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Condition Guides

Plain-English deep dives on HIV, hepatitis, HPV, syphilis and more.

301 articles

  • Symptoms

    Tinea Versicolor vs STD Spots: Is This Rash an STI?

    Patchy discolored spots on your chest, back, or trunk are far more likely to be tinea versicolor — a harmless skin yeast — than an STI. Tinea versicolor isn't sexually transmitted and won't involve yo

    Dr. Daniel Reyes, MD
  • Mpox

    Chancroid vs Syphilis: Telling the Ulcers Apart

    Chancroid and syphilis both cause genital ulcers, but the classic fork is pain: a chancroid ulcer is a soft, painful sore with tender, pus-filled groin nodes, while the primary syphilis chancre is a p

    Mark Riegel, MD
  • Comparisons

    Chlamydia vs Mycoplasma vs Ureaplasma

    Chlamydia and Mycoplasma genitalium are both bacteria that infect the urethra and cervix and cause overlapping symptoms — discharge, burning, and pelvic pain — but they're different organisms with dif

    Mark Riegel, MD
  • Hepatitis

    Hepatitis B Reactivation: Can a Cleared Infection Return?

    Yes — a hepatitis B infection that looks "cleared" or sits quiet can come roaring back. This is called hepatitis B reactivation, and it usually happens when the immune system is suppressed (by chemoth

    Mark Riegel, MD
  • Hepatitis

    Hepatitis C and HIV Coinfection: What Changes

    Hepatitis C and HIV coinfection means a person carries both the hepatitis C virus (HCV) and HIV at the same time. The two share blood and sexual routes, so they often travel together. Coinfection spee

    Mark Riegel, MD
  • Mpox

    Is Mpox an STD? How It Spreads Through Sex

    Mpox isn't classified as a traditional STD, but during the outbreak that began in 2022 it has spread mainly through close skin-to-skin contact, including sex. The monkeypox virus passes through direct

    Mark Riegel, MD
  • NGU

    Is NGU Always From Sex? Non-STI Causes Explained

    No — non-gonococcal urethritis (NGU) isn't always from sex. Most cases trace to a sexually transmitted organism, but NGU is a syndrome, not a single infection: in roughly half of cases no organism is

    Mark Riegel, MD
  • NGU

    NGU in Women: Can Females Get Non-Gonococcal Urethritis?

    Yes — though it's named for the urethra and described mostly in men, the same infections that cause nongonococcal urethritis (NGU) infect women too, where they more often show up as cervicitis or as a

    Mark Riegel, MD
  • PID

    PID Without Symptoms: Silent Infection Risks

    Pelvic inflammatory disease often causes no symptoms at all. When it does, the most common signs are lower abdominal or pelvic pain, unusual or bad-smelling discharge, fever, pain or bleeding during s

    Dr. Amara Okafor, MD MPH
  • PID

    Can You Get PID Without an STD?

    Yes — you can get PID without ever having an STD. Pelvic inflammatory disease is most often triggered by untreated chlamydia or gonorrhea, but not always. Bacteria normally tied to bacterial vaginosis

    Dr. Amara Okafor, MD MPH
  • PID

    Recurrent PID: Why It Keeps Coming Back

    Recurrent PID means pelvic inflammatory disease has flared more than once — usually because an untreated or re-introduced infection keeps ascending into the uterus, tubes, and ovaries. Each repeat epi

    Dr. Amara Okafor, MD MPH
  • Comparisons

    Syphilis Stages: Primary vs Secondary vs Latent

    Syphilis moves through four stages. The primary stage is a painless sore (chancre) at the infection site. The secondary stage brings a body rash and flu-like illness. The latent stage has no symptoms

    Mark Riegel, MD
  • Comparisons

    Syphilis vs Gonorrhea: Symptoms & Tests

    Gonorrhea and syphilis are both curable bacterial STIs, but they behave differently: gonorrhea is the classic "discharge" infection — burning urination and penile or vaginal discharge — while syphilis

    Mark Riegel, MD
  • Comparisons

    Hepatitis A vs B vs C: How They Spread

    Hepatitis A and hepatitis B are both viral liver infections, but they differ in how they spread, how long they last, and whether they're curable. Hepatitis A spreads mainly through contaminated food o

    Mark Riegel, MD
  • Hepatitis

    Hepatitis B During Pregnancy: Protecting Your Baby

    Hepatitis B during pregnancy is highly manageable, and with the right steps your baby is very likely to stay infection-free. Every pregnancy is screened for the virus, and a baby born to an infected p

    Mark Riegel, MD
  • Audiences

    Mpox: Symptoms, Vaccine & Risk for Gay & Bi Men

    Mpox is a viral illness caused by the monkeypox virus, a relative of smallpox. It spreads mainly through close skin-to-skin contact — including sex — and causes a painful or itchy rash that often appe

    Mark Riegel, MD
  • NGU

    Can NGU Go Away on Its Own Without Treatment?

    NGU sometimes quiets down on its own, but "symptoms fade" is not the same as "infection cured." The organisms behind it — most often chlamydia or Mycoplasma genitalium — can persist silently, keep spr

    Mark Riegel, MD
  • PID

    PID and Pregnancy: Ectopic & Fertility Risks

    PID and pregnancy collide in two ways: pelvic inflammatory disease can scar the fallopian tubes, which raises the risk of an ectopic (tubal) pregnancy and can cause infertility, and the scarring compo

    Dr. Amara Okafor, MD MPH
  • Herpes

    Can You Get Herpes From Kissing?

    Yes, you can get herpes from kissing — but it's almost always oral herpes (HSV-1), not the genital type people usually worry about. The virus passes through contact with saliva or a cold sore on the l

    Dr. Daniel Reyes, MD
  • Chlamydia

    Chlamydia Complications in Women: PID & Infertility

    Untreated chlamydia in women can climb from the cervix into the uterus, fallopian tubes, and ovaries, causing pelvic inflammatory disease (PID) — and the inflammation that follows can scar the tubes,

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Is Chlamydia Curable? How Antibiotics Clear It

    Yes, chlamydia is curable. It's caused by the bacterium Chlamydia trachomatis , and the right antibiotic reliably clears it CDC. Most people take a short course of pills, and the infection is gone onc

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Chlamydia Discharge: Color, Texture & What It Means

    Chlamydia discharge is usually thin and clear, cloudy, or milky-white — in men often just a single morning drop, in women an abnormal change in vaginal discharge that may come with burning urination.

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Chlamydia in the Eye: Conjunctivitis Symptoms

    Chlamydia in the eye is an infection of the conjunctiva (the clear membrane over the white of the eye) caused by the same bacterium behind genital chlamydia, Chlamydia trachomatis . In adults it's cal

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Can You Get Chlamydia From Kissing or Saliva?

    No — you can't get chlamydia from kissing or from saliva alone. Chlamydia trachomatis infects the genital, rectal, and throat tissues and spreads through vaginal, anal, or oral sex, not through casual

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    How Long Can Chlamydia Go Undetected?

    Chlamydia can go undetected for months or even years, because most infections cause no symptoms at all — roughly three quarters of infected women and half of infected men never notice anything CDC fac

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Chlamydia: Causes, Symptoms, Treatment & Cure

    Chlamydia is a curable bacterial infection caused by Chlamydia trachomatis , spread through vaginal, anal, or oral sex. It's the most commonly reported STI in the US, and most people who have it feel

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    How to Prevent Chlamydia: Condoms, Testing & Partners

    To prevent chlamydia, use condoms correctly every time you have vaginal, anal, or oral sex, get screened on schedule if you're sexually active, and make sure any partner who tests positive is treated

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Rectal Chlamydia: Symptoms, Testing & Treatment

    Rectal chlamydia is an infection of the rectum and anal canal caused by the bacterium Chlamydia trachomatis , usually acquired through receptive anal sex. It's frequently silent, but can cause rectal

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    How Soon After Exposure Can You Test for Chlamydia?

    Most people can get an accurate chlamydia test about two weeks after exposure. A NAAT — the recommended test — can technically detect the bacterium sooner, but enough genetic material has to build up

    Dr. Amara Okafor, MD MPH
  • HIV & AIDS

    Acute HIV Infection: Seroconversion Symptoms

    Acute HIV infection is the earliest stage, usually the first weeks after the virus enters the body. Within two to four weeks, many people get flu-like symptoms — fever, rash, sore throat, swollen glan

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Treatment Side Effects: ART & What to Expect

    Modern HIV treatment (antiretroviral therapy, or ART) is well tolerated for most people. Side effects from current regimens are usually mild and short-lived — nausea, headache, trouble sleeping, or fa

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    How Long Can You Have HIV Without Knowing?

    You can have HIV for years — often a decade or more — without knowing, because after a brief early phase the virus enters a silent stage called clinical latency where most people feel completely well.

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Can HIV Be Transmitted Through Breastfeeding?

    Yes, HIV can pass through breast milk — it's one of the established routes of mother-to-child (perinatal) transmission, alongside pregnancy and childbirth. But the risk isn't fixed. When a parent with

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV CD4 Count & Viral Load: What Numbers Mean

    Your CD4 count measures immune-system strength (the number of CD4 T-cells in a cubic millimeter of blood), while your viral load measures how much HIV is circulating (copies per milliliter). On treatm

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    How Soon Can HIV Be Detected After Exposure?

    The earliest HIV can be reliably picked up depends on the test. A nucleic-acid test (NAT) can detect the virus as soon as 10 to 33 days after exposure, a 4th-generation antigen/antibody lab test at 18

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Drug Resistance: Causes & What It Means

    HIV drug resistance happens when the virus mutates so that one or more HIV medicines no longer keep it suppressed. It usually develops when treatment is taken inconsistently or the wrong drugs are use

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Injectable HIV Treatment: Long-Acting Cabenuva

    Injectable HIV treatment means taking long-acting shots instead of daily pills to control HIV. The approach uses two medicines given by a clinician on a set schedule rather than tablets swallowed ever

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Life Expectancy: How Long Can You Live?

