STD Awareness: Gonorrhea of the Throat

Gonococci can band together to attach themselves to a human cell. Image: Dustin Higashi, University of Arizona

My fellow Generation Xers might remember an episode of Chicago Hope in which a very young Jessica Alba portrays a teenage girl with a gonorrhea infection in her throat — also called pharyngeal gonorrhea. The actress later reported being shunned by members of her church, disillusioning her from the religion she grew up with. It is a testament to the power of taboo that even a fictional association with a sexually transmitted disease (STD) can elicit such negative reactions.

Taboos can affect the ways we relate to one another sexually, as well. Many of us conceptualize of disease as “dirty,” and the flip side to that is to think of people without disease as “clean.” This kind of stigmatizing language can be found in phrases like “She looked clean” and “Don’t worry, I’m clean” — all to describe people who are perceived to be or who claim to be free of STDs. With all the baggage we put on STD status, it can be difficult to ask a partner to use a condom or dental dam during oral sex. Some people might think we don’t trust them or are underhandedly questioning their “cleanliness.” These sorts of fears can cloud our judgment when it comes to protecting our health, but there is nothing wrong with asking your partner to use protection during oral sex — especially if you don’t know one another’s STD status. There are many good reasons to use barrier methods when engaging in oral sex, and pharyngeal gonorrhea is just one of them.


Unprotected oral contact with a penis puts you at the most risk of acquiring pharyngeal gonorrhea.


Gonorrhea is most famous as an infection of the cervix or the urethra. But gonococci, the bacteria that cause gonorrhea, can thrive in other warm, moist areas of your body — not just the reproductive tract, but also the mouth, throat, eyes, and anus. Gonococci can be transmitted to your mouth or throat via oral sex — most likely via unprotected oral sex. Symptoms might include a sore throat, but 90 percent of the time there are no symptoms at all. Continue reading

Let’s Talk Contraception: Female Condoms, Another Contraceptive Choice

Are you or your partner allergic to latex? Does your male partner not like to use condoms, or does he want to try something that may feel less restrictive? Would you like to decrease the risk of skin-to-skin transmission of viruses, such as those that cause genital warts or herpes? Do you feel that putting on condoms distracts from the spontaneity of sex? You might be interested in learning about female condoms.


September 12 is Global Female Condom Day.


The female condom, available as the brand name FC2, is a barrier contraceptive that was developed with the dual purpose of allowing women contraceptive control and providing  protection against pregnancy and sexually transmitted diseases, including HIV.

You do not need a prescription or to see a health care provider to get the FC2 — it’s available for sale just like male condoms.

As with other contraceptive methods, it is not foolproof, but when used properly and consistently it is 79 to 95 percent effective in preventing pregnancy. Also, its shape and design allows less skin-to-skin contact where diseases may spread.

The first female condoms were made of polyurethane. The new FC2 is now made of a thin, flexible nitrile sheath with an open ring at one end that covers the outside of the genital area and a smaller closed ring on the end that is inserted in the vagina. Inside the sheath is a silicone lubricant. Because the condom is not latex, it can also be used with any kind of additional lubricant and by those allergic to latex. Continue reading

Allergic to Latex? You Can Still Have Safer Sex

Condoms offer fantastic protection against STDs and reduce pregnancy risk. Most are made from latex, to which some people are allergic.

Latex condoms are a well-rounded form of birth control: Not only are they great for preventing pregnancy, but they reduce the risk of passing on or receiving a sexually transmitted disease (STD). When used consistently and correctly, they offer fantastic protection. Although condoms have been around for centuries, their modern construction from latex is a vast improvement over the silk and viscera of yore. A product of the industrial age, they are manufactured by dipping a porcelain mold into natural rubber latex, a material that originates from a tree.


Latex is tops, but other options include polyisoprene and polyurethane. Beware: Lambskin isn’t effective STD protection.


