Approach

STI/Sexual History

• Site of contact = Site for testing (swabs)

  

Physical Exam

STI Skin Lesions

Screening

Routine STI Screening → If you are testing for one, test for all

Consider

• Can this STI lead to !PID?

Reporting

• Some are Reportable

Risk Factors

• Age
  • Adolescents (Puberty) (<25 and sexually active)
• Oral unprotected:
  • Syphilis
• Cis-gender, heterosexual woman, POC
• 2SLGBTQ+
  • Rimming → MSM → higher risk for Viral Hepatitis (HAV) or other FOC diseases
  • Anal intercourse → higher risk for HIV Infection
• Intersecting factors:
  • ‣ , Non-IV DU (Substance Use)

Sample collection

• Swabs: sample all sites of contact, self-collected is better

  • Genital → Vagina

  • Anal → Rectum

  • Oral → Pharynx

    

• Blood Samples: for viral serology

  

Anatomical Approach