Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Gonorrhea is a bacterial infection caused by the organism Neisseria
gonorrheae that is transmitted by sexual contact. Gonorrhea is one of the
oldest known sexually transmitted diseases. It is estimated that over one
million women are currently infected with gonorrhea. Among women who are
infected, 25%-40% also will be infected with chlamydia, another type of bacteria
that causes another STD.
Contrary to popular belief, gonorrhea cannot be
transmitted from toilet seats or door handles. The bacterium that causes
gonorrhea requires very specific conditions for growth and reproduction. It cannot live outside the body for more than a few seconds or
minutes, nor can it live on the skin of the hands, arms, or legs. It survives
only on moist surfaces within the body and is found most commonly in the
vagina, and, more commonly, the
cervix. (The cervix is the end of the
uterus that protrudes into the vagina.) It can also live in the tube (urethra)
through which urine drains from the
bladder. Gonorrhea can even exist in the back of the throat (from
oral-genital contact) and in the
rectum.
What are the symptoms of gonorrhea?
Over 50% of infected women have no symptoms, especially in the early
stages of the infection. Symptoms of gonorrhea include burning or frequent
urination, a yellowish vaginal
discharge, redness and swelling of the genitals, and a burning or itching of
the vaginal area. If untreated, gonorrhea can lead to a severe pelvic infection
with inflammation of the Fallopian tubes and ovaries. Gonorrheal infection of
the Fallopian tubes can lead to a serious, painful infection of the
pelvis known as pelvic
inflammatory disease or PID.
PID occurs in 10%-40% of women with gonorrheal infection of the uterine cervix.
Symptoms of pelvic infection include fever, pelvic cramping,
abdominal pain, or pain
with intercourse. Pelvic infection can lead to difficulty in becoming pregnant
or even sterility.
Occasionally, if the infection is severe enough, a localized area of infection
and pus (an abscess) forms, and major surgery may be necessary and even lifesaving.
Gonorrhea infection in people with conditions causing serious abnormal immune
function, such as AIDS, can also be more serious.
Bacterial vaginosis is an abnormal vaginal condition that is characterized by vaginal discharge resulting from an overgrowth of normal bacteria in the vagina. Although it may cause some disturbing symptoms (discharge and odor), it is not dangerous and cannot be passed by sex. Diagnosis becomes important to exclude serious infections like gonorrhea and Chlamydia. Many treatment options are available such as oral antibiotics and vaginal gels.
An ectopic pregnancy is a pregnancy located outside the inner lining of the uterus. The majority of ectopic pregnancies occur in the Fallopian tube. Symptoms include abdominal pain, amenorrhea, and vaginal bleeding. Treatment options include observation, medication, or surgery.
Sexually transmitted diseases, or STDs,
are infections that are transmitted during any type of sexual exposure,
including intercourse (vaginal or anal), oral sex, and the sharing of sexual
devices, such as vibrators. Women can contract all of the STDs, but may have no symptoms, or have different symptoms than men do.
Pelvic inflammatory disease (PID) is the most common and serious complication of sexually transmitted diseases (STDs), aside from AIDS, among women. The signs and symptoms of pelvic inflammatory disease include: fever, vaginal discharge with a foul odor, abdominal pain, including pain during intercourse, and irregular vaginal bleeding. Pelvic inflammatory disease can scar the Fallopian tubes, ovaries, and related structures and lead to ectopic pregnancies, infertility, chronic pelvic pain, and other serious consequences. Pelvic inflammatory disease treatment includes several types of antibiotics.
Human papillomavirus (HPV) infection is the most common sexually transmitted infection in the U.S. HPV is primarily transmitted by sexual contact. While some people develop warts in the genital region after infection, others experience no symptoms. Though genital warts can be removed, there is no cure for HPV infection. There is a vaccine to prevent infection from four common HPV types.
Sexually transmitted diseases, or STDs, are infections that are transmitted during any
type of sexual exposure, including intercourse (vaginal or anal), oral sex, and
the sharing of sexual devices, such as vibrators. Although treatment exists for many STDs, others currently are
usually incurable, such as those caused by HIV, HPV, hepatitis B and C, and HHV-8.
Syphilis, a sexually transmitted disease, is caused by a microscopic, wormlike bacterial organism called a spirochete. There are three stages of syphilis. The first involves the formation of the chancre. The second stage often includes hair loss, a sore throat, white patches in the nose, mouth, and vagina, fever, headaches, and a skin rash. The third stage can cause extensive damage to the internal organs and the brain, and can lead to death. Though early infection often resolves on its own, treatment usually varies based on the stage of the infection at the time of diagnosis.
A urethral stricture, or narrowing of the urethra, may cause decreased urine output. Symptoms include painful urination, urinary retention, and pelvic pain. Surgery is the only treatment for people with uncontrolled symptoms of urethral narrowing.
Drug resistance (antimicrobial resistance) is the ability of bacteria, fungi, parasites, and viruses to grow, even in the presence of a drug that would normally kill it (or limit it's growth). Drug resistance is a growing problem, particularly for infections such as MRSA, VRE (vancomycin-resistant enterococci), tuberculosis, HIV, STDs, gonorrhea, flu, pneumonia, malaria, E. coli, salmonella, Campylobacter, which causes diarrhea and gastroenteritis. Learn how to protect yourself from resistance to drugs.
Women's health is an important topic area to guide a woman through the stages of her life, as well as knowing the conditions and diseases that may occur. Educating yourself so that the transitions into different phases of life is key to a healthy, happy, and productive life.
Sexual health information including birth control, impotence, herpes, sexually transmitted diseases, staying healthy, women's sexual health concerns, and men's sexual health concerns. Learn about the most common sexual conditions affecting men and women.
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