Which sexually transmitted disease (STD) testing can help with screening for HIV during pregnancy?

Updated: Apr 02, 2019
  • Author: Ashley T Peterson, MD; Chief Editor: Ronald M Ramus, MD  more...
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Answer

Answer

Screening for other maternal sexually transmitted diseases is recommended in pregnancy. For example, screening for maternal syphilis is important not only for the prevention of congenital syphilis but also because maternal syphilis has been associated with an increased risk of mother-to-child transmission of HIV. [26]

Vaginal speculum examination should be performed to obtain cervical cytology smear and assays for gonorrhea and chlamydia as vaginal swabs are preferred over testing other sites in HIV-infected individuals. All sexually transmitted diseases should be treated promptly. Genital warts and vulvar intraepithelial neoplasia are more common among HIV-seropositive than HIV-seronegative women, but wart regression is as common in women with HIV as those without and cancer is infrequent. [27] Women infected with HIV have a higher incidence of cervical dysplasia.


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