Unusual presentation of disseminated gonococcal infection
A 30-year-old homosexual man living with HIV and receiving virologically suppressive antiretroviral treatment presented to the emergency department with a 3-day history of pain in his left wrist accompanied by fever and chills. On examination, the left wrist showed redness, swelling, tenderness and decreased range of movement. The patient had no history of trauma, insect bites or scratches. Four weeks earlier, he had engaged in unprotected oral sex with a casual partner. Nucleic acid amplification tests (NAATs) for Chlamydia trachomatis and Neisseria gonorrhoea (Ng) were performed from oropharyngeal, anal and urine samples...
Source: Sexually Transmitted Infections - April 18, 2024 Category: Sexual Medicine Authors: AlHammadi, M., Schembri, A., Calleja, L., Padovese, V. Tags: PostScript Source Type: research

HIV testing at visits to US emergency departments: 2021 update
In this updated cross-sectional analysis of the National Hospital Ambulatory Medical Care Survey, we found that among the 2.5 million more weighted emergency department (ED) visits in 2021 compared with 2020, there was an insignificant increase in HIV testing per ED visit in 2021 compared with 2020 (0.81% to 0.86%). This suggests HIV testing during ED visits did not increase in line with rebounding visit volumes after the pandemic nadir. (Source: Sexually Transmitted Infections)
Source: Sexually Transmitted Infections - April 18, 2024 Category: Sexual Medicine Authors: Clay, C., Kuglen, B. C., Bennett, C. L. Tags: PostScript Source Type: research

Performing Trichomonas vaginalis culture in research studies in low-resource settings
Trichomonas vaginalis is the most common non-viral sexually transmitted infection (STI) worldwide, with an estimated 156 million new cases per year globally.1 Incidence and prevalence are highest in low-income settings, especially the African region.2 If symptomatic, T. vaginalis causes vaginal discharge and dysuria. Untreated T. vaginalis has been associated with adverse birth outcomes and an increased risk of HIV acquisition and transmission.3 Antimicrobial resistance to 5-nitroimidazole agents such as metronidazole is reported to occur in about 5%–10% of isolates in the USA.4 T. vaginalis can be diagnosed by wet m...
Source: Sexually Transmitted Infections - April 18, 2024 Category: Sexual Medicine Authors: Peters, R. P. H., Mdingi, M. M., Gigi, R. M. S., Lim, L., Medina-Marino, A., Klausner, J. D., Muzny, C. A. Tags: PostScript Source Type: research

BASHH feedback from the 2023 IUSTI-Europe conference in Malta
There is a growing relationship between BASHH and IUSTI.1 In 2023, several BASHH scholars were invited to give feedback on the IUSTI conference in Malta. Asymptomatic STI screening: Chris Kenyon, (Belgium) Despite good evidence for HIV and syphilis screening in asymptomatic patients, evidence is lacking for other STIs, for example, Neisseria gonorrhoeae and Chlamydia trachomatis. Kenyon et al2 highlighted the potential harms of widespread screening for asymptomatic STIs, particularly in HIV-pre-exposure prophylaxis (HIV-PrEP) cohorts, namely increased antimicrobial consumption and antimicrobial resistance (AMR). In Belgium...
Source: Sexually Transmitted Infections - April 18, 2024 Category: Sexual Medicine Authors: Richardson, D., Butler, M., Bull Olozabal, O., Gupta, N., Naser, F., Sultan, B., Caswell, R. J. Tags: BASHH column Source Type: research

Research news in clinical context
Published in STI: Self-start HIV postexposure prophylaxis after sexual exposure to reduce time to first dose The efficacy of HIV post-exposure prophylaxis (PEP) increases with a shorter time to treatment initiation. This randomised, prospective, open-label study among men who have sex with men (MSM) in the UK assigned 139 participants to either a 5-day PEP starter pack of emtricitabine/tenofovir disoproxil fumarate/maraviroc, or to the standard of care (SOC) PEP access through sexual health clinics or accident and emergency units. There was a significant reduction in time from sex to first PEP dose in the starter pack arm ...
Source: Sexually Transmitted Infections - April 18, 2024 Category: Sexual Medicine Authors: Tan, R. K. J., Herbert, R., Vielot, N. A. Tags: Perspective Source Type: research

