{"id":109857,"date":"2014-01-03T10:51:05","date_gmt":"2014-01-03T14:51:05","guid":{"rendered":"http:\/\/dominicanewsonline.com\/news\/?p=109857"},"modified":"2014-01-06T08:41:21","modified_gmt":"2014-01-06T12:41:21","slug":"health-talk-can-get-little-private","status":"publish","type":"post","link":"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/health-talk\/health-talk-can-get-little-private\/","title":{"rendered":"HEALTH TALK: Can we get a little private"},"content":{"rendered":"<p lang=\"en-US\">\n<figure id=\"attachment_109975\" aria-describedby=\"caption-attachment-109975\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-109975\" alt=\"Dr. Victor Emanuel MD\" src=\"http:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2014\/01\/Dr.-Emanuel.jpg\" width=\"300\" height=\"225\" srcset=\"https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2014\/01\/Dr.-Emanuel.jpg 300w, https:\/\/dominicanewsonline.com\/news\/wp-content\/uploads\/2014\/01\/Dr.-Emanuel-150x112.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-109975\" class=\"wp-caption-text\">Dr. Victor Emanuel MD<\/figcaption><\/figure>\n<p lang=\"en-US\"><span style=\"line-height: 1.5em;\">When one looks around and takes note of the number of pregnant women in the country, particularly unwed ones, one knows for sure that these women are not protecting themselves against sexually transmitted infections (STI\u2019s).<\/span><\/p>\n<p lang=\"en-US\"><span style=\"line-height: 1.5em;\">In addition, it is amazing to reflect on the number of women who come to the office for advice or a prescription for contraceptives, but not condoms.\u00a0 It is obvious that they want to protect them-selves against pregnancy but either don\u2019t understand that contraceptives do not protect them against diseases, or that they don\u2019t care.\u00a0 So let me emphasize from the start: Contraceptives, oral or injectable, protect you only against pregnancy, condoms protect you against both.<\/span><\/p>\n<p lang=\"en-US\"><span style=\"line-height: 1.5em;\">As usual, perhaps I can talk about a few of the more common STI\u2019s, some of which are actually more prevalent than we think.<\/span><\/p>\n<p lang=\"en-US\"><strong><span style=\"line-height: 1.5em;\">Gonorrhea<\/span><\/strong><\/p>\n<p>Some have called this the \u2018clap\u2019 and many a man has experienced its symptoms.\u00a0 Typically in a man, it causes severe pain while urinating and a discharge from the urethra (tube within the penis).\u00a0 Usually this occurs between two to five days after infection from a woman, but it can be up to a week.\u00a0 The discharge is unmistakable; yellow and pusy (purulent).\u00a0 He may also experience a tendency to urinate more frequently and with a serious urge.\u00a0 Left untreated, it may spread to other parts of his genitals, such as his testicles, and a long term complication is that his urethra becomes narrowed so that a surgeon has to insert an instrument every few months to open it so that he can urinate properly.<\/p>\n<p lang=\"en-US\">Women may not have symptoms except a yellow discharge as well and pain during sex because other organs in the pelvic region have been infected, organs inside and outside the general area.\u00a0 One of the most serious complications is what is called Pelvic Inflammatory Disease or PID, which can lead to scarring of the tubes and infertility.<\/p>\n<p lang=\"en-US\"><span style=\"line-height: 1.5em;\">Tests can be done on the discharge to confirm the diagnosis, but really any doctor worth his or her salt can make a diagnosis by the story and examination.\u00a0 Treatment does not have to be by injection as in the old days. Tablets in single doses will do fine but see your doctor, not your pharmacist.\u00a0 There are good reasons for this.<\/span><\/p>\n<p lang=\"en-US\">\u00a0<strong>Yeast Infections<\/strong><\/p>\n<p lang=\"en-US\">These are no strangers to many women, particularly those who are diabetic.\u00a0 As a matter of fact, to the vigilant nurse or doctor, it can serve as a first sign of that disease.\u00a0 Also prone are pregnant women, those who are on contraceptives, antibiotics (as for acne) and those who are immunosuppressed (as in HIV).\u00a0 Those who douche may also have that problem.\u00a0 Usually, there is a thick, sometimes thin, cheesey discharge which may have a mild odor, but which itches and causes some burning on urination and redness in and just around the vagina.\u00a0 It causes no complications to the woman or man \u2013 it stays where it is.\u00a0 In men, there may be a few buttons in the groove below the head of his penis.\u00a0 For the women, there are creams and tablets to insert within the vagina, and a cream to use simultaneously on the outside, but nowadays a simple one time capsule will do the trick. Yeast infections are actually not anymore considered sexually transmitted infections.