Raising the Alarm on STDs in Teen Girls Did you hear the recent study that showed that one in four girls and young women are infected with an STD - Chlamydia, genital herpes, trichomonas, or human papillomavirus (HPV)? And 15% had more than one STD! Given what I've seen in practice, this is not that surprising, but it is very alarming. What is surprising is the complete lack of understanding of the consequences of these infections. According to the study - which looked at a sampling of teenage girls (ages14-19) in 2003 and 2004 -- the two most common STDS were HPVand Chlamydia. HPV can cause cervical cancer and genital warts, and Chlamydia, if left untreated, can cause infertility and chronic pelvic pain. Interestingly, the study has reignited the debate over what it will take to prevent these infections in young women. The current administration has spent over a billion dollars on abstinence programs that they believe will curb the spr...
Understanding Herpes Testing
The most important fact to know in terms of Herpes testing is that
blood testing with an IgG test is the BEST test for diagnosing the disease.
first see the doctor for a suspicious genital ulcer, your health care provider
may ask a lot of really personal and embarrassing questions. Know
that having an accurate sexual history as well as a description of your
symptoms is very important as your health care provider evaluates you. Be honest.
medical history and physical examination alone can not diagnose herpes.
I've seen a
lot of genital herpes, but it's easy to be fooled. I've had patients who had lesions in unusual
places or didn't have a typical story that I mistook for abscesses - only after
they failed antibiotics did I do the culture and verify that it was
On the other hand, I've seen some very typical appearing ulcers on the genitals
that turned out NOT to be herpes.
Back in 1995 when surgeons first started using a technique called autologous chondrocyte implantation (ACI), a group of surgeons from around the United States set up a special study to track results of this treatment. They called the collection of data from patients at various clinics and surgical centers the Cartilage Repair Registry or Registry for short. The goal was to follow patients long enough to see how well this treatment worked over time. Autologous chondrocyte implantation (ACI) refers to the filling in of cracks and holes in the knee joint cartilage with the patient's own chondrocytes (cartilage cells). These lesions or defects occur as a result of trauma, injury, or repetitive damage to the joint. Autologous means that normal, healthy cartilage cells are taken from a place in the patient's own knee joint. The cells come from an area that isn't damaged and doesn't bear a huge load when the person is upright and weight-bearing. The harvested chondrocytes have the advantage o...
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