect of the garlic will cause the wart to blister and fall off. Larger warts may take longer to heal.
If you do not like the smell of garlic, you can take garlic capsules three times a day for a week.
There has been a scientific study at Johns Hopkins University in 1997 where researchers tested the effect of Neem against the Herpes simplex virus-2 & founded significant protection
2. Medicinal plants reported to possess anti- syphilitic: A powder is made with the dried roots of Bhui Kumra plant. It is taken with water twice (05 gm amount each time) a day for 05 days or until the disease is cured.( Ethnomedicine)
3. Medicinal plants reported to possess anti- Gonorrheal: A fresh juice is extracted from whole plant of phylanthus nuri, rizhomes of Halud & leaves of Neem. The juice is taken twice a day (10 ml) for 45 days ( Ethno-medicine).
4. Medicinal plant (Phylanthus amarus) reported to for HBV, Phylanthus amarus is Asian herb with a long history of use in liver disorder.
A. preliminary report in 1988 demonstrated that 50% of patients with hepatitis B had lost the Hepatitis B antigen when test 15 to 20 days after treatment with a preparation of P. amarus (200mg of dried powder , sterilized plants in capsule 03 times a day. Algae Red mushroom has strong activity against HBV.
Dawae Murakkaba (Prepared Unani Medicine)
(Any of the following one or two unani medicine may be taken orally):
1. Evidence suggested anti syphilitic activity, Majoon Oshba, Doses : 5-6gm/1 teaspoonful given orally twice daily. & Tablet Jaowheri, 2 tablet twice daily one month, Etrifal Shahtara: 5-6gm/1 teaspoonful given orally twice daily.
2. Evidence suggested anti-Gonorrheal activity: Tab Suzern, 1-2 tablet with water twice daily, Syrup Alkuli: 4-5 teaspoonful given orally twice daily mix with 01 glass water.
3. Possess to anti- valvo-vaginitis activity: Majoon Supari Pak 10g at bed time, Syrup: Masturin , 5-6 1 teaspoonful given orally twice daily.
4. Possess anti- Hepatitis B virus activity: Cap. Livec, (87mg) 01 capsule 3 times daily, for best result 150 -300 mg 03 times daily.
Nutrition & supplements
To boost your immune system particularly if you have HPV, can take B-complex vitamins & vitamin D.
Prevention
Sexual mode of transmission is the most common cause of occurrence of STDs, vaginal and rectal, oral approaches are becoming significant for prevention of their transmission. You can reduce your risk of getting an STD by:
Delaying first sexual experience
Having a mutually married sexual relationship with an uninfected partner
Always using a male or female condom for every act of intercourse
Using clean needles if injecting IV drugs
Preventing and controlling other STDs
Having regular checkups for STDs even if you have no symptoms, Learning the common symptoms of STDs and seeking medical help immediately if you develop any symptoms
Taking medications to suppress the virus if you have HPV or HSV
If you are a girl or boy age 9 to 26, getting vaccinated for HPV
Prognosis/possible complications
Many STDs can be treated effectively when they are diagnosed early. STDs increases the risk for becoming infected with HIV. Some bacteria may become resistant to the antibiotics used to treat some STDs.
Dr. Md. Shahjalal Chowdhury
Email: [email protected]
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Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.
Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.
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