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Sexually transmitted infections in men

John R Brill1

  • 1Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Milwaukee Academic Campus, 2801 West Kinnickinnic Parkway #250, Milwaukee, WI 53215, USA. john.brill.md@aurora.org

Primary Care
|August 14, 2010
PubMed

Insights

Sexually transmitted infections (STIs) cause significant health issues and costs in the US. Early screening and new treatments, including molecular diagnostics and patient-administered therapies, are crucial for managing STIs.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Sexually transmitted infections (STIs) represent a major public health concern in the United States, leading to substantial morbidity, economic burdens, and preventable mortality.
  • STIs in men can manifest with diverse symptoms such as discharge, ulcers, papules, infestations, or systemic illness, yet a significant proportion of cases are asymptomatic.

Purpose of the Study:

  • To highlight the significant impact of STIs in the US.
  • To discuss emerging diagnostic and therapeutic advancements for STIs.
  • To advocate for integrated STI screening in primary care settings.

Main Methods:

  • Review of current literature on STI epidemiology, clinical presentation, and management.
  • Identification of novel diagnostic tools, including molecular techniques.
  • Exploration of therapeutic innovations such as single-dose antibiotics/antivirals and patient-administered treatments.

Main Results:

  • STIs contribute to considerable morbidity, high healthcare costs, and avoidable deaths annually in the US.
  • Asymptomatic presentation is common, complicating early detection and treatment.
  • New molecular diagnostic and therapeutic strategies offer promising avenues for improved STI control.

Conclusions:

  • Routine STI screening should be incorporated into all primary care practices.
  • Targeted screening efforts should prioritize high-risk individuals and those with a history of other STIs.
  • Advancements in diagnostics and therapeutics hold potential for reducing the burden of STIs.

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