الفهرس 
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Abstract
The general objective of the present study was to clarify the current situation about sexually transmitted diseases (STDs) among patients attending Dermatology and Andrology clinics in Menoufia University Hospital and Shebin El-Kom Teaching Hospital. This was achieved through determining their different presentation and types, assessing the quality of life, sexual function changes and estimating the possible risk factors for STDs among the studied population.
Using simple random sample, one day in each clinic was chosen out of 5 days (Thursday for Menoufia University Hospital clinic) (Monday for Shebin El-Kom Teaching Hospital clinic) for the whole period of data collection (7 months). The total sample eligible for the inclusion criteria were 144 cases.
Cases were patients who were diagnosed to have current symptomatic STDs. Control group was selected from attendants of both clinics at the same time of cases collection who was not complaining of any symptoms of STDs. Control group was age and sex matched.
The present study revealed that the most common diagnosis was genital wart 41.7%. Half of male patients 50% and 31.3% in female patients suffered from genital wart. Trichomoniasis was diagnosed in 16.7 % of patients; most of them were females 28.1%. About 15.3% were diagnosed as Chlamydia; most of them were females about 31.3%.
The present study indicated that, the most common presenting symptom was genital growth 50% in male patients and 31.3% in female patients. Abnormal genital discharge was found in about 16.3 % in male patients, and 45.3% in female patients. Also, among male patients 16.3% were suffering from genital blisters, 11.3% were suffering from genital bumps and about 6.3% were suffering from dyspareunia. In female patients 14.1% were suffering from dyspareunia and 6.3% were suffering from genital blisters.
The most common STDs presenting symptoms among females were abnormal genital discharge and dyspareunia which were significantly higher than males. Also, the most common STDs presenting symptoms among males were
Summary
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abnormal genital bumps, genital growth and genital blisters which were significantly higher than females.
The study showed that there were highly statistically significant effects of presence of premarital sexual practice, previous infection with STDs, increase the number of lifetime sexual partners and non vaginal sexual practice on the presence of STDs.
The present study showed that 64.5% of the studied group had satisfactory level of knowledge about STDs, about 84.2% of control group and only 4.2% of cases. There was highly statistically significant effect of non satisfactory level of knowledge on the presence of STDs. There was a significant relation between high level of participant education and satisfactory knowledge about STDs.
Regarding sexual function changes, 53.8% male cases had no sexual dysfunction on total score of CSFQ. However, 53.1% of female cases had sexual dysfunction on total score of CSFQ. There was insignificant difference regarding the sexual pleasure, sexual desire/ frequency, sexual desire/interest, sexual orgasm and sexual dysfunction total score. The sexual arousal parameter score was statistically significantly higher among males than females.
More than half of the studied population had high STDs related stigma and shame score 54.6% and 57.2% respectively. Also; there was highly statistically significant positive correlation between stigma and shame related to STDs among the studied population. There was insignificant difference between cases and controls regarding STDs related stigma and shame parameters and their total score.
The current study revealed that there were highly statistical significant lower scores among cases than control group in all parameters of QOL. The current results showed that the total QOL score and all its parameters were statistical significant lower scores among cases having sexual dysfunction than cases without sexual dysfunction. Also, it indicated that there was highly statistical significant relation between sexual dysfunction and the parameters of psychological, social relationship, environmental and the total score of QOL. Also, there was statistical significant relation between sexual dysfunction and physical health parameter of QOL.
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As the results of this study, it’s recommended to give high priority to researches on new approaches for STDs prevention and treatment.