Prevention of sexually transmitted diseases

Casual sexual contacts place the traveller at risk of contracting a serious, perhaps fatal, sexually transmitted disease (STD). The common STDs especially prevalent in South-East Asia and Africa are non-specific urethritis, gonorrhoea (especially penicillin-resistant strains), hepatitis B, and syphilis. HIV infection is a rapidly increasing problem, with heterosexual transmission common in Africa and in South-East Asia. Unusual STDs such as lymphogranuloma venerum, chancroid and donovanosis are encountered more commonly in tropical developing countries. A practical rule is to assume that all 'at risk' travellers are both ignorant and irresponsible and advise accordingly.


Abstinence or take your partner (condoms and diaphragms do not give absolute protection)

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