    With HIV treatment started early, a 20-year-old diagnosed today can expect a life expectancy approaching that of the general population. HIV is no longer a death sentence — it's a manageable, lifelong

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Can You Get HIV From a Needle or Sharing Drugs?

    Yes. HIV spreads through blood, so sharing needles, syringes, or any drug-injection equipment is one of the most efficient ways the virus moves between people. When you reuse a needle someone else has

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Rash: What It Looks Like & When It Appears

    An HIV rash is a flat or slightly raised, reddish or darkened skin eruption that often shows up during acute (early) HIV infection, usually within two to four weeks of exposure hiv.gov. It tends to co

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV and STIs: Why Other Infections Raise Risk

    Other sexually transmitted infections raise your risk of getting and passing HIV, mainly because they cause inflammation and open sores that give the virus an easier entry point. An STI like syphilis,

    Dr. Daniel Reyes, MD
  • Bacterial Vaginosis

    BV After Sex: Why It Happens & How to Stop

    BV after sex happens because semen and intercourse temporarily shift the vagina's chemistry — semen is alkaline, and that raised pH lets anaerobic bacteria outgrow the protective Lactobacillus that no

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    Boric Acid for BV: Does It Work & How to Use

    Boric acid doesn't cure bacterial vaginosis on its own, but used vaginally as a supplement alongside antibiotics it can help clear stubborn, recurring BV by restoring a more acidic vaginal environment

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    Can You Get BV From a Female Partner?

    Yes — you can get BV from a female partner. Bacterial vaginosis isn't a classic sexually transmitted infection, but it travels between women who have sex with women: studies of female couples find the

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    BV Smell: Why It's Fishy & How to Get Rid of It

    The fishy smell of bacterial vaginosis (BV) comes from amines — chemical byproducts made by anaerobic bacteria that overgrow when protective lactobacilli are lost. The odor is strongest after sex beca

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    How Long Does BV Last With & Without Treatment

    With treatment, bacterial vaginosis (BV) usually clears in a few days to about a week — standard antibiotics cure most acute episodes, with symptoms easing within the first days. Without treatment, BV

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    How to Prevent BV: Daily Habits That Lower Risk

    To prevent bacterial vaginosis, protect the Lactobacillus bacteria that keep the vagina mildly acidic: don't douche, use condoms correctly every time, and limit new or multiple partners. There's no va

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    BV Probiotics: Lactobacillus Strains That Help

    BV probiotics are Lactobacillus -based supplements meant to restore the protective vaginal bacteria that bacterial vaginosis wipes out. They don't cure an active infection — antibiotics do that. The e

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    Is BV an STD or Not? What Science Says

    Bacterial vaginosis (BV) is not classified as a sexually transmitted infection, but it's strongly linked to sexual activity. It comes from an imbalance in the bacteria that normally live in the vagina

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    Untreated BV: Complications & Long-Term Risks

    Untreated BV (bacterial vaginosis) often clears on its own, but leaving it untreated raises real risks: it makes acquiring HIV and other STIs more likely, can spread to the upper reproductive tract, a

    Dr. Amara Okafor, MD MPH
  • Pubic Lice

    Crabs Complications: Infection & Skin Problems

    The main complications of pubic lice come not from the insects themselves but from what scratching does to the skin. Persistent itching breaks the skin, opening the door to secondary bacterial infecti

    Mark Riegel, MD
  • Pubic Lice

    How to Prevent Crabs & Avoid Reinfestation

    To prevent crabs and avoid reinfestation, limit skin-to-skin sexual contact with new or untreated partners, treat every partner from the last month at the same time, and decontaminate bedding and clot

    Mark Riegel, MD
  • Pubic Lice

    Recurring Crabs: Why They Keep Coming Back

    Recurring crabs almost always come from one of three fixable gaps: live nits that survived the first treatment and hatched, an untreated sex partner who reinfects you, or bedding and clothes that were

    Mark Riegel, MD
  • Pubic Lice

    How to Test & Diagnose Crabs at Home

    To test for crabs at home, examine the coarse hair of your pubic and perianal area under good light, ideally with a magnifying lens, looking for slow-moving lice or for nits (eggs) cemented to hair sh

    Mark Riegel, MD
  • Pubic Lice

    Crabs Treatment: OTC & Prescription Options

    Crabs (pubic lice) are treated with an over-the-counter lice medication: 1% permethrin lotion or a pyrethrins-with-piperonyl-butoxide mousse applied to the pubic hair and other affected areas, then re

    Mark Riegel, MD
  • Pubic Lice

    What Pubic Lice Look Like: Eggs, Nits & Bugs

    Pubic lice (crabs) are tiny tan-to-grayish insects about the size of a pinhead, with a wide, crab-shaped body and claw-like front legs that grip coarse hair. Their eggs, called nits, are oval, yellowi

    Mark Riegel, MD
  • Herpes

    Genital Herpes Complications & Health Risks

    Serious complications from genital herpes are uncommon. Most people get little more than periodic skin sores. The risks worth knowing are a severe first outbreak, passing the virus to a partner (often

    Dr. Daniel Reyes, MD
  • Herpes

    Living With Genital Herpes: Dating & Disclosure

    Living with genital herpes means managing a common, lifelong skin condition — not living in crisis. Most people have few or mild outbreaks, daily antiviral pills can make recurrences rare and lower th

    Dr. Daniel Reyes, MD
  • Herpes

    Herpes Diagnosis: How Doctors Confirm HSV

    Herpes is diagnosed in two ways, depending on whether you have a sore. If you have an active lesion, a clinician swabs it for type-specific virologic testing (NAAT or culture) — the most reliable meth

    Dr. Daniel Reyes, MD
  • Herpes

    At-Home Herpes Outbreak Relief & Care

    For at-home herpes outbreak relief, keep the sores clean and dry, manage pain with cool compresses and over-the-counter analgesics, wear loose cotton clothing, and start a prescribed antiviral early.

    Dr. Daniel Reyes, MD
  • Herpes

    Herpes & Asymptomatic Carriers: No Symptoms?

    Yes — you can carry herpes and pass it on without ever having a symptom. Most people with genital herpes never recognize an outbreak, and the majority of HSV-2 infections go undiagnosed CDC. People wi

    Dr. Daniel Reyes, MD
  • Herpes

    Genital Herpes Without Sex: Other Causes

    Genital herpes can spread without penetrative sex. The virus passes through skin-to-skin contact with a sore, with infected genital skin, or with saliva when oral herpes is present — including from so

    Dr. Daniel Reyes, MD
  • Herpes

    How Long Does a Herpes Outbreak Last?

    A first herpes outbreak usually lasts a week or more: small blisters break into painful sores, then crust and heal over that span, sometimes with fever and swollen glands CDC. Repeat outbreaks are sho

    Dr. Daniel Reyes, MD
  • Herpes

    What Is Genital Herpes? Causes & Overview

    Genital herpes is a common, lifelong viral infection caused by herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2) CDC. It spreads through skin and fluid contact, often with no visible sore. There's

    Dr. Daniel Reyes, MD
  • Herpes

    How to Prevent Genital Herpes Infection

    To prevent genital herpes, limit direct skin and mucous-membrane contact with the virus: use condoms or dental dams consistently, avoid sex during a partner's visible outbreak, ask partners about thei

    Dr. Daniel Reyes, MD
  • Herpes

    Herpes Recurrence: Why Outbreaks Come Back

    Herpes recurrence happens because the virus stays in your nerves for life and reactivates from time to time — it's the same infection coming back, not a new one. Genital HSV-2 recurs the most, often s

    Dr. Daniel Reyes, MD
  • Herpes

    Herpes in the Throat: Symptoms After Oral Sex

    Herpes in the throat (pharyngeal HSV) is a herpes simplex infection of the back of the mouth and throat, usually caught during oral sex with someone shedding the virus. It causes a sore throat, painfu

    Dr. Daniel Reyes, MD
  • HPV

    Do Genital Warts Hurt? Itching, Bleeding & Feel

    Genital warts can hurt, but most of the time they don't. They're usually painless, soft bumps in the genital area. When they do cause symptoms, the most common are itching, mild irritation, and occasi

    Dr. Amara Okafor, MD MPH
  • HPV

    Genital Warts During Pregnancy: Risks & Treatment

    Genital warts during pregnancy are usually harmless to the baby and often need no treatment. Several home wart creams aren't safe in pregnancy, so a clinician removes warts in-office when needed — typ

    Dr. Amara Okafor, MD MPH
  • HPV

    At-Home HPV Test Kits: Do They Work?

    At-home HPV test kits use a self-collected vaginal swab that you mail to a lab for high-risk HPV testing — and newly FDA-cleared options work much like a clinician-collected sample for cervical screen

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV and Cervical Screening: Ages & How Often

    Cervical screening checks the cervix for high-risk HPV or precancerous cell changes before they ever become cancer. Current US guidance starts at age 21 (or 25 with primary HPV testing) and runs throu

    Dr. Amara Okafor, MD MPH
  • HPV

    Can You Get HPV While Using Condoms?

