Behavioral considerations

The correlation between risky sexual behavior and STIs is well documented. Inconsistent and incorrect condom use has been recognized to increase the incidence of new

STIs. Assuming that patients, especially adolescents, consistently use and understand how to use condoms, spermicides, or diaphragms can be detrimental and may

contribute to nonpharmacologic mismanagement. Health care providers who manage persons at risk for STIs should counsel women concerning the option for emergency contraception, if indicated, and provide it in a timely fashion if desired by the woman. Plan B (two 750 mcg levonorgestrol) has been approved in the United States for the prevention of unintended pregnancy.4

In addition to the increasing number of adolescents engaging in unsafe sexual practices is a high incidence of men who have sex with men (MSM) and women who have sex with women (WSW). Many MSM do not disclose their HIV status. This "don't ask, don't tell" practice has been linked to an upsurge in newly diagnosed HIV infections and STIs among previously noninfected people.5 Although limited data are available with regard to STIs in WSW, risk of transmission probably varies by the specific STI and sexual techniques. Sharing penetrative items or employing practices involving digital vaginal or digital anal contact most likely represent common modes of transmission. This possibility is supported by reports of metronidazole-resistant trich-omoniasis and genotype-specific HIV transmitted sexually between women who reported such behaviors and an increased prevalence of bacterial vaginosis (BV) among monogamous WSW.6

'©' Optimally, both sex partners should be treated simultaneously for a STI; however, this is difficult to accomplish. Clinics and health departments often proact-ively attempt dual treatment by providing a prescription for the partner to the index patient (the patient who is evaluated by a clinician), a practice commonly known as expedited partner treatment.

Bacterial Vaginosis Facts

Bacterial Vaginosis Facts

This fact sheet is designed to provide you with information on Bacterial Vaginosis. Bacterial vaginosis is an abnormal vaginal condition that is characterized by vaginal discharge and results from an overgrowth of atypical bacteria in the vagina.

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