STDs and Infectious Diseases
What is a sexually transmitted disease drug? Basic information for completely curing sexually transmitted diseases
What is a sexually transmitted disease drug?
Sexually transmitted diseases (STDs) are a general term for diseases that are transmitted by sexual activity, and are also commonly called sexually transmitted diseases. It is not transmitted in daily life, and the basic transmission route is sexual activity.
The most troublesome thing about sexually transmitted diseases is that even if they are infected, they have no or few symptoms, and at least the subjective symptoms worsen unknowingly.
Also, the possibility of transferring to a partner without even realizing it is not zero. In order to protect yourself and your important partner, it is important to know the basic knowledge about sexually transmitted diseases and the silver bullets for sexually transmitted diseases.
In recent years, medical technology has developed, and it is now possible to enjoy sexual activity at any age. However, along with this, sexually transmitted diseases are now seen in a wide range of ages, from young to middle-aged.
First check the symptoms of sexually transmitted diseases
Diseases that are transmitted through sexual intercourse are collectively known as sexually transmitted diseases. However, there are many different types of sexually transmitted diseases, and different types require different treatments. It is important to confirm what kind of sexually transmitted disease is infected from the symptoms that occur in the body, and to provide appropriate treatment.
Among developed countries, USA is said to be one of the few countries where the number of people infected with sexually transmitted diseases is on the rise. need to know.
Chlamydia
Chlamydia is said to be the most common infectious disease in USA, and is caused by the bacterium “Chlamydia trachomatis”, and all sexual activities such as normal sexual activity, oral sex, and anal sex are the routes of infection .
When infected, the initial symptoms appear after an incubation period of about 1 to 3 weeks, but because the structure of the genitals differs between men and women, the symptoms of chlamydia also differ depending on the gender.
- ○Early symptoms in men
- pain when urinating
- Fluid discharge from the urethra
- Urethral pruritus
- ○Early symptoms in women
- Itching of the genitals
- Increased vaginal discharge
- Pain during intercourse
If left untreated, both men and women may cause infertility, and about 50% of men and about 80% of women are said to be unaware of the symptoms and tend to be delayed in detection. In addition, women are less likely to notice the symptoms and are more susceptible to serious effects such as the infection reaching the liver, so caution is required.
gonorrhea
Gonorrhea is a sexually transmitted disease caused by the bacterium gonococcus, which, like chlamydia, can be transmitted through normal sexual activity, oral sex, and anal sex. It can also be passed from mother to child during birth.
Gonorrhea has an incubation period of 2 to 7 days, and symptoms vary by gender.
- ○ Male symptoms
- Secretion of yellow pus
- Strong pain when urinating
- swollen testicles
- ○Early symptoms in women
- Increased vaginal discharge
- pain in the lower abdomen
- fever
Men are more likely to be aware that they have gonorrhea because they experience severe pain when they go to the bathroom, but women have fewer symptoms and are mostly unaware. However, gonorrhea is often associated with chlamydia, and if left untreated, there is a risk of infertility, so caution is required.
syphilis
Syphilis is a sexually transmitted disease that was once prevalent all over the world, and although the number of infected people has decreased since the development of a silver bullet, the number of infections has increased again in USA in recent years. The cause is a bacterium called “Treponema pallidum”, which can be transmitted by kissing an infected person or mother-to-child transmission from a mother to a child, in addition to all sexual activity with the infected person.
Another characteristic of syphilis is that the symptoms progress over a long period of time.
○Stage 1 (3 weeks after infection)
・Lump at the infected site
・Swollen lymph nodes
○Second stage (3 months or more after infection)
・Pink rash (rose spots) on the whole body
・warts on the genitals
・hair loss
○Late stage (several years after infection)
・Rubber-like tumors (rubber species) in organs throughout the body
The symptoms of stage 1 and stage 2 resolve spontaneously without treatment, but the syphilis is not cured. If it gets worse until the late stage, there is a danger that the organs of the whole body will be destroyed by rubber seeds, leading to death.
genital herpes
Genital herpes is a sexually transmitted disease caused by a virus called “herpes simplex”. There are two types of herpes simplex, type 1 and type 2, and type 2 is the main cause of genital herpes. The main route of transmission is sexual intercourse, but there are also cases of indirect infection other than sexual intercourse through contaminated hands, towels, and tableware.
