STD Handbook for Men 英語版 (English version) STD Handbook for Men 施設名 Editorial cooperation by Dr. Ichiro Itoda (Shirakaba Clinic) 資 料 ViiV Healthcare K.K. 請求先 AKASAKA INTERCITY AIR 1-8-1 Akasaka, Minato-ku, Tokyo FAX 03-4231-5983 禁 無断転載・複写 英語版 D1110 018 6 - P1811N 改訂年月2018年11月 ヴィーブヘルスケア株式会社 Introduction What are This handbook includes information (aIong with pictures) about the characteristic symptoms of commonly What are STDs? occurring sexually transmitted diseases (STDs) in men. The purpose of this STDs? handbook is to provide information about STDs are diseases that are mainly transmitted through what to do if someone contracts an STD. This handbook should be especially sexual contact. In some cases, the affected patient may useful to those who suspect that they not develop any symptom and may unknowingly transmit might have an STD or to those who are the disease to others. Any sexually active person can interested in gaining more knowledge contract an STD, and people can simultaneously about STDs. Introduction contract more than one STD. However, most STDs can Please note that the information Introduction 2 be managed by early examination and treatment. provided in this book serves only as a reference and that different patients may What are STDs? 3 have different symptoms. Even if 2 Types of STDs 4 patients have the same STD, one patient Association between 1. Syphilis 4 may not develop any symptom, while the acquired immune other may develop severe symptoms. If 2. Chlamydia infection 6 you have certain symptoms that are 3. Gonorrhea 7 deficiency syndrome worrying you, use this handbook as a 4. Ambiasis 8 reference, and visit a clinic for a proper (AIDS) and STDs 5. Herpes simplex 9 examination. You can nd a list of Acquired immune deciency syndrome (AIDS) is institutions where patients can receive 6. Acute hepatitis A 10 a type of STD. The causal agent of AIDS—the consultation, regardless of their 7. Acute hepatitis B 11 human immunodeciency virus (HIV)—is not a sexuality, at the end of this handbook. 8. Hepatitis C 12 highly contagious virus. However, when a 9. Genital warts 13 person contracts an STD, it becomes easier for This handbook includes colored 10. Crab lice 14 the HIV to enter the body through the inamed photographs showing areas with 11. Scabies 15 genitals of the affected person. If you have contracted an STD, we recommend you to get lesions in actual patients who agreed 12. HIV infection 16 tested for other STDs, including HIV infection. to cooperate. Please be forewarned INDEX by symptoms 17 Please look at the website “HIV Map” for that these pictures are very Do you have any of these symptoms? grotesque. Find out the “Possible STD” on the basis of information on places where you can get tested the symptoms for HIV infection. TIPs for a better consultation 18 Stop worrying and go to the doctor! 02 Introduction What are STDs? 03 Symptoms Disease Syphilis 1 Syphilis symptoms manifest in 4 stages. Infectivity is strongest in the primary stage and decreases as the disease progresses from the Syphilis is a systemic disease caused by Treponema secondary to the tertiary stage. In some cases, symptoms do not develop even after infection. Primary Genitals Anal Oral stage Syphilis is characterized by the development of painless, non-itchy The routes of infection Incubation period (3 weeks–3 months.) sores (diameter, 0.3 cm–3 cm). In most cases, only a single sore develops, but multiple sores can Direct contact of the genitals 3 weeks. develop in some cases. Vaginal intercourse Gradually, the sore starts to dent from its center (chancre). Anal intercourse Oral intercourse The sore disappears in about a month. * The risk of infection can be reduced by using condoms. The lymph nodes of the neck and/or the groin get inflamed. Secondary Palms/Soles of the feet Body stage Secondary-stage syphilis also manifests as red rash on the palms, (3 months–3 years.) soles of the feet, and the entire body (scarlet rash). The rashes disappear within 6 months, without leaving any trace. In some cases, the lymph nodes of the neck get inflamed. Latent Infection with Treponema leads to inflammation in the body. syphilis (3 years–10 years.) Tertiary In some cases, lesions develop in the heart and/or the brain. syphilis (10 years and on.) The primary syphilis lesion is known as a chancre. Which department should I consult? Internal Dermatology Urology Venereology medicine When can I have Method of examination sex again? BIood examination. Treatment Rash from secondary syphilis (soles of the feet) Patients receive oral antibiotics for a Patients can have sex once the treatment is completed and period of 2–4 weeks (treatment sores on the genitals and rashes varies with variation in the stage of on the body completely the disease). disappear. Rash of secondary syphilis (palms) 04 Introduction of the disease syphilis Introduction of the disease syphilis 05 Chlamydia infection Disease2 Gonorrhea Disease3 Infection