    Yes, you can still get HPV even when you use condoms correctly every time. Condoms cover only part of the genital skin, and HPV spreads through skin-to-skin contact — so any uncovered area can pass th

    Dr. Amara Okafor, MD MPH
  • HPV

    Can HPV Be Cured? Clearance vs Treatment Explained

    No, HPV itself can't be cured — there's no drug that clears the virus from your body. But it usually doesn't need curing: in most cases your immune system clears it on its own, and the warts or precan

    Dr. Amara Okafor, MD MPH
  • HPV

    How Long Does HPV Last? Timeline From Infection

    In most people, HPV lasts under two years and clears on its own — about 9 out of 10 infections disappear within that window without causing any health problems CDC. An infection that persists past rou

    Dr. Amara Okafor, MD MPH
  • HPV

    What Is HPV? Types, Risks & How Common It Is

    HPV (human papillomavirus) is the most common sexually transmitted infection, a family of more than 200 viruses spread by genital skin contact. Low-risk types cause genital warts; high-risk types can

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV Pap Smear vs HPV Test: Which Do You Need?

    A Pap smear and an HPV test are two different cervical screens. A Pap smear looks at cervical cells under a microscope for abnormal changes; an HPV test checks the same kind of sample for the high-ris

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV Positive but No Symptoms: What It Means

    A positive HPV test with no symptoms is normal and usually not an emergency. Most genital HPV infections cause no warts, no pain, and no visible change at all, and in most cases the virus clears on it

    Dr. Amara Okafor, MD MPH
  • HPV

    Can You Get HPV Twice? Reinfection & New Types

    Yes — you can get HPV more than once. Clearing one HPV type leaves you partially immune to that type, but not to the dozens of others you haven't met yet. So a new infection with a different type, or

    Dr. Amara Okafor, MD MPH
  • HPV

    How to Tell Your Partner You Have HPV

    Tell your partner you have HPV in a calm, private moment, and lead with the facts: HPV is the most common STI, most infections clear on their own within about two years, and the types that cause warts

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV Wart Removal: Home Treatments vs Doctor Care

    HPV wart removal means clearing the visible bumps caused by low-risk HPV types — either with a prescription cream you apply at home or a procedure your clinician does in the office, like freezing. Nei

    Dr. Amara Okafor, MD MPH
  • Mycoplasma Genitalium

    Mgen FAQ: How Long, Asymptomatic & Sex During Treatment

    Mycoplasma genitalium (Mgen) treatment usually runs about a week and a half: doxycycline first, then a second antibiotic chosen by whether the strain resists macrolides. Many people carry it with no s

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen Partner Treatment: Do Partners Need Testing?

    Partners of someone diagnosed with Mycoplasma genitalium should generally be tested rather than treated blindly. Current CDC guidance supports testing and treating the partners of symptomatic patients

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen Reinfection: Why It Comes Back & How to Prevent

    Mgen reinfection happens when you get re-exposed to Mycoplasma genitalium after a cure — usually through an untreated partner who passes it back — rather than the original infection never clearing. Tr

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen Symptoms in Women: Discharge, Bleeding & Pain

    Mycoplasma genitalium often causes no symptoms in women, but when it does, the most common signs are cervicitis-related: unusual vaginal discharge, bleeding between periods or after sex, pain during i

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen Test of Cure: Timing & Why It's Needed

    A Mycoplasma genitalium (Mgen) test of cure is a repeat NAAT done 3-4 weeks after you finish treatment to confirm the bacterium is gone. It matters because macrolide resistance now causes the standard

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen in the Throat: Oral Infection Risk & Testing

    There's no good evidence that Mycoplasma genitalium (Mgen) reliably infects or causes disease in the throat. This bug is a urogenital pathogen — it's established in the urethra and cervix, but pharyng

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen vs Chlamydia: Symptoms, Testing & Treatment

    Mycoplasma genitalium (Mgen) and chlamydia are both bacterial infections that cause urethritis in men and cervicitis in women, and they feel almost identical. The key difference is treatment: chlamydi

    Mark Riegel, MD
  • Molluscum Contagiosum

    Molluscum Contagiosum on the Genitals & Pubic Area

    Molluscum contagiosum on the genitals and pubic area is a benign skin infection caused by a poxvirus that, in adults, usually spreads through sexual contact. It shows up as small, firm, pearly bumps w

    Mark Riegel, MD
  • Molluscum Contagiosum

    How Long Does Molluscum Last Without Treatment?

    In healthy people, molluscum contagiosum usually clears on its own without any treatment, with the bumps fading over about 6 to 12 months CDC. But the full natural-resolution range runs much longer —

    Mark Riegel, MD
  • Molluscum Contagiosum

    Can You Get Molluscum From Kissing or Sharing Towels?

    Kissing alone almost never spreads molluscum contagiosum, but sharing towels can. Molluscum spreads through direct skin-to-skin contact with the bumps and through contaminated objects like towels, clo

    Mark Riegel, MD
  • Molluscum Contagiosum

    Molluscum Contagiosum in Pregnancy: Is It Safe?

    Molluscum contagiosum in pregnancy is considered low-risk for both you and your baby. It's a benign skin infection caused by a poxvirus, and it doesn't cross the placenta or cause birth defects. Sever

    Mark Riegel, MD
  • Molluscum Contagiosum

    Molluscum Reinfection: Can the Bumps Come Back?

    Yes, molluscum contagiosum can come back. Beating one round of bumps doesn't make you immune, so you can catch the poxvirus again from a new contact, and you can re-seed your own skin by scratching or

    Mark Riegel, MD
  • Herpes

    Oral Herpes Symptoms: Cold Sores & Mouth

    Oral herpes symptoms are most often cold sores — small fluid-filled blisters on or around the lips that break into painful sores and crust over within a week or more. A first outbreak can bring fever,

    Dr. Daniel Reyes, MD
  • Scabies

    Crusted (Norwegian) Scabies: Risks & Treatment

    Crusted (Norwegian) scabies is a severe, highly contagious form of scabies in which thousands to millions of mites infest the skin, forming thick, scaly crusts. It mostly affects people with weakened

    Mark Riegel, MD
  • Scabies

    Will Scabies Go Away on Its Own? Cure Facts

    No — scabies won't clear on its own. The human itch mite burrows into your skin to live and lay eggs, and without a prescription scabicide the infestation persists and spreads. Treatment kills the mit

    Mark Riegel, MD
  • Scabies

    Scabies: What It Is, Causes & How You Get It

    Scabies is a skin infestation caused by a microscopic mite, Sarcoptes scabiei , that burrows into the upper layer of skin to live and lay eggs. In adults it's frequently passed through sex and close s

    Mark Riegel, MD
  • Scabies

    Scabies in Pregnancy: Safe Treatment Options

    Permethrin 5% cream is the first-line treatment for scabies in pregnancy because it's applied to the skin and very little is absorbed. Oral ivermectin and lindane are generally avoided during pregnanc

    Mark Riegel, MD
  • Scabies

    Scabies Symptoms: Itch, Rash & Burrow Signs

    Scabies symptoms are intense itching that's worst at night and a pimple-like rash, often with tiny crooked lines called burrows where the mite tunnels under your skin. After a first infestation, sympt

    Mark Riegel, MD
  • Scabies

    Scabies Testing: How Doctors Diagnose It

    Scabies testing usually starts with a clinical exam: a clinician looks for the telltale burrows, rash, and intense itching. To confirm it, they may scrape a suspicious spot and check it under a micros

    Mark Riegel, MD
  • Trichomoniasis

    Trichomoniasis: Symptoms, Causes & Treatment

    Trichomoniasis is a curable sexually transmitted infection caused by a microscopic parasite called Trichomonas vaginalis . It's the most common curable STI in the US, and most people who have it feel

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis Complications: PID, HIV & Infertility

    Trichomoniasis complications happen when an untreated Trichomonas vaginalis infection inflames the genital tract. In women that inflammation can spread upward and contribute to pelvic inflammatory dis

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis Discharge: Color, Smell & Texture

    Trichomoniasis discharge is classically thin and frothy with a yellow-green tint and a fishy odor, often alongside genital itching, soreness and burning during urination. But the parasite is unpredict

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Does Trichomoniasis Go Away on Its Own?

    No — trichomoniasis does not reliably go away on its own. It's caused by a parasite that can live in the genital tract for months or years without treatment, so waiting it out usually means a persiste

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    How Long Can Trichomoniasis Go Undetected?

    Trichomoniasis can go undetected for months or even years, because about 70% of infected people never develop symptoms at all CDC, About Trichomoniasis. There's no fixed incubation clock that forces s

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Alcohol & Metronidazole: Why to Avoid It for Trich

    No, don't drink alcohol while taking metronidazole (or tinidazole) for trichomoniasis. Combining either drug with alcohol can trigger a disulfiram-like reaction — flushing, nausea, vomiting, headache,

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis Treatment During Pregnancy: Safe Meds

    Trichomoniasis in pregnancy is treated with oral metronidazole, taken as a multi-day course, and it's considered safe in any trimester. Tinidazole is avoided during pregnancy because there's less safe

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Oral & Throat Trichomoniasis: Is It Possible?

    Oral and throat trichomoniasis is essentially not a clinical entity. Trichomonas vaginalis , the parasite that causes trich, lives in the genital and urinary tract and doesn't colonize the mouth or th

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Can You Get Trichomoniasis Without Cheating?

    Yes — you can absolutely get trichomoniasis without anyone cheating. A current infection can sit silent for a long time, so a positive test today may trace back to a partner from months or even years

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    What Causes Yeast Infections? Common Triggers

    Yeast infections are caused by an overgrowth of Candida yeast — usually Candida albicans — that normally lives quietly in the vagina. The common triggers are anything that disrupts the balance keeping

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    Yeast Infection Won't Go Away After Treatment

    If a yeast infection won't go away after treatment, the usual reasons are that it wasn't a yeast infection at all, that the yeast is a fluconazole-resistant non-albicans species, or that you finished

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    Oral Thrush: Yeast Infection in the Mouth & Throat

    Oral thrush is an overgrowth of Candida yeast on the lining of the mouth and throat. It shows up as creamy white patches on the tongue, inner cheeks, gums, or back of the throat that can be scraped of

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    How to Prevent Yeast Infections: 9 Proven Tips

    To prevent yeast infections, keep the genital area clean and dry, wear breathable cotton underwear, avoid unnecessary antibiotics, and manage blood sugar and hormones where you can. Most vaginal yeast

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    Can You Have Sex With a Yeast Infection?

