Erratum - Eviction as a Social Determinant of Sexual Health Outcomes
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Erratum Source Type: research

Reply to, “Proceed With Caution in Generating Evidence in the ‘Oropharyngeal-Anorectal Chlamydia Hypothesis’ in Humans”
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Letters to the Editor Source Type: research

Proceed With Caution in Generating Evidence in the “Oropharyngeal-Anorectal Chlamydia Hypothesis” in Humans
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Letters to the Editor Source Type: research

Mycoplasma genitalium, Chlamydia trachomatis, and Neisseria gonorrhoeae Detected With Aptima Assays Performed on Self-Obtained Vaginal Swabs and Urine Collected at Home and in a Clinic
Self-obtained vaginal swabs, first-void urine and pooled specimens were collected at home and in a clinic. Percent prevalence and collection site concordance was 30.3 and 100 for Mycoplasma genitalium (74.4% azithromycin resistant) 15.1 and 96.7 for Chlamydia trachomatis and 6.6 and 100 for Neisseria gonorrhoeae (27% ciprofloxacin-resistant). (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Note Source Type: research

Assessing Patient Opinions About Electronic Messaging for Gonorrhea and Chlamydia Result Notification and Partner Services, Durham, North Carolina
Text or e-mail messages can provide timely notification of sexually transmitted disease results to patients. We assessed sexually transmitted disease clinic patient opinions about text/e-mail notification via a service called Chexout. Among 113 patients who opted in, the majority found results notification via texts/e-mails to be satisfactory (99.0%) and easy (92.9%). (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: The Real World of STD Prevention Source Type: research

Are Boys Ready for Human Papillomavirus Vaccine? A National Study of Boys in Malaysia
Conclusions Public health educational programs that are focused and tailored on parents consenting to HPV vaccination for boys at a young age can be useful in improving HPV vaccination rates among boys. There is also a pressing need to educate boys about the benefits of HPV vaccination in males and about HPV disease susceptibility to facilitate adoption of the HPV vaccine by young adults in the future. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Self-Reported History of Chlamydia or Gonorrhea Testing Among Heterosexual Women at High Risk of HIV Infection, National HIV Behavioral Surveillance, 2013
Background The US Preventive Services Task Force recommends annual chlamydia and gonorrhea screening for sexually active women (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Sexually Transmitted Infections Detected During and After Incarceration Among People with Human Immunodeficiency Virus: Prevalence and Implications for Screening and Prevention
Conclusions Testing for gonorrhea and chlamydia was low, particularly in jail, which was attributed to testing protocols. High proportions of PLWH tested positive for syphilis and HBV infection in both settings. The majority of patients with active STIs had a detectable HIV VL. Routine, opt-out screening for STIs for PLWH during and after incarceration has the potential to identify a high proportion of STIs and improve secondary HIV prevention. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Ceftriaxone Reduced Susceptible Neisseria gonorrhoeae in the Netherlands, 2009 to 2017: From: PenA: Mosaicism to A501T/V Nonmosaicism
Conclusions We observed a shift in the predominant penA (from mosaic toward nonmosaic plus A501T/V mutation), NG-MAST and NG-MLVA types among CRO-RS Ng over time. This indicates a successive spread of different CRO-RS Ng clones. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Relationship Gender Equality and Couples' Uptake of Oral Human Immunodeficiency Virus Self-Testing Kits Delivered by Pregnant Women in Kenya
Conclusions This study is the first of its kind to examine the association between gender equality and couples' HIV self-testing. This holds important implications for HIV self-testing as we strive to achieve the United Nations Programme on HIV/acquired immune deficiency syndrome goal that 90% of individuals living with HIV should know their status. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Performance of a Dual Human Immunodeficiency Virus/Syphilis Rapid Test Compared With Conventional Serological Testing for Syphilis and Human Immunodeficiency Virus in a Laboratory Setting: Results From the Zimbabwe STI Etiology Study
Conclusions Laboratory performance of the SD Bioline HIV/Syphilis Duo test was high for the HIV component of the test. Sensitivity of the treponemal component was lower than reported from most laboratory-based evaluations in the literature. However, sensitivity of the test increased substantially among patients more likely to have active syphilis for which results of both standard treponemal and nontreponemal tests were positive. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Serological Markers for Syphilis Among Persons Presenting With Syndromes Associated With Sexually Transmitted Infections: Results From the Zimbabwe STI Etiology Study
Background Syphilis prevalence in sub-Saharan Africa appears to be stable or declining but is still the highest globally. Ongoing sentinel surveillance in high-risk populations is necessary to inform management and detect changes in syphilis trends. We assessed serological syphilis markers among persons with sexually transmitted infections in Zimbabwe. Methods We studied a predominantly urban, regionally diverse group of women and men presenting with genital ulcer disease (GUD), women with vaginal discharge and men with urethral discharge at clinics in Zimbabwe. Syphilis tests included rapid plasma reagin and the Trep...
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Spatial-Temporal Epidemiology of the Syphilis Epidemic in Relation to Neighborhood-Level Structural Factors in British Columbia, 2005–2016
Conclusions We identified two novel ecologic correlates of the spatial distribution of infectious syphilis—density of GBM and rates of syphilis testing—and found that these factors partially, though not entirely, explained the spatial distribution of clusters. Residual spatial autocorrelation suggests that greater syphilis testing coverage may be needed and low-barrier GBM-affirming testing should be expanded to regions outside the core. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Self-Reported Extragenital Chlamydia and Gonorrhea Testing in the Past 12 Months Among Men Who Have Sex with Men in the United States—American Men's Internet Survey, 2017
Conclusions In a large sample of internet-using MSM in the United States, levels of STI screening were suboptimal, with fewer than half (42%) of MSM reporting any STI test and even fewer reporting an extragenital STI test in the p12m. Increased efforts are needed to ensure annual STI screening guidelines among MSM are implemented. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - August 15, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Erratum - Assessing Uncertainty in an Anatomical Site-Specific Gonorrhea Transmission Model of Men Who Have Sex with Men
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Erratum Source Type: research

