Sexually Transmitted Infections (STIs) – General Perspective

  1. Introductory Notes

The syndromic approach of control of STIs and their sequelae is based on the identification of a syndrome (a group of symptoms and easily recognised signs associated with a number of well defined etiologies).

Though this approach is occasionally inaccurate and incomplete it is more preferred, especially in developing countries, as the alternative of the Laboratory diagnosis approach tends to be complicated, overly expensive and often leads to delayed treatment.

2. Symptoms and Signs

With time.

3. Diagnosis

Take history that includes the following:

  • Current symptoms
  • Sexual history
  • Sexual orientation
  • Type of sexual activity (oral, vaginal, anal sex)
  • Pregnancy
  • Use of contraceptives among others.

Ano-genital examination.

4. Management

Treatment of the STIs must encompass the following 4Cs:

  • Compliance with the full drug course and follow-up
  • Counselling on the safer sexual behaviour
  • Condoms (proper use)
  • Contact tracing, partner treatment and notification

Read more on the different STIs: