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Sexually transmitted diseases (STDs) represent a substantial public health concern, particularly among patients seeking care in gynecological and obstetric settings. While "classic venereal diseases," including syphilis, gonorrhea, chancroid, and lymphogranuloma venereum, continue to be prevalent in developing countries, their incidence has notably decreased in developed regions. In contrast, infections such as hepatitis B, HIV/AIDS, genital herpes, Chlamydia trachomatis, and HPV are becoming increasingly significant on a global scale. It is noteworthy that many of these infections are often asymptomatic, yet they can potentially lead to serious complications, including infertility, miscarriages, and even cancer.
Each infection is addressed in dedicated chapters, which provide comprehensive information on the pathogen, incidence rates, risk factors, epidemiology, clinical features, diagnostics, complications, treatment options, and prevention strategies. The text also emphasizes the importance of these infections in obstetrics and neonatology, where relevant.
To ensure quick access to vital information, the text features numerous clear algorithms and tables for diagnostics and treatment, all aligned with the latest national and international guidelines and recommendations.
Sommario
Part I : Background.- 1. Historical Excursion: Sexually Transmitted Diseases in Gynecology and Obstetrics.- 2. What are sexually transmitted diseases?.- 3. Clinical considerations and practical procedure.- Part II : Clinical Syndromes.- 4. Vulvitis and vaginitis.- 5. Genital Discharge.- 6. Ulcerations in the anogenital area.- 7. Cervicitis.- 8. Pelvic inflammatory disease (PID).- 9. Urethritis.- 10. Pharyngitis.- 11. Proctitis.- 12. Lymphadenopathy or lymphadenitis.- Part III : "Classical" Sexually Transmitted Diseases (STD).- 13. Chancroid (Ulcus molle).- 14. Gonorrhea.- 15. Lymphogranuloma venereum (LGV).- 16. Syphilis (Lues).- Part IV : Other sexually transmitted diseases.- 17. Chlamydia trachomatis.- 18. Condylomata acuminata.- 19. Granuloma inguinale.- 20. Genital Herpes (HSV-1 and HSV-2).- 21. Mycoplasma genitalium.- 22. Sexually Transmitted Intestinal Infections.- 23. Trichomoniasis.- Part V : Sexually transmitted diseases with close skin contact.- 24. Monkeypox.- 25. Molluscum contagiosum.- 26. Non-venereal Treponematoses.- 27. Pubic lice.- 28. Scabies.- Part VI : Sexually transmitted diseases with systemic impact.- 29. Cytomegaly (CMV).- 30. Hepatitis B and D.- 31. Hepatitis C.- 32. HIV infection and AIDS.- 33. Human T-cell Lymphotropic Virus (HTLV).- 34. Zika virus.- Part VII : Possible sexually transmitted diseases.- 35. Bacterial Vaginosis.- 36. Vulvovaginal Candidosis.
