Which screening is recommended yearly for MSM in a monogamous relationship?

Which screening is recommended yearly for MSM in a monogamous relationship?

• A. Hepatitis A serology
• B. Chlamydia testing only if symptomatic
• C. STI screening
• D. HPV vaccination history only

Answer: (C)

Regular STI screening is recommended each year for sexually active men who have sex with men, even if they report being in a monogamous relationship. Many STIs can be asymptomatic, so annual testing helps detect infections early, reduce complications, and lower transmission risk to a partner. A practical yearly approach includes HIV testing and screening for gonorrhea and chlamydia (with samples from appropriate sites such as urine/urethral, rectal, and pharyngeal) and screening for syphilis, with hepatitis B vaccination status reviewed as part of preventive care and hepatitis C testing based on risk factors. The other options aren’t suitable yearly screening practices: hepatitis A serology isn’t routinely done annually for MSM; chlamydia testing only when symptomatic misses asymptomatic infections common in this group; HPV vaccination history alone isn’t screening.

Regular STI screening is recommended each year for sexually active men who have sex with men, even if they report being in a monogamous relationship. Many STIs can be asymptomatic, so annual testing helps detect infections early, reduce complications, and lower transmission risk to a partner. A practical yearly approach includes HIV testing and screening for gonorrhea and chlamydia (with samples from appropriate sites such as urine/urethral, rectal, and pharyngeal) and screening for syphilis, with hepatitis B vaccination status reviewed as part of preventive care and hepatitis C testing based on risk factors. The other options aren’t suitable yearly screening practices: hepatitis A serology isn’t routinely done annually for MSM; chlamydia testing only when symptomatic misses asymptomatic infections common in this group; HPV vaccination history alone isn’t screening.