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By Shivani Sharma

Sexually Transmitted Diseases: What You Don't Know Can Hurt You

Reminders to practice safe sex are everywhere: buses, subway trains, newspapers and television ads. When you go in for your yearly exam, your doctor may remind you that practicing safe sex is important not only for preventing pregnancy but also for protecting yourself from sexually transmitted diseases (STDs), which are also known as sexually transmitted infections (STIs). You get it…until you’re in the heat of the moment with your partner.

At that point, either all rational thought is lost or rationalization starts to occur. Little snippets of conversation start running through your head.

Condoms…I don’t have one…Does he? Well, it doesn’t matter…After all I’m Desi...


Photo by Camilo Morales

And so it goes.

The problem with such thoughts is that our knowledge can be riddled with myths. According to the South Asian Health Project, a project dedicated to improving health outcomes for individuals of South Asian descent, some myths about STDs include:

- I’m not at risk because I’m Desi (or Muslim, Hindu, Christian, etc).
- I don’t need to use a condom since South Asians don’t get STIs.
- If I follow my culture and religion, I won’t get an STI.
- Information about STIs doesn’t apply to me.

Do these statements sound familiar? They are all untrue.

STDs and the South Asian Community
Community attitudes towards STDs can impact how an individual acknowledges their risk of getting a STD. “There is a level of denial, and people don’t like to think that this is a problem within the community,” says Zerena Khan, a registered nurse at New York City’s Women’s Health Center.

Currently, it is unclear to what extent STDs affect the South Asian community. According to Shazia Naz Anam, founder and chair of the South Asian Health Project, "While some research has been conducted reporting attitudes of South Asians related to sexual health, there is limited information on the number of people affected.” A dangerous attitude that many South Asians possess, however, is that STDs do not affect us. Shazia notes, “This is such a hidden problem, that people have to deal with it alone.”

So How does this Affect Me?
STDs don’t only affect us individually; they can also affect the health and well-being of members of our family. For example, an often-overlooked fact is that some STDs, when left untreated, can either lead to infertility or can be passed on to a fetus. Chlamydia and gonorrhea are two such infections.

According to the Centers for Disease Control (CDC), chlamydia is one of the most widespread STIs in the United States, and Asians and Pacific Islanders—a group that includes Desis—have a higher rate of infection than other groups. In addition, while gonorrhea is the second most commonly reported infection in America, Asian and Pacific Islander women had higher rates of gonorrhea than Asian and Pacific Islander men in 2004.

Both chlamydia and gonorrhea are bacterial infections that can be transmitted during oral, vaginal or anal sex. Symptoms of chlamydia include abnormal vaginal discharge and a burning sensation when urinating, though many women do not experience any symptoms at all. For the few women that do experience them, they appear within one to three weeks after being infected.

Initial symptoms and signs for gonorrhea in women include a painful or burning sensation when urinating, increased vaginal discharge or vaginal bleeding between periods. However, again, some women do not experience any symptoms at all. Fortunately, both chlamydia and gonorrhea are treatable with antibiotics. However, drug resistant strains of gonorrhea are on the rise around the world, including Asian countries and the United States, thus making it difficult to treat.

Talking to a Partner about STD Testing
By Dr. Rachna Jain

When you're considering intercourse with a new partner, you both should get tested for STDs ahead of time. This can be a tricky subject to bring up. Here are some tips to make it easier:

1) Have the talk outside the bedroom. The best time to talk about getting tested is well before you're in bed. When you know the relationship is progressing to a more intimate level, that's the best time to bring up the topic of getting tested for STDs.

2) Be direct but gentle. You need to be direct about your wish that you both get tested. You can bring this up in a gentle way. Try something like, "I really want to make love with you. I would feel more secure about it if we both got tested for STDs before doing so. What are your thoughts about that?"

3) Schedule your blood tests together. As strange as it may sound, setting up two appointments to get tested (one for each of you) can actually help you feel closer. Consider scheduling your individual medical appointments within the same week, the closer together in time, the better. This will help you move forward together rather than separately.

It's something you have committed to do, together, for your physical health. It can also lessen the discomfort or sense of embarrassment you might feel if you went alone.

4) Hold steady. Hold firm to your wish that you and your partner get tested for STDs before intercourse. This can be challenging if one partner completely discounts the need or necessity for STD testing. In this case, intercourse should be postponed until both parties have agreed to get tested.

5) You need to talk about this. You can't avoid it because it might be uncomfortable. If you can't talk to your partner about uncomfortable topics, your relationship needs some work, outside of the bedroom.

When left untreated, both chlamydia and gonorrhea can spread to other sexual partners and can cause pelvic inflammatory disease (PID) in women. PID can cause block or scar the fallopian tubes, leading to infertility or increasing the risk of an ectopic pregnancy (when an embryo implants inside one of the fallopian tubes, rather than in the uterus).

How do I Protect Myself?
The first step is to realize that you can contract a sexually transmitted disease if you practice unsafe sex. Protect yourself and the health of those around you by regularly using condoms.

Also, get tested for chlamydia, gonorrhea and other STDs when you get your yearly pap smear. This action is critical because, according to Khan, “Women are just not coming in to get tested. South Asian women have the lowest rates for coming in for pap smears.” When you go in for your pap smear, make sure you ask your doctor to test for STDs because he or she may not ask you if you want to be tested. Ask your partners to get tested too.

Our biggest challenge as a community is our attitude towards sexual health and STDs. According to Anam, “Our community is young; a lot of these issues are just coming up now. While health campaigns are influential, our challenge is our subconscious. By being aware of the problem we can change our attitudes and action, and ultimately our behavior.”



Shivani Sharma lives in Washington D.C. and works as a health policy analyst for the Federal government. She can be reached at shivanisharma915@hotmail.com.

Dr. Rachna D. Jain is a consulting psychologist and the author of Overcome Rejection, The SMART Way. She is regularly quoted in the national media and can be reached online at http://www.rachnajain.com.

Rashmi Agarwal contributed to the writing of this article.


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