STDs

What are STDs?

STDs are infections that people usually get by having sex with someone who already has one. Some STDs can be treated and cured with antibiotic medicine. Others cannot be cured. But many of those can be treated to make them easier to live with.

It is very important to remember that most of the time you will never know if you are having sex with someone who has an STD. Anyone can get one. It has nothing to do with how "clean" someone is or how the person dresses and acts. Most people who get an STD, including HIV, do not know the person they are having sex with has one.

Curable STDs

These STDs are caused by bacteria (a kind of germ).

Not Curable STDs

These STDs are caused by a virus (another kind of germ).

STDs left untreated can:

Millions of people have STDs. And most people who get them are under the age of 30.

More STD Information

How STDs Are Spread

Most often, STDs are spread by having vaginal, anal, or oral sex with someone who has an STD.

Common Symptoms of STDs

Here are some common signs and symptoms of STDs that men and women may notice.

Preventing STDs

The surest way not to get an STD is to not have vaginal, anal, or oral sex. When people choose to have sex, there are ways they can help protect themselves.

Some methods of birth control can help prevent STDs, like abstinence and condoms.

Do’s

Don'ts

How do you know if you or your partner has an STD?

Sometimes STDs have signs that people can see or feel. But sometimes they don’t. That means that someone can have an STD without knowing it. Even when people have no signs, the STD can harm them and they can still pass the STD to another person.

The best way to know for sure if you have an STD is to have a physical exam and tests. Each STD has its own test.

Getting Tested

The sooner an STD is found, the better. You should get checked if:

Getting Treated

If a test finds an STD or if enough signs of an STD are seen during the exam, the doctor/clinician may give you a medicine or other kinds of treatment.

Here are some things to remember:

Curable STDs

Chlamydia

What Is Chlamydia?

Chlamydia can cause an infection in the man's urethra (tube in the middle of his penis that goes to his bladder) and testicles (balls). If it gets very bad, it can cause an infection in other parts of his reproductive system.

Chlamydia can cause an infection in a woman's vagina and her urethra (tube that goes to her bladder). If it gets very bad, it can also cause infection in other parts of her reproductive system.

Women and men can get Chlamydia of the throat by having oral sex.

A simple and painless urine test can be done to find out if you have Chlamydia.

Symptoms

Most people do not have any signs of Chlamydia. That's why most people don't know they have it. The best way to find out if you have it is to have a test done.

A few people may have these signs:

  • A thick yellow or clear discharge from the penis or vagina
  • Pain or burning when they urinate (pee)
  • Pain during sex
  • For women, bleeding between periods and during or after sex

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Long-Term Effects

Chlamydia can be cured. But if you don't get treated, these things could happen:

  • You could pass it on to others.
  • You have a higher chance of getting HIV (the virus that causes AIDS).
  • The vagina or penis could hurt and swell.

A woman with untreated chlamydia could get an infection that causes scars in her uterus or in the tubes that carry her eggs. If this happens:

  • She could have a pregnancy in her tubes (ectopic pregnancy).
  • She could have pelvic pain and infection (PID).
  • She might become sterile (unable to get pregnant).

If a woman has chlamydia while she is pregnant, chlamydia could harm the baby's eyes or lungs during birth.

A man with untreated Chlamydia could get a bad infection that can cause scarring of the tubes that carry sperm. If this happens, he might not be able to children.

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Treatment

To cure Chlamydia:

  • You may take antibiotic medicine. You may take it in one dose. Or you may take pills for a week.
  • You and your partner(s) must get treated.
  • Take all of your pills, even if you feel better.
  • Do not have sex for at least one week after you start your treatment.

If you think you might be pregnant, be sure to tell your doctor before you get treated.

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Gonorrhea

What It Is

Gonorrhea is an infection of the penis, vagina, anus, or throat.

  • Gonorrhea is caused by bacteria (a kind of germ).
  • You get gonorrhea by having sex with someone who has it.
  • Gonorrhea can be spread by having vaginal, anal, or oral sex.

A simple and painless urine test can be done to find out if you have gonorrhea.

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Symptoms

You can have gonorrhea without knowing it. Many people don’t show signs at all. The best way to find out if you have it is to get tested.

Some people may have these signs:

  • Pain when they urinate (pee) or have a bowel movement
  • A yellow discharge from the penis or vagina
  • For men, pain in the testicles
  • For women, pain or tenderness in the abdomen
  • A sore throat

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Long-Term Effects

Gonorrhea can be cured. But if you don’t get it treated, the following could happen:

  • You can pass it on to others.
  • You have a higher chance of getting HIV (the virus that causes AIDS).

