Information on STIs

Offer patients information. Include information about the risks of STIs, symptoms and the need for immediate examination if symptoms occur, testing and treatment options (and the need for abstinence from sexual intercourse until treatment is completed), followup care, and referrals as needed. [1] Referrals should include free and low-cost testing, counseling, and treatment offered in various sections of the community. Patients should be aware of the scope of confidentiality related to information in their medical records related to STIs.[2] The level of detail needed when providing this information verbally varies (e.g., some patients may be aware of risks and want treatment, while others may not be as knowledgeable of risks or their options).


[1] Drawn partially from Sexually Transmitted Diseases Treatment Guidelines, 2002, p. 70.
[2] Laws in all States limit the evidentiary use of a patient’s prior sexual history, including evidence of previously acquired STIs, as part of an effort to undermine the credibility of a patient’s testimony. Evidentiary privilege against revealing any aspect of the exam or treatment is enforced in most States. In unanticipated, exceptional situations, however, STI diagnoses may later be accessed. (Sexually Transmitted Diseases Treatment Guidelines, 2002, p. 69.)


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