Journal
COLOPROCTOLOGY
Volume 43, Issue 2, Pages 92-96Publisher
SPRINGER
DOI: 10.1007/s00053-021-00523-7
Keywords
Anal intercourse; Sexually transmitted diseases; Proctitis; HIV pre-exposure prophylaxis; Prevention
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In Germany, a high percentage of men and women have engaged in condomless sex, with anal intercourse being a common practice. Anal sexually transmitted infections are often overlooked, highlighting the need for improved diagnosis and treatment standards, as well as expanded free testing services.
Last year, 88% of men and 86% of women in Germany had condomless sex at least once. Anal intercourse is a widespread practice. Not only chlamydial proctitis, but also anal gonococcal infections and manifestations of syphilis are often not diagnosed. In addition, asymptomatic infections lead to a further spread of these diseases. As part of HIV pre-exposure prophylaxis, risk-adapted screening for sexually transmitted infections (STI) is carried out regularly. There is no awareness for anal sexually transmitted infections (STI) in the general population, including physicians. Standards for diagnosis and a guideline-based therapy should be established. Free risk-adapted testing services should be expanded.
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