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Sexually transmitted infections in women who have sex with women.

机译:与女性发生性关系的女性中的性传播感染。

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OBJECTIVES: To describe the prevalence of sexually transmitted infection (STIs) in a sample of women who have sex with women (WSW) and to identify risk factors for the acquisition of STI. METHOD: Cross sectional survey. Questionnaire for demographic, sexual history, and sexual practice data linked with the results of genitourinary examination. 708 new patients attending two sexual health clinics for lesbians and bisexual women in London were surveyed. RESULTS: A majority of WSW reported sexual histories with men (82%). Bacterial vaginosis and candida species were commonly diagnosed (31.4% and 18.4% respectively). Genital warts, genital herpes, and trichomoniasis were infrequently diagnosed (1.6%, 1.1%, and 1.3% respectively). Chlamydia, pelvic inflammatory disease, and gonorrhoea infections were rare (0.6%, 0.3%, and 0.3% respectively) and diagnosed only in women who had histories of sex with men. CONCLUSIONS: Although we have demonstrated a low prevalence of STI, WSW may have sexual histories with menas well as women or histories of injecting drug use, and are therefore vulnerable to sexually transmitted or blood borne infections. Diagnosis of trichomoniasis, genital herpes, and genital warts in three women who had no history of sex with men implies that sexual transmission between women is possible.
机译:目的:描述与女性发生性关系的女性样本中的性传播感染(STI)的患病率,并确定获得性传播感染的危险因素。方法:横断面调查。人口统计,性病史和性行为数据调查表与泌尿生殖系统检查结果相关。调查了708名在伦敦的两家女同性恋和双性恋女性性健康诊所就诊的新患者。结果:大部分WSW报告了男性的性病史(82%)。通常诊断为细菌性阴道病和念珠菌(分别为31.4%和18.4%)。很少诊断为尖锐湿疣,生殖器疱疹和滴虫(分别为1.6%,1.1%和1.3%)。衣原体,盆腔炎和淋病感染很少见(分别为0.6%,0.3%和0.3%),并且仅在与男性有过性史的女性中被诊断出。结论:尽管我们已证明性传播感染的患病率较低,但WSW可能具有男性和女性的性病史或注射吸毒史,因此易受性传播或血液传播的感染。对三名没有与男性发生过性病史的女性进行滴虫病,生殖器疱疹和生殖器疣的诊断意味着女性之间可能发生性传播。

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