If you have gonorrhea too long before being treated, it can cause these problems:

  • Your joints may swell and hurt.
  • The vagina or penis may swell and hurt.

A woman with untreated gonorrhea could get an infection that causes scars in her uterus or in the tubes that carry her eggs. If this happens:

  • She could have a pregnancy inside her tubes (ectopic pregnancy).
  • She could have pelvic pain and infection (PID).
  • She might become sterile (unable to get pregnant).

If a woman has gonorrhea while she is pregnant, gonorrhea could harm the baby’s eyes during birth.

A man with untreated gonorrhea could get a bad infection that causes scarring of the tubes that carry sperm. If this happens, he might not be able to have children.

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Treatment

To cure gonorrhea:

  • You must get a shot or take pills.
  • You and your partner(s) must be treated.
  • Take all of your pills, even if you feel better.
  • Do not have sex until you and your partner(s) have been treated. You may need another checkup to be sure you are cured.

If you think you may be pregnant, be sure to tell your doctor before you get treated.

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Syphilis

What It Is

Syphilis is a dangerous disease that can affect the whole body.

  • Syphilis is caused by bacteria (a kind of germ).
  • You get syphilis by having sex with someone who has it.
  • Syphilis can be spread by having vaginal, anal, or oral sex.

You can get tested for syphilis with a simple blood test.

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Symptoms

The signs of syphilis can be so mild that you may never notice them. The first sign is a painless sore, called a chancre (pronounced "shank-er").

  • This sore can be on or near the vagina, penis, mouth, or anus.
  • You may not even see or feel the sore because the sore can be in an area of the penis that the man can't see or in an area of the vagina a woman can't see unless the man or woman looked at these areas carefully using a mirror.
  • It heals by itself even if it is not treated. But you still have syphilis.

After a few weeks or months, you may have some of these signs:

  • Rash (Painless; can be on palms of hands or soles of feet, or entire body. Goes away in 2-10 weeks.)
  • Swollen glands
  • Joint pain
  • Fever
  • Hair loss
  • Sore throat
  • Headaches

These signs may also go away without treatment, but you still have the disease.

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Long-Term Effects

Syphilis can be cured with medicine. But if you don't get treated, you could:

  • Pass it on to others.
  • Have a higher chance of getting HIV (the virus that causes AIDS).

If not treated, over time syphilis can cause serious health problems, such as:

  • Blindness
  • Brain damage
  • Heart disease
  • Death

If a woman has syphilis while she is pregnant:

  • Her baby could have birth defects.
  • Her baby may be born dead.

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Treatment

To cure syphilis:

  • You must get one or more shots.
  • You and your partner(s) must be treated.
  • Get all of the shots you need, even if you feel better.
  • Do not have sex until you and your partner(s) have finished treatment.
  • You may need another checkup to be sure you are cured.

If you think you may be pregnant, be sure to tell your doctor before you get treated.

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Trichomoniasis

What It Is

Trichomoniasis (Trich; pronounced "trick") is an infection of the vagina or penis.

  • Trichomoniasis is caused by parasites.
  • You get it by having sex with someone who has it.
  • Trichomoniasis is spread by fluids from the vagina or penis.

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Symptoms

Most often, men don't have signs. Sometimes, they may have an itching in the urethra (the tube that carries urine) or a burning feeling when they urinate (pee).

Some women don't have signs, but many do. Women may have these signs:

  • A foamy, smelly, yellow, green, or gray discharge from the vagina
  • Itching or burning of the vagina
  • A burning pain when they urinate

The test for trichomoniasis is a simple, painless test for women. A sample of vaginal discharge is examined with a microscope. Sometimes trichomoniasis in men's urine can be seen with a mircoscope.

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Long-Term Effects

Trich can be cured, but if you don't get treated, the following can happen:

  • You can pass it to others.
  • You may have a higher chance of getting HIV or another STD.

If a woman has trich while she is pregnant, her baby may be born too small or too early.

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Treatment

Trich can be cured with antibiotics. To cure trich:

  • You must take pills.
  • You and your partner(s) must be treated.
  • Take all of your pills, even if you feel better.
  • Don't have sex until you and your partner(s) have finished your treatment.

If you think you may be pregnant, be sure to tell your doctor before you get treated.

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Vaginal Infections

There are several kinds of vaginal infections (vaginitis). Not all of these are caused by having sex. But they can be spread that way. The most common vaginal infections are Bacterial Vaginosis (BV) and yeast infections.