    Yes, you can have sex with a yeast infection — it isn't dangerous to a partner the way a true STI is, since a vaginal yeast infection isn't usually sexually transmitted. But sex while you have one oft

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    Are Yeast Infections an STD? Transmission Facts

    No — a yeast infection isn't a sexually transmitted infection. Vaginal yeast infections are caused by an overgrowth of Candida yeast that normally lives on the body, not by something passed during sex

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    How to Test for a Yeast Infection at Home & Clinic

    To test for a yeast infection, a clinician examines a sample of vaginal discharge under a microscope (a wet prep) and checks vaginal pH, sometimes adding a fungal culture. Home pH strips can hint at t

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    Untreated Yeast Infection: Risks & Complications

    An untreated yeast infection often clears on its own or stays a mild nuisance, but it can worsen into intense itching, raw skin, cracks in the vaginal wall, and secondary bacterial infection. In rare

    Dr. Amara Okafor, MD MPH
  • Gonorrhea

    Antibiotic-Resistant Gonorrhea: Super Gonorrhea

    Antibiotic-resistant gonorrhea — often called "super gonorrhea" — is infection with Neisseria gonorrhoeae strains that no longer respond to drugs once used to cure it. In the US, gonorrhea is still cu

    Mark Riegel, MD
  • Gonorrhea

    Disseminated Gonorrhea: Rash, Fever & Joint Pain

    Disseminated gonococcal infection (DGI) happens when untreated Neisseria gonorrhoeae spreads from the genitals, throat, or rectum into the bloodstream. It typically causes a triad of fever, joint pain

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea in the Eye: Conjunctivitis Symptoms

    Gonorrhea in the eye is conjunctivitis caused by the bacterium Neisseria gonorrhoeae reaching the eye — usually when a person touches genital fluids and then their eye (autoinoculation), or when a new

    Mark Riegel, MD
  • Gonorrhea

    Can Gonorrhea Go Away on Its Own?

    No — gonorrhea does not reliably go away on its own, and waiting it out is a gamble that can cost you your fertility. The infection is curable, but only with the right antibiotic. Symptoms often fade

    Mark Riegel, MD
  • Gonorrhea

    How Long Until Gonorrhea Symptoms Appear?

    Gonorrhea symptoms usually appear within about two weeks of exposure, when they appear at all. In people with a penis, burning urination and discharge often show up within days. Many infections—especi

    Mark Riegel, MD
  • Gonorrhea

    Does Gonorrhea Cause Infertility in Men & Women?

    Yes — untreated gonorrhea can cause infertility in both women and men. In women, the bacteria can climb into the uterus and fallopian tubes and cause pelvic inflammatory disease, scarring the tubes. I

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea: Causes, Symptoms & Treatment Overview

    Gonorrhea is a common bacterial sexually transmitted infection caused by Neisseria gonorrhoeae , which can infect the genitals, rectum, and throat. It spreads through vaginal, anal, and oral sex. Many

    Mark Riegel, MD
  • Gonorrhea

    How to Prevent Gonorrhea: Condoms & Doxy-PEP

    To prevent gonorrhea, use condoms correctly every time you have vaginal, anal, or oral sex, limit your number of partners or stay mutually monogamous, and get screened regularly at every site you've e

    Mark Riegel, MD
  • Gonorrhea

    Rectal Gonorrhea: Symptoms From Anal Sex

    Rectal gonorrhea is an infection of the anus and rectum caused by the bacterium Neisseria gonorrhoeae , usually picked up through receptive anal sex. It often causes no symptoms at all; when it does,

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea Test of Cure: When & Why It's Needed

    A gonorrhea test of cure is a repeat NAAT done after treatment to confirm the infection is actually gone. The CDC recommends it only for throat (pharyngeal) gonorrhea , tested 7–14 days after treatmen

    Mark Riegel, MD
  • Gonorrhea

    How to Get Tested for Gonorrhea at Home or Clinic

    To get tested for gonorrhea, give a first-catch urine sample (or a vaginal swab) plus a throat or rectal swab if you've had oral or anal sex, then run a NAAT — the same lab method used by clinics and

    Mark Riegel, MD
  • Gonorrhea

    How Is Gonorrhea Spread? Transmission & Risk

    Gonorrhea spreads through vaginal, anal, and oral sex with someone who carries the bacterium Neisseria gonorrhoeae . It passes when infected genital, rectal, or throat fluids and mucous membranes make

    Mark Riegel, MD
  • Syphilis

    Syphilis Chancre: First Sore Look & Timeline

    A syphilis chancre is the first sore of syphilis: a single, firm, round, painless ulcer that appears at the spot where Treponema pallidum bacteria entered the body — usually the genitals, anus, or mou

    Mark Riegel, MD
  • Syphilis

    Can You Get Syphilis From Oral Sex?

    Yes, you can get syphilis from oral sex. Treponema pallidum , the bacterium that causes syphilis, spreads through direct contact with a syphilis sore — and those sores can sit on the lips, mouth, thro

    Mark Riegel, MD
  • Syphilis

    Syphilis Incubation: How Long Until Symptoms?

    Syphilis has an incubation period of about 10 to 90 days, averaging around three weeks, between exposure and the first painless sore (chancre) of primary syphilis CDC, About Syphilis. After that sore

    Mark Riegel, MD
  • Syphilis

    Jarisch-Herxheimer Reaction After Treatment

    The Jarisch-Herxheimer reaction is a short-lived flare of fever, chills, headache, and muscle aches that appears within the first day after syphilis treatment — usually within a couple of hours of the

    Mark Riegel, MD
  • Syphilis

    Latent Syphilis: Hidden Infection Explained

    Latent syphilis is the symptom-free phase of a Treponema pallidum infection: the bacterium is still alive and detectable on a blood test, but the sores and rash of earlier stages have faded. Clinician

    Mark Riegel, MD
  • Syphilis

    Neurosyphilis: Symptoms, Tests & Treatment

    Neurosyphilis is what happens when Treponema pallidum , the bacterium that causes syphilis, invades the brain, spinal cord, or surrounding fluid. It can appear at any stage of infection, not just late

    Mark Riegel, MD
  • Syphilis

    What Is Syphilis? Causes, Stages & Risks

    Syphilis is a curable bacterial infection caused by Treponema pallidum , spread mainly through sexual contact with an infectious sore and from a pregnant person to their baby. It moves through four st

    Mark Riegel, MD
  • Syphilis

    Syphilis Penicillin Allergy: Treatment Options

    If you're allergic to penicillin and have syphilis, you can usually be treated with doxycycline (100 mg orally twice daily for 14 days for early disease, or 28 days for late latent) instead. The major

    Mark Riegel, MD
  • Syphilis

    How to Prevent Syphilis: Condoms & Doxy-PEP

    You prevent syphilis by combining several layers: use condoms correctly and consistently, limit exposure to untested partners, and screen regularly if you're at risk. For some gay and bisexual men and

    Mark Riegel, MD
  • Syphilis

    Syphilis Reinfection vs Treatment Failure

    A rising syphilis titer after treatment can mean two very different things: reinfection (you cleared the first infection and caught it again, usually from an untreated partner) or treatment failure (t

    Mark Riegel, MD
  • Syphilis

    Syphilis RPR vs Treponemal Test Explained

    Syphilis testing uses two different kinds of blood tests. An RPR is a nontreponemal test that measures the body's reaction to tissue damage and can be tracked as a titer, while a treponemal test detec

    Dr. Amara Okafor, MD MPH
  • Syphilis

    Secondary Syphilis Rash: Palms, Soles & Body

    The secondary syphilis rash is a rough, red or reddish-brown eruption that classically appears on the palms and soles but can spread across the trunk and limbs. It's a sign the infection from Treponem

    Mark Riegel, MD
  • Chlamydia

    Chlamydia Reinfection: Why It Comes Back and How to Stop It

    Chlamydia reinfection means catching Chlamydia trachomatis again after you were cured — not a treatment that failed. It usually happens because an untreated partner passes the bacteria back, often wit

    Dr. Amara Okafor, MD MPH
  • Genital Herpes

    Herpes Testing: Types, Accuracy, and When to Get Tested

    Herpes testing is most accurate when you have an active sore: a clinician swabs the lesion and runs a type-specific NAAT or culture to confirm HSV-1 or HSV-2. Without symptoms, a type-specific blood (

    Dr. Daniel Reyes, MD
  • Chlamydia

    Chlamydia and Pregnancy: Risks and Treatment

    Chlamydia during pregnancy is common, treatable, and worth taking seriously. Left untreated, it can be passed to your baby at birth and raises the risk of complications, but a safe course of antibioti

    Dr. Amara Okafor, MD MPH
  • Hepatitis

    Is it Possible to Give Hepatitis C to Someone Else?

