Chapter 22
What Causes STIs?
Several types of organisms cause STIs. Those caused by bacteria or parasites can generally be cured. STIs caused by viruses generally cannot be cured, although they can be treated to relieve or eliminate symptoms. Most STIs are spread by sexual activity, and much of this spread can be prevented by the correct and consistent use of condoms. Some people, however, can get an STI in other ways. Details are provided in the table below.
STI Types, Causes, Cures, and How They Are Spread
STI | Type | Sexual spread | Nonsexual spread | Curable? |
---|---|---|---|---|
Chancroid | Bacterial | Vaginal, anal, and oral sex | None | Yes |
Chlamydia | Bacterial | Vaginal and anal sex rarely, from genitals to mouth | From mother to child during delivery | Yes |
Gonorrhea | Bacterial | Vaginal and anal sex, or contact between mouth and genitals |
From mother to child during delivery, or through breast milk Contaminated blood transfusion |
Yes |
Hepatitis B | Viral | Vaginal and anal sex, or from penis to mouth |
From mother to child during delivery, or through breast milk Contaminated blood transfusion |
No |
Herpes | Viral | Genital or oral contact with an ulcer, including during vaginal and anal sex; also genital contact in area without ulcer | From mother to child during pregnancy or delivery | No |
HIV | Viral | Vaginal and anal sex, or very rarely, oral sex |
From mother to child during delivery, or through breast milk Injection drug use with nonsterile needles Contaminated blood transfusion |
No |
Human papillomavirus (HPV) | Viral | Vaginal, anal, and oral sex |
From mother to child during delivery |
No |
Human T-lymphotropic virus | Viral |
Vaginal and anal sex |
From mother to child during delivery, or through breast milk Contaminated blood transfusion |
No |
Syphilis | Bacterial | Genital or oral contact with an ulcer, including vaginal and anal sex |
From mother to child during delivery, or through breast milk Contaminated blood transfusion |
Yes |
Trichomoniasis | Parasitic | Vaginal, anal, and oral sex | From mother to child during delivery | Yes |