Symptoms of genital herpes are mainly genital blisters, swelling, and itching. Once infected, the virus hides in the body, and usually there are no symptoms, but when the immune system is weakened due to fatigue or stress, the symptoms recur many times .
In addition, there have been reports of cases in which the symptoms are strong when infected for the first time, and general malaise and swollen lymph nodes occur.
Condyloma acuminata
Condyloma acuminatum is a sexually transmitted disease caused by human papillomavirus (HPV). Most of the routes of infection are sexual intercourse, but in rare cases, it can be transmitted from hands or objects that have the virus on them.
Condyloma acuminata is characterized by its symptoms, and when it develops, warts appear around the genitals and anus, and the color varies from white, pink, and black, and cauliflower and chicken comb-like warts occur multiple or singly. To do. There are few subjective symptoms and many people do not notice the infection, but the warts may be accompanied by itching and pain.
In addition, there are benign and malignant HPV viruses, and malignant HPV is known to be related to penile cancer and cervical cancer. suspected to be related to cancer.
Trichomonas
Trichomonas is a sexually transmitted disease caused by a protozoan called “Trichomonas protozoan” that is invisible to the naked eye, and is characterized by a wide range of age groups of infected people, from young to middle-aged.
It mainly spreads through all sexual activities, but it can also be transmitted through objects and places such as underwear, towels, toilet bowls and bathtubs. Therefore, although it is a sexually transmitted disease, it is possible for people who have never been sexually active and children to become infected.
In women, infection with Trichomonas causes a variety of symptoms.
- Frothy and fishy yellow discharge
- Pain during intercourse
- Itching and pain around the genitals
Early treatment is important because worsening can lead to infertility and miscarriage.
On the other hand, men often have few symptoms, or even if they have symptoms, they are often mild, but even if they do not have symptoms, they can be transferred to their partner, so be careful.
HIV (AIDS)
HIV (AIDS) is a sexually transmitted disease that is a problem all over the world and is generally recognized as “HIV = AIDS”, but it is not.
HIV → Human Immunodeficiency Virus
AIDS → Acquired immunodeficiency syndrome
HIV stands for virus and AIDS stands for disease. HIV can be transmitted through any sexual activity, and anal sex in particular has a high risk of infection, and there is also the risk of transmission through mother-to-child transmission and blood transmission.
When infected with HIV, the course goes through “initial stage of infection -> asymptomatic period -> onset of AIDS”. In the early stages of infection, flu-like symptoms such as fever appear, and the symptoms subside within a few weeks.
Next, after an asymptomatic period of several years to 10 years, AIDS develops, and during this period, the T lymphocytes, which are the center of the body’s immune system, are killed, and the human immune system is weakened. more likely to develop illnesses.
Infections around the genitals
Many people may suspect a sexually transmitted disease if they feel uncomfortable around their genitals. In fact, sexually transmitted diseases are all those that cause some symptoms such as pain and itching in the genitals, but they are not sexually transmitted diseases, but there are infections that also cause some symptoms around the genitals.
Both tinea cruris and tinea cruris are often thought of as a type of sexually transmitted disease, but in reality, even those who are not sexually transmitted diseases and who have never had sexual activity do not know it in their daily lives. You may get infected.
From here, I will introduce two infectious diseases that are easily mistaken for sexually transmitted diseases.
Candida
Candida is an infectious disease that is common in women, and the causative bacterium “Candida” becomes a type of fungus (mold) and becomes an indigenous bacterium that is also present in the body of healthy people .
Normally, the human body has a well-balanced environment that makes it difficult for Candida to proliferate.
- Tiredness and stress
- taking antibiotics
- pregnancy and childbirth
Candida is often misunderstood as a sexually transmitted disease because it is sexually transmitted, but it is correctly classified as a fungal disease, and when a woman develops candida, there are two main symptoms.
Strong itching and pain around the genitals and cheese-like orimono can be seen, and candida can also adhere to men, but since the bacteria are washed away by the shower, infection is rarely seen.
Inkin bug
Tinea pedis (tinea cruris) is a common infectious disease in men, and the causative bacterium “ringworm” is also known as the cause of athlete’s foot. Athlete’s foot develops when ringworm infects the feet, while ringworm develops when ringworm infects the area around the genitals and the roots of the thighs.
Direct contact with the source of infection and transmission through objects are conceivable. There is a risk of Also, be aware that public facilities such as pools and hot springs, and towels that wipe the feet of athlete’s foot can be sources of infection.