    Yes — you can give hepatitis C to someone else, but only by getting your blood into their bloodstream. The virus lives in blood, so the real risk is sharing needles or drug-injection equipment. It doe

    Mark Riegel, MD
  • Mycoplasma Genitalium

    How Mycoplasma Genitalium Spreads (and Oral Risk)

    Mycoplasma genitalium spreads almost entirely through sexual contact — vaginal and anal sex that brings genital mucous membranes and fluids together. It's a true STI, not something you catch from toil

    Mark Riegel, MD
  • Pubic Lice

    How You Get Crabs: Spread & Non-Sexual Causes

    You get crabs (pubic lice, Pthirus pubis ) mainly through skin-to-skin sexual contact, when these tiny blood-feeding insects crawl from one person's coarse pubic hair to another's. Less often they pas

    Mark Riegel, MD
  • Trichomoniasis

    Trichomoniasis in Pregnancy: Risks & Treatment

    Trichomoniasis in pregnancy is a treatable infection caused by the parasite Trichomonas vaginalis that's linked to preterm birth and low birth weight if left untreated. Oral metronidazole is the stand

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis Testing & Diagnosis

    Trichomoniasis is diagnosed by testing a sample of vaginal fluid or urine, and the most accurate option is a nucleic acid amplification test (NAAT), which finds the parasite's DNA. The older wet-mount

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    Yeast Infection Symptoms: Itching, Discharge & More

    Yeast infection symptoms include vaginal itching or soreness, thick white discharge that looks like cottage cheese and has no fishy odor, pain during sex, and burning when you urinate. They come from

    Dr. Amara Okafor, MD MPH
  • Mycoplasma Genitalium

    Mgen Treatment: Antibiotics, Doses & Resistance Testing

    Mycoplasma genitalium (Mgen) is treated with a resistance-guided, two-step antibiotic course that always starts with doxycycline. After the doxycycline lead-in, you take azithromycin if your strain is

    Mark Riegel, MD
  • Molluscum Contagiosum

    How to Stop Molluscum From Spreading on Your Body

    To stop molluscum from spreading on your body, the single most important habit is to leave the bumps alone — don't scratch, pick, or shave over them, since that's how the virus seeds new lesions. Cove

    Mark Riegel, MD
  • Molluscum Contagiosum

    Molluscum Contagiosum Bumps: What They Look Like

    Molluscum contagiosum bumps are small, firm, pearly papules about 2–5 mm across — white, pink, or skin-colored — and their giveaway feature is a tiny dimple in the center. They appear in clusters, can

    Mark Riegel, MD
  • Molluscum Contagiosum

    Is Molluscum Contagiosum an STD? How It Spreads

    Molluscum contagiosum isn't strictly an STD, but in adults it's often spread through sex — which is why it's frequently grouped with STIs. It's a benign skin infection caused by a poxvirus that passes

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea Treatment: Antibiotics & New Guidelines

    Gonorrhea is cured with a single injection of ceftriaxone given in a clinic — 500 mg into the muscle for most adults, or 1 g for people weighing 150 kg or more. If chlamydia hasn't been ruled out, a s

    Mark Riegel, MD
  • Chlamydia

    Chlamydia Symptoms in Men: Signs, Timing & When to Test

    Most men with chlamydia have no symptoms at all — roughly half feel completely fine while carrying it. When signs do show, they usually appear one to three weeks after exposure: a clear or cloudy drip

    Mark Riegel, MD
  • Yeast Infection

    Yeast Infection vs BV: How to Tell the Difference

    Bacterial vaginosis and a yeast infection both cause itching and discharge, but they're different conditions. BV is a bacterial imbalance and usually brings a thin gray discharge with a fishy odor and

    Mark Riegel, MD
  • Yeast Infection

    Recurrent Yeast Infections: Why They Keep Coming Back

    Recurrent yeast infections mean four or more symptomatic episodes of vulvovaginal candidiasis in a year. They usually aren't a treatment failure or a sign you caught something — they happen because Ca

    Dr. Amara Okafor, MD MPH
  • Mycoplasma Genitalium

    Mgen Symptoms in Men vs Women: What to Watch For

    Mycoplasma genitalium (Mgen) shows up differently by sex: in men it usually causes urethritis — discharge and burning with urination that tends to linger or come back — while in women it more often ca

    Mark Riegel, MD
  • Hepatitis

    Hepatitis A Transmission Through Sex and Food

    Hepatitis A spreads by the fecal-oral route, meaning tiny traces of stool from an infected person reach another person's mouth. That happens through contaminated food or water and through sex — especi

    Mark Riegel, MD
  • Comparisons

    Cold Sore vs Genital Herpes: Same Virus?

    Cold sores and genital herpes are the same family of virus — herpes simplex — just in different places. Cold sores are usually HSV-1 on the mouth; genital herpes is HSV-2 or, increasingly, HSV-1 on th

    Dr. Daniel Reyes, MD
  • Bacterial Vaginosis

    How You Get BV: Triggers & Risk Factors

    Bacterial vaginosis (BV) happens when the vagina's normal protective bacteria — mostly Lactobacillus species — get crowded out by an overgrowth of anaerobic bacteria. It isn't a classic sexually trans

    Dr. Amara Okafor, MD MPH
  • Scabies

    Scabies vs Bed Bugs vs Eczema: Tell Apart

    An intensely itchy rash usually comes down to a short list: scabies (a mite that burrows under the skin and is often sexually transmitted in adults), bed bug bites, or eczema. The fastest tells are pa

    Mark Riegel, MD
  • Scabies

    Scabies Treatment: Permethrin & Ivermectin

    Scabies is treated with a prescription scabicide. The standard choice is permethrin 5% cream applied over the whole body from the neck down and washed off after 8–14 hours; oral ivermectin is an alter

    Mark Riegel, MD
  • Scabies

    How Scabies Spreads: Sex, Skin & Bedding

    Scabies spreads mainly through direct, prolonged skin-to-skin contact — typically the kind that happens during sex or among people living together. Brief touch like a handshake rarely passes it. Less

    Mark Riegel, MD
  • Scabies

    Scabies Rash Pictures: What It Looks Like

    Scabies looks like a pimple-like, intensely itchy rash, often with tiny crooked, raised lines called burrows where the mite has tunneled into the skin. Itching is worst at night. Classic hotspots incl

    Mark Riegel, MD
  • Yeast Infection

    Yeast Infection Treatment: OTC vs Prescription

    A yeast infection is treated with antifungal medicine that clears the overgrown Candida . For a simple case, you can use an over-the-counter intravaginal azole cream over several days or take a single

    Dr. Priya Patel, PharmD
  • Scabies

    Scabies Reinfection: Why It Keeps Coming Back

    Scabies reinfection means new mites have burrowed into your skin after a previous case was treated — usually from an untreated partner or household contact, or from bedding and clothing that wasn't de

    Mark Riegel, MD
  • HIV & AIDS

    The Role of Vaginal pH in HIV Transmission Risk

    Vaginal pH doesn't appear on any major HIV-prevention guideline, and HIV is not transmitted through changes in pH. What actually drives HIV transmission during vaginal sex is contact between infecting

    Dr. Daniel Reyes, MD
  • Yeast Infection

    Yeast Infection During Pregnancy: Is It Safe?

    Yes, a yeast infection during pregnancy is safe to treat and rarely harms the baby — but the medication matters. Topical azole creams placed in the vagina are the preferred treatment in pregnancy, whi

    Dr. Sarah Chen, MD
  • Yeast Infection

    Can Men Get Yeast Infections? Symptoms & Treatment

    Yes, men can get yeast infections. The most common form is candidal balanitis — a Candida overgrowth on the head of the penis that causes itching, redness, and a patchy rash. It usually isn't a sexual

    Dr. Amara Okafor, MD MPH
  • Yeast Infection

    Can a Yeast Infection Be Cured? What to Expect

    Yes — a yeast infection can be cured. A standard uncomplicated case clears with a short course of antifungal cream or a single antifungal pill, and most people feel better within days. Recurrent or st

    Dr. Amara Okafor, MD MPH
  • Pubic Lice

    Crabs vs Scabies: How to Tell the Difference

    Crabs (pubic lice) and scabies are both itchy, sexually transmissible skin parasites — but they're different organisms with different signs. Crabs are insects that live in coarse pubic hair and leave

    Mark Riegel, MD
  • Pubic Lice

    How to Get Rid of Crabs at Home

    To get rid of crabs at home, apply an over-the-counter 1% permethrin lotion or a pyrethrins-with-piperonyl-butoxide mousse to the pubic hair and other affected areas, leave it on as directed, then rin

    Mark Riegel, MD
  • Pubic Lice

    Crabs Symptoms: Itching, Bites & Blue Spots

    Crabs symptoms most often show up as intense itching in the genital area, plus tiny lice or pale eggs (nits) glued to the base of coarse pubic hair. Some people also notice small bluish-gray spots on

    Mark Riegel, MD
  • Pubic Lice

    Crabs in Eyebrows, Eyelashes & Other Body Hair

    Yes, pubic lice can live on eyebrows, eyelashes, and other coarse body hair — not just the genitals. These same insects ( Pthirus pubis ) sometimes spread to the lashes, beard, chest, or armpit hair.

    Mark Riegel, MD
  • Chlamydia

    Untreated Chlamydia: Risks and Complications

    Untreated chlamydia can quietly damage the reproductive tract over months to years, even when you feel completely fine. In women it can climb to the uterus and tubes and cause pelvic inflammatory dise

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis vs Bacterial Vaginosis

    Trichomoniasis is a sexually transmitted infection caused by a parasite, while bacterial vaginosis (BV) is an overgrowth of the vagina's own bacteria — not an STI in the traditional sense. Both can ca

    Mark Riegel, MD
  • PID

    Can PID Cause Infertility? Tube Scarring Explained

    Yes — pelvic inflammatory disease (PID) can cause infertility by scarring the fallopian tubes. When infection inflames the tubes, healing leaves behind scar tissue that can block or distort them, so t

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    How You Get Trichomoniasis

    You get trichomoniasis from sexual contact with someone who carries the parasite Trichomonas vaginalis . It passes during penis-to-vagina, vagina-to-penis, or vagina-to-vagina sex when genital fluids

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis Symptoms in Women

    Trichomoniasis in women often causes a frothy, yellow-green discharge with a fishy smell, plus genital itching, burning, soreness, and pain when urinating or having sex. But roughly 70% of infected pe

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis Symptoms in Men

    Most men with trichomoniasis have no symptoms at all — roughly 70% notice nothing. When symptoms do show up, they look like urethritis: itching or irritation inside the penis, burning after urinating

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Can You Get Trichomoniasis Again After Treatment?