Tips for keeping the vagina healthy

  • Always wipe yourself from front to back when you go to the bathroom. Wipe from the opening that urine comes out of (above the vaginal opening) towards your rectal area. This can keep germs from your anus away from your vagina.
  • Don't douche. You don't need to clean inside your vagina. It keeps clean by itself. When you douche, you may be washing away what the vagina needs to keep healthy.
  • Wear cotton underwear. Don't wear tight pantyhose. This will keep you cool and dry so bacteria won't grow as easily.

Bacterial Vaginosis (BV)

What It Is

Every woman normally has some the bacteria in her vagina, but sometimes there is too much, causing an infection called Bacterial Vaginosis (BV).

This can happen for many reasons, such as:

  • Hot weather (sweating in the vaginal area)
  • Poor hygeine
  • Too much douching
  • A new sex partner
  • Having more than one sex partner
  • Sex with someone who has unclean hands or penis
  • Using an IUD

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Symptoms

Women may have these signs:

  • A fishy-smelling discharge from your vagina
  • A heavy or milky discharge
  • Itching in or around the vagina

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Long-Term Effects

BV can be cured with medicine, but if you don’t get treated, the following could happen:

  • Your tubes and uterus can get infected.
  • You may have a higher chance of getting or spreading HIV or other STDs.

If a woman has BV while she is pregnant, her baby could be born too soon or too small.

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Treatment

To cure BV:

  • You must take pills or use a medicine that you put in your vagina.

If you think you may be pregnant, tell your doctor before you get treated.

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Yeast Infection

What It Is

A yeast infection is a common infection of the vagina. It is caused by yeast germs (Candida). Every woman has some yeast in her vagina. But if you have too much yeast, you can get a yeast infection. This may happen for many reasons, such as:

  • Pregnancy.
  • Hot weather or exercise from sweat in the vaginal area.
  • Wearing tight underwear or panty hose.
  • Taking certain kinds of medicines, like antibiotics.
  • Douching too much.
  • Diabetes or HIV.

The test for yeast infection is simple and painless.

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Symptoms

You may have these signs:

  • A thick, white discharge, like cottage cheese
  • Itching in or around the vagina
  • A burning pain when you urinate (pee)
  • A yeasty or strange smell

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Long-Term Effects

There are no long-term effects of yeast infection.

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Treatment

To cure a yeast infection, a woman must:

  • Take a pill or put medicine in her vagina. She should use the medicine even if she gets her period.

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Non Curable STDs

Genital Herpes

What It Is

Genital herpes is an infection caused by a virus (a kind of germ).

  • You get the herpes virus by having sex with someone who has it.
  • It can be spread by having vaginal, anal, or oral sex. It can also be spread by touching the infected area of someone who has it.
  • It causes small, painful sores or blisters. The sores can come and go, but once you get herpes, the virus is always in your body.

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Symptoms

Most people with herpes get signs of the infection, but some people don't.

Most people get blisters or sores. They can show up in any of these places:

  • The vagina or penis
  • The thighs or buttocks
  • The mouth

These blisters or sores are different for everyone:

  • Some people get a painful rash of blisters or sores.
  • Some get only a blister or two that just itch.
  • Some people feel like they have the flu along with the blisters.

The sores and blisters will heal.

  • Some people get the sores only once.
  • Some people get them many times.

Even when you have no sores or blisters, the herpes virus is in your body, and you can pass herpes to others.

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Long-Term Effects

Herpes cannot be cured. It can cause these problems:

  • You can pass it on to others.
  • You have a higher chance of getting HIV (the virus that causes AIDS).
  • Your baby could get herpes while being born.

If you have herpes and get pregnant:

  • Tell your doctor you have herpes.
  • Get prenatal care.

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Treatment

Genital herpes can't be cured, but there are medicines that may help the sores heal more quickly. Some medicines may also make the blisters come less often, stay a shorter time, and be less painful.

To treat genital herpes:

  • Take the medicine your doctor gives you.
  • Your partner(s) should get checked for herpes.

If you think you may be pregnant, be sure to tell your doctor before you get treated.

To take care of the sores:

  • Keep the area clean and dry. Wash gently and dry with a clean, soft towel. Or use a hair dryer set on cool.
  • Wear cotton underwear and loose clothes.
  • Don't put any cream or ointment on the sores unless your clinician tells you to.

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Genital Warts (HPV)

What is HPV?

Genital warts are small, often painless bumps in or round the vagina, penis, or anus.

