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Common sexually transmitted bacterial organisms may affect the anorectum and perianal skin. While some of these infections are a result of contiguous spread from genital infection, most result from receptive anal intercourse. Polymicrobial infection is common and there is overlap in symptoms caused by the organisms that may infect the anorectum.

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An annual pelvic exam is recommended for all women and can consist of some or all of the following procedures: the external genital exam, the speculum exam, the bimanual exam, and the recto-vaginal exam. Gynecologists will sometimes perform a rectovaginal exam in addition to a normal pelvic exam. To do this, your doctor will insert a gloved, lubricated finger into the vagina and another from the same hand into the rectum.

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Screening is a vital component in preventing HPV-associated cancers. HPV slowly causes abnormal changes in the cells it infects. These abnormal cells can eventually turn into cancer, and screening for precancerous cells can help prevent the progression from precancer to cancer.

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Sexually transmitted infections STIs represent a significant public health concern. Several STIs, once thought to be on the verge of extinction, have recently reemerged. This change is thought to be partially related to an increase in STIs of the anus and rectum.

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