Understanding Sexually Transmitted Diseases (STD): A Guidebook to Better Sexual Health (MSM) by Dr Tan and Partners - HTML preview

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STI Symptoms & Bottom

STI symptoms you can get if you allowing your partner to insert his penis into your anus, allowing your partner to use his mouth on your anus, allowing your partner to insert any objects into the anus including fingers and sex toys.

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Anal Symptoms

Discharge - This is basically a liquid coming out of the anus. Very rarely it is yellow and high volume. If this is so, it is almost always due to Gonorrhea. More often than not, it is very mild and a mucus like appearance and consistency. Sometimes patients do not even see a discharge but they feel that the anus is wet all the time. Discharge from the anus is commonly caused by Chlamydia or Gonorrhea.

Discomfort - This can range from actual discomfort to feeling like they need to poo all the time. It is never actually painful. If it is painful, it is more likely due to piles or an anal fissure rather than an STD.

Bleeding - This is also a rare symptom of an STD infection. If we see bleeding we would more often think of piles and anal fissures.

Skin Symptoms

Growths - This is extremely common and is usually caused by HPV. HPV can infect the anus even if you do not have anal sex. HPV infection of the anus can cause Anal Cancer. For all these reasons you really should think about getting a HPV vaccine. This vaccine is recommended for both men and women. Remember, you can get HPV infection of the anus even if you do not have anal sex. Growths due to HPV are called warts.

They look very distinctive. They are often described as skin colored ”cauliflower-like” growths. When they grow around the anus they are usually multiple (a few to a lot of them). They can even grow inside the anal canal which makes it very difficult to treat. Because you may not be able to see them, you will usually notice them when you feel soft little lumps around the anus. Another less common growth due to an STD is caused by Molluscum Contagiosum Virus. This looks like little pearls that have been stuck to the skin.

Ulcers - The 2 usual suspects are Syphilis and Herpes. Syphilis ulcers are usually single, big and painless. Herpes ulcers are usually multiple, small and painful. Because these ulcers can occur inside the anal canal, you may not see them.

Blisters - This is almost always caused by Herpes. They look like little fluid filled sacs on the skin. They do not usually appear around the anus instead would appear on the butt cheeks. They can cause the lymph nodes in the lower back to swell and cause a bit of a back pain.!

General Symptoms

These symptoms are called general symptoms because they can be caused by a variety of illnesses and not necessarily by STDs.

Fever - The STDs that affect the anus almost never causes fever except for HIV. So if you do have a fever, more likely than not it is not due to an STD.

Swollen Lymph Nodes - Lymph nodes close to any area that is infected will swell as part of the body’s natural defense mechanism against an infection. If the anal canal is infected the lymph nodes in the lower back can swell and even become a little tender or painful. This can occur with Herpes, Syphilis, Gonorrhea or Chlamydia.

Rectal Gonorrhea and Anal Sex

Rectal Gonorrhea (aka Anal Gonorrhea, The Clap) is an infection of the Rectum by the bacteria Neisseria Gonorrhea. It can also infected the anus and this is called Proctitis.

How do I know I have it?

Rectal Gonorrhea can cause itching of the anus, blood or mucus when you pass motion, soreness of the anus or a constant feeling like you need to pass motion.

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How can I catch it?

Rectal Gonorrhea is caught when you have unprotected anal sex with a partner who is infected with Gonorrhea.

If I have Rectal Gonorrhea can I pass it to my partner?

Yes. If you have Rectal Gonorrhea, you can pass it to your partner by having unprotected anal sex. If your partner develops symptoms of Gonorrhea (pain passing urine, discharge) after having anal sex with you, you should have yourself checked for Rectal Gonorrhea.

How do I check for Rectal Gonorrhea?

Come see us. We will take a swab from your anus and send it to the lab for a special culture. Please let your doctor know you are worried about Rectal or Anal Gonorrhea. It requires a special swab.

Please know that the symptoms of Rectal Gonorrhea can be very similar to other diseases such as Ulcerative Colitis or Crohn’s Disease. Please ask Our Doctors for more advice.

How is Rectal Gonorrhea Treated?

The commonest treatment for Rectal Gonorrhea is an injection of an antibiotic called Ceftriaxone. If you are unable to take this injection you will be given pills instead. You might need to visit the doctor again to make sure the Rectal Gonorrhea is fully cured.

How can I protect myself from Rectal Gonorrhea?

Always use a condom when having anal sex. Although this reduces the risk of Rectal Gonorrhea, it is not 100% protective.

Are there other STDs associated with Rectal Gonorrhea?

Yes. If you have Rectal Gonorrhea you likely will have Gonorrhea in other areas such as the Urethra (urine tube) or Throat. You should ask your doctor to check for these too.

Rectal Gonorrhea is associated with HPV (Human Papilloma Virus) infection of the anus and the peri-anal region (area around the anus). This may cause you to develop warts. Certain strains of HPV