Sexually transmitted infections in men

Unit 1: Herpes, Papillomavirus, and Molluscum Contagiosum
This unit focuses on common viral STIs, including herpes simplex virus (HSV), human papillomavirus (HPV), and molluscum contagiosum. Topics include clinical presentations like genital ulcers, warts, and pearly papules, along with diagnostic techniques such as PCR testing and Tzanck smears. Treatment strategies include antiviral therapies (e.g., acyclovir), topical creams for HPV, and management of molluscum with cryotherapy or retinoids. Prevention through barrier protection and vaccination is emphasised, as well as considerations for immunocompromised patients.

Unit 2: Syphilis
Delve into the stages of syphilis, from primary chancres to secondary systemic rashes and tertiary complications like gummatous lesions. Diagnostic methods include serological tests and dark-field microscopy, while treatment focuses on benzathine penicillin for all stages. The unit highlights the importance of early diagnosis to prevent severe complications such as neurosyphilis and cardiovascular damage. Case studies underscore the diverse presentations of this ""great imitator.""

Unit 3: Gonorrhea, Chlamydia, Chancroid, and Granuloma Inguinale
Explore bacterial STIs such as gonorrhea and chlamydia, with discussions on their overlapping symptoms, complications like epididymo-orchitis, and systemic involvement. Learn to differentiate these conditions from chancroid and granuloma inguinale through PCR testing and culture. Treatment protocols cover antibiotics like ceftriaxone and azithromycin. This unit emphasises partner notification, public health reporting, and the integration of screening for coexisting STIs in clinical practice.

Unit 4: HIV and Associated Skin Conditions
This unit addresses the diagnosis, management, and prevention of HIV in men, with a focus on its dermatological manifestations such as Kaposi sarcoma, oral hairy leukoplakia, and seborrheic dermatitis. Learn about HIV testing, monitoring of CD4 counts, and antiretroviral therapy (ART). Strategies for preventing transmission, including PrEP and PEP, are detailed alongside the role of TasP (treatment as prevention). The importance of managing comorbid conditions and counselling patients about ongoing STI risks is highlighted.

This comprehensive course provides healthcare providers with the tools to effectively address the unique challenges of STI management in men, ensuring improved patient care and public health outcomes.