Sexually Transmitted Diseases



By Frank Hubbell, DO

Now what?

We are not rewriting Sex in the Outdoors, published in the 1980’s, but never made into a movie, and we are not trying to define wilderness standards and morals. As the old saying goes, “SEX HAPPENS,” and since sex does happen, as a consequence, so do sexually transmitted diseases (STD’s). The experts are even claiming that the mosquitoborne zika virus can be a sexually transmitted disease, not just between mosquitoes, but in humans as well.

STD’s are some of the most commonly diagnosed and treated communicable diseases on earth. There is nothing special about the wilderness setting to prevent them from occurring. This is simply another aspect of the human condition that we, as trip leaders and professional outdoor guides, have to understand.

As promised in the last WMNL, we will review all of the STD’s with their underlying pathophysiology, symptoms, diagnosis, and treatments.

These various diseases can be divided into three categories based on common sets of symptoms.

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November/December 2010   ISSN-1059-6518   Volume 23 Number 6

By Frank Hubbell, DO

Illustrations by T.B.R. Walsh

Urinary Tract Infections:

A urinary tract infection (UTI) is also known as cystitis or a bladder infection. It is the second most common bacterial infection managed by primary care medicine, and it is also a very common travel problem.


Anatomy and Physiology of The Urinary Tract System:

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Urinary Tract Disorders

September/October 2009  ISSN-1059-6518  Volume 22 Number 5

Urinary Tract Disorders:

 By Frank Hubbell, DO

Urinary tract disorders are a common expedition problem. The problems that are most frequently encountered are urinary tract infections, kidney infections, and kidney stones. These urinary tract problems are precipitated by and exacerbated by the conditions associated with expeditions. In particular, it is the tendency to become dehydrated from the long hours of travel, unique environments, new people and places, not to mention the effort of putting one foot in front of the other and heading out on a long hiking and climbing trek.

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