  • They are caused by a virus (a kind of germ). It is called HPV (the human papilloma virus).
  • You get HPV by having sex with someone who has the virus.
  • HPV is spread by having vaginal, anal, or oral sex.
  • Even if the warts go away or are removed, the virus stays in your body and can be spread to others.

Genital Warts can be prevented with the HPV vaccine. The HPV vaccine is for men and women who are 9 to 26 years of age.

  • It prevents most (but not all) genital warts
  • It works best if you get it before you have sex for the first time
  • It works best if you get it before you have sex for the first time

The test for HPV is simple and painless.

Symptoms

Some people don't show signs even though the wart virus is in their skin. Others do have signs.

  • People may see small bumps (warts) in or around the vagina, penis, or anus.
  • The bumps may grow in bunches or clusters.
  • They may itch.

The virus can be spread to others even when there are no signs.

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Long Term Effects

Genital warts can be treated but not cured. The treatment can help make you feel better and can help take away the warts, but you will always have the virus. Having the virus can cause these problems:

  • You can pass it to others.
  • You have a higher chance of getting HIV (the virus that causes AIDS).

If a pregnant woman has genital warts, she could have these problems:

  • The warts could grow and block the vagina.
  • The baby could get the virus.
  • Some wart medicines are not safe for pregnant women to use.

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Treatment

The treatment for genital warts is to have a health care provider remove them. There are also some new medicines that you can use at home.

  • You may need an exam of the cervix or penis called a colposcopy. Your clinician uses a magnifying glass with a bright light to see the warts.
  • The warts can be removed with a special medicine or procedure that causes the wart to fall off.

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Genital Warts and Cervical Cancer

If a woman has the kind of HPV that causes genital warts, she may also have another kind of HPV that causes cervical cancer. Any woman who has had genital warts should have a Pap smear at least once a year to check for cervical cancer.

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Understanding HPV and Cervical Cancer

What’s the link between HPV and Cervical Cancer?

HPV stands for Human Papilloma Virus. Most people who have sex will get HPV, often in the first few years they are sexually active. For most of these people, the HPV will go away within a few years, and many will never realize they had HPV.

  • There are more than 40 types of HPV that you can get from having sex.
  • Most cause no symptoms or serious health problems
  • Some of these can cause genital warts.
  • Others may lead to cervical cancer

Cervical cancer is caused when certain types of HPV don’t go away —this is called persistent HPV infection. The types of HPV that can cause cervical cancer don’t have symptoms and are different than the ones that cause warts. You can get more than one type of HPV at a time. And just because you’ve had it before, doesn’t mean you can’t get another kind of HPV.

How do you get HPV?

You get HPV from having sex with someone who already has HPV. It is passed on by skin rubbing against skin. You are most likely to get HPV through sex without a condom. But you can still get HPV even if the penis does not go into the vagina, mouth or anus.  Condoms can only protect the parts of the body they touch.  The skin on the upper thighs, butt, scrotum and vulva may also transmit HPV.   

How do I know if I have HPV?

If you go into a clinic and ask to be tested for STDs, you are being smart and responsible. But most likely, you will not be tested for HPV. There is no cure for HPV, and most cases of HPV will go away on their own after a few years. It is safest to assume that everyone has HPV, and to use a condom every time you have sex.

How Do I Protect Myself?

Remember, most people don’t know if they have HPV. Using a condom for every act of vaginal and anal sex and limiting your number of sexual partners can reduce your chances of getting HPV.

The HPV vaccine, called Gardisil, protects you from 4 types of HPV- the two types that cause most cervical cancer and the 2 types that cause most genital warts. The vaccine works best if you get it before you have sex for the first time (or before you rub up against someone naked). The vaccine can only protect you if you get it before your skin comes into contact with the virus. The vaccine cannot make the virus go away.

Who Should Get the HPV Vaccine?

The vaccine is recommended for women between 9 and 26 years old. It is not approved for use in women over the age of 26. If you are interested in the vaccine, but are over 26 years old, talk to your clinician. On October 16, 2009, the FDA approved use of the vaccine for men to prevent genital warts.

How do I get the HPV Vaccine?

If you are under 18 years old, you may need your parent or guardian to agree to the vaccine. If you are not comfortable bringing this up with your parents, there are tips on TeenSource.org. Your clinician may also be able to help you explain things to your parents.

If you are over  18, ask a clinician if the vaccine is right for you.

If you cannot afford the vaccine, the company that makes the vaccine may be able to help. There is a program available to provide vaccines for families that cannot afford them,

What more can I do to prevent Cervical Cancer?

