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Sexually Transmitted Infections - American Family Physician

Nov 15, 2020 - This collection features AFP content on sexually transmitted disease and related issues, including chlamydia, genital herpes, gonorrhea, human papillomavirus, and syphilis. This collection features AFP content on sexually transmitted disease and related issues, including chlamydia, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=23

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections - ... Restricted content. Login required.

Nov 15, 2020 - A 24-year-old cisgender woman presents to your primary care clinic for a routine physical examination. Her only medication is an etonogestrel (Implanon) 68-mg implant for birth control. She reports occasional vaping of electronic cigarettes and states that she does not drink alcohol or ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1115/p623.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: ...

Nov 15, 2020 - The USPSTF recommends behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/1115/od1.html

Syphilis: Far from Ancient History - American Family Physician Restricted content. Login required.

Jul 15, 2020 - Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians to assist public health agencies in the early detection of outbreaks. Prompt diagnosis of syphilis can be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0715/p91.html

Cervical Colposcopy: Indications and Risk Assessment - American Family Physician Restricted content. Login required.

Jul 1, 2020 - The practice of colposcopy, a diagnostic procedure to evaluate for vaginal, vulvar, and cervical dysplasia, has evolved to incorporate patient risk factors for high-grade cervical intraepithelial neoplasia (CIN) and cancer. Changes in cervical cancer screening and guidelines, human ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p39.html

Genital Ulcers: Differential Diagnosis and Management - American Family Physician Restricted content. Login required.

Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0315/p355.html

Sexual Health History: Techniques and Tips - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Family physicians should use a proactive, integrated, patient-centered approach to sexual health that includes, but is not limited to, disease identification and treatment. Successfully delivering positive, affirming, nonjudgmental sexual health care requires intentionally creating safe...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p286.html

HIV Status, Preexposure Prophylaxis, Sexual Health, and the Critical Role of Family ...

Mar 1, 2020 - Family physicians play a key role in expanding HIV testing and treatment, as well as providing sexual health services in areas where specialty sexual health services are not readily available.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0301/p262.html

Screening for HIV Infection and Preexposure Prophylaxis for the Prevention of HIV ...

Nov 15, 2019 - J.S., a 29-year-old transgender woman, presents for her first maintenance visit with a new family physician. It has been three years since her previous visit with a primary care physician. She has no chronic illnesses, stopped using tobacco products four years ago, and reports that she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/1115/p637.html

Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention - American Family ...

Sep 15, 2019 - Pelvic inflammatory disease (PID) is an infection of the upper genital tract occurring predominantly in sexually active young women. Chlamydia trachomatis and Neisseria gonorrhoeae are common causes; however, other cervical, enteric, bacterial vaginosis–associated, and respiratory ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0915/p357.html

Screening for Syphilis In Pregnant Women: Recommendation Statement - U.S. Preventive ...

Apr 15, 2019 - The USPSTF recommends early screening for syphilis infection in all pregnant women.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0415/od2.html

HPV Testing Better Than Cytology for Women Vaccinated Against HPV - POEMs - American ...

Sep 15, 2018 - In women who had received the HPV vaccine, screening for HPV every five years, with cytology and colposcopy follow-up as needed, resulted in higher rates of identification of high-grade pre-cancerous disease than standard liquid-based cytology every 2.5 years with HPV follow-up ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0915/p384.html

Screening for Syphilis Infection in Nonpregnant Adults and Adolescents - Putting ...

Sep 15, 2017 - R.J. is a 27-year-old man who presents for a well-patient visit. He always keeps his appointments and likes to make sure he is healthy. R.J. has started a new relationship and asks if he should be screened for syphilis.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0915/p393.html

Serologic Screening for Genital Herpes Infection: Recommendation Statement - U.S. ...

Jun 15, 2017 - The USPSTF recommends against routine serologic screening for genital herpes simplex virus (HSV) infection in asymptomatic adolescents and adults, including those who are pregnant.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2017/0615/od1.html

Serologic Screening for Genital Herpes Infection - Putting Prevention into Practice - ...

