Sexually transmitted diseases (STDs)

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Prevention

By Mayo Clinic staff

There are several ways to avoid or reduce your risk of sexually transmitted infections.

  • Abstain. The most effective way to avoid STIs is to abstain from sex.
  • Stay with one uninfected partner. Another reliable way of avoiding STIs is to stay in a long-term mutually monogamous relationship with a partner who isn't infected.
  • Get vaccinated. Getting vaccinated early, before sexual exposure, is also effective in preventing certain types of STIs. Vaccines are available to prevent two viral STIs that can cause cancer — human papillomavirus (HPV) and hepatitis B. The Centers for Disease Control and Prevention (CDC) recommends the HPV vaccine for girls and boys ages 11 and 12. If not fully vaccinated at ages 11 and 12, the CDC recommends that girls and women through age 26 and boys and men through age 21 receive the vaccine. However, men may receive the HPV vaccine through age 26 if desired. The hepatitis B vaccine is usually given to newborns.
  • Wait and verify. Avoid vaginal and anal intercourse with new partners until you have both been tested for STIs. Oral sex is less risky, but use a latex condom or dental dam to prevent direct contact between the oral and genital mucosa.
  • Use condoms consistently and correctly. Use a new latex condom for each sex act, whether oral, vaginal or anal. Never use an oil-based lubricant, such as petroleum jelly, with a latex condom. Keep in mind that nonbarrier forms of contraception, such as oral contraceptives or intrauterine devices, don't protect against STIs.
  • Don't drink alcohol excessively or use drugs. If you're under the influence, you're more likely to take sexual risks.
  • Avoid anonymous, casual sex. Don't look for sex partners online or in bars or other pickup places. Not knowing your sex partner well increases your risk of possible exposure to an STI.
  • Communicate. Before any serious sexual contact, communicate with your partner about practicing safer sex. Reach an explicit agreement about what activities will and won't be OK.
  • Teach your child. Becoming sexually active at a young age tends to increase a person's number of overall partners and, as a result, his or her risk of STIs. Biologically, young girls are more susceptible to infection.  While you can't control your teen or preteen's actions, you can help your child understand the risks of sexual activity and that it's OK to wait to have sex.
  • Consider male circumcision. There's evidence that male circumcision can help reduce a man's risk of acquiring HIV from an infected woman (heterosexual transmission) by 50 to 60 percent. Male circumcision may also help prevent transmission of genital HPV and genital herpes.
References
  1. Dorland's Illustrated Medical Dictionary. 31st ed. Philadelphia, Pa.: W.B. Saunders; 2008. http://dorlands.com/def.jsp. Accessed Jan., 2011.
  2. Swygard H. Screening for sexually transmitted diseases. http://www.uptodate.com/home/index.html. Accessed Jan. 25, 2011.
  3. Holmes KK. Sexually transmitted infections: Overview and clinical approach. In: Fauci AS, et al. Harrison's Online. 17th ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/content.aspx?aid=2893718. Accessed Jan. 25, 2011.
  4. Global strategy for the prevention and control of sexually transmitted infections: 2006-2015. Breaking the chain of transmission. World Health Organization. http://www.who.int/reproductive-health/publications/stisstrategy/index.html. Accessed Jan. 25, 2011.
  5. Basic information: HIV. Centers for Disease Control and Prevention. http://www.cdc.gov/hiv/topics/basic/index.htm. Accessed Jan. 25, 2011.
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  8. CDC fact sheet: Syphilis. Centers for Disease Control and Prevention. http://www.cdc.gov/std/Syphilis/STDFact-Syphilis.htm. Accessed Jan. 25, 2011.
  9. CDC fact sheet: Chlamydia. Centers for Disease Control and Prevention. http://www.cdc.gov/std/chlamydia/STDFact-Chlamydia.htm. Accessed Jan. 25, 2011.
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  13. CDC fact sheet: PID (pelvic inflammatory disease). Centers for Disease Control and Prevention. http://www.cdc.gov/std/PID/STDFact-PID.htm. Accessed Jan. 25, 2011.
  14. CDC fact sheet: Trichomoniasis. Centers for Disease Control and Prevention. http://www.cdc.gov/std/trichomonas/STDFact-Trichomoniasis.htm. Accessed Jan. 25, 2011.
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  20. Trends in sexually transmitted diseases in the United States: 2009 national data for gonorrhea, chlamydia and syphilis. Centers for Disease Control and Prevention. http://www.cdc.gov/STI/stats07/trends.htm. Accessed Jan. 25, 2011.
  21. Arrington-Sanders R, et al. Sexually transmitted diseases in adolescents. In: Klausner JD, et al. Current Diagnosis and Treatment of Sexually Transmitted Diseases. New York, N.Y.: The McGraw Hill Companies; 2007. http://www.accessmedicine.com/content.aspx?aid=3026189. Accessed Jan. 25, 2011.
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  23. Peterman TA. Partner notification and management. In: Klausner JD, et al. Current Diagnosis and Treatment of Sexually Transmitted Diseases. New York, N.Y.: The McGraw Hill Companies; 2007. http://www.accessmedicine.com/content.aspx?aid=3026469. Accessed Jan. 25, 2011.
  24. Klausner JD. The sexual history. In: Klausner JD, et al. Current Diagnosis and Treatment of Sexually Transmitted Diseases. New York, N.Y.: The McGraw Hill Companies; 2007. http://www.accessmedicine.com/popup.aspx?aid=3026901. Accessed Jan. 25, 2011.
  25. Safer sex ("Safe sex"). Planned Parenthood. http://www.plannedparenthood.org/health-topics/STIs-hiv-safer-sex/safer-sex-4263.htm. Accessed Jan. 25, 2011.
  26. Reitmeijer CA. Principles of risk reduction counseling. In: Klausner JD, et al. Current Diagnosis and Treatment of Sexually Transmitted Diseases. New York, N.Y.: The McGraw Hill Companies; 2007. http://www.accessmedicine.com/content.aspx?aid=3026418. Accessed Jan. 25, 2011.
  27. Centers for Disease Control and Prevention, et al. Antiretroviral postexposure prophylaxis after sexual, injection-drug use, or other nonoccupational exposure to HIV in the United States. MMWR Recommendations and Reports. 2005;54:1. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm. Accessed Jan. 25, 2011.
  28. Centers for Disease Control and Prevention, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recommendations and Reports. 2006;55:1. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5514a1.htm?s_cid=rr5514a1_e. Accessed Jan. 25, 2011.
  29. Centers for Disease Control and Prevention, et al. Recommendations on the use of quadrivalent human papillomavirus vaccine in males — Advisory Committee on Immunization Practices (ACIP). MMWR Recommendations and Reports. 2011:60;1705.
DS01123 Jan. 20, 2012

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