    Yes — you can absolutely get trichomoniasis again after you've been treated and cured. Treatment clears the current infection, but it gives you no lasting immunity. The most common way people get rein

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Oral Chlamydia: Throat Infection Symptoms

    Oral chlamydia is a throat (pharyngeal) infection caused by the bacterium Chlamydia trachomatis , picked up through oral sex with an infected partner. It almost never causes symptoms, so most people d

    Dr. Amara Okafor, MD MPH
  • Trichomoniasis

    Trichomoniasis Treatment & Cure

    Yes, trichomoniasis is curable. It's caused by a single-celled parasite, and the right course of antibiotics clears it completely in most people. Women are treated with a week of metronidazole pills,

    Dr. Amara Okafor, MD MPH
  • Comparisons

    Trich vs Chlamydia: Symptoms & Tests

    Trichomoniasis and chlamydia are both common, both often silent, and both fully curable — but they're entirely different organisms. Trich is a parasite treated with metronidazole; chlamydia is a bacte

    Mark Riegel, MD
  • NGU

    NGU vs Chlamydia: Symptoms, Tests & Treatment

    NGU (nongonococcal urethritis) and chlamydia aren't opposites — they overlap. NGU means inflammation of the urethra that isn't caused by gonorrhea, and chlamydia is one of its most common causes. So c

    Mark Riegel, MD
  • NGU

    NGU Causes: Mycoplasma, Ureaplasma & Trichomonas

    Nongonococcal urethritis (NGU) is urethral inflammation that isn't caused by gonorrhea. The most common identified cause is Chlamydia trachomatis , followed by Mycoplasma genitalium , and sometimes Tr

    Mark Riegel, MD
  • Mpox

    Mpox vs Syphilis Sore: Which One Do I Have?

    A syphilis sore (chancre) is classically a single, painless, firm round ulcer at the site of infection, while mpox lesions are usually multiple, often painful or itchy, and frequently develop a dimple

    Mark Riegel, MD
  • Mpox

    Mpox vs Herpes: How to Tell the Sores Apart

    Mpox and genital herpes can both cause painful sores on or near the genitals, but they're different infections with different culprits — mpox comes from the monkeypox virus, while herpes comes from HS

    Mark Riegel, MD
  • Syphilis

    Syphilis vs Herpes: Sores, Tests & Treatment

    Syphilis and genital herpes both cause genital sores, but they're fundamentally different. Syphilis is a bacterial infection that produces a single painless, firm sore and is curable with penicillin.

    Mark Riegel, MD
  • Molluscum Contagiosum

    Molluscum Contagiosum Treatment & Removal Options

    Most molluscum contagiosum clears on its own within several months to about a year, so watchful waiting is reasonable for many people. For genital bumps, clinicians usually recommend removal — cryothe

    Mark Riegel, MD
  • Syphilis

    Syphilis Treatment: Penicillin Shots & Cure

    Syphilis is cured with penicillin. For primary, secondary, or early latent disease, that means a single injection of benzathine penicillin G into the muscle; late or unknown-duration syphilis needs th

    Mark Riegel, MD
  • Syphilis

    Syphilis Test: Blood Tests, Timing & Accuracy

    A syphilis test is a blood test, and diagnosis takes two of them: a screening test (RPR or VDRL, or a treponemal antibody test) followed by a different confirmatory test. Antibodies can take up to two

    Mark Riegel, MD
  • Syphilis

    Syphilis Symptoms in Men vs Women

    Syphilis produces the same stages in men and women, but where the first sore lands differs. Men usually get a visible, painless chancre on the penis; women's chancres often sit inside the vagina or on

    Mark Riegel, MD
  • Syphilis

    Syphilis Symptoms: Chancre, Rash & Each Stage

    Syphilis symptoms unfold in stages. The first is usually a single painless sore (chancre) where the bacteria entered, about three weeks after exposure. Weeks later comes a rough rash, often on the pal

    Mark Riegel, MD
  • Syphilis

    Can You Get Syphilis Again After Treatment?

    Yes — you can absolutely get syphilis again after you've been treated and cured. A past infection gives you no immunity to Treponema pallidum , so a new exposure can reinfect you no matter how many ti

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen Testing: NAAT, Resistance Assay & When to Test

    Mgen testing uses an FDA-cleared NAAT (nucleic acid amplification test) on a urine sample or a swab to detect Mycoplasma genitalium 's genetic material. Because macrolide resistance is now common, cur

    Mark Riegel, MD
  • Syphilis

    Syphilis in Pregnancy & Congenital Syphilis

    Syphilis in pregnancy is a curable bacterial infection that can pass to the baby and cause miscarriage, stillbirth, or lifelong disability — known as congenital syphilis. The fix is straightforward: e

    Dr. Sarah Chen, MD
  • Syphilis

    How Syphilis Spreads: Sex, Kissing & Contact

    Syphilis spreads mainly through direct skin-to-skin contact with an active syphilis sore or rash during vaginal, anal, or oral sex, and from a pregnant person to their baby. The bacterium can't surviv

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mycoplasma Genitalium (Mgen): Symptoms, Causes & Treatment

    Mycoplasma genitalium (Mgen) is a sexually transmitted bacterium that causes urethritis in men and cervicitis in women, though it's often silent — especially in women. It's frequently mistaken for chl

    Mark Riegel, MD
  • Syphilis

    Can Syphilis Be Cured? Yes, Here's How

    Yes — syphilis is curable at every stage with the right antibiotics. The bacterium Treponema pallidum is reliably killed by penicillin, given as one injection for early infection or three weekly injec

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Is Mycoplasma Genitalium Curable? Treatment & Resistance

    Mycoplasma genitalium is usually curable, but the word comes with a condition: cure now depends on matching the antibiotic to the strain. Because more than half of strains in many areas resist the old

    Mark Riegel, MD
  • Mycoplasma Genitalium

    Mgen Complications: PID, Infertility & Pregnancy Risks

    Mycoplasma genitalium can cause real complications when it's missed or undertreated: in women it can drive cervicitis up into pelvic inflammatory disease (PID), and emerging evidence links it to tubal

    Mark Riegel, 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
  • 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
  • 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
  • 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
  • HPV

    How HPV Spreads: Skin Contact, Sex & More

    HPV spreads mainly through skin-to-skin contact during sex — not through bodily fluids. It passes during vaginal, anal, and oral sex, and even through close genital skin contact without penetration. B

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV Testing: How You're Diagnosed

    HPV testing means a high-risk HPV DNA test run on cells brushed from the cervix during a pelvic exam — it's a cervical-cancer screening tool, not a general STD-panel item. There is no FDA-approved HPV

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV in Pregnancy: Risks for Mom and Baby

    Having HPV during pregnancy rarely harms the baby. The most common change is that genital warts grow faster than usual because of pregnancy hormones and increased blood flow. Transmission to the newbo

    Dr. Sarah Chen, MD
  • HPV

    Oral & Throat HPV: Symptoms and Risks

    Oral and throat HPV is a human papillomavirus infection in the mouth or oropharynx (the back of the throat, base of the tongue, and tonsils), usually spread through oral sex. Most infections cause no

    Dr. Amara Okafor, MD MPH
  • HPV

    Genital Warts in Women: Symptoms & Locations

    Genital warts in women usually show up as small, soft, flesh-colored or slightly raised bumps around the vulva, vaginal opening, or anus — sometimes single, sometimes clustered like a tiny cauliflower

    Dr. Amara Okafor, MD MPH
  • HPV

    Genital Warts Treatment: Removal Options

    Genital warts are treated by removing the visible growths — either with a prescription cream you apply at home (imiquimod, podofilox, or sinecatechins) or with an in-office procedure like freezing, ac

    Dr. Amara Okafor, MD MPH
  • HPV

    HPV & Genital Warts: Symptoms and What They Look Like

    Genital warts usually show up as a small, painless bump or a cluster of bumps in the genital or anal area — sometimes flat, sometimes raised and cauliflower-shaped. They're caused by low-risk HPV type

    Mark Riegel, MD
  • HPV

    Do Genital Warts Come Back After Treatment?

    Yes — genital warts can come back after treatment, and that's expected, not a sign the treatment failed. Wart treatments remove visible lesions but don't cure the underlying HPV infection, so the viru

    Dr. Amara Okafor, MD MPH
  • HPV

    Genital Warts in Men: Symptoms & Where They Appear

    Genital warts in men are soft, flesh-colored or grayish bumps that appear on or around the penis, scrotum, groin, or anus — often as a small cluster with a cauliflower-like texture. They're caused by

    Dr. Amara Okafor, MD MPH
  • HPV

    Can You Get HPV From Kissing or Oral Sex?

    Yes, HPV can spread through oral sex, and probably through deep kissing, though kissing is the far weaker route. HPV is a skin-to-skin virus, so any mouth-to-genital or mouth-to-mouth contact carries

    Dr. Amara Okafor, MD MPH
  • HPV

    Does HPV Go Away on Its Own?

    Yes — in most cases HPV does clear on its own. About 9 out of 10 infections go away within two years without causing any health problems, as your immune system suppresses the virus CDC. But "clears" i

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    How Chlamydia Is Transmitted: Causes and Risks

    Chlamydia is transmitted through vaginal, anal, or oral sex with someone who carries Chlamydia trachomatis , because the bacterium passes in infected genital, rectal, or throat fluids — penetration or

    Dr. Amara Okafor, MD MPH
  • Comparisons

    HIV vs AIDS: What's the Difference?

