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# Friday, July 27, 2012
Posted: Friday, July 27, 2012 | Categories: Chlamydia

It is without a doubt that men and women do not understand the danger of leaving chlamydia untreated otherwise how can we explain the climbing rates of infection in the UK? Chlamydia can render women infertile so it is vital to get tested for this extremely common infection especially before trying to conceive. People are also not aware of the fact that 70% of women who are infected and 50% of men who are infected do not have symptoms, making Chlamydia a very dangerous infection. If left untreated, chlamydia can cause serious consequences.

Without treatment, Chlamydia remains in the body before infecting the fallopian tubes which can then cause Pelvic Inflammatory Disease (PID). It is this disease that causes infertility by blocking the fallopian tubes. All fertility clinics will test a couple for chlamydia before they try to conceive however, it may be too late at this stage. Since the infection is symptomless in many cases, women and men are strongly advised to get tested each time they change partner.

Another infection which is often linked to reproductive problems is Ureaplasma. There is very little hard evidence proving how the infection affects our ability to conceive or how it affects the pregnancy itself however, in theory, if the infection is present in the male’s semen when the baby is conceived, it is thought that there is a greater risk of miscarriage later on in the pregnancy. Most private fertility clinics will test the male’s semen sample for this bacterium. If it is present, it can be cleared up with a short course of antibiotics.

# Tuesday, July 24, 2012
Posted: Tuesday, July 24, 2012 | Categories: General News

It is possible that deliveries will be affected over the Olympic period, 23rd of July until 9th September. Items sent via Royal Mail Special Delivery and posted from or to London could potentially be affected.

Patients are asked to place orders early in the day if they wish to receive their item the next day. Furthermore, First Class items that are posted from or to London could arrive early in the morning or much later in the day than usual.

To be absolutely clear, we will still be dispatching all orders received by 5.00 pm Monday to Friday on the day the order is received.

Thank you for your patience at this time. If you have any further queries, please contact us.

# Friday, July 20, 2012
Posted: Friday, July 20, 2012 | Categories: HPV

The Human Papilloma Virus (HPV) is known to cause cancer in both men and women and the virus is carried by both sexes although, in the UK so far, only girls who have not been exposed to the virus are being vaccinated. There has been much debate about whether or not vaccinating boys would be cost effective but next year the vaccine will be offered to boys of 12 and 13 years in Australia as part of their National Immunisation Program. This is mainly down to their very successful immunisation of girls and women, which began in 2007 and which has caused rates of cervical cancer to decrease significantly since.

The American Academy of Paediatrics changed their previous guidance in order to recommend that boys be included in the population of those who have the HPV vaccination available to them. This follows a recommendation for the vaccination of boys by the Centers for Disease Control (CDC) in the US.

With such positive statistics reported over the last 5 years in Australia, it has got to be a good idea to vaccinate boys and to not have to rely on the effects of ‘herd immunity,’ which would mean that boys would inadvertently be protected from the virus over time due to the mass vaccination of young girls. This form of indirect immunisation would not include men who have sex with men (MSM) who would therefore have derived no protection.

This is an expensive vaccine but as long as it’s working we can be reassured that the money which would have been spent on treating HPV related cancers can instead be put back into vaccination funding and ultimately into protecting the population from this sexually transmitted and potentially cancer-causing virus.

# Friday, June 15, 2012
Posted: Friday, June 15, 2012 | Categories: Herpes

Recently a client of the e-Harmony dating website contracted genital herpes, a lifelong virus that includes episodic breakouts and means that for the duration of your life, you have the potential to be infectious and can pass the virus onto other people through sexual activity. This woman took legal action against the man who gave the virus to her since it had caused her harm both physically and emotionally.

Over the last couple of years there have been a number of law suits relating to the spread of herpes with intent. Many of these cases report that the person being prosecuted did not know they were infectious, as was the case with the e-Harmony client who passed the infection to his unsuspecting date.

With 1 in 6 people in the US reported to have herpes and with condoms offering only some protection against this particular sexually transmitted infection (STI), it can be difficult to avoid carriers if you have multiple sexual partners. It is believed that around 10% of the UK population has the virus. The most you can hope for is that a partner will tell you about their sexual history, however embarrassing it might be for them but many of those infected do not know that they remain infections even when they are not displaying obvious symptoms. Some think that when they have had an outbreak and have treated it that the virus is gone for good.

