A woman with urinary and vulvovaginal symptoms What are the most crucial steps in helping this young female with genital symptoms, who commenced sexual activity recently? An approach is described by This article to assessment and the role of STI screening in this clinical context. Case scenario Nisha, aged 17 years, presents with a mixed picture of vaginal/vulval and urinary symptoms that started two weeks ago sildenafil . She commenced sex with her 18-year-old boyfriend recently. A dipstick shows leucocytes.
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