Sexual Health Guide for Female Sex Workers: Monitoring for STDs and Parasites
Maintaining sexual health is crucial, especially for those in high-risk professions. Regular self-checks and medical testing can help detect issues early. Here’s a comprehensive guide:
1. Common STDs and Symptoms to Monitor
- Chlamydia & Gonorrhea: Look for unusual discharge (yellow/green), burning during urination, or pelvic pain. Often asymptomatic.
- Syphilis: Check for painless sores (chancre) on genitals, mouth, or anus, followed by body rashes or fever.
- Herpes (HSV): Watch for clusters of blisters/sores, itching, or tingling. Can recur periodically.
- HPV: Genital warts (small, flesh-colored bumps) or abnormal Pap smears. Some strains link to cervical cancer.
- HIV: Early flu-like symptoms (fever, fatigue); later stages may show weight loss or infections. Regular testing is vital.
- Trichomoniasis: Frothy discharge, itching, or odor. May cause discomfort during sex.
2. Parasites Linked to Sexual Contact
- Pubic Lice (“Crabs”): Intense itching, visible lice/eggs on pubic hair. Spread via close contact.
- Scabies: Severe itching (worse at night), rash/burrow marks on wrists, elbows, or genitals.
3. Self-Check Routine
- Visual Inspection: Use a mirror to examine genitals, anus, and mouth for sores, warts, rashes, or lice.
- Physical Sensations: Note itching, burning, pain during urination/sex, or unusual discharge.
- Odor: Strong or fishy odors may indicate infections like bacterial vaginosis or trichomoniasis.
- Systemic Symptoms: Fever, swollen lymph nodes, or fatigue could signal systemic infections (e.g., HIV, syphilis).
4. Essential Medical Testing
- Frequency: Every 3 months or after unprotected exposure.
- Tests Include:
- Swabs for chlamydia, gonorrhea, herpes.
- Blood tests for HIV, syphilis, hepatitis.
- Pap smears for HPV/cervical changes.
- Urine tests for trichomoniasis.
5. Prevention Strategies
- Barrier Protection: Use condoms/dental dams consistently. Consider female condoms for added control.
- Vaccines: HPV (Gardasil 9) and Hepatitis B vaccines are recommended.
- Hygiene: Shower before/after sex; avoid sharing towels/underwear.
- Partner Communication: Discuss testing histories and insist on protection.
6. When to Seek Help
- Immediate Care: Sores, persistent itching, abnormal discharge, or post-exposure concerns.
- Emergency Signs: High fever, severe pelvic pain (possible PID), or jaundice (liver issues).
7. Mental Health & Support
- Seek non-judgmental healthcare providers. Many clinics offer confidential services.
- Consider counseling or support groups to manage stress and stigma.
Conclusion
Regular self-checks and medical testing are your best defense. Prioritize protection, communicate openly, and seek care promptly if symptoms arise. Your health is your greatest asset—empower yourself with knowledge and proactive care.
Note: This guide is informational. Always consult a healthcare professional for personalized advice.