Emerging Sexual Health Issues Among Women Who Have Sex with Women |
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Authors: | Jeanne M Marrazzo Linda M Gorgos |
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Institution: | 1.Department of Medicine, Division of Allergy & Infectious Diseases,University of Washington,Seattle,USA;2.Infectious Disease Bureau, Public Health Division, New Mexico Department of Health,Santa Fe,USA;3.Harborview Medical Center, Division of Infectious Diseases,Seattle,USA |
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Abstract: | Women who have sex with women (WSW) comprise a diverse group of people who evidence a spectrum of sexual identity, sexual
behaviors, sexual practices, and risk behaviors. WSW are at risk of acquiring a diversity of sexually transmitted infections
(STIs) from current and prior partners, both male and female. Notably, human papillomavirus (HPV) is sexually transmitted
between female partners, and Pap smear guidelines should be followed in this group. Bacterial vaginosis is common among WSW.
WSW should not be presumed to be at low or no risk for STIs based on sexual orientation, and reporting of same sex behavior
by women should not deter providers from considering and performing screening for STIs, including Chlamydia trachomatis, according to current guidelines. Effective delivery of sexual health services to WSW requires a comprehensive and open discussion
of sexual and behavioral risks, beyond sexual identity, between care providers and their female clients. |
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