with Chlamydia causes disorders such as urethritis. Gonorrhea is caused by bacteria called Gonococcus and is characterized by urethritis. Routes of infection Incubation period Routes of infection Incubation period Direct contact of the genitals 1-4 weeks. Direct contact of the genitals 2 days-1 week. Vaginal intercourse Vaginal intercourse Anal intercourse Oral intercourse Anal intercourse Oral intercourse * The risk of infection can be reduced by using * The risk of infection can be reduced by using condoms. condoms. Symptoms Which department should I consult? Symptoms Which department should I consult? Internal Internal Urology Venereology Urology Venereology medicine Urethra medicine In many cases, the affected person may White or yellow pus is discharged from the not develop any symptom. urethra. Method of examination Method of examination Urethra The patients may experience severe pain in Urinalysis and/or examination of the pus. The affected patients may experience a Urinalysis. the urethra while urinating. sense of discomfort (like itch or pain) in the Typically, the symptoms of gonorrhea are urethra (pathway of the urine) while Treatment more severe than those of Chlamydia Treatment urinating. infection, but in some rare cases, patients Patients receive drip infusions, or injections. Patients receive oral antibiotics for a do not develop symptoms. In addition, some patients may discharge period of 1-10 days. transparent pus from the urethra, while Others some may not. In some cases, the infection can occur in Others In some cases, the patient may also be affected In some cases, Chlamydia infection can be the throat (pain or discomfort in the throat). by Chlamydia infection; therefore, it is detected by a yellow stain on the white Detection of Chlamydia infection is In addition, infection with Gonococcus recommended that the patient be simultaneously underwear. difficult if the infection spreads to the causes epididymitis (fever, severe pain, and examined for both disorders. throat or rectum. Chlamydia infection is inflammation in one of the testicles). If the throat, rectum, and/or epididymis are treated in a manner similar to urethritis. Chlamydia infection may cause epididymitis In some cases, the affected by gonorrhea, the patient should be administered treatment similar to that (inflammation or pain in one of the testicles) infection may occur administered for urethritis. in some patients. in the rectum to the In some cases, the infection can occur in rectum (deep inside the throat and/or the rectum (there may be When can I have the anus). no particular symptoms). sex again? When can I start having sex again? Patients can have sex once Patients can have sex the symptoms are resolved and once treatment is completed treatment is completed. Patients with gonorrhea may develop urethritis. and pus discharge stops. 06 Introduction of the disease Chlamydia infection Introduction of the disease Gonorrhea 07 Amebiasis Disease4 Herpes simplex Disease5 Amebiasis is characterized by the inflammation of Infection with the herpes simplex virus causes painful the large intestine or Liver Abscesses. blisters in the mouth and/or in the genitals. Routes of infection Incubation period The routes of infection are as follows Incubation period Licking the anus Inflammation of the large intestine Direct contact of the genitals 6–8 days. Licking the finger or genital comes in contact 2–6 weeks. Vaginal intercourse with the anus Liver Abscesses Anal intercourse Oral intercourse within 5 months. Kissing Others * The risk of infection can be reduced by using Symptoms condoms. There are physicians who do not Inflammation of the large intestine (colitis) suspect of amebic dysentery, so if you Diarrhea and loose stool (sometimes mixed with have doubts, please ask your physician Which department should I consult? blood) lasting for over 2 weeks. for an examination. Symptoms Internal Pain in the Iower abdomen. If you are reluctant in telling the doctor Dermatology Urology Venereology Tenesmus (the need to evacuate the bowels, which that you had sexual intercourse, you In some cases, the affected individual may not medicine results in an incomplete passage of fecal matter can tell the physician that you visited develop any symptom. or no bowel movement at all). Southeast Asia (Thailand, Indonesia, Around the lips Penis/Pubic region Anus Method of examination etc.) within the past 6 months instead. The disease may become severe if it is not treated Several painful blisters are formed. appropriately. Blood examination. Rub a cotton swab against one of Liver (hepatic abscess): A mass of pus may Treatment accumulate in the liver (liver or hepatic abscess). Fever. the blisters. <Inflammation of the large intestine> Fever for more than a week. Lassitude. Patients with colitis receive oral antiprotozoal Pain in the right abdominal region. Treatment agents for approximately 20 days. Headache. Diarrhea (in half of the cases).