Approach

Because approximately 85% of women and men are asymptomatic,[11] a high index of suspicion is warranted based on patient history and presence of risk factors.

Typical risk factors include an age under 25 years, sexual activity with an infected partner, a new sex partner or multiple sex partners, a sex partner with other concurrent sex partners, history of a prior STI, and not using condoms.

Diagnosis and treatment is relatively straightforward once clinical suspicion is present.[11][12]

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