Sexually transmitted infections in women with disabilities: diagnosis, treatment, and prevention: a review.

摘要

BACKGROUND AND OBJECTIVES: Women with disabilities can and do contract sexually transmitted diseases (STDs). However, because of access barriers, attitudinal misconceptions, and lack of awareness of their risk status, these infections may go under or undiagnosed. GOAL: To address issues regarding the treatment of women with disabilities and to suggest ways in which the patient and the provider can work together for a positive outcome. STUDY DESIGN: A literature review was performed using recent textbooks, publications, and medical journals to collect information regarding the health behaviors of women with disabilities and sexually transmitted disease symptom manifestations, which may differ in this population. The Physicians Desk Reference was consulted to assemble information on medical selection. RESULTS: The treatment of STDs in women with disabling conditions presents diagnostic and therapeutic challenges to clinicians, because symptoms may be confusing and may mimic manifestations of underlying disorders. Women with spinal cord injury may be at risk for the development of autonomic activation as a sign of STDs. CONCLUSION: To enhance compliance with medication regiments, the limitations of the patient should be considered. Furthermore, women with disabilities are at high risk for sexual abuse; therefore, the presence of an STD may be of special concern. Developing good communication with the patient will enable the clinician to work with her to sort out symptoms, design therapeutic regiments, and to help protect her from abuse.