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msm may have higher sti rates than other men; however, the difference is not known, and may be decreasing (99). msm should be evaluated and treated for other stis as needed (99). msm who are hiv-positive should be educated regarding the contribution of other stis (496); msm who are negative for hiv should be screened for stis, including hpv (497). prep should be offered to all msm who are not already at risk for hiv infection (536). msm who are known to be at high risk for hiv (98) should be offered oral prep. cdc recommends the following: msm who would be offered prep and who have not been offered prep should be offered prep, if prep is available for their use (198); msm who would not be offered prep should not be offered prep (198).


health care providers should ensure that facility access to hiv infection diagnosis, treatment, and preventive services are as routine and consistent as possible (521) to further reduce risk for hiv transmission and the risk for sti transmission in the case of an hiv-positive index case (522). in facilities where testing and treatment are available (521), facility access should be easy to obtain (522). for persons who are asymptomatic (523), health care providers 


adult circumcision is associated with decreased acquisition of hsv-2 and other stis, including hiv (622,624). circumcision has been shown to reduce the transmission of hsv-2 by a median of 70% (26%-90%), depending on the prevalence of genital herpes in the uncircumcised population (577). population-based studies demonstrate that adult circumcision decreases the incidence of hsv-2 infection by as much as 84% (280). adult male circumcision has been associated with decreases in acquisition of hiv (29%-86%), acquisition of hsv-2 (37%-87%) and syphilis (630), and acquisition of chancroid (630) and urethral gonorrhea (630). surveys of adult men demonstrate that the majority of uncircumcised men are aware of the prevention benefits of circumcision (427,629). 84d34552a1