THE SEXUAL HEALTH OF TRAVELERS
1998; Elsevier BV; Volume: 12; Issue: 2 Linguagem: Inglês
10.1016/s0891-5520(05)70011-8
ISSN1557-9824
Autores Tópico(s)Adolescent Sexual and Reproductive Health
ResumoSex and travel do not infrequently coincide as pleasurable occupations. This articles explores the possible risks of unsafe sexual activity in a travel-related context, gives guidelines on how to decrease risks for both partners, and outlines how to manage the exposed or infected traveler on his or her return home. Both sexually transmitted infections and contraception are covered.Travel and tourism are associated with an increased risk of sexually transmitted infections (STIs) and unwanted pregnancy. This article offers guidelines for health professionals on pre-travel counseling and outlines steps in the clinical management of returning travelers who have been exposed to STIs or pregnancy. The imperative for controlling STIs is particularly urgent now that an epidemiologic link between STIs and vulnerability to HIV infection has been established. Much can be done before a trip abroad in terms of prevention, including the provision of condoms and leaflets explaining the risks of unprotected sex while on holiday or a business trip. Patients should be questioned about their sexual behaviors before, during, and after travel and those who have taken sexual risks while traveling should be offered screening for STIs. The STI-related conditions addressed in this article include vaginal discharge, lower abdominal pain, urethral discharge, scrotal pain, genital ulcer disease, inguinal bubo, and genital warts. Recommended treatment regimens for the most prevalent reproductive tract infections are outlined.
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