Effect of expedited treatment of sex partners on recurrent or persistent gonorrhea or chlamydial infection.

Background: Many sex partners of persons with gonorrhea or chlamydial infections are not treated, which leads to frequent reinfections and further transmission.

Methods: We randomly assigned women and heterosexual men with gonorrhea or chlamydial infection to have their partners receive expedited treatment or standard referral. Patients in the expedited-treatment group were offered medication to give to their sex partners, or if they preferred, study staff members contacted partners and provided them with medication without a clinical examination.

Failure of family-planning referral and high interest in advanced provision emergency contraception among women contacted for STD partner notification.

Background: Few data are available on the risk of unintended pregnancy in women with STD or how contraceptive services can be integrated into STD control activities.

Objective: To define the risk for unintended pregnancy and assess the effectiveness of family-planning (FP) referral and interest in advanced provision emergency contraception (APEC) among women with gonorrhea or chlamydial infection.

Methods: Female participants in a randomized trial of different approaches to partner notification were interviewed, offered referral for FP services and asked if they would want APEC.