6 I think but I might be wrong
Answer
I think the cause would be unprotected sex and well that would also be how its transmitted.
Explanation:
Anaerobically (in absence of oxygen), yeast cells may obtain energy by fermentation, resulting in the production of ATP, CO2 AND ETHANOL. This is called ethanol fermentation or alcoholic fermentation where sugars such as glucose, fructose, and sucrose is converted into cellular energy (ATP), producing ethanol and carbon dioxide as by products.
The extrusion of the Viscera from the abdominal cavity is called evisceration.The extrusion result from dehiscence of an abdominal incision. Dehiscence involve break down of surgical incision in such a way that tissue layer separate from each other.