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Continued from page 24 - Disparities: Racial Gaps Seen in<br />

Chlamydia Screening<br />

youngest women and those with insurance were slightly<br />

more likely to be tested than the older and the uninsured.<br />

But black women were three times as likely to be tested<br />

as white women, and Hispanic women almost 13 times as<br />

likely to be tested.<br />

Chlamydia rates are higher among blacks and Hispanics,<br />

and this could be a reason to screen them more often than<br />

whites. But cervical cancer rates, for example, are also<br />

higher among blacks and Hispanics, yet there is no<br />

difference by race in screening for that disease. The<br />

authors say the stigma attached to a sexually transmitted<br />

infection like chlamydia may make clinicians less likely<br />

to test white women.<br />

The lead author, Dr. Sarah E. Wiehe, an assistant<br />

professor of pediatrics at Indiana University, said these<br />

differences in screening might have a significant effect on<br />

reported rates of disease. “There is a higher prevalence of<br />

chlamydia among certain women,” she said. “We don’t<br />

know how much of that is driven by differences in<br />

screening.”<br />

http://www.nytimes.<strong>com</strong>/2011/02/01/health/research/01disparit<br />

ies.html_r=1&ref=venerealdiseases<br />

☻☻☻☻☻☻<br />

Uganda: Sexually<br />

Transmitted Infections in Men<br />

By Christine Katende<br />

23 June 2011<br />

Daily Monitor<br />

Sexually Transmitted Infections (STIs) are usually<br />

associated with women, both as the victims and sources.<br />

Men, too, however suffer from STIs, according to Dr<br />

Joseph Ogavu Gyagenda, a senior medical officer at<br />

Nsambya hospital. However, the presentation or<br />

symptoms as particular STIs may be known may differ in<br />

men.<br />

Gyagenda says that the uncircumcised men are especially<br />

more prone, since a lot of germs hide under the fore skin<br />

giving chance to infections to thrive. STIs are diseases<br />

transmitted through sexual intercourse.<br />

There are a number of sexually transmitted diseases, with<br />

different symptoms, and they can be spread through<br />

different forms of sex, be it vaginal, anal and oral sex.<br />

"The perception that if one avoids vaginal sex they will<br />

not catch STIs is wrong; whichever way you have sex<br />

predisposes you to these infections, as long as it is unsafe<br />

or unprotected sex," the doctor asserts.<br />

He explains the different STIs and how they are most<br />

likely to present in men <strong>com</strong>pared to women.<br />

Gonorrhea<br />

Gonorrhea can infect the urethra, rectum, anus, and<br />

throat, usually appearing one to 10 days after exposure.<br />

It is a serious infection in women that reveals itself<br />

with a yellowish vaginal discharge and itching around<br />

the vaginal area. Untreated, gonorrhea can lead to a<br />

severe pelvic infection and swelling of the fallopian<br />

tubes and ovaries.<br />

In men, it carries symptoms that include a discharge<br />

from the anus if the rectum is infected, a burning<br />

sensation when passing urine and a yellow discharge<br />

from the penis.<br />

Syphilis<br />

A <strong>com</strong>mon STI with seemingly unserious or painless<br />

symptoms hence taking months or even years to<br />

identify, syphilis is a bacterial infection. A woman who<br />

has syphilis will have symptoms like skin rash that<br />

appears on her palms and the bottom of the feet, white<br />

patches in her mouth, nose and the vagina, a sore<br />

throat, headaches and fever. A man with syphilis will<br />

have symptoms like painless ulcers on the penis, a nonitchy<br />

rash on the penis and 'unserious fever'.<br />

The doctor however warns that despite its subtle<br />

symptoms, this infection can be<strong>com</strong>e serious, whether<br />

in men or women, if not treated. "This is a dangerous<br />

infection and if it goes untreated, one is most likely to<br />

get <strong>com</strong>plications like a stricture, where the urethra gets<br />

blocked, making it uneasy to pass urine," says the<br />

doctor emphasising that this could even lead to death.<br />

Chlamydia<br />

Also a bacterial infection, chlamydia is, according to<br />

Dr Gyagenda, <strong>com</strong>mon in people with different sex<br />

partners. In women, it will present a vaginal discharge,<br />

frequent urination, pain while passing urine, pain<br />

during sexual intercourse, bleeding after having sex and<br />

lower abdominal pains.<br />

Among men, the doctor says that the symptoms are<br />

more likely the same as those of gonorrhea; a burning<br />

sensation when passing urine, discharge from the<br />

penis and discharge from the rectum (anus).<br />

Trichomoniasis<br />

This infection is caused by an organism transmitted<br />

during sexual intercourse. In both women and men,<br />

transmission is usually through anal, oral or vaginal sex<br />

with an infected person. Trichomoniasis is associated<br />

Continued on page 26<br />

-25- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> October 2011

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