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  • Audiences

    STI Testing After a Hookup: Timing by Window Period

    After a hookup, don't test the next morning — most STI tests can't detect a brand-new infection yet. For chlamydia and gonorrhea, a urine or swab NAAT is reliable about two weeks after exposure; HIV a

    Dr. Amara Okafor, MD MPH
  • Audiences

    Adults Over 50: STI & HIV Testing You're Not Getting

    Adults over 50 are often skipped for routine STI and HIV screening — not because the risk disappears, but because of provider bias and outdated assumptions. If you're sexually active, you should still

    Dr. Amara Okafor, MD MPH
  • Audiences

    STI Screening Guide for Gay & Bisexual Men

    Gay and bisexual men should test for HIV, syphilis, gonorrhea, and chlamydia at least once a year, and every 3 to 6 months with higher risk such as new or multiple partners, a partner who tested posit

    Dr. Amara Okafor, MD MPH
  • Symptoms

    What Types of STDs Cause Ulcerations?

    Three sexually transmitted infections cause most genital ulcers: genital herpes (HSV-1 or HSV-2), which makes clusters of small, painful blisters and sores; syphilis , which causes a single firm, pain

    Dr. Daniel Reyes, MD
  • Mpox

    LGV vs Regular Chlamydia: What's the Difference?

    LGV and ordinary chlamydia are caused by the same bacterium — Chlamydia trachomatis — but different strains. LGV comes from the more aggressive L1–L3 serovars and causes severe, invasive disease like

    Mark Riegel, MD
  • Mpox

    LGV Symptoms: Rectal and Groin Signs of This STI

    LGV symptoms most often show up as rectal trouble — mucoid or bloody discharge, anal pain, constipation, and a constant urge to pass stool (tenesmus) — or as tender, usually one-sided swelling of the

    Dr. Amara Okafor, MD MPH
  • Audiences

    Lesbian & Bisexual Women: STI Risks and Screening

    Lesbian and bisexual women can and do get sexually transmitted infections, so the "women who sleep with women don't need screening" idea is a myth. STIs pass through skin contact, shared fluids, and s

    Dr. Amara Okafor, MD MPH
  • Testing

    What Types of STDs Cause Sore Throat?

    A sore throat tied to oral sex most often points to oral (pharyngeal) gonorrhea, oral chlamydia, or syphilis — three bacterial STIs that can infect the throat. But most sore throats aren't STIs at all

    Mark Riegel, MD
  • Syphilis

    Kissing Can Result In A Positive STD Diagnosis

    A positive STD result almost never comes from a single kiss — it comes from a test that detects an infection you already had, often from another route, and usually with no symptoms to warn you. Most k

    Dr. Amara Okafor, MD MPH
  • Symptoms

    What Types of STDs Cause Skin Rash?

    A few sexually transmitted infections show up on the skin, but the short list is small: syphilis (its classic rash on the palms and soles), acute HIV (a flu-like illness with a body rash), and mpox (p

    Mark Riegel, MD
  • HPV

    Is the Gardasil HPV Vaccine Safe?

    Yes — Gardasil 9 is safe and is one of the best-studied vaccines in use. It's monitored continuously, and the main reactions are mild and short-lived, like a sore arm. The bigger story is what it does

    Dr. Amara Okafor, MD MPH
  • Hepatitis

    Is Hepatitis B an STD? How It Spreads Sexually

    Yes — hepatitis B is a sexually transmitted infection, and it's the most sexually transmissible of the three common blood-borne viruses (hepatitis B, hepatitis C, and HIV). The virus lives in blood, s

    Mark Riegel, MD
  • Symptoms

    What Types of STDs Cause Mouth Sores?

    Two sexually transmitted infections most often cause mouth or lip sores: genital herpes (HSV-1 or HSV-2), which produces small painful blisters that break into ulcers, and syphilis, which causes a sin

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Is Early HIV Treatment In Babies Safe and Effective

    Yes. Starting HIV treatment in a baby as early as possible is both safe and highly effective. When a mother takes antiretroviral therapy during pregnancy and labor and the newborn gets preventive medi

    Dr. Daniel Reyes, MD
  • Comparisons

    HSV-1 vs HSV-2: Which Herpes Type Do You Have?

    HSV-1 and HSV-2 are the two herpes simplex viruses behind oral and genital herpes. The biggest practical difference is recurrence: genital HSV-2 comes back and sheds virus far more often than genital

    Dr. Daniel Reyes, MD
  • Symptoms

    What Types of STDs Cause Genital Swelling?

    Genital swelling can be caused by a handful of STIs — most often genital herpes, chancroid, and lymphogranuloma venereum (LGV) — but plenty of non-STI problems like allergic reactions, cysts, and bloc

    Dr. Daniel Reyes, MD
  • HPV

    HPV vs Herpes: How to Tell the Difference

    The short answer: herpes causes painful blisters or sores that come and go, while HPV usually causes painless bumps (genital warts) or nothing at all. Herpes is a lifelong viral infection managed with

    Mark Riegel, MD
  • Symptoms

    What Types of STDs Cause Genital Pain?

    Genital pain can come from several sexually transmitted infections — most commonly genital herpes (painful blisters and sores), and less often chlamydia, gonorrhea, or trichomoniasis (which usually ca

    Dr. Daniel Reyes, MD
  • HPV

    HPV Vaccine Side Effects: Updated Gardasil Safety Analysis

    The HPV vaccine's most common side effects are mild and short-lived: soreness, redness, or swelling at the injection spot, plus headache, low-grade fever, or fatigue for a day or two. The most notable

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV Vaccine - Mandatory or Not?

    The HPV vaccine is not federally mandatory in the United States. No national law requires it; a handful of states and the District of Columbia tie it to school entry, usually with opt-outs. The CDC ro

    Dr. Amara Okafor, MD MPH
  • Prevention

    What Types of STDs Cause Dry Skin?

    Dry, flaky, or scaly skin is rarely caused by an STI. Far more often it's everyday dry skin, eczema, or psoriasis. Two STIs can affect the skin — HIV (in advanced disease) and secondary syphilis (a ro

    Dr. Daniel Reyes, MD
  • HPV

    HPV Vaccine for Adults: Is It Worth It After 26?

    Yes, the HPV vaccine can be worth it after 26. Gardasil 9 is approved through age 45, and adults aged 27 to 45 can get it after a shared-decision conversation with a clinician. It works best before ex

    Dr. Amara Okafor, MD MPH
  • Symptoms

    What Types of STDs Cause Bruising?

    Bruising and easy bleeding are almost never caused by an STI. The one real exception is HIV, which can lower your platelet count and lead to bruising — but that's a rare, late sign. Far more often, un

    Dr. Daniel Reyes, MD
  • HPV

    HPV Vaccine for Adults: Is the Gardasil Catch-Up Worth It?

    Yes, the HPV vaccine is approved and often worth it for adults through age 45 — but after age 26 it's a shared-decision call with your clinician, not a routine recommendation. Gardasil 9 prevents futu

    Dr. Amara Okafor, MD MPH