Quick Answer
STDs divide roughly evenly between causes: chlamydia, gonorrhea, syphilis, and mycoplasma genitalium are bacterial (curable with antibiotics). HIV, herpes, HPV, hepatitis, and molluscum are viral (manageable, not curable). Trichomoniasis is a parasite, and pubic lice/scabies are ectoparasites.
- Bacterial: treatable with specific antibiotics. Resistance emerging (especially gonorrhea).
- Viral: incurable but manageable with antivirals, suppression, and immune control.
- Parasitic: trichomoniasis โ curable with one dose of metronidazole or tinidazole.
- Ectoparasites: lice and scabies โ treatable with topical permethrin or ivermectin.
Context Most Pages Skip
The distinction drives treatment strategy: bacteria have cell walls and metabolic pathways that antibiotics target; viruses hide inside human cells where only antivirals or immune clearance reach them.
Why it matters practically
Curability follows cause: bacterial infections cure completely, viral infections require management. Knowing which type you have determines whether treatment is a short course or a lifelong protocol.
Sources & Further Reading
- CDC โ Sexually Transmitted Infections
- CDC STI Treatment Guidelines
- WHO โ Sexually transmitted infections fact sheet
- MedlinePlus โ Sexually Transmitted Diseases
Figures reflect CDC surveillance and WHO estimates; they are population statistics, not personal risk predictions.