STIs are classified according to the following: a) Discharge syndromes – those that produces discharge. eg. Gonorrhea, non gonococcal urethritis, post gonoccocal urethritis, vaginitis, candidiasis, trichomoniasis b) Ulcerative syndromes- those infections that produces papular or skin ulcer lesions eg.herpes simplex, syphillis and chancroid c) Non ulcerative syndromes – eg. Scabies, venereal warts, crab lice d) others – eg. Hepatitis B, Infections mononucleosis, and HIV/AIDS the following table shows you the difference among the different STIs: a. Discharge (Tulo) Type Incubation Period Causative Agent Signs and Symptoms 1. Gonorrhea 2-7 days Neisseria gonorrheavaginal & urethral discharge foul-smelling, yellow to yellow green, possibly pus-like, thick areas affected : urethra, anus, throat, vagina, joints, eyes 2. Nongonoccal urethritis (NGU), Post-gonoccal urethritis (PGU) 10-14 days Chlamydia trachomatisitchiness, urethral discharge whitish, mucoid/less in quatity areas affected : urethra, eyes, vagina, throat, anus 3. Vaginitis 3-7 days Gardnellaopaque-white discharge 4. Candidiasis/ Moniliasis 7-10 days C Albicans yeast (fungus)itchiness, white-cheesy, curd-like vaginal discharge sweet smelling 5. Trichomoniasis 7-14 days protozoagreyish-greenish, frothy, fishy odor, copious discharges strawberry cervix B. Ulcerative Type Incubation Period Causative Agent Signs and Symptoms 1. Syphilis 9-90 days Treponema pallidum1st stage : chancre (firm, hard, painless ulcer, oval/round, well-delineated, usually solitary, heals in 2-6 weeks (with or without treatment) 2nd stage : rash on body (not itchy), areas affected: follicles, mucous areas; lymphadenopathy,”flu-like” can be latent for years 3rd stage: gumma, aneurysm, neurosyphilis (may cause stroke); may affect heart, brain (meningitis), bones; can be fatal 2. Herpes simplex 2-10 days Herpes simplex virus 1 (HSV-1) oral-facial, Herpes simplex virus 2 (HSV-2) -genitalmultiple, painful shallow ulcers (cold sores) affected areas: genitals, face, fingers, eyes, brain 3. Chancroid 3-10 days Haemophilus ducreyisoft & tender ulcer painful, dirty-grey ulcers painful & enlarged lymphnodes (buboes) C. Non-Ulcerative Type Incubation Period Causative Agent Signs and Symptoms 1. Scabies 7-10 days Sarcoptes scabiei“galis-aso” itchiness at night 2. Venereal warts 7-10 days Human papilloma virus (type 6&11)“kulugo” warts in genitals 3. Crab lice 7-10 days Phthiuris pubisitchiness nits (“jkuto sa buhok sa ari”) reddish brown pinpoint marks/bite marks D. others Type Incubation Period Causative Agent Signs and Symptoms 1. Hepatitis B 6 weeks – 6 months Hepatitis B virusjaundice, abdominal pains, chalkcolored stools “flu-like” 2. Infectious mononucleosis 7-10 days Epstein Barr viruskissing disease flu-like symptoms 3. AIDS 3-12 years HIVdepending on opportunistic infections that set in