sexually transmitted diseases

Genital infections

Premise

When we talk about " genital infections " we immediately refer to venereal diseases, that group of sexually acquired infections in which we witness an "exchange" of pathogens, be they

bacteria, protozoa, viruses or fungi, between the two partners.

Causes

Genital infections affect a large portion of the sexually active population, both men and women; however, sexual contamination is not the only possible route of transmission, as genital infections can also be the expression of a promiscuous use of previously infected underwear, towels or sheets. Again, genital infections can be transmitted during childbirth, therefore via the maternal-fetal route: the infected mother can pass the infection to the unborn child during her passage through the birth canal.

  • The areas most affected by genital infections in WOMEN are represented by: vagina, vulva, cervix, endometrium, pelvis, fallopian tube, urethra.
  • In MAN, instead, the genital areas most involved in infections are the glans, the foreskin, the testicles, the epididymis, the urethra, the prostate, the ejaculatory ducts and the seminal vesicles.

Often, unfortunately, the infection bursts into a site and soon spreads to the other districts of the lower genital tract: for example, the orchitis in humans (the infection of the testicles) often also involves the epididymis, so we prefer to speak of orcs-epididymitis. Similarly, in women, the vaginal infection tends to spread rapidly even at the level of the vulva, which is why it would probably be more correct to speak of vulvovaginitis rather than vaginitis: it is, in fact, difficult to limit the infection in a single location.

Names of genital infections

FEMALE genital areas affected by infectionsScientific name of the infectionMALE genital areas affected by infectionsScientific name of the infection
VaginaVaginitisGlansBalanite
VulvavulvitisForeskinPostite
Vulva + vaginaVulvovaginitisGlans + foreskinbalanoposthitis
Uterine cervixCERVICITISTesticlesOrchitis
EndometriumEndometritisepididymisepididymitis
fallopian tubesadnexitisUrethrauretrite
Pelvis + ovary + tube + ovariesPelvic inflammatory diseaseProstateProstatitis
OvariesovariteSeminal vesiclesVescicolite
fallopian tubessalpingitis

All genital infections, both male and female, must not be trivialized, since they can degenerate to the point of compromising - in some cases - the patient's fertility.

Table of causes

Genital infections are the expression of a bacterial, viral or fungal insult which, as analyzed, is favored by sexual contact with patient carriers. Pathogens are therefore the protagonists of genital infections; let's now see the microorganisms most involved in different genital infections:

Genital infectionPathogenic microorganisms involvedType of pathogen (kingdom):
VaginitisPrevotella Melaninogenic

Mobiluncus spp.

Gardnerella vaginalis

Mycoplasma hominis (typical of vaginitis and pelvic inflammatory disease)

Candida albicans (makes up 20-30% of all female genital infections)

Trichomonas vaginalis

HPV

Bacteria

Bacteria

Bacteria

Bacteria

Mushrooms (mycetes)

Parasites

Virus

vaginosisGardnerella vaginalis

Mycoplasma genitalium and M. hominis

Bacteria

Bacteria

vulvitisCandida albicans

HPV

Herpes genitalis

mushrooms

Virus

Virus

CERVICITISTreponema Pallidum (syphilis)

Neisseria gonorrhoeae (gonorrhea)

Chlamydia trachomatis (chlamydia)

Trichomonas vaginalis (trichomoniasis)

Candida albicans

Bacteria

Bacteria

Bacteria

Protozoa

mushrooms

Pelvic inflammatory diseaseChlamydia trachomatis

Neisseria gonorrhoeae

Mycoplasma hominis

Bacteria

Bacteria

Bacteria

EndometritisChlamydia trachomatis

Streptococci, Staphylococci, Escherichia Coli and gram negative in general

Bacteria

Bacteria

BalaniteTreponema Pallidum (syphilis)

Neisseria gonorrhoeae (gonorrhea)

Beta-hemolytic streptococcus

Gardnerella vaginalis

Candida albicans

Bacteria

Bacteria

Bacteria

Bacteria

Fungi

PostiteChlamydia trachomatis

Trichomonas vaginalis

Herpes simplex

Sarcoptes scabiei hominis (scabies)

Candida albicans

Bacteria

Protozoa

Virus

Mites

Fungi

OrchitisNeisseria gonorrhoeae (gonorrhea)

Chlamydia trachomatis

Brucella abortus (brucellosis)

Epstein-Barr Virus (mononucleosis)

HAV, HEV, HBV, HDV, HCV (hepatitis)

Bacteria

Bacteria

Bacteria

Virus

Virus

epididymitisEscherichia coli

Neisseria gonorrhoeae (gonorrhea)

Chlamydia trachomatis

Candida albicans (rare)

Mycobacterium tuberculosis or Koch's bacillus (tuberculosis)

Bacteria

Bacteria

Bacteria

Fungi

Bacteria

uretriteMycoplasma genitalium and M. hominis

Neisseria gonorrhoeae (gonococcal urethritis)

Chlamydia trachomatis

Herpes simplex

Ureaplasma urealyticum

Bacteria

Bacteria

Bacteria

Virus

Bacteria

ProstatitisNeisseria gonorrhea

Chlamydia trachomatis

Escheriches. coli

Pseudomonas aeruginosa

Bacteria

Bacteria

Bacteria

Bacteria

VescicoliteEscherichia coli

Neisseria gonorrhea

Streptococci in general

Staphylococci in general

Mycobacterium tuberculosis (tuberculosis)

Trichomonas vaginalis

Bacteria

Bacteria

Bacteria

Bacteria

Bacteria

Protozoa

Prevent genital infections

Prevention is the ideal premise to avoid genital infections: first of all, the attention to using specific contraceptive methods, including condoms, is certainly the most effective and intelligent option to choose in case of sexual intercourse with risky partners. Although obvious, it should be emphasized that taking the contraceptive pill does NOT protect against sexually transmitted diseases.

In addition to respecting this simple sexual behavior, intimate hygiene also plays a prestigious role: the excesses, referred to both infrequent washing and repeated baths over and over again during the day, are banned. Poor and occasional washing - especially if carried out with aggressive detergents, excessively scented and inexpensive - increase the risk of pathogenic proliferation, alter the regular genital bacterial flora and the physiological pH of the intimate parts, predisposing the subject to pathogenic attacks. Speaking of excesses, it is recommended to avoid frequent washing, since detergents, however delicate, alter the physiological pH of the female and male genitals, removing the lactobacilli that live in symbiosis with humans, protecting them from infections.

Intimate hygiene should be perceived almost as a duty by sexual partners, especially following a relationship.

But that's not all: apparently even clothing can, in some way, predispose the subject to attacks by microorganisms: many women tend to wear synthetic underwear and particularly tight clothing. Similar attitudes increase the risk of genital infections by altering the physiological genital ecosystem that, inevitably, is made more susceptible to pathogens.

Genital Infections - Symptoms and Cures »