Herpes will never go away and it is easily contracted. Looking at the climbing STI rates all over the world, it is believable to think that some individuals who pass it on are not aware that they are doing so and have not been malicious in their intent but rather ignorant about the virus they carry. Questioning a partner about their sexual history is vital before making the decision to engage in sexual activity – although we understand that this can be awkward and can ruin the moment.

Education is a huge factor and once again it seems the public is largely ignorant as far as herpes is concerned. In the end the e-Harmony client won damages and the jury stated that the woman taking action was 25% negligent versus the man’s 75% negligence. There must be thousands who have contracted herpes in this way and not many of them involve court cases.

# Thursday, May 31, 2012
Posted: Thursday, May 31, 2012 | Categories: General Sexual Health

The Health Protection Agency (HPA) has released the latest figures pertaining to cases of sexually transmitted infections in England and the results suggest that much more needs to be done in the way of awareness campaigning all over the country. According to the HPA, cases of gonorrhoea have risen by 25% and this is by far the most worrying increase considering the infection is becoming increasingly resistant to antibiotic treatment. Eventually, we may not be able to treat this infection. The number of STIs overall rose by 2% over the last year. Cases of syphilis rose by 10% and cases of genital herpes by 5%. Chlamydia infections were down on the previous year but this is thought to be because fewer people are presenting for screening.

Since testing methods have become more advanced, cases have been more easily identified as a result and this is part of the reason why the number of STIs is continually on the increase. However, the problem remains that people are still having unprotected sex despite all we know about the danger of HIV and the risks of other types of sexually transmitted infections.

Chlamydia is again one of the most common STIs in England. If left untreated, women with Chlamydia can go on to develop pelvic inflammatory disease and could become infertile. The fact that Chlamydia is often symptomless, makes testing all the more important. A decrease of 4% in the number of chlamydia infections reported among young adults indicated, according to the HPA, that not enough young people were being screened for the infection.

61% of the new cases of STIs were reported among men who have sex with men and 57% were reported among young adults who were between the ages of 15 and 24. More of an effort needs to be made to make information more accessible to young people and the message regarding the use of condoms as the only method available to prevent against STIs should be loud and clear.

# Thursday, April 19, 2012
Posted: Thursday, April 19, 2012 | Categories: General Sexual Health

Stateside, things couldn’t be more confused regarding prostitution and safe sex. Prostitutes themselves are up in arms over the fact that police can arrest a sex worker once they can find reasonable evidence in the form of condom possession.  Prostitutes have taken to not carrying condoms and are therefore more at risk of contracting and spreading sexually transmitted infections and most worryingly, contributing to the spread of HIV. Is there any reason why arresting a sex worker on the basis of condom possession is a good idea?

Two organisations, the PROS Network and the Sex Workers Project gathered in New York State to highlight before lawmaker’s, the importance of passing a new bill in order to put a stop to this practice. There are apparently known cases of prostitutes who do not carry condoms now because they are afraid of being caught and arrested. This is surely not the way to crack down on street walking when rates of STIs and HIV are on the increase. These sex workers fear they will be arrested if they carry condoms and at risk of infection if they don’t. They are unhappy with either outcome so they feel that they might as well make money, take the health risk and avoid being put behind bars.

This is clearly not a satisfactory situation. Nobody wants prostitutes hanging around their neighbourhood but pretending that they can be coerced into giving up their line of work is foolhardy. Prostitution is not called the oldest profession for nothing – it has been around for ever and will always be there. Pretending that you can stamp out prostitution in this way is ludicrous and a public health hazard. Lawmakers need to use some common sense and pass a law that ensures public health is safeguarded.

# Tuesday, March 27, 2012
Posted: Tuesday, March 27, 2012 | Categories: General Sexual Health

One of the most worthy apps created yet has got to be Chec-Mate, an app designed to help you verify that a new partner has been tested and therefore certifiably free of sexually transmitted infections (STIs). It is currently available for the iPhone and will be accessible to Android users shortly. The main idea behind the app is to get new partners talking about their sexual health early on into their relationship or before a relationship even begins in an effort to control increasing levels of STI rates.

