Sexually transmitted diseases (STDs) continue to cause significant health problems in the United States. For example, although since 1991 the incidence of some STDs declined, the incidence of others, such as Chlamydia infection and genital warts caused by the human papilloma virus (HPV), increased.1 Many patients are infected by more than one STD; simultaneous infection by gonorrhea and Chlamydia is reported to be as high as 50% in some populations of nonpregnant women.2,3 Other studies implicate the ulcers and discharge of STDs with enhanced transmission of the human immunodeficiency virus (HIV)4,5 (see Chapter 42). These issues illustrate why family physicians must be familiar with the risk factors prevalent in their patient populations and the changing epidemiology of STDs.
KeywordsHuman Papilloma Virus Bacterial Vaginosis Pelvic Inflammatory Disease Genital Wart Genital Herpes
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