Jun 15, 2017 - C.D. is a 23-year-old woman who presents to your office for her first prenatal visit. She is in the eighth week of her first pregnancy. She tested negative for sexually transmitted infections (STIs) two years ago, and she has not had a new sex partner since that time. Although she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0615/p801.html

Sexually Transmitted Infections: Recommendations from the U.S. Preventive Services Task...

Dec 1, 2016 - The U.S. Preventive Services Task Force (USPSTF) has issued recommendations on behavioral counseling to prevent sexually transmitted infections (STIs) and recommendations about screening for individual STIs. Clinicians should obtain a sexual history to assess for behaviors that increase...

American Family Physician : Article

https://www.aafp.org/afp/2016/1201/p907.html

Screening for Syphilis Infection in Nonpregnant Adults and Adolescents: Recommendation ...

Nov 15, 2016 - The USPSTF recommends screening for syphilis infection in persons who are at increased risk for infection.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/1115/od1.html

Genital Herpes: A Review - American Family Physician

Jun 1, 2016 - Genital herpes is a common sexually transmitted disease, affecting more than 400 million persons worldwide. It is caused by herpes simplex virus (HSV) and characterized by lifelong infection and periodic reactivation. A visible outbreak consists of single or clustered vesicles on the ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0601/p928.html

Preexposure Prophylaxis with Tenofovir/Emtricitabine Prevents HIV Infection in Men Who ...

Mar 15, 2016 - Preexposure prophylaxis in high-risk men who have unprotected anal intercourse reduces the likelihood of developing HIV (number needed to treat = 17 per year). Participants averaged 15 pills per month, which costs approximately $700 per month ($8,400 per year). Condoms would be a much ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0315/p520.html

CDC Releases 2015 Guidelines on the Treatment of Sexually Transmitted Disease - ...

Jan 15, 2016 - The Centers for Disease Control and Prevention has updated its 2010 recommendations to help guide physicians in preventing and treating sexually transmitted diseases. This summary practice guideline will focus on the updates.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0115/p144.html

AAP Releases Policy Statement on Screening for Nonviral Sexually Transmitted Infections...

May 1, 2015 - This policy statement from the American Academy of Pediatrics (AAP) provides recommendations on routine screening for nonviral STIs in adolescents and young adults (25 years and younger).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0501/p652.html

Screening for Chlamydia and Gonorrhea: Recommendation Statement - U.S. Preventive ...

Apr 1, 2015 - The USPSTF recommends screening for chlamydia in sexually active women aged 24 years or younger and in older women who are at increased risk for infection.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0401/od1.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: ...

Apr 1, 2015 - The USPSTF recommends intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections (STIs).

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0401/od2.html

HIV Prevention: Recommendations from the International Antiviral Society—USA Panel - ...

Apr 1, 2015 - With the introduction of combination antiretroviral therapy (ART), human immunodeficiency virus (HIV) has become a chronic disease that can be managed, rather than a deadly infection. The International Antiviral Society—USA Panel has provided recommendations regarding these approaches ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0401/p495.html

Pelvic Inflammatory Disease - Clinical Evidence Handbook - American Family Physician

Nov 15, 2014 - How do different antimicrobial regimens compare when treating women with confirmed PID and what are the effects of routine antibiotic prophylaxis to prevent PID before IUD insertion?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2014/1115/p725.html

Management of External Genital Warts - American Family Physician

Sep 1, 2014 - Genital warts affect 1% of the sexually active U.S. population and are commonly seen in primary care. Human papillomavirus types 6 and 11 are responsible for most genital warts. Warts vary from small, flat-topped papules to large, cauliflower-like lesions on the anogenital mucosa and ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0901/p312.html

AAP Releases Report on the Evaluation of Children When Sexual Abuse Is Suspected - ...

