title: Sexually transmitted infections in men who have sex with men.
abstract: Homosexuality is a global human phenomenon. Although the American Psychiatric Association removed homosexuality from its list of disorders more than 35years ago, homophobia among physicians is still widely prevalent. Men who have sex with men (MSM) form a relatively new epidemiological risk group for STI. To perform correct management, clinicians evaluating men with male-male sex contacts for STI related complaints or STI screening must obtain a thorough sexual history. Emerging STI like lymphogranuloma venereum, hepatitis C, and multidrug resistant N. gonorrhea strains have been described first in MSM. STI related proctitis often occur in MSM. Within the MSM population, HIV positive patients form a special group affected by STI related diseases, such as anal carcinoma and neurosyphilis. The final part of this review concludes with recommendations to reduce the STI burden in MSM.
authors.affiliation: STI Outpatient Clinic, Cluster of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Post Office Box 22700, 1100 DE, University of Amsterdam, Amsterdam, The Netherlands; Centre for Infection and Immunity Amsterdam (CINIMA) Academic Medical Centre University of Amsterdam, Amsterdam, The Netherlands; Centre for Infectious Diseases Control National Institute for Public Health and the Environment (CIb/RIVM), Bilthoven, The Netherlands. Electronic address: h.j.devries@amc.nl.
authors.forename: Henry J C
authors.initials: HJ
authors.lastname: de Vries
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology; D001005:Anus Neoplasms / Q000453:epidemiology* / Q000473:pathology / Q000821:virology; D060085:Coinfection / Q000453:epidemiology*; D021821:Communicable Diseases, Emerging / Q000453:epidemiology; D003415:Crime; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000453:epidemiology; D011349:Proctitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology