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A mutually monogamous relationship lowers the risk of HIV, cervicitis, and other sexually transmitted infections. [ 9 ] A mutual monogamous sexual relationship often includes a pledge to stay with the partner and includes the desire for the relationship to last, a psychological attachment and the lack of being able to find another partner.
The HIV virus affects the human immune system and, if left untreated can eventually lead to Acquired Immune Deficiency Syndrome (AIDS). [ 78 ] [ 79 ] [ 80 ] The CDC reported that in 2009 that male-to-male sex (MSM) accounted for 61% of all new HIV infections in the U.S. and that those who had a history of recreational drug injection accounted ...
[7] [8] The term sexually transmitted infection is generally preferred over sexually transmitted disease or venereal disease, as it includes cases with no symptomatic disease. [9] Symptoms and signs of STIs may include vaginal discharge, penile discharge, ulcers on or around the genitals, and pelvic pain. [1] Some STIs can cause infertility. [1]
And, because HIV-positive people with durably suppressed or undetectable amounts of HIV in their blood cannot transmit HIV to sexual partners, sexual activity with HIV-positive partners on effective treatment is a form of safe sex (to prevent HIV infection). This fact has given rise to the concept of "U=U" ("Undetectable = Untransmittable").
Beginning in the early 20th century, a number of U.S. states passed laws mandating medical examinations for one or both parties before marriage. The most common requirement was a blood test for syphilis, though other diseases such as gonorrhea and rubella were sometimes also targeted.
As with most sexually transmitted infections, the risk of infection can be reduced significantly by the correct use of condoms, not having sex, or can be removed almost entirely by limiting sexual activities to a mutually monogamous relationship with an uninfected person.
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