May 15, 2014 - Childhood sexual abuse is common and can lead to lifelong physical and psychological problems. The American Academy of Pediatrics (AAP) has released a report to assist physicians in evaluating children who may have been sexually abused, determining when to report the case, and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0515/p830.html

Chlamydia Trachomatis Infections: Screening, Diagnosis, and Management - American ...

Dec 15, 2012 - Chlamydia trachomatis is a gram-negative bacterium that infects the columnar epithelium of the cervix, urethra, and rectum, as well as nongenital sites such as the lungs and eyes. The bacterium is the cause of the most frequently reported sexually transmitted disease in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1215/p1127.html

Diagnosis and Management of Gonococcal Infections - American Family Physician

Nov 15, 2012 - Neisseria gonorrhoeae causes urogenital, anorectal, conjunctival, and pharyngeal infections. Urogenital tract infections are most common. Men with gonorrhea may present with penile discharge and dysuria, whereas women may present with mucopurulent discharge or pelvic pain; however, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p931.html

Syphilis: A Reemerging Infection - American Family Physician

Sep 1, 2012 - Rates of primary and secondary syphilis have increased in the past decade, warranting renewed attention to the diagnosis and treatment of this disease. Men who have sex with men are particularly affected; however, increases in infection rates have also been noted in women, as well as in...

American Family Physician : Article

https://www.aafp.org/afp/2012/0901/p433.html

Care of a Sexually Active Adolescent - Curbside Consultation - American Family Physician

Sep 1, 2012 - The American Medical Association's Principles of Medical Ethics clearly state that physicians shall safeguard patient confidences and privacy within the constraints of the law. However, the laws in American jurisdictions vary with respect to a minor's ability to consent to medical ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/0901/p457.html

Pelvic Inflammatory Disease - American Family Physician

Apr 15, 2012 - Pelvic inflammatory disease is a polymicrobial infection of the upper genital tract. It primarily affects young, sexually active women. The diagnosis is made clinically; no single test or study is sensitive or specific enough for a definitive diagnosis. Pelvic inflammatory disease ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0415/p791.html

Gonorrhea - Clinical Evidence Handbook - American Family Physician

Mar 15, 2012 - What are the effects of treatments for uncomplicated infections in men, nonpregnant, and pregnant women? What are the effects of treatments for disseminated gonococcal infection? What are the effects of dual treatment for gonorrhea and chlamydia infections?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0315/p642.html

Diagnosis and Management of Genital Ulcers - American Family Physician

Feb 1, 2012 - Herpes simplex virus infection and syphilis are the most common causes of genital ulcers in the United States. Other infectious causes include chancroid, lymphogranuloma venereum, granuloma inguinale (donovanosis), secondary bacterial infections, and fungi. Noninfectious etiologies, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p254.html

CDC Updates Guidelines on Diagnosis and Treatment of Sexually Transmitted Diseases - ...

Jul 1, 2011 - The Centers for Disease Control and Prevention (CDC) recently updated its guidelines on the treatment of sexually transmitted diseases (STDs). The new guidelines focus on treatment, but also discuss prevention strategies and diagnostic recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0701/p123.html

Diagnosis and Treatment of Urethritis in Men - American Family Physician

Apr 1, 2010 - Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. A diagnosis can be made if at least one of the following is present: discharge, a positive result on a leukocyte esterase test in firstvoid urine, or at least 10 white blood ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0401/p873.html

Behavioral Counseling to Prevent Sexually Transmitted Infections: Recommendation ...

Mar 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk of STIs.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/0315/p763.html

Behavioral Counseling to Prevent Sexually Transmitted Infections - Putting Prevention ...

Mar 15, 2010 - Case study: A.B. is a 16-year-old girl who comes to your office for a sports physical examination. She tells you that since seeing you last year, she has become sexually active with a boy at her school.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2010/0315/p765.html

Screening for Syphilis Infection in Pregnancy: Reaffirmation Recommendation Statement -...

Jan 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends that physicians screen all pregnant women for syphilis infection.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/0115/od1.html

Sinecatechins (Veregen) for External Genital and Perianal Warts - STEPS - American ...

