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Table 2 Sex-stratified prevalence of genital tract infection (GTI) symptoms and associated syndromes reported by sexually experienced, non-pregnant South African youth (aged 16–24 years) enrolled in the AYAZAZI study, overall and by site (n = 352)

From: A high burden of asymptomatic genital tract infections undermines the syndromic management approach among adolescents and young adults in South Africa: implications for HIV prevention efforts

 

Durban

Soweto

Whole cohort

Females n = 96

Males n = 83

Females n = 102

Males n = 71

Females n = 198

Males n = 154

n (%)

n (%)

n (%)

Female-specific symptoms:

 Vaginal discharge

6 (6.3)

8 (7.8)

14 (7.1)

 Dysuria

0 (0)

4 (3.9)

4 (2.0)

 Vaginal Itching or irritation

4 (4.2)

5 (4.9)

9 (4.5)

 Vaginal redness or swelling

0 (0)

1 (1.0)

1 (0.5)

 Lower abdominal or groin pain (with/without vaginal discharge)

1 (1.0)

4 (3.9)

5 (2.5)

 Dyspareunia

0 (0)

2 (2.0)

2 (1.0)

 Post-coital bleeding or metrorrhagia

2 (2.1)

4 (3.9)

6 (3.0)

 Vaginal sores or skin changes

3 (3.1)

1 (1.0)

4 (2.0)

 None of the above

82 (85.4)

82 (80.4)

164 (82.8)

≥ 1 symptom

12 (12.5)

20 (19.6)

32 (16.2)

Female-specific syndromes:

 Vaginal Discharge Syndrome (VDS)

8 (8.3)

13 (12.8)

21 (10.6)

 Lower Abdominal Pain (LAP)

3 (3.1)

10 (9.8)

13 (6.6)

 Genital Ulcer Disease (GUD)

3 (3.1)

1 (1.0)

4 (2.0)

Male-specific symptoms:

 Sores or skin changes around penis or scrotum

0 (0)

0 (0)

0 (0)

 Urethral discharge

0 (0)

1 (1.4)

1 (0.7)

 Dysuria

0 (0)

0 (0)

0 (0)

 Pain, swelling or redness of scrotum

0 (0)

0 (0)

0 (0)

 Pain in testes

0 (0)

0 (0)

0 (0)

 Soreness or itching around foreskin (if uncircumcised)

0 (0)

0 (0)

0 (0)

 Hot tender swelling with redness

0 (0)

0 (0)

0 (0)

 None of the above

83 (100.0)

70 (98.6)

153 (99.4)

≥ 1 symptom

0 (0)

1 (1.4)

1 (0.7)

Male-specific syndromes:

 Genital Ulcer Disease (GUD)

0 (0)

0 (0)

0 (0)

 Male Urethritis (MUS)

0 (0)

1 (1.4)

1 (0.7)

 Scrotal Swelling (SSW)

0 (0)

0 (0)

0 (0)

 Balanitis

0 (0)

0 (0)

0 (0)

 Bubo

0 (0)

0 (0)

0 (0)

  1. Notes: GTI symptoms and syndromes are classified based on WHO and South African STI management guidelines (WHO 2004, South African Department of Health 2015)