The characteristic symptoms of tinea pedis are circular to oval-shaped rashes with reddened skin, accompanied by severe itching and pain.
Types of sexually transmitted diseases and infectious diseases
There are various types of venereal diseases and infectious diseases that occur around the genitals, and these are roughly divided into four types depending on the pathogen that causes the disease.
- Bacteria ( chlamydia , gonorrhea , syphilis )
- Fungi ( candida , thrush )
- Viruses ( Herpes , Condyloma , HIV )
- Protozoa (Trichomonas)
For example, Chlamydia and Condyloma acuminata are both venereal diseases that are transmitted by sexual activity, but Chlamydia is a venereal disease and Condyloma acuminata is a viral venereal disease. Then, of course, the effective remedies differ depending on the type of pathogen.
We will explain below what kind of therapeutic drug is used depending on the type of pathogen.
bacteria
Bacterial venereal diseases mainly include chlamydia, gonorrhea, and syphilis, and as the names Chlamydia trachomatis, gonorrhea, and syphilis treponema suggest, the bacteria that cause venereal diseases vary, and are caused by these bacteria. Bacteria are used to treat venereal diseases.
It is an antibiotic that you often hear, but it is a substance that exterminates bacteria that are pathogens. It started in 1929, and penicillin was born as the world’s first antibiotic.
Penicillin is a substance found in penicillium that saved the lives of many people as a silver bullet for syphilis, which was considered an incurable disease at the time, and many antibiotics have been developed even today to help treat bacterial infections. I have.
Antibiotics that work against different types of bacteria are used to treat venereal diseases, for example, the same antibiotics may be used for chlamydia and gonorrhea. However, the problem with the relationship between antibiotics and bacteria is the existence of drug-resistant bacteria.
Drug-resistant bacteria are bacteria that have evolved so that antibiotics do not work , and especially gonorrhea that causes gonorrhea has also appeared to be resistant, and gonorrhea that antibiotics do not work is “super gonorrhea” Experts are warning because of its high infectivity.
fungus
Diseases caused by infection with fungi, such as candida and thrush, are called mycoses, and fungi are molds. People use mold in various ways, such as planting white mold in it and letting it mature.
However, there are some molds that are harmful to the human body, and if a person is healthy, they have an immune function, so even if a pathogenic mold enters the body, they can still be infected. No, but diseases such as candida and tinnitus develop when the immune system is weakened due to fatigue and stress .
When a fungal disease develops, it is treated with an antifungal drug that kills the fungus and suppresses its growth. There are two types of antifungal drugs, application type and oral type, which can be used according to the symptoms.
Candida and tinea cruris are mainly treated with application-type antifungal drugs, but if the symptoms are severe or if it is difficult to cure completely, the oral type may be used.
For fungi, hot and humid places are the most prolific environment. Therefore, in addition to antifungal drugs, improving the air permeability of the affected area and keeping it clean is one of the treatments.
virus
Among sexually transmitted diseases, genital herpes, condyloma acuminata, HIV, etc. are viral infectious diseases, and the above-mentioned bacteria and viruses are generally confused, but in fact they have completely different characteristics.
First of all, bacteria are single-celled organisms whose bodies are composed of one cell.
Viruses, on the other hand, are not living things, they are just the blueprints that make up themselves, that is, the DNA is wrapped in proteins, and they cannot propagate on their own.
In this way, there are various differences between bacteria and viruses, and the types of drugs for treating diseases are also different. Antibiotics are usually used for bacterial venereal diseases, but antiviral drugs are used for viral venereal diseases. To do.
Viruses that invade human cells replicate their DNA and make copies of themselves to multiply. Anti-virus drugs are drugs that treat diseases by inhibiting DNA replication and suppressing the growth of the virus. Since there are different types of viruses, anti-virus drugs that match the symptoms are selected and treated.
However, as with bacteria, resistant viruses that are resistant to drugs may emerge, so it is important to take antiviral drugs at a fixed dosage and dosage in order to prevent the development of resistant viruses.
protozoan
Trichomonas is a venereal disease caused by protozoans, which are small unicellular organisms that are invisible to the naked eye.
Unlike the bacteria, viruses, and molds introduced so far, protozoans may not be familiar to you, but there are microorganisms that everyone may know about.
