Sexually Transmitted Diseases

Sexually Transmitted Diseases present a major public health challenge. Over 25 diseases can be transmitted through sexual activity, and effective treatment, especially where long term infection can lead to further health problems, and in women infertility, requires good diagnostic skills and understanding of the best treatment methods. This book aims to give a practical guide to diagnosis and treamtent in a patient-centred framework, with care at the heart of the book.

The aim of the Gynecology in Practice Series is to provide a clinical 'in the office' or 'at the bedside' guide to effective patient care for gynecologists. The tone will be practical, not academic. The working assumption is that readers want to know what (and what not) might or should be done, without over emphasis on the why. That said, it is important to review the crucial basic science necessary for effective diagnosis and management, and to provide reminders in the context of the practical chapters.

The books will not be heavily referenced, in line with a more practical approach. This allows for smoother reading (and also relieves the burden of comprehensive citing from authors). Key evidence (clinical trials, Cochrane or other meta analyses) should be summarized in 'Evidence at a Glance' boxes and key references such as reviews, major papers can be provided in the 'selected bibliography' at the end of each chapter.

Practical guidance will be provided through:

• the use of algorithms and guidelines where they are appropriate
• 'Tips and Tricks' boxes – hints on improving outcomes perhaps via practical technique, patient questioning etc
• 'Caution' warning boxes – hints on avoiding problems, perhaps via contraindications
• 'Science Revisited' – quick reminder of the basic science principles necessary for understanding

1 Standard Clinical Evaluation 1
Richard H. Beigi

2 Specific Considerations for Pediatric and Adolescent Patients 4
Eduardo Lara-Torre

3 Cervicitis and Pelvic Inflammatory Disease 14
Oluwatosin Jaiyeoba and David E. Soper

4 Genital Herpes Simplex Infections in Women 26
Carolyn Gardella

5 Syphilis Infection in Women 36
Katherine M. Holman and Alice Goepfert

6 Chancroid and Lymphogranuloma Venereum 45
Tracy L. Lemonovich and Robert A. Salata

7 Bacterial Vaginosis 54
Jeanne M. Marrazzo

8 Trichomonas Vaginalis 64
Ravindu Gunatilake and R. Phillip Heine

9 Vulvovaginal Candidiasis, Desquamative Inflammatory Vaginitis, and Atrophic Vaginitis 72
Jack D. Sobel

10 Human Papillomavirus 85
Suzanne M. Garland

11 Ectoparasites: Pediculosis Pubis and Scabies 96
Amber Naresh and Richard H. Beigi

12 Dermatological Conditions and Noninfectious Genital Ulcers 104
Kathleen McIntyre-Seltman

13 Vulvodynia 116
Glenn Updike

14 Vulvar Cancer 127
Ashlee Smith and Kristin K. Zorn

15 Different Manifestations and Implications of Sexually Transmitted Infections and Vagnitides in Pregnancy 135
Noor Niyar N. Ladhani and Mark H. Yudin

16 Treatment of Sexually Transmitted Infections in Pregnancy 150
Silvia T. Linares and Lisa M. Hollier

17 Prevention of Sexually Transmitted Diseases 161
Michelle H. Moniz and Richard H. Beigi

Index 171