Warts are caused by infection with human papilloma virus (HPV). So far more than 50 HPV genotypes have been described. Several genotypes are well characterised as occurring mainly in the genital tract causing various lesions including venereal warts or condylomata acuminata and microscopic changes in the epithelium of the cervix, vagina, vulva, penis or rectum. [...]

Lymphogranuloma venereum (LGV) is caused by Chlamydia trachomatis (serotypes LI, L2 and L3) and is characterised by inguinal lymphadenopathy (buboes) and rectal strictures. Highest prevalence is in the tropics. LGV is rarely diagnosed in Australia but may be seen in people who have come from Asia or Africa. It may be underreported and misdiagnosed because [...]

The diagnosis of chlamydia is commonly presumptive but should be confirmed using laboratory tests. Direct detection using commercially available immunofluorescence or ELISA monoclonal antibody techniques permits rapid diagnosis. False positive and negative results occur; false positive results can be a problem, particularly in patients who deny risk of sexually transmitted infection. Results must be interpreted [...]

Urethritis may present with urethral discharge, tingling, itchiness and dysuria. Posterior urethritis may cause frequency and urgency. The discharge may be watery or sticky or thick and pumlent If the discharge is frankly purulent, the infection is more likely to be gonococcal. Meatal inflammation may be present particularly in gonococcal urethritis. The infection may progress [...]

The importance of pelvic inflammatory disease and its relationship to sexually transmitted infections, particularly gonorrhoea and chlamydia, are more clearly recognised. STDs such as donovanosis, chancroid and lymphogranuloma venereum mainly occur in tropical countries. Donovanosis is commonly seen in Papua New Guinea and is a common cause of ulcerative genital lesions in Aborigines in northern [...]

Other women, who have a great desire to be helped to orgasm by cunnilingus, are reluctant to ask their sexual partner to do this, as they feel he will find the taste, or the smell, or the position offensive and indecent. You should tell your partner that you are neither embarrassed nor revolted if she [...]

The myth that, to be normal, a woman must have an orgasm during intercourse has to be destroyed. Although only 40 per cent of women reach orgasm during sexual intercourse, more than 90 per cent can be helped to orgasm by masturbation or by their partner stimulating the clitoral area either with finger or tongue. [...]

There is a difference in the response of men and women during the resolution phase. Men, with few exceptions, need a period of rest before they are able to respond again to sexual stimuli and to reenter the excitement phase. This is called the refractory period. After orgasm, a man’s penis, at first painfully sensitive [...]

Men are sexually aroused more readily and need sex more often than women The response, both mental and physical, to sexual stimulation follows a similar pattern in both men and women. There are variations, of course, and an uninhibited response is rare, for we are conditioned, all of us, by our childhood upbringing, and by [...]

The surveys confirm that most teenagers see nothing morally wrong in pre-marital sexual intercourse, and an increasing proportion of teenage men and, especially, of women are sexually active. This presumes that there has been a reduction in the ‘double standard’ of sexuality and that women increasingly feel that they have equal sexual desires, needs, and [...]