-Caveat Lector-

>The American Academy of Dermatology: Sexually Transmitted Diseases-
>Treating America's Hidden Epidemic
>PR Newswire - October 18, 2000
>------------------------------
>
>Wednesday October 18, 12:04 pm Eastern Time
>Press Release
>SOURCE: American Academy of Dermatology
>The American Academy of Dermatology: Sexually Transmitted Diseases-Treating
>America's Hidden Epidemic
>NEW YORK, Oct. 18 /PRNewswire/ -- Teenagers are bombarded with images of
sex
>on a daily basis. Whether it be television, movies, music, or magazines,
the
>joy of sex is often glorified while the consequences are rarely addressed.
>Yet what teenagers need to know is that most sexually transmitted diseases
>are difficult to treat and many can only be controlled, not cured.
>Speaking today at the American Academy of Dermatology's Derm Update 2000,
>dermatologist Libby Edwards, M.D., Clinical Associate Professor of
>Dermatology, Wake Forest University, Winston-Salem, North Carolina,
>discussed three common sexually transmitted diseases and their treatment.
>Sexually transmitted diseases are infections that are spread by contact of
>genital skin (penis, scrotum, vagina and skin surrounding these areas) with
>the infected skin of another person.
>"While sexual intercourse is the most common way of catching a sexually
>transmitted disease, oral sex and occasionally even contact with other
>infected skin, such as a finger, can sometimes spread infections as well,"
>said Dr. Edwards. "Contrary to what people might think, penetration with
>sexual intercourse does not have to occur for an infection to spread. Using
>a condom can help decrease the risk of contracting a sexually transmitted
>disease, but skin contact still occurs around the edges of the condom and
>can spread the disease."
>Genital Herpes
>While genital herpes is caused by one of two very closely related herpes
>simplex viruses, type II herpes more often occurs in the genital area. The
>virus infects the skin, generally causing small, painful blisters or open
>sores. It is estimated that between 20 percent and 25 percent of Americans
>are infected with the virus that causes genital herpes.
>"The problem with herpes is that the virus stays in the body forever,
hiding
>out in the nerve under the skin even after the blisters disappear,"
>explained Dr. Edwards. "That's why herpes is such a significant threat to
>teenagers-once you contract it, you literally carry it with you the rest of
>your life."
>Although people can pass this infection most easily when the open sores or
>blisters are present, the virus can be infectious even when the skin looks
>normal and people are taking medication to prevent outbreaks.
>While there are no treatments that cure a herpes infection, there are
>several medications-such as acyclovir, famciclovir and valacyclovir-that
>shorten outbreaks and, if taken daily, keep outbreaks from occurring and
>decrease the amount of virus on the skin.
>Genital Warts
>Genital warts are small, skin-colored bumps caused by a human
papillomavirus
>(HPV). They can occur on the outside skin as well as inside the vagina and
>on the cervix of women, where they are unnoticeable and can pass on the
>infection.
>"Warts generally do not appear until weeks or months after the infection
>begins, making it somewhat difficult to determine how the infection was
>initially passed on," cautioned Dr. Edwards. "More importantly, some wart
>viruses can cause cancer of the cervix-making them a potentially serious
>health risk for some women."
>Although they usually do not hurt or itch, genital warts can be unsightly
>and embarrassing. There are no treatments that cure a wart infection, but
>there are treatments that help the body get rid of the warts-such as
>freezing, burning, or applying acids that actually destroy the wart itself.
>However, the virus that causes warts also lives in the skin so warts often
>recur. A newer treatment, called imiquimod, is a cream that prompts the
body
>to fight off the virus.
>HIV
>Human immunodeficiency virus (HIV) is a life-threatening infection that is
>transmitted by sexual secretions and blood. The infection can make a person
>feel as though he or she has the flu, which seems to go away, but the
>infection remains and slowly damages and changes the immune system until
the
>person cannot fight off other infections. A person can be infected with HIV
>for several years before developing the Acquired Immune Deficiency Syndrome
>(AIDS).
>"The only way to avoid catching a sexually transmitted disease is to avoid
>sexual activity altogether," said Dr. Edwards. "Teenagers need to realize
>that they can't be cavalier when it comes to having sex. Even using a
condom
>and limiting sexual activity to as few lifetime partners as possible is
only
>partly protective."
>The American Academy of Dermatology, founded in 1938, is the largest, most
>influential, and most representative of all dermatologic associations. With
>a membership of over 13,000 dermatologists worldwide, the Academy is
>committed to: advancing the science and art of medicine and surgery related
>to the skin; advocating high standards in clinical practice, education, and
>research in dermatology; supporting and enhancing patient care; and
>promoting a lifetime of healthier skin, hair and nails. For more
>information, contact the AAD at 1-888-462-DERM or www.aad.org
><http://www.aad.org>  .
>SOURCE: American Academy of Dermatology

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