10 Common STIs – When to Worry and When to See a Doctor
This is an overview of 10 common sexually transmitted conditions. But, let’s start with a definition.
What are STIs?
STIs (Sexually Transmitted Infections) – or STDs (Sexually Transmitted Diseases) – are infections passed from one person to another through sexual contact, including vaginal, anal, and oral sex. They can be caused by bacteria, viruses, or parasites.
Their two main traits are that they often present with absolutely no symptoms at all, but most are highly treatable (and often curable) when caught early.
1. Chlamydia
What it is: A very common bacterial infection that affects the cervix, urethra, rectum, or throat.
Common signs: Often no symptoms; sometimes pain when passing urine, unusual discharge, or bleeding between periods.
When to Worry:
When to See a Doctor:
2. Gonorrhoea
What it is: A bacterial infection affecting the genitals, throat, or rectum, which can lead to fertility issues if left untreated.
Common signs: Thick green or yellow discharge, pain when urinating, and pelvic or testicular pain.
When to Worry:
When to See a Doctor:
3. Genital Herpes (HSV)
What it is: A viral infection that stays in the body long-term, causing periodic flare-ups.
Common signs: Painful blisters or sores around the genitals or rectum; tingling or itching.
When to Worry:
When to See a Doctor:
4. Human Papillomavirus (HPV)
What it is: A very common virus; some types cause harmless skin growths, while others increase cancer risk.
Common signs: Often none; sometimes genital warts or abnormal cell changes.
When to Worry:
When to See a Doctor:
5. HIV
What it is: A virus that attacks and weakens the immune system over time, which is highly manageable with modern medication.
Common signs: Early flu-like illness (fever, rash, sore throat) or no symptoms for many years.
When to Worry:
When to See a Doctor:
6. Syphilis
What it is: A bacterial infection that develops in distinct stages and can cause serious internal damage if left untreated.
Common signs: A painless sore (chancre), a non-itchy rash (often on palms/soles), and flu-like symptoms.
When to Worry:
When to See a Doctor:
7. Trichomoniasis
What it is: A parasitic infection caused by a tiny organism, easily spread during unprotected sex.
Common signs: Foul-smelling discharge, genital itching, and discomfort when urinating (often no symptoms in males).
When to Worry:
When to See a Doctor:
8. Hepatitis B
What it is: A virus affecting the liver that can cause acute illness or lead to a chronic, long-term infection.
Common signs: Extreme fatigue, nausea, yellowing of the skin/eyes (jaundice), and dark urine.
When to Worry:
When to See a Doctor:
9. Pubic Lice (Crabs)
What it is: Small parasitic insects living in coarse human body hair, most commonly pubic hair.
Common signs: Intense itching in the affected areas, visible tiny lice, or small eggs attached to hairs.
When to Worry:
When to See a Doctor:
10. Genital Warts
What it is: Small, benign growths on or around the genitals or anus caused by certain low-risk types of HPV.
Common signs: Small, flesh-coloured or pink bumps that can appear alone or in clusters like a cauliflower; usually painless.
When to Worry:
When to See a Doctor:
Note. If accompanied with lower abdominal pain and fever, there may be a pelvic infection (i.e. it is ascending infection) – e.g. pelvic inflammatory disease (PID).
Important Messages
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Many STIs cause no symptoms – regular screening is the only way to know your status for sure.
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Do not ignore potential exposure or symptoms – early medical evaluation ensures quick treatment and stops the spread.
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Most sexually transmitted infections are benign and highly treatable – but early diagnosis is key.
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Sexually transmitted symptoms are standard medical concerns – never let embarrassment delay a visit to the doctor.
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