People frequently avoid going to health centres.
They prefer to go directly to drug sellers, including pharmacies, for treatment. This is a widespread problem for STD case management and worsens the problem of antibiotic resistance. Lack of symptoms People may not know that they have an STD because there are no symptoms. Asymptomatic STDs influence transmission because people do not realize they have a health problem and so do not seek treatment. It is important to treat the sexual partners of STD patients to prevent the continued spread of infection, or reinfection.