Because of latex’s many advantages, the majority of condoms are manufactured from this material. However, up to 6 percent of the population is allergic to latex. There is a range of symptoms associated with latex allergies. Most people with latex allergies experience only a localized reaction on the vulva or penis (contact dermatitis); systemic reactions (like asthma or anaphylaxis) are rare. Allergy tests can be performed on people who suspect they might be sensitive to latex.

Luckily, even if you have a latex allergy you can still find condoms to facilitate your safer-sex experiences, including condoms made out of polyurethane and polyisoprene. Not all condoms protect against pregnancy or STDs, so read the label carefully. In the United States, if the packaging doesn’t explicitly state that the condoms are made to prevent disease, they haven’t been approved by the FDA for that purpose. Continue reading

Practicing Safer Sex

Everyone who is sexually active is at risk for getting a sexually transmitted disease (STD). In fact, STDs seem so widespread that some health organizations predict nearly everyone could have an STD in their lifetime. The Guttmacher Institute reports that each year 1 in 4 teens contracts an STD. Untreated STDs can cause chronic conditions that could ultimately lead to infertility.

Practicing safe sex allows you to reduce your risks of getting an STD. Safe sex is not intended to eliminate spontaneity and passion, but is a way of enjoying sex without giving or getting STDs. It shows respect for yourself and your partner, and it must be practiced each and every time you have a sexual encounter.

Some ideas to make sex safer for you and your partner: Continue reading

STDs 101: An Introduction to Sexually Transmitted Diseases

It’s April, which for Arizonans means a gradual increase in temperature as we head toward summer. But at Planned Parenthood Arizona it also means that it’s time to focus on sexually transmitted diseases (STDs) in observance of STD Awareness Month. While we regularly provide information about sexual health with our monthly STD Awareness series, April is the time of year to fix the spotlight on sexually transmissible microbes and the infections they cause. April is also the time of year when Planned Parenthood Arizona offers coupons for discounted STD screening, so if you’ve been putting it off, now’s the time!

Symptoms of Sexually Transmitted Diseases

First, some basic facts. STDs can be transmitted through all sexual activities — vaginal, anal, or oral sex, as well as activities involving skin-to-skin contact. STDs are most commonly caused by viruses or bacteria, though they can be caused by other agents as well, including animals! Each STD is unique, with unique symptoms, but common symptoms include:

  • rashes, open sores, blisters, or warts in the genital area
  • swelling or tenderness
  • pus, bleeding, odor, or abnormal discharge
  • itching in the genital region
  • burning sensation during urination

It’s best not to focus too closely on symptoms, though – most people with STDs actually don’t experience any symptoms whatsoever! As they say in the biz, “The most common symptom of an STD is … no symptom.” For example, most people with herpes either have no symptoms or have mild symptoms that go unnoticed. Ten percent of males and 80 percent of females with gonorrhea don’t experience symptoms, and most people with chlamydia are asymptomatic. And HIV symptoms usually take a decade to show up. If you are, or have been, sexually active, you can’t assume that the absence of symptoms means you’re in the clear. To know for sure if you have an STD, the best thing you can do is to get yourself tested. Continue reading

Over 90 Percent of What Planned Parenthood Does, Part 2: Condoms

packets of individual condoms

Welcome to the second installment of “Over 90 Percent of What Planned Parenthood Does.” In this series we will highlight Planned Parenthood’s diverse array of services — the ones Jon Kyl doesn’t know about.

It’s National Condom Week! So it’s only fitting that the second installment of our “Over 90 Percent” series honors the humble condom, that mainstay of anyone’s safer-sex arsenal. By providing a barrier between body parts and reducing skin-to-skin contact, condoms dramatically decrease risk of acquiring a sexually transmitted disease (STD). On top of all of that, their use during heterosexual intercourse can keep sperm from entering the vagina, making them essential components in family planning. Condoms can be used in a wide variety of sexual activities — they can be worn on penises or put onto sex toys, and with a couple of scissor snips they can be converted into dental dams. They are inexpensive and widely available without the need for a prescription. If you need to replenish your condom supply, or if you’re using them for the first time, you can walk into any Planned Parenthood health center to pick them up.