Dec 15, 2009 - Sinecatechins offers no clear advantage with regard to safety and tolerability. Indirect comparisons with other treatments suggest that sinecatechins may be more effective, with fewer recurrences of warts following successful treatment, but direct comparisons are lacking.

American Family Physician : STEPS

https://www.aafp.org/afp/2009/1215/p1447.html

Epididymitis and Orchitis: An Overview - American Family Physician

Apr 1, 2009 - Epididymitis and orchitis are commonly seen in the outpatient setting. Men between 14 and 35 years of age are most often affected, and Chlamydia trachomatis and Neisseria gonorrhoeae are the most common pathogens in this age group. In other age groups, coliform bacteria are the primary ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p583.html

Tinidazole (Tindamax) for Trichomoniasis and Bacterial Vaginosis - STEPS - American ...

Jan 15, 2009 - Tinidazole is generally an expensive alternative to metronidazole for the treatment of trichomoniasis and bacterial vaginosis. It offers little, if any, advantage with regard to safety, tolerability, and effectiveness; however, its once-daily dosing and shorter course of therapy may be ...

American Family Physician : STEPS

https://www.aafp.org/afp/2009/0115/p102.html

Screening for Chlamydial Infection - Putting Prevention into Practice - American Family...

Dec 15, 2008 - Case study: A 20-year-old woman comes to your office for her initial prenatal visit following a positive home pregnancy test. Her last menstrual period was 10 weeks ago. She is in a monogamous relationship and uses condoms inconsistently. Her only complaint is morning sickness.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2008/1215/p1349.html

USPSTF Recommendations for STI Screening - American Family Physician

Mar 15, 2008 - Since 2000, the U.S. Preventive Services Task Force (USPSTF) has issued eight clinical recommendation statements on screening for sexually transmitted infections. This article, written on behalf of the USPSTF, is an overview of these recommendations. The USPSTF recommends that women at ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p819.html

ACS Releases Guidelines for HPV Vaccination - Practice Guidelines - American Family ...

Mar 15, 2008 - An expert panel was convened by the American Cancer Society (ACS) to review the data on human papillomavirus (HPV) vaccines and to develop recommendations for their use. This group worked independently from the Advisory Committee on Immunization Practices (ACIP) of the Centers for ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0315/p852.html

ACOG Releases Guidelines on Managing Herpes in Pregnancy - Practice Guidelines - ...

Feb 1, 2008 - The American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin to outline the spectrum of maternal and neonatal genital herpes infection and to provide guidelines on managing the infection during pregnancy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0201/p369.html

Prevention and Treatment of Sexually Transmitted Diseases: An Update - American Family ...

Dec 15, 2007 - The Centers for Disease Control and Prevention recently published revised guidelines for the prevention and treatment of sexually transmitted diseases. One new treatment strategy is the use of azithromycin as a primary, rather than alternative, medication for pregnant women with ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1215/p1827.html

Screening for Chlamydial Infection: Recommendation Statement - U.S. Preventive Services...

Dec 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for chlamydial infection and the supporting scientific evidence.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2007/1201/p1695.html

It's Time to Normalize Testing for HIV - Editorials - American Family Physician

Nov 15, 2007 - Advertisement << Previous article Next article >> Nov 15, 2007 Issue Editorials It's Time to Normalize Testing for HIV JEFFREY T. KIRCHNER, DO, Lancaster General Hospital, Lancaster, Pennsylvania Am Fam Physician. 2007 Nov 15;76(10):1459-1462. Testing for human immunodeficiency virus...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1115/p1459.html

The CDC and USPSTF Recommendations for HIV Testing - Editorials - American Family ...

Nov 15, 2007 - Advertisement << Previous article Next article >> Nov 15, 2007 Issue Editorials The CDC and USPSTF Recommendations for HIV Testing JONATHAN E. RODNICK, MD, University of California, San Francisco, School of Medicine San Francisco, California Am Fam Physician. 2007 Nov...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1115/p1456.html

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