Question

Sexually Transmitted Disease (STD) Case Study

Paul, age 15, has experienced severe dysuria and a purulent discharge from the urethra. His girlfriend is complaining of a sore throat and slight fever. The couple have not had intercourse, but following heavy petting, they have begun to have oral sex. He goes to a local STD clinical where he is diagnosed with gonorrhea. Paul is asked about his sexual history and encouraged to tell his girlfriend about his diagnosis.

Case Study Questions

1. Examine all possible theories related to the transmission of gonorrhea to Paul and to his girlfriend.
2. Support the importance for both partners to be treated for an STD.
3. Appraise possible reproductive tract complications secondary to gonorrhea for both Paul and his girlfriend.
4. Evaluate the probable cause of Paul’s girlfriend’s sore throat.

Answer 1

#. Gonorrhea is passed during intercourse, oral sex (performing or receiving), or anal sex. Gonorrhea can be passed even if the genital organ or tongue does not go all the way into the birth canal or back passage . If the genital organ s or mouth come in contact with infected secretions or fluids; then transmission is possible.

#. Importance of treating both the partners for STD :-

Many STDs can stay hidden with no symptoms for years. So, while your partner may have given it to you, he or she may have had it before they were with you. The most important thing is for both of you to get tested and treated at the same time so you don't re-infect each other.

#. Untreated gonorrhea can lead to major complications, such as: Infertility in women. Gonorrhea can spread into the uterus and fallopian tubes, causing pelvic inflammatory disease (PID). PID can result in scarring of the tubes, greater risk of pregnancy complications and infertility.

#. The probable cause of Paul’s girlfriend’s sore throat is oral sex . Getting oral sex to a partner with an infected rectum might result in getting gonorrhoea in the throat .