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Gynecologic Manifestations of HIVAka: HIV related Gynecologic Complications

See Also
1. Sexually Transmitted Disease in HIV
Invasive Cervical Cancer (AIDS defining disease)
1. Progressive Immunodeficiency enhances HPV replication
  1. HPV infection is very common in HIV
  2. HPV Implicated in Cervical Cancer and anal carcinoma
2. Monitor high risk patient with Pap Smear every 6 months
  1. Women with Cervical Dysplasia
  2. CD4 Cell Count <200
Infectious Vaginitis
1. Vulvovaginal Candidiasis
  1. Occurs in 20-30% HIV infected women if CD4 Count >500
  2. Recurrent Candidiasis in young women suggests HIV
2. Trichomonas
  1. Extremely prevalent
  2. Unrelated to CD4 Counts
  3. May be refractory to Metronidazole

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.