Patient care and monitoring

Monitoring for T. vaginalis is generally not required. genital warts

Genital warts, caused by the human papillomavirus (HPV), are regularly encountered in primary care. Responsible for various visible, keratotic, and nonkeratotic manifestations, HPV has nearly 120 noted strains, some of which have been linked to squam-

ous cell carcinoma. More than 30 strains have been linked to the genital area. epidemiology

Affecting over 20 million Americans, HPV is one of the most common STIs in the United States, with a prevalence of approximately 15%. Furthermore, among adolescent and college-aged women, HPV may be the most common STL4,20 The frequency of cervicovaginal HPV infection among sexually-active women has been observed at 43%, with the greatest incidence noticed in men with three or more sex partners and women whose most recent regular sexual partner had two or more lifetime partners.

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