You may have studied paramecium and amoeba in science classes when you were a student, but these microorganisms are also a type of protozoan. Some protozoans, such as Trichomonas, infect humans and animals and cause disease. Antiprotozoal drugs are used for infections caused by such protozoans.
Antiprotozoal drugs used for the treatment of Trichomonas include metronidazole and tinidazole, both of which have little effect on humans and are toxic only to protozoans, so taking them makes it possible to treat protozoan diseases such as Trichomonas. increase.
By the way, metronidazole and tinidazole are the names of the ingredients, and metronidazole is contained in the drug named “Flagyl” and tinidazole is included in the drug named “Facidin” in clinical practice.
Therapeutic agents for major sexually transmitted diseases and infectious diseases
Sexually transmitted diseases and similar infectious diseases are caused by various types of pathogens, and bacteria, fungi, viruses, and protozoa are pathogens with different characteristics, and medicines that match the symptoms are required to treat them.
To date, numerous therapeutic drugs have been developed to combat sexually transmitted diseases and infectious diseases caused by these pathogens.
Zithromax
Zithromax is a macrolide antibiotic that is effective against a wide range of bacteria and is used to treat venereal diseases such as chlamydia and gonorrhea .
“Azithromycin” contained in Zithromax is a component that has little effect on humans and is toxic only to bacteria that become pathogens, and both human cells and bacteria that become pathogens are composed of proteins.
Therefore, new proteins must be made in order for cells to divide and bacteria to proliferate. The organ that makes these proteins is called the ribosome.
The point here is that the shape of ribosomes differs between human cells and bacteria. These effects prevent bacteria from making new proteins and make it difficult for bacteria to multiply, making it possible to treat infections.
In addition, Zithromax has the characteristic of being excellent in sustainability, and even when used for the treatment of chlamydia and gonorrhea, it only needs to be administered once a day, so it does not take time and effort to take.
However, excellent longevity means that the ingredients of the drug stay in the body for a long time, and side effects may occur several days after you stop taking it, so be careful.
crabbit
Cravit is an antibiotic used to treat various bacterial infections, and like Zithromax, it is effective against sexually transmitted diseases such as chlamydia and gonorrhea.
The active ingredient is levofloxacin, which kills bacteria. First of all, bacteria are unicellular organisms consisting of one cell, and when they enter the human body, they undergo cell division and multiply. DNA replication is necessary for bacteria to undergo cell division.
DNA is called the “design drawing” of a living thing, and it lacks all the genetic information about that living thing, and what is needed to replicate this DNA is an enzyme called “DNA gyrase.”
Bacteria use DNA gyrase to replicate DNA, but when Cravit blocks that DNA gyrase, the bacteria die because they can’t replicate DNA and cell division is impossible.
In addition, Cravit is a type of drug called new quinolone, which can be taken even if you are allergic to other antibiotics, has stronger antibacterial activity than conventional antibiotics, and has few side effects .
Amoxicillin
Amoxicillin is a penicillin-type antibiotic, modified from the well-known penicillin, used mainly for the treatment of syphilis and also for gonorrhea. By the way, amoxicillin is the name of the active ingredient, and it is sold under trade names such as “Sawacillin”, “Amorin”, and “Pasetocin”.
The action of amoxicillin is based on the difference between human cells and bacteria. Human cells are covered with a “membrane” to prevent internal organs from leaking out of the cell. The membrane that surrounds the cell is called the cell membrane. Bacteria, on the other hand, are protected by a sturdy wall called a “cell wall” in addition to the cell membrane.
Therefore, the difference between human cells and bacteria is the presence or absence of cell walls, and amoxicillin has the effect of inhibiting the synthesis of bacterial cell walls. These actions prevent the bacteria from building a cell wall, leaving them defenseless.
It eventually bursts like a balloon with a hole, killing the bacteria and treating the infection.As mentioned above, human cells do not have cell walls, so they are less susceptible to amoxicillin.
valtrex
Valtrex is an antiviral drug containing “valaciclovir” as an active ingredient, and has a therapeutic effect on various infectious diseases caused by herpes virus.
- genital herpes
- Herpes zoster
- Chickenpox
Since these diseases are naturally caused by the herpes virus, it is necessary to suppress the growth of the virus in order to treat it, and Baltrex is a drug that treats infectious diseases by inhibiting the growth of the virus.
