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Sexually transmitted infections

Many STIs have no symptoms. Use protection and get tested.

  • STIs include HIV, syphilis, HPV and chlamydia. Public health services offer free rapid tests and HPV vaccination.
  • Oral sex can transmit gonorrhea, syphilis, herpes and HPV.
  • Anal sex has a higher HIV risk: the thin rectal lining can tear.
  • No symptoms does not mean no STI. Use condoms and get tested.
  • Anal-to-vaginal contact can cause urinary infection (UTI). UTIs are not STIs.
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Condom guide
Illustrated guide titled 'Condom — protection at every stage'. It says condoms prevent STIs and unplanned pregnancy, and shows four steps: open the package carefully without sharp objects, put it on an erect penis before any sexual contact, unroll it all the way to the base, then after sex remove it carefully, tie a knot, wrap it in paper and throw it in the trash.
HPV vaccine guide
Illustrated guide titled 'HPV vaccine — more protection for your future'. It says the vaccine is safe and helps prevent several cancers and genital warts, lists what HPV can cause (cervical cancer, anal cancer, penile cancer, genital warts), and notes it is recommended for boys and girls ideally between 9 and 14, is more effective before sexual life starts, and is given in 2 doses six months apart.

In practice

  • New condom for each act. For oral contact, use a dental dam or cut-open condom.
  • For anal sex, use condoms and plenty of water- or silicone-based lubricant.
  • Before anal-to-vaginal contact, change the condom and clean hands and toys.
  • Peeing after sex may help with UTIs, but does not prevent STIs or pregnancy.
  • Get tested and mention oral, vaginal or anal contact. Any new genital sore needs care.

Warning signs

  • New genital lesion or unusual discharge: seek care.
  • Burning, frequent urination or blood in urine: seek care.
  • Fever, back pain, vomiting or severe pelvic pain: seek prompt care.
  • Possible HIV exposure? Ask for PEP within 72 hours.

Where to get help

  • Health center
  • Testing and counseling center (CTA)
Sources
  • Ministry of Health – STI/HIV
  • WHO – Sexually transmitted infections (https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis))
  • CDC – About STI risk and oral sex (https://www.cdc.gov/sti/about/about-sti-risk-and-oral-sex.html)
  • CDC – HIV risk reduction (https://www.cdc.gov/hiv/risk/index.html)
  • NHS – Urinary tract infections (https://www.nhs.uk/conditions/urinary-tract-infections-utis/)