STD STIGMA MAY AFFECT MANAGEMENT; COOPERATION ESSENTIAL

The diagnosis of STD carries a stigma which must be taken into account in the management of each case. When STDs are acquired through homosexual contact, homosexuality may be an additional stigma. The emergence of HIV infection and AIDS has added a further dimension to the difficulties experienced by homosexual patients.

The control of STDs is impossible without the cooperation of patients. Rapport must be established between patient and medical practitioner and this will require tact and tolerance. The practitioner must appear to be comfortable in dealing with sexual matters and prepared to accept the patient’s disclosures without being judgmental.

Patients will need reassurance about confidentiality. They should be advised of the investigations required and of the legal requirements relating to notification to State or Territory authorities. Ground roles relating to the tracing of contacts should be set. If the patient is a child, the practitioner must consider the need to advise parents or a child abuse agency.

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