Sexually Transmitted Disease, Human Immunodeficiency Virus, and Pregnancy Testing Behaviors Among Internet and Mobile Dating Application Users and Nonusers, 2016
We examined 2016 United States market research to understand the demographics and sexual health testing behaviors of dating app users. Internet/app users were more likely to be young adults, male, nonwhite, of Hispanic ethnicity, and unmarried. Users also reported greater testing for sexually transmitted disease, human immunodeficiency virus, and pregnancy. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Notes Source Type: research

Patterns in On-time, Daily Submission of a Short Web-Based Personal Behavior Survey in a Longitudinal Women's Health Study
We evaluated compliance with submitting a short Web-based personal behavior survey daily during a 10-week study (n = 52 women/3419 diaries). Time-stamped forms revealed that 50% of diaries were submitted within 24 hours of the email prompt, and 19% were missing or submitted more than 3 days late. Late submissions may affect data quality. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Notes Source Type: research

Sex Worker Community-led Interventions Interrupt Sexually Transmitted Infection/Human Immunodeficiency Virus Transmission and Improve Human Immunodeficiency Virus Cascade Outcomes: A Program Review from South India
Ashodaya Samithi, an organization run by and for female, male, and transgender sex workers in Mysore, India, has worked since 2004 to prevent sexually transmitted infection (STI)/human immunodeficiency virus (HIV) transmission and improve HIV cascade outcomes. We reviewed published and programmatic data, including measures of coverage, uptake, utilization and retention, and relate STI/HIV outcomes to evolving phases of community mobilization. Early interventions designed “for” sex workers mapped areas of sex work and reached half the sex workers in Mysore with condoms and STI services. By late 2005, when Ashoda...
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: The Real World of STD Prevention Source Type: research

