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Doctor Q&A Judith O'Donnell, MD
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Doctor Q&A Judith O Donnell, M.D.
Judith A. O Donnell, M.D., an associate professor of clinical medicine in the division of infectious diseases at the University of Pennsylvania School of Medicine and the hospital epidemiologist and director of the department of infection prevention and control at Penn Presbyterian Medical Center, answers commonly asked questions about sexually transmitted diseases.
Send questions on next month s topic, asthma and allergies, to metrohealth@metro-philly.com.
My doctor said I have chlamydia. I m taking the medicine, so it is okay if I don t tell my boyfriend?
No, you must find a way to talk to your boyfriend about your chlamydia infection. Chlamydia is called the silent disease because three quarters of infected women and half of infected men have no symptoms, or only very mild symptoms that they don t recognize.
If you do not share your diagnosis with your sexual partner(s), you risk becoming re-infected once you resume sexual activity. If you feel uncomfortable having a face-to-face conversation with your boyfriend, you can send him an e-card, available at www.cdc.gov/std, letting him know he should get tested.
I ve had unprotected sex with more than one person, but I don t have any symptoms of a sexually transmitted infection. Is it safe to assume I don t have one?
No! All of the sexually transmitted infections may be asymptomatic. And people infected are two to five times more likely to acquire HIV if exposed through sexual contact. To find free confidential care for STDs you can visit www.findSTDtest.org.
I m a heterosexual guy, so there s no way I could get HIV, right?
Wrong! HIV is transmitted through all types of sexual contact including heterosexual vaginal intercourse, anal intercourse, and oral sex.
Can I tell from looking if a potential sex partner has herpes?
No. It is currently estimated that 1 in 5 adolescents and adults in the U.S. are infected with herpes virus type 2, the type that most commonly causes genital herpes. Most of these individuals have never had an outbreak or been diagnosed. The virus is released from the ulcers/sores that the virus causes, but it also released from the skin and membranes that appear normal.
This is called asymptomatic shedding. The majority of transmission of HSV-2 occurs when individuals who look normal and feel fine are shedding their HSV from skin or membranes.
Additional information:
The importance of diagnosing genital herpes -- Cusini and
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Laboratory Diagnosis of Genital Herpes Accurate serologic
Genital herpes - Overview - Diagnosis
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Genital Herpes - When To Call a Doctor - Yahoo! Health
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McKinley Health Center - Genital Herpes - University of Illinois
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