    HIV is the virus; AIDS is the most advanced stage of an untreated HIV infection. Everyone with AIDS has HIV, but most people with HIV never develop AIDS. HIV becomes AIDS only when the immune system i

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    AIDS vs HIV: What's the Difference?

    HIV and AIDS are not two different diseases. HIV is the virus that attacks your immune system; AIDS is the most advanced stage of an untreated HIV infection, defined by a CD4 count under 200 cells/mm³

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Undetectable = Untransmittable: What U=U Means

    Undetectable equals untransmittable (U=U) means a person with HIV who takes their medicine as prescribed and keeps their viral load suppressed will not pass HIV to sex partners. It's not a hope or a m

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Treatment: How Antiretroviral Therapy Works

    HIV treatment is antiretroviral therapy (ART) — a daily combination of HIV medicines that everyone diagnosed with HIV should start as soon as possible and take for life. ART can't cure HIV, but it dri

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    How Is HIV Transmitted? Risk by Activity

    HIV spreads only when specific body fluids — blood, semen, vaginal fluid, rectal fluid, or breast milk — from a person with the virus enter another person's bloodstream. In practice that means anal or

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Testing: Types, Window Period & Accuracy

    HIV testing looks for the virus, or your body's response to it, in a small blood or oral-fluid sample. A finger-stick or oral-swab rapid test gives results in minutes; a lab blood test catches infecti

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Symptoms in Women: Signs & Differences

    HIV symptoms in women often look just like the flu — fever, chills, rash, night sweats, sore throat, fatigue, and swollen lymph nodes that show up within a few weeks of infection. But women may also n

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Symptoms in Men: What to Look For

    Early HIV in men usually shows up within two to four weeks of infection as a flu-like illness — fever, sore throat, rash, swollen lymph nodes, night sweats, muscle aches, and mouth sores — though many

    Dr. Daniel Reyes, MD
  • HIV

    HIV Symptoms & Stages: Early Signs to AIDS

    Early HIV symptoms show up about two to four weeks after infection in many people: fever, chills, rash, night sweats, muscle aches, sore throat, fatigue, swollen lymph nodes, and mouth sores. But some

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Can You Get HIV From Oral Sex or Kissing?

    Oral sex carries a very low but not strictly zero risk of HIV, and ordinary kissing carries essentially no risk because HIV isn't transmitted through saliva. The main concern with oral sex is contact

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV-Positive Women Suffer From Premature and Early Menopause

    Yes — women living with HIV reach menopause earlier on average than women without HIV, and many experience premature menopause (before the typical age range). HIV-related immune activation, the infect

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Positive People Are At Higher Risk For Type 2 Diabetes

    Yes — people living with HIV carry a higher risk of type 2 diabetes than the general population. The reasons are layered: HIV itself drives chronic inflammation, some antiretroviral drugs affect how t

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    PEP for HIV: Emergency Prevention After Exposure

    PEP (post-exposure prophylaxis) is a 28-day course of HIV medicine you start within 72 hours of a possible exposure to keep the virus from taking hold. The sooner you begin, the better it works — in t

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Myths About HIV and AIDS: Misconceptions & Rumors

    Most of what people "know" about HIV is out of date. You can't catch it from a toilet seat, a handshake, a shared fork, a mosquito bite, or a kiss — HIV lives in only a few body fluids and dies quickl

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV & Getting Pregnant

    Yes — you can have a healthy pregnancy and a baby free of HIV. With HIV treatment that keeps your viral load undetectable, the chance of passing the virus to your baby drops dramatically. The keys are

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Can HIV Be Cured? Treatment vs Functional Cure

    No, HIV can't be cured right now. Treatment (antiretroviral therapy, or ART) can drive the virus down to undetectable levels and keep you healthy for life, but that's lifelong control — not eradicatio

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Complications: Opportunistic Infections & AIDS

    HIV complications happen when untreated HIV destroys enough of the immune system that infections and cancers the body would normally fend off take hold. Once the CD4 count drops below 200 cells/mm³, o

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV Awareness and Your Children

    HIV awareness for your children means teaching them, in age-appropriate words, that HIV is a manageable virus spread only through specific body fluids — not casual contact — and that testing, condoms,

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    HIV and AIDS in Pregnancy

    With early diagnosis and HIV treatment, a pregnant person living with HIV can almost always have a healthy, HIV-negative baby. Treatment that keeps the virus undetectable, careful delivery planning, a

    Dr. Daniel Reyes, MD
  • Comparisons

    Herpes vs Syphilis: Sore Differences & Tests

    The fastest way to tell herpes from syphilis is the sore itself: herpes typically causes clustered, painful blisters that break into raw sores and recur, while early syphilis causes a single firm, pai

    Mark Riegel, MD
  • Hepatitis

    Hepatitis and Pregnancy: Risks to Baby and Care

    Hepatitis and pregnancy mostly comes down to hepatitis B, which can pass from parent to baby at birth. Every pregnancy is screened for it. When a parent tests positive, giving the newborn both the hep

    Dr. Sarah Chen, MD
  • Hepatitis

    Can Hepatitis C Be Sexually Transmitted?

    Yes, hepatitis C can be sexually transmitted, but the risk is low. Hepatitis C spreads when blood carrying the virus enters another person's bloodstream, and sex usually doesn't involve enough blood c

    Mark Riegel, MD
  • Hepatitis

    Hepatitis C and Cirrhosis: How Liver Damage Happens

    Hepatitis C and cirrhosis are linked by time: chronic infection with the hepatitis C virus (HCV) slowly scars the liver, and over roughly 20–30 years that scarring can build into cirrhosis, liver fail

    Mark Riegel, MD
  • Comparisons

    Hepatitis B vs Hepatitis C: STI Differences

    Hepatitis B and hepatitis C are both blood-borne liver infections that can spread through sex, but they differ in two ways that matter most: hepatitis B is vaccine-preventable and usually controlled (

    Mark Riegel, MD
  • Hepatitis

    Hepatitis A, B, C's

    Hepatitis A, B, and C are three different viruses that all inflame the liver but behave very differently. Hepatitis A is a short-term infection spread mainly through contaminated food, water, or close

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea vs Chlamydia: Symptoms & Differences

    Gonorrhea and chlamydia are both bacterial STIs that infect the genitals, rectum, and throat, and their symptoms overlap so heavily that you can't reliably tell them apart by feel. The differences tha

    Mark Riegel, MD
  • Gonorrhea

    Can You Get Gonorrhea From Oral Sex or Kissing?

    Yes. You can get gonorrhea from oral sex — giving or receiving — because Neisseria gonorrhoeae readily infects the throat, genitals, and rectum. Kissing was long thought to be safe, but newer evidence

    Mark Riegel, MD
  • Gonorrhea

    Throat Gonorrhea: Symptoms From Oral Sex

    Throat gonorrhea (pharyngeal gonorrhea) is an infection of the throat with the bacterium Neisseria gonorrhoeae , usually picked up through oral sex. Most throat infections cause no symptoms at all, wh

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea Test: Types, Cost & How Long for Results

    A gonorrhea test uses a nucleic acid amplification test (NAAT), which detects the bacterium's DNA in a sample. The standard sample is first-catch urine or a vaginal swab, plus throat and rectal swabs

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea Symptoms in Women: Discharge & Bleeding

    Most women with gonorrhea have no symptoms at all. When symptoms do show up, the classic trio is painful or burning urination, a change in vaginal discharge, and bleeding between periods. Because thes

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea Symptoms in Men: Discharge & Pain

    Gonorrhea symptoms in men usually show up as a thick white, yellow, or green discharge from the penis and a burning sensation when you urinate, sometimes with swollen or painful testicles. Symptoms te

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea Symptoms: Early Signs in Men and Women

    Gonorrhea symptoms, when they show up, include burning during urination and an abnormal genital discharge — in men a white, yellow, or green penile discharge; in women painful urination, more vaginal

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea Reinfection: Why It Comes Back

    Gonorrhea reinfection means catching gonorrhea again after you were already cured — not the same infection coming back. The leading cause is sex with an untreated partner, because successful treatment

    Mark Riegel, MD
  • Gonorrhea

    Gonorrhea in Pregnancy: Risks to Baby & Treatment

    Gonorrhea in pregnancy is a treatable bacterial infection that needs prompt attention because it can pass to the baby during vaginal birth and cause a serious eye infection. A single ceftriaxone injec

    Dr. Sarah Chen, MD
  • Gonorrhea

    Is Gonorrhea Curable? What to Know About a Cure

    Yes, gonorrhea is curable. The right antibiotic — a single ceftriaxone injection given in a clinic — clears almost every infection of the genitals, rectum, or throat CDC STI guidelines. The catch: med

    Mark Riegel, MD
  • Gonorrhea

    Untreated Gonorrhea: PID, Infertility & Joint Risk

    Untreated gonorrhea doesn't just linger — it spreads. Left alone, this bacterial infection can climb into the reproductive tract and cause pelvic inflammatory disease, scarring, and infertility, and i

    Mark Riegel, MD
  • Herpes

    Genital Herpes Treatment: Antivirals Compared

    Genital herpes is treated with one of three antiviral pills — acyclovir, valacyclovir, or famciclovir — taken either at the first sign of an outbreak (episodic) or every day (suppressive). None cures

    Dr. Daniel Reyes, MD
  • Herpes

    How Genital Herpes Spreads & Asymptomatic Shedding

    Genital herpes spreads through skin-to-skin contact with infected genital skin, mucous membranes, or fluids — most often during vaginal, anal, or oral sex. You don't need a visible sore for it to pass

