Sexually Transmitted Infection Considerations Following Sexual Assault

Karley Dutra, Ariana L. Lewis, Rachel Counts

Research output: Contribution to journalArticlepeer-review

Abstract

Sexual assault is common, disproportionately impacting women, persons of color, and young adults. Evaluation should include a history and exam, collection of forensic evidence, and evaluation for mental health disorders. Management of sexually transmitted infections (STI) is important, as 15% will acquire an STI. Prophylaxis is recommended for gonorrhea, chlamydia, and, for individuals with vaginas, trichomonas. HIV and hepatitis B post-exposure prophylaxis are indicated in high-risk scenarios. HPV vaccination is recommended. Follow-up and lab monitoring is indicated for up to 6 months. We aim to summarize up-to-date evidence on the screening, evaluation, and management of STIs following sexual assault.

Original languageEnglish (US)
Pages (from-to)223-231
Number of pages9
JournalClinical Obstetrics and Gynecology
Volume68
Issue number2
DOIs
StatePublished - Jun 1 2025

Keywords

  • HIV post-exposure prophylaxis
  • chlamydia
  • gonorrhea
  • sexual assault
  • sexually transmitted infections
  • trauma-informed care

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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