CHECK NRW #2

STI Symptoms vary by

STI Symptoms vary by context and person. Protective measures as shown here may be inadequate and do not guarantee non-infection. If in doubt, please contact a doctor or pharmacist. TRANSMISSION SYMPTOMS CHLAMYDIA Mucous membranes (eyes, anal, oral, urethra, vaginal). Body fluids (blood, saliva, sperm, urine). Syringes, straws, pipes when using drugs. After 1 – 3 weeks: glassy to opaque discharge from the penis, painful urination, or painful swelling of the testicles can occur. GONORRHEA Mucous membranes (eyes, anal, oral, urethra, vaginal). Body fluids (blood, saliva, sperm, urine). Fingers, hands, toys. Syringes, straws, pipes when using drugs. After 2 – 6 days: burning sensation when urinating and purulent, foul-smelling discharge from the urethra. Partial pain and swelling of the testicles, fever. HEPATITIS A During anal-oral sex („ass licking, rimming“) or indirectly via anus-finger-mouth. By contaminated syringes and accessories (filters, spoons, water) when using drugs. After 2 – 4 weeks: flu-like symptoms, loss of appetite, nausea, headache, muscle and joint pain. A feeling of pressure under the right costal arch, aversion to fatty food and alcohol HEPATITIS B Body fluids (blood, saliva, sperm, urine). Injured mucous membranes (eyes, anal, oral, urethra, vaginal). Syringes, straws, pipes when using drugs. After 4 – 6 months: fatigue, muscle and joint pain, nausea, vomiting and skin changes. Later also inflammation of the liver with jaundice and fever. HEPATITIS C Blood, less often other body fluids. Syringes, straws, pipes when using drugs. Also unsanitary tattooing, piercing or ear piercing. After 3 – 6 months: flu-like symptoms, yellowing of the skin. With chronic infection: fatigue, itching, joint complaints, inflammation of the liver. GENITAL HERPES Mucous membranes (eyes, anal, oral, urethra, vaginal). Cough, sneeze, kiss, sex, fingers, sex toys. After a few days to weeks: tingling, itching of the skin. Blisters that burst into small ulcers. Swelling of the lymph nodes, fever and feeling sick. HERPES ZOSTER (SHINGLES) The fluid in the herpes zoster is contagious. Smear infection especially via the hands: the virus can be transmitted by touching door handles, handrails, water taps or toys. After 2 – 3 days: burning pain, itching or tingling skin. Reddening or swelling of the skin and blistering, conjunctivitis, corneal inflammation, facial paralysis, severe nerve pain. HIV / AIDS Body fluids (blood, saliva, sperm, urine). Injured mucous membranes (eyes, anal, oral, urethra, vaginal). Injection while using drugs. After 2 – 4 weeks: fever, fatigue or discomfort, night sweats, diarrhea, fatigue, swelling of the tonsils and lymph nodes, muscle pain, rash. HPV Mucous membranes (eyes, anal, oral, urethra, vaginal). Kissing, fondling, petting or having sex. Some types of HPV can cause genital warts (condylomas) weeks after infection. SYPHILIS Body fluids (blood, saliva, sperm, urine). Injured mucous membranes (eyes, anal, oral, urethra, vaginal). Syringes, straws, pipes when using drugs. 1st phase: ulcer formation on the penis, vagina, anal area, mouth. Swelling of the lymph nodes. 2nd phase (after about 2 months): fever, headache and joint pain, skin rashes can occur. 88 CHECK NRW #2

On the right side you can enter the last time you were tested or received a vaccination. Your doctors or pharmacists will be happy to give further advice. PROTECTION TREATMENT CHECK Condoms reduce the risk of infection, but cannot safely rule it out. Only use the condom once. Prescription Antibiotics. Tested on: Condoms reduce the risk of infection, but cannot safely rule it out. Only use the condom once. Wash hands and sex toys with soap before use. Prescription Antibiotics. Tested on: Vaccination – the only effective protection against hepatitis A. It is usually done together with the vaccination against hepatitis B. There is no therapy. Only the general symptoms of the disease are treated. Tested or vaccination received: Vaccination. In addition: Condoms reduce the risk of infection, but cannot safely rule it out. Only use the condom once. Safer use (use your own injection equipment, straws or pipes). Pay attention to hygiene when tattooing, piercing, ear piercing. Safe sex and condoms reduce the risk of infection. There is no one hundred percent effective protection. However, the risk drops significantly if sex is avoided during an outbreak phase. Only use the condom once. In the acute phase, the infection can heal itself. A chronic infection lasts for months to years, sometimes medication has to be taken for life. There is usually no treatment in the first six months. The treatment of a chronic infection lasts 8 to 12 weeks, with complications also 16 to 24 weeks. Genital herpes is not curable. Repeated painful relapses are routinely treated with virus-inhibiting tablets. Tested or vaccination received: Tested on: Tested on: Vaccination, Avoiding physical contact during an infection. Touch and pressure (for example during sex) can cause blisters to burst and the virus to be transmitted. Virostatics (antiviral drugs) and, if necessary, pain relievers. Tested or vaccination received: Condoms, PrEP and PEP (within 72 hours). Safer use (use your own injection equipment, straws or pipes). Pay attention to hygiene when tattooing, piercing, ear piercing. Different combinations of antiretroviral drugs under medical supervision. Tested on: Vaccination. In addition: Condoms reduce the risk of infection, but cannot safely rule it out. Only use the condom once. Most HPV infections heal on their own. So far, there is no drug that can directly fight HP viruses. Tested or vaccination received: Condoms reduce the risk of infection, but cannot rule it out. Only use the condom once. Prescription Antibiotics. Tested on: CHECK NRW #2 89