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Male Sexual Disorders: Sexually Transmitted Infections
Roland Newman1, Benjamin Silverberg2, Michael Partin1
1Department of Family and Community Medicine - Penn State Health Milton S. Hershey Medical Center, Hershey, PA.
Abstract:
Sexually transmitted infections (STIs) in men can be caused by bacteria, viruses, or parasites. Patients present primarily with urethritis or skin manifestations. The most common STIs affecting men include gonorrhea; chlamydia; Mycoplasma and Ureaplasma infections; trichomoniasis; syphilis; chancroid; mpox (monkeypox); and infections with human papillomavirus; herpes simplex virus; hepatitis A, B, and C viruses; and HIV. Primary and secondary prevention strategies include vaccination, preexposure prophylaxis, condom use, and routine screening to reduce transmission and improve clinical outcomes. A thorough sexual history should be obtained from patients using the Centers for Disease Control and Prevention's 5Ps framework (ie, partners, practices, protection from STIs, past history of STIs, pregnancy intention). The National Coalition for Sexual Health has suggested a sixth P-plus-that represents pleasure, problems, and pride. The latest recommendations for prevention measures include doxycycline postexposure prophylaxis (doxy PEP) for certain high-risk groups.
Insights
Preventing sexually transmitted infections (STIs) in men involves vaccination, condoms, screening, and new strategies like doxycycline postexposure prophylaxis (doxy PEP) for high-risk individuals.
Area of Science:
- Infectious Diseases
- Public Health
- Men's Health
Background:
- Sexually transmitted infections (STIs) present with urethritis or skin issues in men.
- Common STIs include gonorrhea, chlamydia, syphilis, mpox, HPV, HSV, hepatitis viruses, and HIV.
- Effective prevention is crucial for reducing transmission and improving outcomes.
Purpose of the Study:
- To outline common STIs in men.
- To detail primary and secondary prevention strategies.
- To highlight updated recommendations for STI prevention.
Main Methods:
- Review of common bacterial, viral, and parasitic STIs in men.
- Discussion of established prevention methods: vaccination, preexposure prophylaxis, condom use, and screening.
- Incorporation of sexual history frameworks (5Ps and 6Ps) and new prophylactic measures (doxy PEP).
Main Results:
- Identified prevalent STIs such as gonorrhea, chlamydia, syphilis, mpox, HPV, HSV, hepatitis, and HIV.
- Emphasized the importance of vaccination, condom use, and routine screening.
- Highlighted doxycycline postexposure prophylaxis (doxy PEP) as a recent preventive measure for specific populations.
Conclusions:
- Comprehensive prevention strategies are essential for managing STIs in men.
- Utilizing sexual history frameworks aids in risk assessment and prevention.
- Emerging interventions like doxy PEP offer new avenues for reducing STI transmission.
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