PMID- 12844451 OWN - NLM STAT- MEDLINE DCOM- 20030924 LR - 20081121 IS - 1534-5874 (Print) IS - 1534-5874 (Linking) VI - 3 IP - 4 DP - 2003 Aug TI - Genital ulcers in women. PG - 288-98 AB - Women who are in a low socioeconomic status are most vulnerable to genital ulcer disease (GUD). GUD is recognized as an important co-factor for acquisition of HIV. GUD etiology has been elucidated in the past decade, with the availability of multiplex polymerase chain reaction. Worldwide, herpes simplex virus-2 (HSV-2) is the leading cause of GUD. However, mainly in women in developed countries, the incidence of GUD causation by HSV-1 is rising, owing to adolescents who are HSV-1 naive and to increased oral sex practices. Especially in some African countries, the still high prevalence of chancroid should decrease in the next decade, because chancroid can easily be avoided and treated. Syphilitic ulcers seemed to be almost extinct, but recently there has been a resurgence of syphilis worldwide with the availability of effective HIV treatment. Development of herpes and chancroid vaccines, condom use, and the provision of education and accessible treatment facilities should help those women who now suffer from recurrent GUD infections. FAU - Bruisten, Sylvia M AU - Bruisten SM AD - GG&GD Municipal Health Service, Department of Public Health Laboratory, Nieuwe Achtergracht 100, 1018 WT Amsterdam, The Netherlands. sbruisten@gggd.amsterdam.nl LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Womens Health Rep JT - Current women's health reports JID - 101120027 SB - IM MH - Adolescent MH - Adult MH - Chancroid/epidemiology MH - Comorbidity MH - Disease Transmission, Infectious/prevention & control MH - Female MH - Genital Diseases, Female/diagnosis/*epidemiology/prevention & control MH - HIV Infections/epidemiology MH - Herpes Simplex/epidemiology MH - Humans MH - Incidence MH - Prevalence MH - Risk Factors MH - Sexually Transmitted Diseases/diagnosis/*epidemiology/prevention & control/transmission MH - Syphilis/epidemiology MH - Ulcer/diagnosis/*epidemiology/prevention & control MH - *Women's Health RF - 61 EDAT- 2003/07/08 05:00 MHDA- 2003/09/25 05:00 CRDT- 2003/07/08 05:00 PHST- 2003/07/08 05:00 [pubmed] PHST- 2003/09/25 05:00 [medline] PHST- 2003/07/08 05:00 [entrez] PST - ppublish SO - Curr Womens Health Rep. 2003 Aug;3(4):288-98.