    Dr. Daniel Reyes, MD
  • Herpes

    Herpes Testing: Blood Test vs Swab Accuracy

    Herpes testing depends on whether you have symptoms. If you have a sore, the most accurate test is a swab of the lesion (NAAT or culture). Without symptoms, the CDC and USPSTF advise against routine b

    Dr. Daniel Reyes, MD
  • Herpes

    Genital Herpes Symptoms: First Outbreak & Recurrences

    Genital herpes symptoms most often show up as small blisters that break into painful sores on or around the genitals, rectum, or mouth, sometimes with flu-like fever, body aches, and swollen glands du

    Dr. Daniel Reyes, MD
  • Herpes

    Genital Herpes Symptoms in Women

    Genital herpes symptoms in women often start with itching or tingling, then small blisters that break into painful sores on or around the vulva, vagina, cervix, or anus. A first outbreak can bring fev

    Dr. Daniel Reyes, MD
  • Herpes

    Genital Herpes Symptoms in Men

    Genital herpes symptoms in men usually start as small blisters on or around the penis, scrotum, anus, buttocks, or thighs that break into painful sores and crust over within a week or more. A first ou

    Dr. Daniel Reyes, MD
  • Herpes

    Genital Herpes and Pregnancy: Risks to Baby

    Genital herpes during pregnancy is usually safe to carry, and most people with the virus deliver healthy babies. The real danger is a first herpes infection caught late in pregnancy, which can pass to

    Dr. Sarah Chen, MD
  • Herpes

    Herpes Outbreak Triggers & How to Prevent Them

    You can't always stop a herpes outbreak, but you can cut how often they happen and lower the chance of passing the virus to a partner. The most reliable prevention combines daily suppressive antiviral

    Dr. Daniel Reyes, MD
  • Herpes

    Oral Herpes vs Genital Herpes: The Difference

    Oral herpes and genital herpes are the same family of virus showing up in different places. "Oral herpes" means herpes sores on or around the mouth; "genital herpes" means sores on or around the genit

    Dr. Daniel Reyes, MD
  • Herpes

    Can You Get Genital Herpes From Oral Sex?

    Yes. You can get genital herpes from oral sex. When a partner has an oral HSV-1 infection — the virus behind most cold sores — they can pass it to your genitals during oral sex, even with no visible s

    Dr. Daniel Reyes, MD
  • Herpes

    Genital Herpes Questions: Reinfection & Spread

    Yes, you can spread genital herpes even with no visible sore, and yes, the same person can transmit it to a partner — but you can't "re-catch" the same type you already have. Once HSV is in your body,

    Dr. Daniel Reyes, MD
  • Herpes

    Is Genital Herpes Curable? What Treatment Does

    No, genital herpes is not curable. The infection is lifelong because the virus stays dormant in nerve cells where no drug can reach it. But it's very controllable: three safe antiviral pills shorten o

    Dr. Daniel Reyes, MD
  • HPV

    Does HPV Cause Infertility?

    HPV doesn't directly cause infertility in the way an untreated bacterial STI can. The virus itself doesn't scar the fallopian tubes or block sperm. But high-risk HPV can lead to cervical precancer and

    Dr. Amara Okafor, MD MPH
  • HIV & AIDS

    Discussing HIV Status with Kids

    Telling your child about an HIV diagnosis — yours, theirs, or a family member's — works best when the words match the child's age, stay honest, and lean on one calm fact: HIV is a manageable, long-ter

    Dr. Daniel Reyes, MD
  • HIV & AIDS

    Criminalization of HIV Exposure and Transmission

    HIV spreads only through specific body fluids — blood, semen, vaginal fluid, rectal fluid, and breast milk — passed during anal or vaginal sex, sharing needles, or from parent to child in pregnancy, b

    Dr. Daniel Reyes, MD
  • Comparisons

    Crabs vs Scabies: Itch, Bites & Treatment

    Crabs and scabies both itch in the genital area, but they're different parasites with different treatments. Crabs (pubic lice) are visible insects that cling to coarse hair. Scabies is a microscopic m

    Mark Riegel, MD
  • PID

    Chronic Pelvic Pain After PID: Causes & Relief

    Chronic pelvic pain after PID is persistent or recurring pain in the lower abdomen or pelvis that lasts for months after a pelvic inflammatory disease infection has been treated. It's caused mainly by

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Chlamydia Treatment: Antibiotics and Recovery

    Chlamydia is curable with antibiotics. The CDC-preferred treatment is doxycycline 100 mg by mouth twice daily for 7 days CDC, 2021. A single dose of azithromycin or a course of levofloxacin are altern

    Dr. Priya Patel, PharmD
  • Chlamydia

    Chlamydia Testing & Diagnosis: Types, Timing & Accuracy

    Chlamydia is diagnosed with a nucleic acid amplification test (NAAT) — a lab method that detects the bacterium's DNA. You give a first-catch urine sample or a self-collected swab (vaginal, rectal, or

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Chlamydia Symptoms in Women: What to Look For

    Most women with chlamydia have no symptoms at all — about three quarters notice nothing CDC fact sheet. When signs do show, the common ones are abnormal vaginal discharge, burning with urination, blee

    Dr. Amara Okafor, MD MPH
  • Chlamydia

    Chlamydia Reinfection: When to Retest

    Chlamydia reinfection means catching Chlamydia trachomatis again after you were already cured — it's not your antibiotics failing. The usual cause is sex with an untreated partner. Because reinfection

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    BV Discharge vs Yeast Infection vs Trich

    Bacterial vaginosis, a yeast infection, and trichomoniasis are the three conditions most often confused with each other. BV usually brings a thin gray discharge with a fishy odor; a yeast infection br

    Mark Riegel, MD
  • Comparisons

    BV vs Yeast Infection vs Trich: Discharge Chart

    BV, a yeast infection, and trichomoniasis all cause discharge, itching, and irritation, but they differ in cause and cure. BV and trich produce a thin discharge with a fishy odor; yeast brings thick,

    Mark Riegel, MD
  • Bacterial Vaginosis

    BV Treatment: Metronidazole, Clinda & Gels

    BV treatment means a short, defined course of antibiotics — the CDC-recommended options are oral metronidazole, metronidazole vaginal gel, or clindamycin vaginal cream. All three cure most acute episo

    Dr. Priya Patel, PharmD
  • Bacterial Vaginosis

    BV Testing: Diagnosis, pH & At-Home Options

    BV testing checks whether the bacteria in your vagina have shifted out of balance. A clinician confirms bacterial vaginosis using the Amsel criteria — thin discharge, clue cells, a vaginal pH above th

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    BV Symptoms: Discharge, Fishy Smell & Itch

    Bacterial vaginosis (BV) shows up as a thin white or gray discharge, a strong fish-like odor that gets worse after sex, and sometimes itching, burning, or a sting when you pee. Many people have no sym

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    Recurrent BV: Why It Keeps Coming Back

    Recurrent BV means three or more episodes of bacterial vaginosis in a year. It usually isn't a sign your first treatment failed — it's the condition's tendency to relapse. Standard antibiotics clear m

    Dr. Amara Okafor, MD MPH
  • Bacterial Vaginosis

    BV in Pregnancy: Risks & Safe Treatment

    BV in pregnancy is a common bacterial imbalance that's linked to preterm delivery and low birth weight. It's safely treated with oral metronidazole or vaginal metronidazole gel or clindamycin cream. T

    Dr. Sarah Chen, MD
  • Bacterial Vaginosis

    Can BV Go Away on Its Own or Need Meds?

    BV sometimes clears on its own, but you shouldn't count on it. Mild cases can resolve when normal vaginal bacteria rebound, yet untreated BV raises the risk of acquiring HIV and other STIs and, in pre

    Dr. Amara Okafor, MD MPH
  • Comparisons

    Bacterial vs Viral STDs: Curable or Not?

    The difference comes down to cause. Bacterial and parasitic STIs — chlamydia, gonorrhea, syphilis, and trichomoniasis — are curable with antibiotics . Viral STIs — herpes, HIV, hepatitis B, and HPV —

    Mark Riegel, MD
  • Hepatitis

    Autoimmune Diseases and Hepatitis

    The term "autoimmune hepatitis" describes liver inflammation driven by your own immune system, but the question most people are really asking is about hepatitis B — a vaccine-preventable, blood-borne

    Mark Riegel, MD
  • Syphilis

    Syphilis in Pregnancy: Screening to Prevent Congenital Cases

    Syphilis in pregnancy is a curable bacterial infection ( Treponema pallidum ) that can pass to the baby and cause miscarriage, stillbirth, or lifelong disability. The fix is straightforward: universal

    Dr. Sarah Chen, MD
  • Syphilis

    Oral Syphilis: Mouth, Throat & Lip Sores

    Oral syphilis refers to sores from Treponema pallidum that show up in the mouth, throat, or lips. In the first stage it's a painless chancre at the site of contact; in the second, mucous patches on th

    Mark Riegel, MD
  • Syphilis

    Untreated Syphilis: Neurosyphilis & Heart Risks

    Untreated syphilis doesn't stay still. After the first sore heals and symptoms fade, the bacterium Treponema pallidum keeps spreading silently, and over years it can damage the heart, blood vessels, b

    Dr. Rohan Patel, PharmD
  • Chlamydia

    Can Chlamydia Go Away on Its Own?

    Chlamydia almost never clears on its own, and you shouldn't count on it. The infection can linger silently for months or years while quietly damaging the reproductive tract. It's curable with a short

    Mark Riegel, MD
  • Herpes

    Mono Could Be Classified As An STD

    Mono, short for mononucleosis, is a very contagious disease caused by the Epstein-Barr virus, a herpes virus.

    Mark Riegel, MD