Use of Whole Genome Sequencing for the Molecular Comparison of Neisseria gonorrhoeae Isolates With Decreased Susceptibility to Extended Spectrum Cephalosporins From 2 Geographically Different Regions in America
Conclusions An international multi-drug resistant clone of N. gonorrhoeae was associated with decreased susceptibility to extended-spectrum cephalosporin (ESC) in 2 different regions in America. Evidence of clonal dissemination of the organism in some regions suggests that the strength of surveillance programs and establishment of collaborative projects are essential. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Clinical Performance of Human Papillomavirus Testing and Visual Inspection With Acetic Acid in Primary, Combination, and Sequential Cervical Cancer Screening in China
Conclusions When VIA performs relatively poorly and HPV testing is available, adding VIA to sequential (ie, HPV followed by VIA triage) or primary (HPV-VIA cotesting) screening does not significantly improve CIN-2+ detection beyond primary HPV screening alone. Sequential screening (ie, HPV followed by VIA triage) reduces sensitivity too low for population-based screening programs. The HPV viral loads could offer an alternative low-resource country triage strategy. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Type-Specific Human Papillomavirus Prevalence, Incident Cases, Persistence, and Associated Pregnancy Outcomes Among HIV-Infected Women in Kenya
Conclusions High levels of high-risk HPV infection and type-specific persistence were documented, heightening the urgency of mass role out of HPV vaccination. The association between HPV persistence and HIV transmission is a novel finding, warranting further study. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Excess Cancer Cases and Medical Costs Due to Suboptimal Human Papillomavirus Vaccination Coverage in California
Conclusions Increased HPV vaccination coverage in California is needed to reduce economic and health burdens associated with cancers caused by HPV infection. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Factors Associated With Increased Syphilis Screening Among People Living With Human Immunodeficiency Virus
The objective of this study was to estimate the prevalence of past-year syphilis testing among PLWH in Oregon to identify facility-level and individual-level factors associated with testing. Methods We examined 2015 to 2016 Medical Monitoring Project interview and medical records data in Oregon and conducted supplemental interviews with participants' medical providers. We used generalized mixed effects models to identify factors associated with syphilis screening. Results Sixty-nine percent of Medical Monitoring Project participants had past-year syphilis screening. Patients receiving care from facilities with writte...
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Mycoplasma genitalium Nongonococcal Urethritis Is Likely to Increase in Men Who Have Sex With Men Who Practice Unsafe Sex: What Should We Do?
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Editorial Source Type: research

Men Who Have Sex With Men With Mycoplasma genitalium–Positive Nongonococcal Urethritis Are More Likely to Have Macrolide-Resistant Strains Than Men With Only Female Partners: A Prospective Study
Conclusions Prevalence of M. genitalium among men with NGU is now similar for MSW and MSM and has increased locally from 5.2% to 12.8% within the last 10 years. Men who have sex with men are significantly more likely than MSW to harbor macrolide-resistant M. genitalium infections. This has treatment implications. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Iowa TelePrEP: A Public-Health-Partnered Telehealth Model for Human Immunodeficiency Virus Preexposure Prophylaxis Delivery in a Rural State
Conclusions Using widely available technology and infrastructure, public health departments and health care systems can collaborate to develop regional telehealth programs to deliver PrEP in small urban and rural settings. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Changes in Patient Visits After the Implementation of Insurance Billing at a Sexually Transmitted Diseases Clinic in a Medicaid Expansion State
Background Medicaid expansion has led to unique opportunities for sexually transmitted disease (STD) clinics to improve the sustainability of services by billing insurance. We evaluated changes in patient visits after the implementation of insurance billing at a STD clinic in a Medicaid expansion state. Methods The Rhode Island STD Clinic offered HIV/STD screening services at no cost to patients until October 2016, when insurance billing was implemented. Care for uninsured patients was still provided for free. We compared the clinic visits in the preinsurance period with the postinsurance period using t-tests, Poisson...
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Sexually Transmitted Disease Partner Services Costs, Other Resources, and Strategies Across Jurisdictions to Address Unique Epidemic Characteristics and Increased Incidence
Background Sexually transmitted disease (STD) partner services (PS) are a core component of STD programs. Data on costs are needed to support PS programming. Methods In Washington State STD PS programs, disease intervention specialists (DIS) conduct telephone-based interviews and occasional field visits, offer expedited partner therapy to heterosexuals with gonorrhea or chlamydia, and promote human immunodeficiency virus (HIV) testing, preexposure prophylaxis, and HIV care. We conducted activity-based microcosting of PS, including: observational and self-reported time studies and interviews. We analyzed cost, surveill...
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