It will be used to share the most recent test results with prospective partners and also in order to find local sexual health clinics. The company behind the app stresses that once a person’s results are live, they cannot guarantee that they have not subsequently contracted an infection. They emphasise that the role of the app is an opportunity to get people to take more responsibility for their sexual health but admit that the results displayed should not be taken as gospel since they are subject to change after time. What the creators seek to do is get rid of the taboo surrounding sexual history and get people talking about it freely and openly.

Nice idea but we cannot see this one catching on. Having said that, we do support it so here is where you can get hold of this app.

# Monday, March 26, 2012
Posted: Monday, March 26, 2012 | Categories: HPV

Over 6,000 cases per year of oral cancer have been reported for the first time ever and the increase is thought to be due to the increasing rates of human papilloma virus (HPV). The majority of cases in the UK were reported among men in 2011. It is thought that the higher rate in men could be related to the fact that men tend to drink alcohol to a greater degree and smoke more heavily than women.

There has been a 90% increase in the amount of cancers originating at the base of the tongue and a 70% increase in the number of cancers discovered on the tonsils. These areas are strongly associated with HPV. The HPV is likely to have been transferred to the mouth during oral sex.

80% of sexually active people in the UK are likely to contract HPV at some stage in their lives and many of them will contract less serious strains of the virus however there are cancer causing strains that could be potentially fatal if not caught in time and treated.

The good news is that those who have a HPV related cancer are more likely to recover than those who have developed cancer due to drinking alcohol and smoking. With such significant increases in these cancers that can be associated with HPV-16, we are likely to see doctors recommending that boys as well as girls get vaccinated with Gardasil, a vaccination that protects against HPV-16.

# Friday, March 09, 2012
Posted: Friday, March 09, 2012 | Categories: Mycoplasma Genitalium

Recent research has found that the bacterial infection, Mycoplasma genitalium, an infection which can be transmitted sexually, increased the risk of African women becoming infected with HIV.

The Mycoplasma Genitalium bacterium was only discovered in 1980 and research into this relatively new infection is on-going. Previous data from a bigger study of HIV in women from Zimbabwe and Uganda was used in order to assess the effects of M. genitalium on the risk of contracting HIV. At the study’s outset, the women were all HIV free. It was discovered that 190 women from the study group had become infected with HIV after follow-up meetings. These women and the women who were not infected were tested for the bacterial infection M. genitalium and it was found that the infection was present in 15% of the women who went on to develop HIV as opposed to 6.5% among the women who did not go on to contract HIV.

The presence of other STIs, and especially infections such as herpes simplex II, also increased the risk of contracting HIV. M. genitalium was however more commonly detected in this particular study than other STIs such as chlamydia and gonorrhoea.

Much research is being carried out in the area of M. genitalium as there is still little known about this infection. The NHS does not test for it in their GUM clinics at the current time. A short course of antibiotics can eliminate the infection. We always advise patients who are having symptoms to have a full screen but maybe getting tested for Mycoplasma Genitalium as part of a routine STI check-up should be the norm as its prevalence increases.

# Wednesday, February 08, 2012
Posted: Wednesday, February 08, 2012 | Categories: General Sexual Health

Correlations have been made for a long time between the effects of the increasingly popular erectile dysfunction medications and the simultaneously increasing number of cases of sexually transmitted infections. Now we have the figures to prove it. With data taken from a recent report by the Health Protection Agency, it seems likely that this hypothesised correlation is a valid one.

The spread of sexually transmitted infections among those between the ages of 50 and 90 years is growing rapidly and is being described as a small epidemic.  The number of new cases of HIV among those over the age of 50 years had doubled over a period of ten years in 2009.

This is indicative of people not taking the necessary precautions when it comes to the use of condoms and sex. It is thought that the responsibility to get tested is as much down to the patient as it is the GP in that GPs are simply not recognising the symptoms of sexually transmitted infection in the older generations these days and are assuming symptoms are associated with something else. The truth of it is that men and women are having sex well into their nineties today with the help of Viagra and other such medications and curbing the rise of infection rates is something we all have to consider including those in the medical community.