Dtsch Med Wochenschr 2022; 147(21): 1407-1422
DOI: 10.1055/a-1531-8541

Sexuell übertragbare Erkrankungen

Sexually transmitted diseases, STD
Hanna Matthews
Stefan Schmiedel

Sexuell übertragbare Erkrankungen rechtzeitig zu erkennen und kompetent zu behandeln ist wesentlich, um die sexuelle Gesundheit von Betroffenen zu erhalten oder wiederherzustellen und weitere Übertragungen zu verhindern. Um eine kompetente Beratung in der Praxis durchführen zu können, sind Kenntnisse über die wichtigsten Infektionen erforderlich. Dieser Beitrag gibt hierzu einen Überblick.


Early detection and competent treatment of sexually transmitted diseases (STDs) is essential to maintain or restore the sexual health of those affected and to prevent further transmission. In this context, counselling on Sexually transmitted infections (STI) is of particular importance, both in terms of prevention and rapid diagnosis and treatment. STI are not rare in Germany: syphilis, gonococcal and chlamydial infections even occur with increasing frequency, especially among MSM. At-risk populations (MSM, sex workers, people from high-prevalence regions, partners of STI sufferers) should be offered STI screening. If an STI is present, those affected should also be actively screened for other STIs, and furthermore partners should also be examined for STIs and treated if necessary. Syphilis and other STIs also occur with completely unspecific symptoms. Even asymptomatic infections by gonococci, chlamydia, mycoplasma, HPV, HBV, HCV and HPV can lead to serious complications and late consequences. For STI (HIV, HBV, syphilis), highly effective post-exposure prophylaxis (PEP) is available in some cases.

Publication History

Article published online:
24 October 2022

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