The National Network of Sexually Transmitted Disease Clinical Prevention Training Centers Turns 40—A Look Back, a Look Ahead
This article provides an overview of the history and activities of the NNPTC from its inception to present day, and emphasizes the important role the network continues to play in maintaining a high-quality STD clinical workforce. Over time, the NNPTC has responded to changing STD epidemiological patterns, technological advances, and increasing private-sector care-seeking for STDs. Its current structure of integrated regional and national training centers allows NNPTC members to provide dynamic, tailored responses to STD training needs across the country. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - July 12, 2019 Category: Sexual Medicine Tags: Commentary Source Type: research

Sexual Risk Factors and Human Immunodeficiency Virus Testing Intention Among At-Risk College Students Who Have Never Been Tested
Survey data from a university in the southeast United States were used to estimate the relation between sexual risk factors, perceived susceptibility, and human immunodeficiency virus testing intention among sexually active college students who had never been tested. Sexual risk factors, but not knowledge, were indirectly related to increased human immunodeficiency virus testing intention through perceived susceptibility. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Note Source Type: research

Interpreting the Disconnect: The Gap Between American Public Health Association Policy 20102 and Reality
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Commentary Source Type: research

Addressing Gaps in the Management of Chlamydia trachomatis and Neisseria gonorrhoeae in Primary Care: Lessons Learned in a Pilot Intervention Study
Background We aimed to test the acceptability and utility of strategies designed to facilitate the delivery of clinical best practice for patients diagnosed with chlamydia or gonorrhea in primary care. Methods A nonrandomized pilot intervention study with a historic control period was run over 9 months in six primary health care clinics (2 youth services, 3 low-fee clinics, and 1 student health service) in Wellington, New Zealand. “Study nurses” in participating clinics oversaw the implementation of strategies designed to facilitate partner notification and follow-up for patients diagnosed with chlamydia o...
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: The Real World of STD Prevention Source Type: research

Presenting to the Emergency Department Versus Clinic-Based Sexually Transmitted Disease Care Locations for Testing for Chlamydia and Gonorrhea: A Spatial Exploration
Conclusions Clinic availability is present for most of the individuals in our study. Clinics providing STD services can increase advertising efforts to increase public awareness of the services which they provide. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: The Real World of STD Prevention Source Type: research

Trends and Characteristics Associated With Human Papillomavirus Vaccination Uptake Among Men Who Have Sex With Men in the United States, 2014–2017
We examined trends in HPV vaccine uptake among young US MSM between 2014 and 2017. Methods Cochran-Armitage tests and estimated annual percentage changes were used to examine annual trends (2014–2017) in HPV vaccination initiation among US MSM ≤26 years as of 2011 who participated in a nationwide annual cross-sectional online survey. We identified independent correlates of HPV vaccination in 2017 using Poisson regression modeling. Results There were 2,381 participants in 2014; 4,143 in 2015; 3,926 in 2016; and 3,407 in 2017. Mean age was 23.5 years, 39% lived in metropolitan areas, and 37% lived in the South...
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Prevalence and Risk Factors of Trichomonas vaginalis Among Female Sexual Workers in Nairobi, Kenya
Discussion CT infection was positively associated with both prevalent and 2-year incident TV infections. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Association of Sexually Transmitted Diseases With Cervical Ectopy: A Systematic Review
Conclusions Cervical ectopy shows a probable association with increased acquisition of some sexually transmitted diseases. Additional studies are required to confirm the possible beneficial effects of treatment and to evaluate the possible complications of these treatments. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Review Source Type: research

