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  • Book
    Sophia A. Hussen, editor.
    Summary: This book is designed to present a comprehensive and state-of the-art update that covers the pathophysiology, epidemiology, and clinical presentation of the most frequently encountered STIs in adolescence and young adulthood. The introductory sections discuss more general themes including approaches to obtaining a sexual history and exam, concerns of sexual minority youth, ethical and legal considerations, and health disparities in STIs in this population. Subsequent chapters are organized by pathogen such as herpes simplex virus, and human immunodeficiency virus, or clinical syndrome including pelvic inflammatory disease, and vaginitis. Each chapter begins with a case study to illustrate key characteristics of the disease process in question and includes rich illustrations, resources, and guidelines. Written by experts in the field, the text includes a review of epidemiology, pathophysiology, treatment, prevention, and adolescent-specific considerations that is vital to working with this important population. With its transdisciplinary perspective, Sexually Transmitted Infections in Adolescence and Young Adulthood is a unique text that is valuable to infectious disease specialists, adolescent medicine specialists, gynecologists, primary care physicians, advanced practice providers, medical administrative staff, school nurses, sexual health educators, social workers, and public health officials.

    Contents:
    Intro
    Preface
    Acknowledgements
    Contents
    Contributors
    Part I: Considerations in the Care of Sexually Active Adolescents
    Chapter 1: Approach to the Sexual History and Physical Exam
    Sexual History
    General Approach
    Parental Involvement in the Visit
    Critical Questions to Ask
    Physical Exam
    References
    Chapter 2: Care of Sexual and Gender Minority Adolescents
    Definitions and Epidemiology
    Approach to Sexual Healthcare with Sexual and Gender Minority Youth
    Creating a Welcoming Environment
    Setting the Stage for Confidentiality, Nonjudgment, and Honesty Taking a Sexual History
    Physical Examination
    Sexual Health Considerations in Sexual and Gender Minority Youth
    Human Immunodeficiency Virus
    Chlamydial and Gonococcal Infections
    Syphilis
    Hepatitis
    HPV
    Bacterial Vaginosis
    Use of Toys
    Contraception and Family Planning
    Case Discussion
    Conclusion
    References
    Chapter 3: Racial Disparities in STIs Among Adolescents in the USA
    Differences in Sexual Risk Behaviors
    Differences in STI Risk Among Sexual Networks
    SES-Related Inequities Disproportionately Experienced by Minorities That Reduce Access/Care SES/Racial Inequities Indirectly Increase STIs Through Psychosocial/Behavioral Mechanisms
    SES/Racial Inequities That Directly Increase STI Susceptibility Through Biological Stress Regulatory Systems
    Conclusion
    References
    Chapter 4: Ethical and Legal Considerations in STI Treatment for Adolescents
    Minor Status
    Emancipation
    Mature Minors
    Exceptions for Sexually Transmitted Infections
    Confidentiality
    Case Conclusion
    References
    Part II: Common Clinical Syndromes
    Chapter 5: Vaginitis and Cervicitis
    Introduction
    Normal and Abnormal Physical Exam Bacterial Vaginosis
    Epidemiology
    Pathophysiology
    Diagnosis
    Treatment
    Pregnancy Considerations
    Vulvovaginal Candidiasis
    Epidemiology
    Pathophysiology
    Diagnosis
    Treatment
    Pregnancy Considerations
    Trichomoniasis
    Non-infectious Causes of Vaginitis
    Foreign Body
    Vulvar Vestibulitis
    Allergic Vaginitis
    Cervicitis
    Epidemiology
    Diagnosis
    Treatment
    Pregnancy Considerations
    Case Conclusion
    References
    Chapter 6: Pelvic Inflammatory Disease
    Syndrome Description
    Risk Factors
    Immune System and PID
    IUD and PID
    PID Symptomatology Normal and Abnormal Physical Examination
    Differential Diagnosis
    Treatment
    Prevention
    Screening Programs
    Education
    Other Prevention Strategies
    Other Considerations
    HIV and PID
    Incarceration
    Lesbian, Bisexual, and Transgender Youth
    Sexual Violence
    Other PID Correlations
    Case Conclusion
    References
    Chapter 7: Urethritis
    Syndrome Description
    Normal and Abnormal Physical Examination
    Differential Diagnosis
    Diagnosis
    Treatment
    Nongonococcal Urethritis (NGU)
    Gonococcal Urethritis
    General Instructions to Patient
    Follow-Up
    Digital Access Springer 2020