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STIs in the US Complications of untreated STIs: - upper genital tract infections - infertility, cervical cancer - enhanced transmission of HIV Satterwhite CL, et al. Bacterial Vaginosis (BV) Polymicrobial clinical syndrome resulting from replacement of normal hydrogen peroxide- producing Lactobacillus species with anaerobic bacteria Prevotella, Mobiluncus, G. PID Minimum diagnostic criteria Women at risk for STDs experiencing pelvic or lower abdominal pain, if no cause for the illness can be identified, and one or more of the following are present on pelvic examination: ? CMT ? Uterine tenderness ? Adnexal tenderness Treat empirically Screen all PID pts for N.


Genital HSV Primary (initial) infection numerous bilateral painful lesions more severe, last longer, and have higher titers of virus than recurrent infections.



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