Self-Reported Infertility and Associated Pelvic Inflammatory Disease Among Women of Reproductive Age—National Health and Nutrition Examination Survey, United States, 2013–2016
Conclusions In a nationally representative sample, 13.8% of reproductive-age women reported a history of infertility, of whom 40% did not access health care. Self-reported PID was associated with infertility, especially in young women. Annual chlamydia and gonorrhea screening to avert PID may reduce the burden of infertility in the United States. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Detection of Rectal Chlamydia trachomatis in Heterosexual Men Who Report Cunnilingus
Conclusions We detected rectal CT infections in heterosexual men who reported cunnilingus but denied receptive anal behaviors. Oral sex may be a risk factor for rectal CT infection via oral inoculation of the gastrointestinal tract. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Emergency Department Testing Patterns for Sexually Transmitted Diseases in North Texas
Conclusions Most patients tested for syphilis, HIV, or chlamydia/gonorrhea in EDs received only 1 test type at that visit, and most visits were nonemergent in nature. Given shared risk factors for multiple STD and high coinfection rates, EDs serving high-risk populations could consider STD cotesting to help reduce transmission of undiagnosed, untreated infections. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Evaluation of a Rapid Syphilis Test in an Emergency Department Setting in Detroit, Michigan
Background Syphilis transmission can be prevented by prompt diagnosis and treatment of primary and secondary infection. We evaluated the performance of a point-of-care rapid syphilis treponemal (RST) test in an emergency department (ED) setting. Methods Between June 2015 and April 2016, men aged 18 to 34 years seeking services in a Detroit ED, and with no history of syphilis, were screened for syphilis with the RST test, rapid plasma reagin (RPR) test, and Treponema pallidum particle agglutination assay (TP-PA). A positive reference standard was both a reactive RPR and a reactive TP-PA. We compared test results in sel...
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Characteristics of Gay, Bisexual and Other Men Who Have Sex With Men With Multiple Diagnoses of Infectious Syphilis in British Columbia, Canada, 2005–2014
Conclusions The connectivity and recurrent diagnoses in this study population suggest potential benefits of targeted interventions to individuals with multiple diagnoses and their partners. Our study highlights the need for enhanced care, increased syphilis testing frequency, and exploring alternative preventative methods among individuals with syphilis rediagnoses to reduce syphilis incidence. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - June 13, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Genetic Stability of the Typing Loci Used in the Multilocus Sequence Typing and Enhanced CDC Typing of Syphilis Treponemes
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Letter to the Editor Source Type: research

A Case of Asymptomatic Syphilitic Proctitis
We present a case of asymptomatic syphilitic proctitis diagnosed upon a routine screening colonoscopy. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Case Report Source Type: research

Recent Developments in Biomedical Issues in Sexually Transmitted Infections: Implications for Behavioral Parameters of Interest
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Commentary Source Type: research

Treponema pallidum subsp. pallidum DNA and RNA in Semen of a Syphilis Patient Without Genital or Anal Lesions
Treponema pallidum subsp. pallidum DNA and RNA were detected in a semen specimen of a syphilis patient with no genital or anal sores and no clinically evident orchitis. No nucleic acids were found in a urine sample of the same patient collected immediately before the semen sample. Exposure to the syphilis agent through semen could account for transmission episodes in the absence of direct contact with a syphilitic sore. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Case Report Source Type: research

What Is the Evidence for the Sexual Transmission of Syphilis From Asymptomatic Persons?
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Editorial Source Type: research

Who Has Yet to Test? A Risk Score for Predicting Never Having Tested for Human Immunodeficiency Virus Among Women and Men in Rural Malawi
Conclusions About 10% of participants had never tested for HIV. This risk score could help health professionals to identify never testers to increase HIV status awareness in line with 90-90-90 goals. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

Human Immunodeficiency Virus Incidence Among Women at High-Risk of Human Immunodeficiency Virus Infection Attending a Dedicated Clinic in Kampala, Uganda: 2008–2017
Conclusions The random-point approach attenuated variation in incidence observed using midpoint. The high incidence after years of ongoing prevention efforts in this vulnerable population should be investigated to further reduce incidence. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

A Mobile Application to Collect Daily Data on Preexposure Prophylaxis Adherence and Sexual Behavior Among Men Who Have Sex With Men: Use Over Time and Comparability With Conventional Data Collection
Conclusions The AMPrEP app was used frequently, especially by those using a daily PrEP regimen. Data collected by app regarding adherence and sexual risk behavior were consistent with questionnaire data among those who used the app consistently. An app is a promising tool to measure PrEP adherence and sexual risk behavior. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research

The Prevalence of Mycoplasma genitalium and Association With Human Immunodeficiency Virus Infection in Symptomatic Patients, Johannesburg, South Africa, 2007–2014
Conclusions The relative prevalence of M. genitalium and its association with prevalent HIV among females with vaginal discharge syndrome (VDS) calls for further research on the potential role of M. genitalium in the transmission and acquisition of HIV. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - May 16, 2019 Category: Sexual Medicine Tags: Original Studies Source Type: research