Viruses that have invaded the human body replicate their DNA and multiply one after another. DNA contains all the genetic information and is essential for the virus to multiply.
And when DNA is replicated, an enzyme called “DNA polymerase” is also required, and Valtrex inhibits DNA polymerase and suppresses the growth of viruses to treat infectious diseases such as genital herpes.
Valtrex is a drug created by improving the same herpes remedy, Zovirax, which is more easily absorbed by the body and can be taken less often per day .
By the way, Valtrex has the characteristic that the shape of the drug changes depending on the enzyme in the human body after taking it, and the drug with such a characteristic is called a prodrug.
Clotrimazole
Clotrimazole is an antifungal drug that treats infections caused by fungi, and is an azole antifungal drug that is effective in treating candida and athlete’s foot .
Mycoses, such as Candida, are caused by the growth of fungi, or molds, and are rarely self-healing, requiring antifungal drugs to eliminate the fungus and treat the disease .
Crotrimazole is a drug that is toxic only to fungi. Both human cells and fungi are covered with a membrane called the “cell membrane,” which is important for separating the inside and outside of cells. If there is no more, the cells will die. However, there are differences in the components that make up the membrane between human cells and fungal cell membranes.
Human cells → cholesterol
fungi → ergosterol
Focusing on this difference, clotrimazole selects and inhibits only ergosterol, which causes fungi to lose their cell membranes and die, so mycoses such as Candida can be treated.
In addition, clotrimazole is an ingredient name, and medicines containing this ingredient have abundant dosage forms such as creams, vaginal tablets, and troches, so it is possible to use them properly according to the symptoms. The famous Candida drug “Empecid” also contains clotrimazole as an active ingredient.
aldara cream
Aldara cream is an ointment used to treat condyloma acuminata , and the active ingredient “imiquimod” was approved in USA in 2007, making it the first condyloma treatment in USA.
Until now, the main method of treatment for condyloma acuminata was to destroy the wart itself by surgical operation, but the virus remains in the affected area, so there are many recurrences, and there are problems such as multiple surgeries. was.
That’s where Aldara cream comes in. Aldara cream treats condyloma acuminata with two actions, “virus growth inhibitory action” and “viral infection cytotoxic action”.
Human skin contains “monocytes”, a type of white blood cell, and “dendritic cells” that monitor foreign substances that have entered the body. to produce.
IFN-α has an antiviral effect and suppresses the proliferation of condyloma-causing bacteria, thereby inhibiting viral proliferation.
At the same time, Aldara cream exerts viral infection cytotoxicity and activates “Nk cells” and “killer T cells”. These cells are the immune cells that you are born with, and they eliminate viruses that invade your body.
The two actions increase immunity and cure condyloma acuminata.
Fascidin
Facidin is a type of drug called an antiprotozoal drug that contains the active ingredient “tinidazole” and is used to treat Trichomonas .
Trichomonas is one of the venereal diseases caused by infection with a microorganism called Trichomonas protozoan, and facidin is toxic only to this Trichomonas protozoan, eliminating it from the body and treating the symptoms.
DNA is present in the cells of all organisms, including Trichomonas protozoans, and all the genetic information of that organism is engraved in the DNA, so organisms that have lost DNA cannot survive.
Therefore, when facidin is taken, the active ingredients in the contents are taken into the body of Trichomonas protozoa. Then, the form of the drug changes and becomes a “nitroso compound”, which cuts the DNA of the Trichomonas parasite.
As a result, Trichomonas protozoans that have lost their DNA cannot survive and die. Therefore, fascidine is a drug that treats Trichomonas by cutting the DNA of Trichomonas protozoa.
Facidin is less careful to take with other medicines and is easy to use with other medicines, but caution is required with alcohol and severe abdominal pain may occur when used together, so refrain from drinking alcohol during or for 3 days after taking it. Please.
Duo Building
Duovir is a drug used to treat HIV (AIDS) that can suppress the growth of the pathogenic virus, and contains two active ingredients, zidovudine and lamivudine.
HIV is known to be the cause of AIDS, but it does not cause the onset of AIDS immediately after being infected. eventually develop AIDS.
HIV is a type of virus called “RNA virus”, and human beings have genetic information called DNA embedded in their own cells, but HIV has RNA instead of DNA.
So how does HIV multiply? HIV that infects humans invades the host’s cells. Subsequently, HIV uses “reverse transcriptase” to create DNA using its own RNA as a mold, and incorporates the created DNA into the host, that is, human DNA.