The HPV vaccine protects you from the types of HPV most likely to cause cervical cancer, but it cannot prevent all types of HPV. All women should get pap tests when their doctors tell them to, even if they have had the HPV vaccine. Most women should get their first pap test 3 years after they become sexually active, or when they turn 21.

Pap tests look for signs that cells on the cervix are unhealthy.  If the results of your pap test come back abnormal, that does not mean that you have cancer. Many abnormal cells will take care of themselves. Some abnormal cells need to be removed from the cervix before they can turn into cancer. On rare occasions, the abnormal results happen because someone already has cervical cancer. The earlier you treat cervical cancer, the more effective the treatment will be, so it is very important to follow your clinician’s instructions for follow up.

What if I still have questions?

If you still have questions, your clinic can help. You can get more information and talk to someone about what you can do to stay healthy. California teens can use the TeenSource Find a Clinic to locate a doctor near you.

Hepatitis B

What Is Hepatitis B?

Hepatitis B is an infection of the liver that can be diagnosed by a simple blood test.

  • Hepatitis B is caused by a virus (a kind of germ).
  • You could get Hepatitis B if you:
    • Have sex with someone who has the virus.
    • Share needles or drugs.
    • Share earrings, razors, nail clippers, or toothbrushes.
    • Pierce your body or get a tattoo when infected tools are used.
    • Touch infected blood or bodily fluids.

Symptoms

People can have hepatitis B without knowing it. They may feel fine or they may just feel like they have the flu. Even if you have no signs, hepatitis B can be spread to others.

Some people get these signs:

  • Yellow skin or eyes
  • No appetite (they don't want to eat)
  • Feeling tired
  • Brown or dark urine (pee)
  • Light or gray stools

Some people have pain in their:

  • Stomach or abdomen
  • Muscles
  • Joints

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Long-Term Effects

There is no cure for hepatitis B, but in some people, it goes away on its own. There is medicine that can help the liver of people who have chronic hepatitis.

Hepatitis B can cause these problems:

  • You can give it to others.
  • You have a higher chance of getting HIV (the virus that causes AIDS).
  • Chronic hepatitis can badly damage your liver. It can lead to cancer and even death.

If a woman has hepatitis B while she is pregnant, she should tell her doctor right away. Her baby could be born with it. The baby will need special shots right after birth.

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Treatment

Your doctor will make a treatment plan just for you. Tell your partner(s) and anyone you live with that you have hepatitis B. They will need to get the vaccine.

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Human Immunodeficiency Virus (HIV)

What It Is

HIV is the virus that causes AIDS. You can get HIV if you do any of the following:

  • Have sex with someone who has HIV. It can be spread by having vaginal, anal, or oral sex. Your partner could have HIV and not know it.
  • Share needles with someone who has HIV.

Be aware that:

  • A mother who has HIV can pass it on to her baby before the baby is born, during childbirth, or through her breast milk.
  • If you have any other STD, it could be easier for you to get infected with HIV.

You can have a simple blood test to find out if you have HIV. To find an STD testing center near you, please visit www.hivtest.org.

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Symptoms

You or your partner can have HIV and not know it. It can be months or years before you feel sick or have any serious signs, but you can still pass HIV to others. Though some people have no symptoms, some signs of HIV may include:

  • Rapid weight loss
  • Fever
  • Diarrhea
  • Night sweats
  • Feeling very tired
  • Thrush (yeast infection of the mouth)
  • Vaginal yeast infections (that often keep coming back after you have been treated)

How HIV Spreads

HIV is passed through:

  • Blood
  • Vaginal and anal-sex (women and men)
    • Vaginal fluids
    • Pre-"cum" and semen
  • Breast milk

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Long-Term Effects

If you get HIV, it can affect every part of your body. Treatment can help with this, but the virus is still in your body and you can pass it to others.

HIV can cause these problems:

  • You can give it to others.
  • You have a higher chance of getting other STDs and infections.
  • Over time, HIV keeps your body from fighting off diseases.

When your body can't fight off diseases, you could get infections often. You might also have:

  • Dangerous weight loss
  • Cancer
  • Mental problems
  • Blindness
  • HIV can also cause death

If a woman has HIV and is pregnant, she should tell her doctor right away. Her baby will need special care all though the pregnancy could be born with HIV.

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Treatment

HIV can't be cured. There are some medicines that can slow down the growth of HIV for a long time, but the virus is still in the body. It can still be passed to others.

  • Your doctor will make a treatment plan just for you.
  • You may need special medicines.
  • Tell your partner(s) that you have HIV.

If you think you may be pregnant, be sure to tell your doctor before you get treated.

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