Vintage Prosey Project: 2014 Prioritization — 10/17/12

Updating the blog here to pull old entries from the pros/e/yes archives…in their original order. This project is simply a unification of my personal blog (with a LOT of NSFW entries) and my professional blog.

Dr. PruthPetals Westheimer’s Hump Day Special: The Oozage

Okay, let’s talk discharge of the funky kind. I noted last week that most discharges women have are normal, if unpleasant to ponder. Most of us squick out a bit thinking on it, understandably. However, there are some discharges that are anything but normal…and that is what today’s entry is about. Right about here, at the outset, I wanna send a big hug & smooch to Feminista Jones, and her love of all things CONDOM, because while condoms do not prevent against *all* Sexually Transmitted Infections (STIs), when used consistently and correctly, condoms are extremely effective in preventing transmission of most STIs. A couple of important notes here: 1. The focus here is heteronormative male-female sexual activity ~ there are a few different caveats for WSW and MSM, but those are topics I’m reserving for a different Hump Day entry. 2. Most of my emphasis here is focused on women. I will point out a couple of things regarding men that are important to keep in mind, but my focus is women.
Now then. Before you go thinking that this is a subject you don’t need to worry about contracting STIs, because you’re beyond a certain age, let me (kindly) dispel you of that false notion. The 2nd highest demographic affected by STI transmission is women over age 55. The highest demographic is young women between 15 and 24 years. Furthermore, there are STIs that are considered “silent,” because they manifest with absolutely no obvious symptoms at all. The following is a list of some of the STIs. The ones bolded can occur in both women AND men “silently” (and I have bolded the symptoms related to those for both women and men with respect to discharge):

Chlamydia (note: Chlamydia is currently the fastest spreading STI on the planet)
When women have chlamydia symptoms, they may experience

  • abdominal pain
  • abnormal vaginal discharge
  • bleeding between menstrual periods
  • low-grade fever
  • painful intercourse
  • pain or a burning feeling while urinating
  • swelling inside the vagina or around the anus
  • the urge to urinate more than usual
  • vaginal bleeding after intercourse
  • a yellowish discharge from the cervix that may have a strong smell

When men have symptoms, they may experience

  • pain or a burning feeling while urinating
  • pus or watery or milky discharge from the penis
  • swollen or tender testicles
  • swelling around the anus

Cytomegalovirus (CMV)
Genital Warts
Gonorrhea (possibly the oldest STI known to humankind)

When women have gonorrhea symptoms, they commonly experience

  • abdominal pain
  • bleeding between menstrual periods
  • fever
  • menstrual irregularities
  • painful intercourse
  • painful urination
  • swelling or tenderness of the vulva
  • the urge to urinate more than usual
  • throwing up
  • yellowish or yellow-green vaginal discharge

When men have symptoms, they commonly experience

  • pus-like discharge from the penis
  • pain or burning feeling while urinating
  • more frequent urination than usual

Hepatitis B
HIV & AIDS (note: HIV symptoms CAN present early, but often asymptomatic for years)
Human Papillomavirus (HPV)
Intestinal Parasites
Molluscum Contagiosum
Pelvic Inflammatory Disease (PID)
Pubic Lice (Crabs)
Trichomoniasis (Trich)

When women have trich symptoms, they may have

  • frothy, often unpleasant-smelling discharge
  • blood spotting in the discharge
  • itching in and around the vagina
  • swelling in the groin
  • the urge to urinate frequently — often with pain and burning

Men rarely have symptoms. When they do have symptoms, they may have

  • discharge from the urethra
  • the urge to urinate frequently — often with pain and burning

I know that much of this topic is pretty unpleasant to think about, and WAY too often (given the statistics) people do not address the matter of STIs directly and honestly –often for fear and shame. However, the importance of knowing the symptoms of various STIs cannot be overstated, in my opinion, particularly given how widespread they are.

CONDOMS! And…get screened regularly, especially if you are sexually active with multiple partners and are not in a monogamous long-term one-on-one relationship (and hell, even if you ARE).

With that, Happy Hump Day!

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