As a result, human cells are programmed to “produce the proteins necessary for HIV proliferation”, and finally new HIV is produced from the proteins produced by human cells and HIV’s own RNA.
Therefore, Duovir is a drug that suppresses the replication of the virus by inhibiting the action of the reverse transcriptase of HIV.
How to get medicines for venereal diseases and infectious diseases
As we have introduced so far, there are many types of sexually transmitted diseases and similar infectious diseases, and even if the symptoms are similar, the causative bacteria such as bacteria and viruses are different. A variety of therapeutic agents have also emerged.
But keep in mind that venereal diseases and similar infectious diseases are familiar to our lives and we do not know when they will be transmitted . If you have a venereal disease or infection, know how to get the medicine.
- Hospital / specialized clinic
- Pharmacy / drugstore
- Domestic mail order
- Overseas mail order
Sexually transmitted diseases and infectious diseases can affect not only you, but also your important partner and unborn children, so it is important to treat them promptly when an infection is discovered .
Hospital / specialized clinic
Going to a hospital or clinic is the first choice when you get sick, not just for venereal diseases. .
However, venereal diseases are curable if treated, and are covered by insurance at hospitals. And since sexually transmitted diseases are sexually transmitted diseases from person to person, if you or your partner have subjective symptoms of sexually transmitted diseases, it is necessary for two people to go to the clinic together.
Also, for infectious diseases similar to venereal diseases, the corresponding clinical department may be different from venereal disease.
Candida → Urology, Gynecology/Obstetrics
Tinnitus → Dermatology
Early treatment is essential for any disease, so if you have any concerns, we recommend that you see a doctor as soon as possible.
Pharmacy / drugstore
Sexually transmitted diseases are diseases that develop when infected with pathogens such as bacteria and viruses, and although it depends on the type of disease, many sexually transmitted diseases may cause symptoms such as itching and pain around the genital organs.
Among over-the-counter drugs sold at pharmacies and drugstores, there are drugs that relieve these subjective symptoms, such as ointments and creams that have the effect of suppressing itching.
However, this is only a symptomatic treatment, and there are no over-the-counter drugs that can eradicate the bacteria that cause venereal diseases.
However, there are over-the-counter remedies for candida and tinea pedis that are not venereal diseases, and if it is troublesome to see a doctor, or if there are no hospitals nearby, purchasing remedies at a pharmacy or drug store is one option. .
Domestic mail order
Amazon and Rakuten Ichiba, which represent USA, are major mail-order sites with tens of thousands of products, but usually domestic mail-order sites do not sell medicines for venereal diseases. This is because venereal drugs such as Zithromax and Cravit are basically medical drugs that require a prescription.
First of all, drugs such as those sold at pharmacies and drug stores are called over-the-counter drugs (OTC), and over-the-counter drugs are premised on being used at the discretion of the individual, and the types and contents of active ingredients are also included. It is decided within a relatively safe range. Therefore, over-the-counter drugs such as Candida and Tinea cruris can also be purchased at domestic mail-order sites.
Prescription drugs, on the other hand, are drugs that require supervision by a doctor or pharmacist, and the type and content of active ingredients are determined according to the symptoms, and are not marketed in USA.
Overseas mail order
Drugs for venereal diseases are basically prescription drugs that require a doctor’s prescription, but they can also be obtained by personal import from overseas as well as hospitals and clinics.
There are language barriers and currency differences in purchasing, and I feel that there are high hurdles, but in such cases, overseas mail order sites are convenient.
The overseas mail-order site is a service that takes the place of personal import procedures, and since it is written in USA, you can purchase overseas medicines in the same way as a domestic mail-order site without any hassle.
In addition, overseas mail order sites also handle generics from overseas, so you can save time and money for treatment.
Summary of sexually transmitted disease treatment drugs
Sexually transmitted diseases and similar infectious diseases have few subjective symptoms, and it is difficult for people to realize that they are infected.
However, I would like to reiterate that if you leave it alone, your partner may be infected, and if you are a woman, you may have a child in your stomach. Is important.
In addition, there are various types of venereal diseases, and if the causative bacteria and symptoms differ depending on the disease, the appropriate remedy will also differ. To ensure treatment, use the right medication for your condition.
Showing 1–36 of 37 results
