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Why worry about STIs?. 1. STIs significantly increase risk of getting or giving HIV - Ulcers provide entry & exit points - Increased virus in genital secretions - Increased target cells for HIV in genitals - Where condom use is low, treatment of STIs
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Why worry about STIs? 1. STIs significantly increase risk of getting or giving HIV - Ulcers provide entry & exit points - Increased virus in genital secretions - Increased target cells for HIV in genitals - Where condom use is low, treatment of STIs can have a significant impact
Why worry about STIs? 2. STIs are a common health problem - 340 million new infections in 1999 - 85% in developing countries - Among top 5 disease categories for which adults seek health care - 2nd highest burden of disease in women aged 15 - 49 years
Why worry about STIs? 3. STIs have serious health consequences - Infertility in men & women - Systemic illness - Cancers - Chronic lower abdominal pain - Ectopic pregnancy - Spontaneous abortion - Stillbirth - Illness & death of newborn
Why worry about STIs? 4. STIs have serious social consequences - Stigma of STI - Stigma of infertility - Relationship problems - Rejection - Violence
Why worry about STIs? 5. Many STIs are completely & easily cured with appropriate treatment 6. All STIs are preventable