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Abstract

A 40-year-old transgender man presented to the Hawaii Department of Health with a one-day history of vaginal discharge. Testing of all exposed sites revealed vaginal and rectal gonorrhea. While he reported a total hysterectomy, pelvic examination revealed a cervix. Review of medical records documented a subtotal hysterectomy; however, the patient had not been screened for cervical cancer or sexually transmitted infections (STIs) for several years after surgery. Transgender men who have sex with cisgender men are at increased risk for HIV and STIs and should be screened at least annually for HIV and STIs from all exposed sites. STI data on transgender men are extremely limited. This case report highlights unmet needs of this population.

Keywords

Transgender person gonorrhea sexual health

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Cervical gonorrhea in a transgender man post hysterectomy

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