<\/p>\n<p lang=\"en-US\"><strong><span style=\"line-height: 1.5em;\">Chlamydia<\/span><\/strong><\/p>\n<p lang=\"en-US\">This is taking over as a cause of infertility and disease in women from gonorrhea.\u00a0 The symptoms are essentially the same as are the signs.\u00a0 Usually, however, it takes a longer time to manifest. The discharge in the woman is almost the same, but in men, in whom the symptoms are the same, and also take a longer time, it tends to be clear or white and sticky.\u00a0 The consequences are the same, so get yourself treated by the doctor!<\/p>\n<p lang=\"en-US\"><strong>Syphilis<\/strong><\/p>\n<p lang=\"en-US\">I will not say much about this because it is not very common these days.\u00a0 Elderly folks will know this very well.\u00a0 It starts out as a chancre, a sore in the genital area, usually on the shaft of the penis, or almost anywhere in the vaginal area for women.\u00a0 Strange thing about it, it is absolutely painless, so one may not notice it. Untreated, it goes into a second stage with a rash on some parts of the body, and still untreated it goes into a third or latent (hidden) stage for up to 20 or 30 years when it will affect the heart, major blood vessels and the brain.\u00a0 It was very often acquired by babies from their mother in the womb in the past. This is why every pregnant mother even today is asked to do a test called RPR, to determine whether there is syphilis in their body.\u00a0 Syphilis has remained treatable by penicillin over the decades, so it\u2019s no problem for your doctor.\u00a0 Penicillin, luckily, is still one of the cheapest around.\u00a0 Bad news, it\u2019s injections.<\/p>\n<p lang=\"en-US\">\u00a0<strong>Genital Warts<\/strong><\/p>\n<p lang=\"en-US\">These are just as the name says.\u00a0 They are caused by a virus called human papilloma virus (HPV) and the importance of this is that it is implicated in cancer of the cervix, a major killer of women.\u00a0 They are soft, moist, minute, pink or red swellings that look like cauliflowers.\u00a0 They should be easily noticeable by both men and women and it is important that you consult your dermatologist or, better yet, your gynecologist for help.<\/p>\n<p lang=\"en-US\"><strong style=\"line-height: 1.5em;\">Genital Herpes<\/strong><\/p>\n<p lang=\"en-US\">This deserves some emphasis because it seems to be becoming a disease of the 2000\u2032s again as it was in the early 1980\u2032s.\u00a0 It occurs in both men and women as a vesicle (pimple) in the genital area or as groups of vesicles, 7 to 14 days after contact.\u00a0 These will eventually break down and form a very painful or tingling sore, particularly when wet.\u00a0 Untreated, this will last for about a week.\u00a0 But, it will recur because the virus never leaves your body, but hides in your nerve cells called dorsal ganglia. We can control it, but we cannot kill it.\u00a0 It is essentially a nuisance now and then.\u00a0 Some get it more often than others, in the same or different areas.<\/p>\n<p lang=\"en-US\"><strong style=\"line-height: 1.5em;\">Trichomonas<\/strong><\/p>\n<p lang=\"en-US\">Females have a greenish yellow frothy discharge with irritation of the genital area.\u00a0 Men may have no symptoms, but sometimes things like irritations of the bladder occur.<\/p>\n<p lang=\"en-US\"><span style=\"line-height: 1.5em;\">A few things are important about these diseases: 1) they are preventable if you stick to one partner, 2) they are also preventable if a condom is used all the time correctly, and 3) they leave you more open to acquiring the HIV.<\/span><\/p>\n<p lang=\"en-US\"><span style=\"line-height: 1.5em;\">How much do I need to say about this? I will devote a whole issue to it sometime.\u00a0 Ask me questions.<\/span><\/p>\n<p lang=\"en-US\">See you next week.<\/p>\n","protected":false},"excerpt":{"rendered":"When one looks around and takes note of the number of pregnant women in the country, particularly unwed ones, one knows for sure that these women are not protecting themselves against sexually transmitted infections (STI\u2019s). In addition, it is amazing&#8230;","protected":false},"author":15,"featured_media":109975,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_cbd_carousel_blocks":"[]","footnotes":""},"categories":[49],"tags":[],"class_list":["post-109857","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-talk"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>HEALTH TALK: Can we get a little private  - Dominica News Online<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/health-talk\/health-talk-can-get-little-private\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HEALTH TALK: Can we get a little private  - Dominica News Online\" \/>\n<meta property=\"og:description\" content=\"When one looks around and takes note of the number of pregnant women in the country, particularly unwed ones, one knows for sure that these women are not protecting themselves against sexually transmitted infections (STI\u2019s). 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