The authors recommend several ways to reduce the risk of STD transmission among heterosexuals in the US, starting with taking a sexual history and addressing risk reduction at checkups.
“Providers can encourage risk reduction through addressing the benefits of condom use, abstinence and reducing the number of sex partners, and pre-exposure HPV vaccination,” they wrote.
Although neither the CDC nor the US Preventive Services Task Force recommends it, the authors also suggested pharyngeal and rectal screening for STDs in high-risk individuals such as those who report condom-less sex with multiple partners.
“More frequent screening of extragenital sites among high-risk heterosexuals may have the potential to interrupt STD and HIV transmission,” they concluded.
• Nationwide survey found low rates of condom use during oral and anal sex among US heterosexuals
• While rates of multiple sexual partners were low, teens, never/formerly married people, and those with a non-monogamous partner had higher percentages of multiple sex partners in the past year
• Tailored messaging to heterosexuals and addressing sexual health during checkups may decrease STD risk among heterosexuals
• Providers may consider screening for extragenital infections in high-risk individuals
1. Habel MA, Leichliter JS, Dittus PJ, et al. Heterosexual anal and oral sex in adolescents and adults in the United States, 2011-2015. Sex Transm Dis. 2018 Jun 29. doi: 10.1097/OLQ.0000000000000889.