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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)