Sexually Transmitted Infections (STIs)

Prevention Techniques

Abstinence is something that everyone defines differently. Regardless, some infections can be passed through an exchange of fluids or skin to skin contact.

Properly using barrier methods such as latex or polyurethane male condoms, reality condoms, and/or dental dams during anal, vaginal and oral play and on sex toys along with a water-based lubricant.

Regular medical exams, STI testing, and vaccinations before becoming sexually active, every 3 to 6 months, or when you change partners.

>> More information on abstinence and safer sex

STI Testing Procedure

All tests are confidential.

Test for females involve a blood test (HIV, syphilis, hepatitis), a pap smear (chlamydia, gonorrhea, vaginitis), a physical examination (herpes, HPV, infestations), and a urine test (cystitis). Queen's Health Counseling and Disability Services is currently using urine tests rather than cervical swabs to test for bacterial STIs so women going in for STI testing should not expect to have a cervical swab done.

Test for males involve a blood test (HIV, syphilis, hepatitis), a urine tests (chlamydia, gonorrhea), and a physical examination (herpes, HPV, infestation).

The results are given in person or over the phone after one week.
Past partner tracing is required if you test positive for HIV, Hep A/B/C, Chlamydia, or Gonorrhea.

When it comes to STI testing be consistent, insistent and persistent! You have a right to be tested for everything, regardless of your designated "risk group".

STI Testing Options

Request that ALL tests are done!

If you are a Queen's student, call Queen's Student Health Services (146 Stuart Street) at (613) 533-2506 for an appointment.

Otherwise, call the KFLA Health Unit (221 Portsmouth) at (613) 549-1234. They also provide anonymous HIV/AIDS testing, and STI counseling.

Another resource is your family physician.

>>More resources for STI testing

There are three types of STIs: viral, bacterial, and infestations.

Viral Infections

HIV/AIDS

• Symptoms: depressed immune functioning, fatigue, muscle pain, sore throat, fever (may or may not be present)
• Transmission: unprotected vaginal/anal/oral sex, sharing of needles
• Detection: specific blood test done 3 months after possible infection
• Prevention: regular testing, always using condoms with water-based lubricant during sexual activity
• Note: using spermicides may increase risk because they cause microtears in the vagina or anus, increasing the risk of infection.
• No cure/vaccine

Herpes (simplex 1 and 2)

• Transmitted through contact; viruses affect mouth/genital region
• Symptoms: painful, itchy, fluid-filled sores inside/outside mouth or genitals; virus can spread when sores are not present. Note: canker sores are not herpes.
• Prevention: regular testing, using condoms help reduce risk. Note: condoms may not fully prevent due to lack of coverage of testes and labia
• Detection: medical physical exam
• No cure, chronic/severe infections treated with anti-viral medication

Human Papilloma Virus (HPV)

• Transmission: skin to skin contact
• Symptoms: warts outside/inside genitals, warts vary greatly in appearance (smooth/bumpy/soft/ hard/white/skin colour/ possibly itchy).
• Note: there are different strains of HPV, not all cause symptoms or venereal warts, but some cause cancer
• Gardasil is a vaccine offered to young women to prevent cervical cancer caused by HPV; it is administered in 3 shots over 6 months
• Detection: medical physical examination, females must have pap smear to detect abnormal cervical cells
• Prevention: STI testing, use barrier methods, NOTE: condoms may not fully prevent due to lack of coverage of labia and testes
• No cure. Treatment includes burning, freezing, laser therapy

Hepatitis B

• Transmitted through vaginal, anal intercourse, oral-anal contact, needle sharing
• Nausea, fatigue, jaundice, dark urine, generally feeling unwell, detected by blood test
• No cure, just treatment, but vaccinations available

Hepatitis C

• Transmitted through contact with bodily fluids
• Symptoms: dark urine, abdominal pain, nausea
• Detected by blood test, can be treated with antiviral medication, vaccine available

Bacterial Infections

Chlamydia

• Transmitted through contact
• Males: urethral discharge; females: spotting, itching, burning sensation in genitals
• Detected by swab or urine test for females and urine tests for males, treated with antibiotics

Gonorrhea

• Transmitted through vaginal, anal, oral sex
• Symptoms: thick discharge, painful urination, itching/burning genitals, sore throat if infection is oral, bloody stools and anal discharge if infection is anal
• Detected by swab tests or urine tests with females and urine tests for males, treated with antibiotics

Syphilis

• Transmitted through broken mucous membranes (vaginal, anal)
• Symptoms: stage 1 - painless sore on infected area, stage 2 - flu-like symptoms, rashes, stage 3 - heart disease, paralysis, insanity
• Detected with a specific blood test, treated with antibiotics

Cystitis (a.k.a. Urinary Tract Infection - UTI)

• Bacterial infection of the urinary tract
• Symptoms: frequent urination, painful urination, lower back/ lower abdominal pain, pain during vaginal intercourse
• Detected by a urine test, treated with antibiotics

Vaginitis (bacterial and yeast infections)

• Overgrowth of bacteria/yeast and can be transmitted through contact
• Abnormal discharge, itching or burning
• Detected by swab tests, treated with antibiotics/medication (natural methods such as inserting plain yogurt with tampon)
• Prevention: peeing after sex, wiping front to back

Infestations

Pubic Lice (Crabs)

• Transmitted through skin-to-skin contact
• Itchiness, bluish spots around genitals/thighs, live crabs are dark grey to red-brown in colour
• Detected by physical exam, treated with medicated creams/shampoos, important to wash bedding, clothing, towels, etc.

Scabies

• Mites get under skin and lay eggs
• Transmitted through contact, mites prefer warm moist areas
• Itchiness, irritation
• Detected by physical exam, treated with medicated creams