Pregnancy Bliss | Reproductive Health Answers
One of the challenges that continually face public health officials is to stay on top of the rampant sexually transmitted infections (STIs), also knows as STDs, in the face of the ever-evolving resistance to drugs which lose their ability to successfully treat the infections in question.
Medscape reported at the end of December 2010 on the latest update on STD treatment guidelines from the division of STD Prevention at the Centers for Disease Control (CDC) and Prevention.
These guidelines highlight expanded prevention recommendations for sexually transmitted infections, including pre-exposure vaccination for human papillomavirus virus (HPV).Pre-exposure vaccination is one of the most effective methods to prevent transmission of HPV. There are 2 HPV vaccines licensed for females aged 9 through 26 years to prevent cervical pre-cancer and cancer: the quadrivalent HPV vaccine Gardasil® and the bivalent HPV vaccine Cervarix®. Gardasil will also prevent genital warts. Routine vaccination of females aged 11 or 12 years is recommended with either vaccine, as is the catch-up vaccination for females aged 13 through 26 years. Gardasil may also be given to males aged 9 through 26 years to prevent genital warts.
Lymphogranuloma venereum proctocolitis (LGV) is being increasingly recognized especially among HIV-positive men who have sex with men. In persons with painful perianal ulcers or those detected on anoscopy, presumptive therapy should include treatment for LGV, which is Doxycycline 100 mg twice daily for 21 days.
Bacterial vaginosis is not a sexually transmitted disease. It is included here on the basis of the part of the body it affects (the vagina). There is also a new alternative treatment for bacterial vaginosis: 2 g of Tinidazole taken daily for 3 days or 1 g taken daily for 5 days. There is a full topic on bacterial vaginosis here:
For episodic outbreaks of herpes simplex virus, an additional treatment option is 500 mg of Famciclovir followed by 2 days of 250 mg taken twice daily. There are also some data that Moxifloxacin, at 400 mg daily for 7 days, is effective in non-gonococcal urethritis treatment failures due to Mycoplasma genitalium.
A more comprehensive article on pelvic inflammatory diseases (PID) and their recommended forms of treatment can be reached by clicking here:
Veregen® is the brand name for Sinecatechins 15% ointment now recommended for genital warts