Patients with multiple sexual partners are at high risk for sexually transmitted infections. The use of a condom during vaginal or anal sex, and a dental dam during oral sex, can protect an individual against STIs by preventing contact with body fluids or an infectious lesion.
One STD puts patient at high reisk of another STD hence screening is indicated,
Pelvic inflammatory disease (PID)
Vaginitis from tichomonaisis is considered an std
Notify the patient's two sexual partners of his diagnosis (Choice D) would violate the Health Insurance Portability and Accountability Act (HIPAA) and ethically would violate the confidentiality expected within the physician-patient relationship. The patient should be encouraged to disclose the results to his partners; partners should be tested and treated as well.
Notify the public health department of the patient's diagnosis (Choice E) is incorrect. Certain diseases constitute reportable conditions. Examples may include syphilis, measles, smallpox, and HIV, though reporting requirements vary by state. Genital herpes is not a reportable disease in the United States.
Since Neisseria gonorrhoeae infection is a reportable disease, the physician is required to report the case to a public healthofficial. Ideally, all of the patient's sexual partners within the past 60 days should be informed (either by the patient or by the public health official, but not by the physician!), evaluated for gonococcal infection, and treated if positive. Alternatively, the physician could provide expedited partner therapy (EPT), especially if the likelihood of follow-up is low.