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October 19, 1963

Trichomoniasis in Males-Reply

JAMA. 1963;186(3):273. doi:10.1001/jama.1963.03710030113025

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Dr. Hesseltine replies in the letter which follows.

Dr. Kean's letter has points worthy of consideration. He agreed both with our article and with the editorial in The Journal (184:1036) that treatment should be given only to those shown to have trichomoniasis. His second point deals with infection of husbands. Regardless of one's views about the suspected incidence in males, the demonstration of trichomonal infections remains controversial. The actual demonstration of trichomonads in males is said by some to be infrequent. Promiscuity may be related to increased incidence. Over the years, the urologists working with us have found infrequently any relationship of the husband's genital-tract infections with chronicity of vaginal trichomoniasis. The incidence of vaginal trichomoniasis varies greatly. Studies of women of "easy virtue" and in penal institutions reveal a greater number of infections or carrier states than in the general population. On the other hand, the incidence is

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