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Hepatitis B
The doctor who prescribed antibiotic treatment
for the young woman with chlamydia follows up with a recommendation
that she get a vaccine against hepatitis as well. "But why would I
need that?" she protests. The doctor explains that people who have
an STD are at greater risk for hepatitis B as well, because their
sexual partners could very likely carry other infections and
because any lesions will make transmission easier.
Hepatitis B is a dangerous virus that attacks
the liver. About 200,000 people get "hep B" each year. It is
contracted through oral, vaginal, or anal intercourse, sharing
drug needles or other piercing equipment, or being exposed to
infected blood. If a person gets the virus, it may take up to five
months before causing a flulike syndrome, with nausea, vomiting,
stomach pain, and headaches. As the disease progressively destroys
the liver, the patient's skin may turn yellow (a condition called
jaundice) and he may become very ill.
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Often the infection resolves on its own in one or
two months, but some people remain chronically infected—that is, the
disease remains in their system. Most of the latter cases show no
symptoms, but the virus can still be transmitted to other people. In
about 4 percent of cases, the infection is fatal. Treatment of an active
case of the disease may involve complicated, multidrug therapy.
Hepatitis B is the only STD for which there is a
vaccine: A series of three shots prevents a person from contracting the
disease. If you think you may be at risk, or if your sexual partner has
hepatitis, ask your doctor to test you for the virus.
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