Sexually transmitted infections and the vaginal microbiome after vaginoplasty.
Curr Opin Urol
; 34(5): 323-329, 2024 Sep 01.
Article
in En
| MEDLINE
| ID: mdl-38903052
ABSTRACT
PURPOSE OF REVIEW Transgender and gender-diverse individuals (TGD) are at risk for sexually transmitted infections. Gender affirmation surgery is a cornerstone of care for many TGD individuals. For genital gender affirmation, the surgical creation of a vagina may be performed through a number of techniques. Those who have undergone vaginoplasty have unique anatomical and biopsychosocial considerations, which we discuss. RECENT FINDINGS:
While sexually-transmitted infections including HPV, HSV, HIV, gonorrhea, and chlamydia, have been described in TGD individuals after vaginoplasty, the reports are very rare, and the provider should maintain an index of suspicion and maintain a broad differential for symptoms including neovaginal discharge. We discuss the association of the neovaginal microbiota composition with bacterial vaginosis, and how its modulation could potentially reduce bacterial vaginosis and sexually transmitted infection risk.SUMMARY:
We examine the literature regarding sexually-transmitted infections following vaginoplasty, and the neovaginal microbiome and its similarities and differences relative to the natal vaginal microbiome.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vagina
/
Sexually Transmitted Diseases
/
Sex Reassignment Surgery
/
Microbiota
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
Curr Opin Urol
Journal subject:
UROLOGIA
Year:
2024
Type:
Article
Affiliation country:
United States