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== Epidemiology == * '''Most common bacterial STI in the US (descending order):''' *# '''Chlamydia''' *# '''Gonorrhea''' * '''Risk factors (4):''' *# '''Number of lifetime sex partners''' *# '''Unprotected sex without use of a condom''' *# '''Risky sex partners''' *# '''Effect of alcohol or drugs on sexual decision making''' * Centers for Disease Control and Prevention Screening Recommendations ** Females *** Annual chlamydia screening for all sexually active women age β€ 25, as well as for women with risk factors such as new or multiple sex partners. *** Annual gonorrhea screening for at-risk sexually active women, including women with new or multiple sex partners, or women who are living in areas with high rates of disease. *** Syphilis, HIV, and chlamydia screening for all pregnant women, and gonorrhea screening for at-risk pregnant women starting early in pregnancy, with repeat testing as needed. ** Males *** At least once-per-year screening for syphilis, chlamydia, gonorrhea, and HIV for all sexually active gay, bisexual, and other men who have sex with men (MSM). *** Men who have multiple or anonymous partners should be screened more frequently for STIs, at 3- to 6-month intervals. More frequent screening is also recommended for MSM who use illicit drugs, particularly methamphetamine, or whose sex partners use them. * '''Reportable diseases in every US state (5):''' *# '''Chlamydia''' *# '''Gonorrhea''' *# '''Syphilis''' *# '''Chancroid''' *# '''HIV/AIDS'''
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