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Sexually transmitted infections in men who have sex with men

机译:与男人发生性关系的男人的性传播感染

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摘要

Homosexuality is a global human phenomenon. Although the American Psychiatric Association removed homosexuality from its list of disorders more than 35. years ago, homophobia among physicians is still widely prevalent. Men who have sex with men (MSM) form a relatively new epidemiological risk group for STI. To perform correct management, clinicians evaluating men with male-male sex contacts for STI related complaints or STI screening must obtain a thorough sexual history. Emerging STI like lymphogranuloma venereum, hepatitis C, and multidrug resistant N. gonorrhea strains have been described first in MSM. STI related proctitis often occur in MSM. Within the MSM population, HIV positive patients form a special group affected by STI related diseases, such as anal carcinoma and neurosyphilis. The final part of this review concludes with recommendations to reduce the STI burden in MSM.
机译:同性恋是一种全球性的人类现象。尽管美国精神病学协会在35年前将同性恋从其疾病列表中删除,但医生中的同性恋恐惧症仍很普遍。与男性发生性关系(MSM)的男性构成了相对较新的性传播感染流行病风险组。为了进行正确的管理,对男男性接触者进行性传播感染相关投诉或性传播感染筛查的临床医生进行评估,必须获得彻底的性病史。 MSM首先描述了诸如性淋巴肉芽肿,丙型肝炎和耐多药性淋病奈瑟菌等新兴性传播疾病。 STI相关的直肠炎常发生在MSM中。在MSM人群中,HIV阳性患者是受STI相关疾病(如肛门癌和神经梅毒)影响的特殊人群。审查的最后部分以减少MSM中的STI负担的建议作为结尾。

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