Are you aware of the finer points of condom use?


There are tons of contraceptive options for people with uteruses, from pills to IUDs, but condoms are one of the few options that people with penises have — although there is exciting research being done on expanding these options. If you are heterosexually active and capable of getting someone pregnant, using condoms consistently and correctly will allow you to take control of your reproductive future. In a given year, 2 out of 100 females whose male partners use condoms will become pregnant if they always use condoms correctly — with imperfect use, this number increases to 18 out of 100. Combining condom use with other birth control methods, like diaphragms, birth control pills, or IUDs, will dramatically boost the efficacy of your contraception. Continue reading

STD Awareness: “Can I Get an STD from Oral Sex?”

As tools to reduce risk for STD transmission, dental dams are not to be ignored.

Many consider oral sex to be a safer form of sexual activity compared to vaginal or anal intercourse. For this reason, they might put less emphasis on the use of latex barriers, such as dental dams and condoms, during oral sex. Unfortunately, this idea is misguided and can lead to the transmission of preventable infections.

It is generally true that oral sex presents less of a risk for contracting sexually transmitted diseases (STDs) — but this risk is not trivial, especially when people are under the impression that they don’t need to use barrier methods during oral sex. Most sexually transmitted diseases can be passed along by oral sex, including chlamydia, gonorrhea, syphilis, hepatitis B, herpes (which can be transmitted back and forth from the mouth, as cold sores, to the genital region, as genital herpes), human papillomavirus (HPV), and HIV. Even pubic lice can be transferred from the genital region to eyelashes and eyebrows! Additionally, intestinal parasites are more likely to be transmitted via oral sex than through vaginal sex. A microscopic amount of fecal matter containing parasites can be infectious, and can be unknowingly ingested when present on genitals.


Seventy percent of adolescents who reported engaging in oral sex had never used a barrier to protect themselves from STDs during oral sex.


Some bacterial STDs, such as gonorrhea and syphilis, can do permanent damage if not treated in time. Furthermore, gonorrhea of the throat is much more difficult to treat than gonorrhea in the genital or rectal areas. And some viral STDs can’t be cured (such as herpes and HIV), while others can cause chronic infections that have been linked to cancer (such as hepatitis, which is associated with liver cancer, and HPV, which is associated with throat cancer as well as cervical cancer and anal cancer). Continue reading

STD Awareness: Intestinal Parasites

This colorized scanning electron micrograph shows Giardia lamblia reproducing asexually. Image: Stan Erlandsen, CDC’s Public Health Image Library.

This colorized scanning electron micrograph shows Giardia lamblia reproducing asexually. Image: Stan Erlandsen, CDC’s Public Health Image Library.

Most sexually transmitted diseases are caused by bacteria or viruses, but some are caused by organisms that are classified as completely different lifeforms. Trichomoniasis, for example, is caused by a protozoan organism; protozoa occupy their own kingdom, separate from plants, animals, and bacteria. Intestinal parasites are often protozoan organisms, but can also include parasitic worms (which are members of the animal kingdom). They are spread through contact with fecal matter – and as such, they can be transmitted sexually as well as nonsexually. Intestinal parasites are usually transmitted by fecal contamination of food or water, and are most common in areas with insufficient sewage treatment and untreated water in the wilderness. Some pathogens, however, have low infectious doses, making their sexual transmission more likely.


What has eight flagella and can live in your intestines?


Oral contact with the anus, also called anilingus or rimming, is the primary means of the sexual transmission of these pathogens. Putting fingers or hands in your mouth after they have had contact with the anus is also risky. Other modes of transmission include oral sex, as genitals can be contaminated with feces, as well as sharing sex toys and other equipment. For these reasons, it is very important to use dental dams or latex gloves during contact with the anus; to clean the anus before engaging in rimming; to clean or use condoms on shared sex toys; and to use condoms or dental dams during oral sex. Continue reading