Untreated STDs: Risks and Family Transmission - Urology

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Sexually transmitted diseases (STDs) issues?


If someone has had untreated gonorrhea, genital warts, and syphilis for the past two to three years, can a doctor determine the severity of the conditions now? However, during previous medical visits, the doctor did not mention anything.
Can these infections be transmitted to family members?

Peng Peng, 30~39 year old female. Ask Date: 2023/01/16

Dr. Du Shixi reply Urology


Hello: It is recommended that you go to the hospital for an examination to confirm whether there is an infection (be sure to tell the doctor that you want to be tested for sexually transmitted infections).
These types of infections are primarily transmitted through sexual contact, and the chances of transmission among family members are very low.
Wishing you good health.

Reply Date: 2023/01/16

More Info


Untreated sexually transmitted diseases (STDs) such as gonorrhea, genital warts (caused by human papillomavirus or HPV), and syphilis can have serious health implications, not only for the individual affected but also for their family and sexual partners. It is crucial to understand the risks associated with these infections, particularly when they go untreated for an extended period.

Firstly, untreated gonorrhea can lead to severe complications, including pelvic inflammatory disease (PID) in women, which can result in chronic pain, infertility, and ectopic pregnancies. In men, it can lead to epididymitis, which may also affect fertility. Gonorrhea can also spread to the bloodstream, causing disseminated gonococcal infection, which can be life-threatening.

Genital warts, caused by certain strains of HPV, can lead to various complications. While many HPV infections resolve on their own, persistent infections with high-risk strains can lead to cervical cancer in women and other types of cancer in both men and women. The presence of genital warts can also cause psychological distress and affect one's quality of life.

Syphilis is particularly concerning because it can progress through several stages if left untreated. The primary stage involves painless sores, while the secondary stage can cause rashes and flu-like symptoms. If it reaches the latent stage, it can remain asymptomatic for years but can eventually progress to tertiary syphilis, which can cause severe damage to the heart, brain, and other organs, potentially leading to death.

Regarding transmission, STDs are primarily spread through sexual contact. Gonorrhea and syphilis can be transmitted through vaginal, anal, or oral sex. Genital warts are also transmitted through skin-to-skin contact during sexual activity. If you are living with family members, the risk of transmission to them is generally low unless there is direct sexual contact. However, it is essential to consider that if you have children or engage in sexual activity with partners, the risk of transmission to them is significant.

If you have been diagnosed with these STDs and have not received treatment, it is crucial to seek medical attention as soon as possible. A healthcare provider can conduct tests to determine the extent of the infections and recommend appropriate treatments. Many STDs are treatable with antibiotics, and early intervention can prevent complications and further transmission.

In addition to seeking treatment, it is important to communicate with your sexual partners about your health status. This transparency is vital for their safety and well-being. If you are concerned about the potential transmission of STDs to family members, consider discussing your situation with a healthcare professional who can provide guidance on safe practices and preventive measures.

In summary, untreated STDs can lead to serious health complications and pose risks to sexual partners. Seeking medical treatment is essential for your health and the health of those around you. Open communication with partners and family members, along with appropriate medical care, can help manage and mitigate the risks associated with STDs.

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