Context: A sexually transmitted infection (STI) is an infection that spreads through sexual contact. STIs are caused by pathogens, a living thing or virus that causes infection. The pathogens enter the body through the reproductive organs. Many STIs also spread through body fluids, such as blood. For example, a shared tattoo needle is one way an STI could spread. Some STIs can also spread from a mother to her baby during childbirth. STIs are more common in teens and young adults than in older people. One reason is that young people are more likely to take risks. They also may not know how STIs spread. They are likely to believe myths about STIs ( Table Myth If you are sexually active with just one person, you cant get STIs. If you dont have any symptoms, then you dont have an STI. Getting STIs is no big deal, because STIs can be cured with medicine. Fact The only way to avoid the risk of STIs is to practice abstinence from sexual activity. Many STIs do not cause symptoms, especially in fe- males. Only some STIs can be cured with medicine; other STIs cannot be cured. Most STIs are caused by bacteria or viruses. STIs caused by bacteria usually can be cured with drugs called antibiotics. But antibiotics are not effective against viruses. Therefore, STIs caused by viruses are not treated with antibiotics. Other drugs may be used to help control the symptoms of viral STIs, but they cannot be cured. Once you have a viral STI, you are usually infected for life. In the U.S., chlamydia is the most common STI caused by bacteria. Females are more likely than males to develop the infection. Rates of chlamydia among U.S. females in 2006 are shown below ( Figure 1.1). Rates were much higher in teens and young women than in other age groups. Chlamydia may cause a burning feeling during urination. It may also cause a discharge (leaking of fluids) from the vagina or penis. But in many cases it causes no symptoms. As a result, people do not know they are infected, so they dont go to the doctor for help. If chlamydia goes untreated, it may cause more serious problems in females. It may cause infections of the uterus, fallopian tubes, or ovaries. These infections may leave a woman unable to have children. Gonorrhea is another common STI. Gonorrhea may cause pain during urination. It may also cause a discharge from the vagina or penis. On the other hand, some people with gonorrhea have no symptoms. As a result, they dont seek treatment. Without treatment, gonorrhea may lead to infection of other reproductive organs. This can happen in males as well as females. Syphilis is a very serious STI. Luckily, it is less common than chlamydia or gonorrhea. Syphilis usually begins with a small sore on the genitals. This is followed a few months later by a rash and flu-like symptoms. If syphilis is not treated, it may damage the heart, brain, and other organs. It can even cause death. Genital warts are an STI caused by human papilloma virus, or HPV. They are one of the most common STIs in teenagers. HPV infections cannot be cured. But a new vaccine called Gardasil can prevent most HPV infections in females. Many doctors recommend that females between the ages of 9 and 26 years receive the vaccine. Preventing HPV infections in females is important because HPV can also cause cancer of the cervix. A related herpes virus causes cold sores on the lips ( Figure 1.2). Both viruses cause painful blisters. In the case of genital herpes, the blisters are on the penis or around the vaginal opening. The blisters go away on their own, but the virus remains in the body. The blisters may come back repeatedly, especially when a person is under stress. There is no cure for genital herpes. But drugs can help prevent or shorten outbreaks. Researchers are trying to find a vaccine to prevent genital herpes. Hepatitis B is a disease of the liver. It is caused by a virus called hepatitis B, which can be passed through sexual activity 
 Question: this sti may cause pain during urination.
Output: gonorrhea