Fully 8% of participants in the Contraceptive CHOICE Project had at least one STD, and many of these women fell outside screening guidelines.
Screening for sexually transmitted diseases (STDs) is recommended routinely among women younger than 26 and among older women with symptoms or behavioral risk factors. Investigators in St. Louis offered STD screening to all women participating in the Contraceptive CHOICE Project (NEJM JW Womens Health Apr 21 2011).
Among 8347 women (age range, 14–45), 656 (8%) tested positive for STDs: 3.0% for chlamydia, 0.4% for gonorrhea, and 5.0% for Trichomonas vaginalis. Rates of all infections were substantially higher among black women (odds ratio, 4). Chlamydia was more common among younger women, whereas Trichomonas was more common among older women.
Reviewing Author
DisclosuresConsultant/Advisory BoardAicuris; Bayer; GSK; Innovative Molecules; Merck; MAPP Biopharmaceutical (Safety Monitoring Committee)
RoyaltiesUpToDate
Grant/Research SupportNIH/National Institute of Allergy and Infectious Diseases; GSK; Moderna; Assembly Biomedical; Aicuris
Editorial BoardsSexually Transmitted Diseases; Sexually Transmitted Infections; Journal of Infectious Diseases
Leadership PositionsID Division Chiefs Community of Practice (At-Large Member)
DisclosuresConsultant/Advisory BoardAicuris; Bayer; GSK; Innovative Molecules; Merck; MAPP Biopharmaceutical (Safety Monitoring Committee)
RoyaltiesUpToDate
Grant/Research SupportNIH/National Institute of Allergy and Infectious Diseases; GSK; Moderna; Assembly Biomedical; Aicuris
Editorial BoardsSexually Transmitted Diseases; Sexually Transmitted Infections; Journal of Infectious Diseases
Leadership PositionsID Division Chiefs Community of Practice (At-Large Member)