Romeo & Juliet Laws: Investigating UK Public Perceptions of Young Consensual Sex and the Effects of Age Gaps and Perpetrator and Respondent Gender
. (Source: The Journal of Sex Research)
Source: The Journal of Sex Research - April 18, 2024 Category: Sexual Medicine Authors: Kayleigh DewhurstKarin SpenserDean Fidoa University of Derbyb Leeds Trinity University Source Type: research

“I wouldn't have felt so alone”: The sexual health education experiences of transgender and gender diverse youth living in the southeastern United States
ConclusionThere is much work needed to improve the breadth, quality, and relevance of school-based sexual health education. Sexual health education can improve by strengthening critical media literacy skills of youth; raising staff cultural competency on gender, race, and sexual identity through training and supports; using culturally relevant and inclusive curricula; and partnering with community-based organizations. Transgender and gender diverse youth would benefit from sexual health education from multiple sources which is queer-friendly, affirms their existence, and provides information on gender, race, and sexuality ...
Source: Perspectives on Sexual and Reproductive Health - April 17, 2024 Category: Sexual Medicine Authors: Paula E. Jayne, Leigh E. Szucs, Catherine A. Lesesne, Rose Grace Grose, Michelle M. Johns Tags: ARTICLE Source Type: research

Attitude toward Sexual Consent and Sext Dissemination Perpetration: The Mediating Role of the Empathy
. (Source: American Journal of Sexuality Education)
Source: American Journal of Sexuality Education - April 17, 2024 Category: Sexual Medicine Authors: Claudio LongobardiLaura Badenes-RiberaSofia MastrokoukouMatteo Angelo Fabrisa University of Turin, Italyb University of Valencia, Spain Source Type: research

Prediction of deleterious non-synonymous SNPs of human MDC1 gene: an in silico approach
Volume 70, Issue 1, December 2024, Page 101-112 . (Source: Systems Biology in Reproductive Medicine)
Source: Systems Biology in Reproductive Medicine - April 17, 2024 Category: Sexual Medicine Authors: Vaishnavee ThoteSusha DineshSameer SharmaDepartment of Bioinformatics, BioNome, Bengaluru, India Source Type: research

Correlation between standard sperm parameters and sperm DNA fragmentation from 11,339 samples
Volume 70, Issue 1, December 2024, Page 91-100 . (Source: Systems Biology in Reproductive Medicine)
Source: Systems Biology in Reproductive Medicine - April 17, 2024 Category: Sexual Medicine Authors: Tingting YangLin YuJinyan XuLijuan YingYelin JiaYan ZhengBin ZhouFuping Lia Department of Andrology/Sichuan Human Sperm Bank, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, P.R. Chinab Key Laboratory of Birth Defects and Rela Source Type: research

Fisting Subjectivity: Narratives of Sexual Subjectivity Among Gay Fist-F.ers
. (Source: The Journal of Sex Research)
Source: The Journal of Sex Research - April 17, 2024 Category: Sexual Medicine Authors: Jarred H. MartinDepartment of Psychology, University of Pretoria Source Type: research

Both Hostile and Benevolent Sexism Predict Men ’s Infidelity
. (Source: The Journal of Sex Research)
Source: The Journal of Sex Research - April 17, 2024 Category: Sexual Medicine Authors: Qianying HuangXijing WangFei Tenga Center for Studies of Psychological Application, School of Psychology, South China Normal Universityb Department of Psychology, The City University of Hong Kong Source Type: research

Between “You” and “Me”: Effects of Pronouns and Order on Disclosing Sexual Assault
. (Source: The Journal of Sex Research)
Source: The Journal of Sex Research - April 17, 2024 Category: Sexual Medicine Authors: Virginia Clinton-LisellRaeAnn E. AndersonUniversity of North Dakota Source Type: research

“It Spread Like Wildfire, as These Things Do”: Exploring Mechanisms of Harm in Young Norwegians’ Experiences of Image-Based Sexual Abuse
. (Source: The Journal of Sex Research)
Source: The Journal of Sex Research - April 17, 2024 Category: Sexual Medicine Authors: Stine Nyg årdIngela Lundin KvalemBente TræenDepartment of Psychology, University of Oslo Source Type: research

Sexual Passion in Adolescence: Examining Its Transmission Through Mothers
. (Source: The Journal of Sex Research)
Source: The Journal of Sex Research - April 17, 2024 Category: Sexual Medicine Authors: Ashley ForbushAdam RogersDean BusbySchool of Family Life, Brigham Young University Source Type: research