Contents
Pagebreaks of the print version
OXFORD MEDICAL PUBLICATIONS
Oxford Handbook of
Genitourinary
Medicine, HIV,
and Sexual Health
Published and forthcoming Oxford Handbooks
Oxford Handbook for the Foundation Programme 4e
Oxford Handbook of Acute Medicine 3e
Oxford Handbook of Anaesthesia 4e
Oxford Handbook of Cardiology 2e
Oxford Handbook of Clinical and Healthcare Research
Oxford Handbook of Clinical and Laboratory Investigation 4e
Oxford Handbook of Clinical Dentistry 6e
Oxford Handbook of Clinical Diagnosis 3e
Oxford Handbook of Clinical Examination and Practical Skills 2e
Oxford Handbook of Clinical Haematology 4e
Oxford Handbook of Clinical Immunology and Allergy 3e
Oxford Handbook of Clinical Medicine Mini Edition 9e
Oxford Handbook of Clinical Medicine 10e
Oxford Handbook of Clinical Pathology
Oxford Handbook of Clinical Pharmacy 3e
Oxford Handbook of Clinical Specialties 10e
Oxford Handbook of Clinical Surgery 4e
Oxford Handbook of Complementary Medicine
Oxford Handbook of Critical Care 3e
Oxford Handbook of Dental Patient Care
Oxford Handbook of Dialysis 4e
Oxford Handbook of Emergency Medicine 4e
Oxford Handbook of Endocrinology and Diabetes 3e
Oxford Handbook of ENT and Head and Neck Surgery 2e
Oxford Handbook of Epidemiology for Clinicians
Oxford Handbook of Expedition and Wilderness Medicine 2e
Oxford Handbook of Forensic Medicine
Oxford Handbook of Gastroenterology & Hepatology 2e
Oxford Handbook of General Practice 4e
Oxford Handbook of Genetics
Oxford Handbook of Genitourinary Medicine, HIV, and Sexual Health 2e
Oxford Handbook of Geriatric Medicine 3e
Oxford Handbook of Infectious Diseases and Microbiology 2e
Oxford Handbook of Integrated Dental Biosciences 2e
Oxford Handbook of Humanitarian Medicine
Oxford Handbook of Key Clinical Evidence 2e
Oxford Handbook of Medical Dermatology 2e
Oxford Handbook of Medical Imaging
Oxford Handbook of Medical Sciences 2e
Oxford Handbook for Medical School
Oxford Handbook of Medical Statistics
Oxford Handbook of Neonatology 2e
Oxford Handbook of Nephrology and Hypertension 2e
Oxford Handbook of Neurology 2e
Oxford Handbook of Nutrition and Dietetics 2e
Oxford Handbook of Obstetrics and Gynaecology 3e
Oxford Handbook of Occupational Health 2e
Oxford Handbook of Oncology 3e
Oxford Handbook of Operative Surgery 3e
Oxford Handbook of Ophthalmology 4e
Oxford Handbook of Oral and Maxillofacial Surgery 2e
Oxford Handbook of Orthopaedics and Trauma
Oxford Handbook of Paediatrics 2e
Oxford Handbook of Pain Management
Oxford Handbook of Palliative Care 3e
Oxford Handbook of Practical Drug Therapy 2e
Oxford Handbook of Pre-Hospital Care
Oxford Handbook of Psychiatry 3e
Oxford Handbook of Public Health Practice 3e
Oxford Handbook of Rehabilitation Medicine 3e
Oxford Handbook of Reproductive Medicine & Family Planning 2e
Oxford Handbook of Respiratory Medicine 3e
Oxford Handbook of Rheumatology 4e
Oxford Handbook of Sport and Exercise Medicine 2e
Handbook of Surgical Consent
Oxford Handbook of Tropical Medicine 4e
Oxford Handbook of Urology 4e
Great Clarendon Street, Oxford, OX2 6DP,
United Kingdom
Oxford University Press is a department of the University of Oxford. It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries
Oxford University Press 2019
The moral rights of the authors have been asserted
First Edition Published as Oxford Handbook of Genitourinary Medicine, HIV, and
AIDS 2005
Second Edition Published in 2010
Third Edition Published in 2019
Impression: 1
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above
You must not circulate this work in any other form
and you must impose this same condition on any acquirer
Published in the United States of America by Oxford University Press
198 Madison Avenue, New York, NY 10016, United States of America
British Library Cataloguing in Publication Data
Data available
Library of Congress Control Number: 2018962016
ISBN 9780198783497
eISBN 9780191086250
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding
Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work.
Contents
This Handbook is a comprehensive guide to all aspects of sexual health. Reflecting the mainstream move to provide integrated sexual health services, this Handbook provides a one-stop shop of information. It provides up-to-date, evidence-based guidance on diagnostics and management in genitourinary medicine, HIV, and contraception. A holistic approach to sexual health is emphasized with information on genital pain, psychological aspects, prevention, and sociocultural issues (including sections on child sexual exploitation and female genital mutilation). Although primarily aimed at those working in UK services, it is also envisaged to be of global use to all those with an interest in sexual health, whatever their level of expertise and wherever they may practice.
People with sexual health concerns or those with HIV may present first to primary care services or to healthcare professionals working in a wide variety of specialties. It is intended that the concise information in this book will address the needs of both specialists and generalists working across these different settings.
With 2017 seeing the centenary of sexual health service provision, free at the point of care, in the UK, we continue to see service provision evolve. The last 100 years have seen a plethora of changes and we continue to see more. Changes to previous editions include a chapter as an introduction to gender diversity to provide a useful background to ensure trans, including non-binary, people are able to access appropriate sexual healthcare. The HIV management chapter has been overhauled to reflect significant developments in treatment recommendations. Changes in practice in relation to developments in diagnostics for, and treatment of,