Young Ladies, Chlamydia check please!

USA: Young Sexually Active Women: Get Checked for Chlamydia. A report reveals a record number of new cases last year

IPPF reports about rise in STI based on Seattle Post-Intelligence.

Seeing the rates of sexually transmitted diseases jump in the US - a country with such wealth, free media and access to education - is dismaying and alarming.

The Associated Press reports that cases of chlamydia, congenital syphilis and even gonorrhea, which in 2004 seemed to be falling in transmissions, are all on the rise.

The reasons for the increase in those disease rates are varied and experts don't necessarily agree on them. It could be because of a shift in sexual behavior (as the Centers for Disease Control and Prevention claims), or superbugs, as some doctors consider.

While experts put their minds to work on issues such as why chlamydia has reached an all-time high, we'd like to urge the federal government to restore funding for STD testing at clinics such as Planned Parenthood. The Family Planning Waiver was revised last year to remove coverage for STD screenings that aren't part of a patient's annual exam, because such screenings aren't considered part of family planning.

But consider that congenital syphilis, for example, can kill babies or cause a range of deformities. And chlamydia is linked to infertility - or reduced fertility - in men and women, and that about 75 percent of women infected with chlamydia show no symptoms at all. Any disease that affects one's reproductive system surely must be covered under family planning health care. Clearly, a public education campaign that goes beyond abstinence-only programs and better access to STD screenings - especially for those who can't afford it - is needed.

Source: Seattle Post-Intelligencer, 15/Nov2007

U.S.A. Chlamydia Infections Hit All-Time High. 

USA: Young Sexually Active Women: Get Checked for Chlamydia. A report reveals a record number of new cases last year

Back in 1993, the Centers for Disease Control and Prevention recommended that all sexually active women under age 26 be screened annually for chlamydia. Apparently, it isn't happening.

Just-released data from the federal agency reveal that more than 1 million new cases of chlamydia were diagnosed in 2006—a record. "If we're going to combat this," said John M. Douglas Jr., director of the CDC's division of sexually transmitted disease prevention, in a teleconference on the report, doctors and young women must "understand the importance of routine screening every year." Women of any age who have a new partner, multiple partners, or vaginal discharge should seek screening. Pregnant women should also be tested, the CDC suggests. The screen is a simple matter of a urine test, without a pelvic examination or even necessarily a trip to the gynecologist.



Experts say that some physicians may not screen for chlamydia because they believe that STD prevalence is low in their practices. But women should ask for the test if it isn't offered to them, according to Douglas. About three quarters of infected women and about half of infected men don't have symptoms. (Screening recommendations currently don't include men, since the potential benefits aren't known.)

Though symptoms may be nonexistent, untreated chlamydia can cause infertility, ectopic pregnancy, and pelvic inflammatory disease. And it makes women up to five times as likely to contract HIV if exposed as noninfected women. Chlamydia can also cause penile discharge in men, as well as rare but serious complications such as urethritis and epididymitis, an infection of the epididymis, a tube that carries sperm. According to one study cited by the CDC, screening and treatment may reduce the incidence of pelvic inflammatory disease by more than 50 percent. And they're critical to preventing associated infertility, the report says.
By January Payne
November 14, 2007

 

- TERUG -