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 and central Australia. These conditions are occasionally seen in people who have had sexual contacts in third world countries.

Genital infections not usually sexually transmitted, such as candidiasis, are included in the Handbook for convenience. Also included are scabies, pubic pediculosis and molluscum contagiosum which are spread by close personal contact, and gastrointestinal infections which may be sexually transmitted.
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In Western society most patients with STD are in the 15 to 30 year age group. There has been increased recognition of sexual abuse of children, and practitioners should be alert to the existence and significance of STD particularly in young children.

People with multiple sexual partners (including prostitutes) are at higher risk of STDs than are members of the general community. AIDS has had a considerable impact on the sexual behaviour of homosexual men among whom STDs had been common.

In Australia, the most important STDs are chlamydial infection, gonorrhoea, genital herpes, HIV infection, human papilloma virus infection, syphilis and hepatitis B. Penicillin resistant gonococcal infection is an increasing problem.
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