RESUMO
To describe a profile of teenage sexual health problems with an aim to improve the age specific services. A retrospective record analysis of young people [= 19 years old] attending a community GU medicine clinic in UK was performed [April 2007 to March 2008]. Data was collected on age, gender, contraception use, number of teenage pregnancies, sexually transmitted infections in the past / current, and regular screening for STIs and HIV. A total of 3328 patients attended our GU medicine clinic over 12 months. Of these, 411 [12.3%] were = 19 years old. Their mean age, mean sexual debut age and average number of sexual partners were 17.6 years, 14.8 years and 5.8 respectively. Ninety percent of males and 29% females had received oral sex. Condom usage was 21% in males and 28% in females. Only 57% of females used contraception, 13% of teenagers having been pregnant. Uptake of STI and /or HIV testing were 92.9% in males and 100% in females. STI rates were higher in females as compared to males [22.5% versus 17.8%, p = 0.03]. Chlamydia and genital warts were statistically higher in females [8.1% and 12.3%] than males [5.1% and 5.1%; p = 0.046 and 0.023]. Fraser competency was documented in only 77% cases. Teenagers form a significant proportion of our GUM attendees with increase risk of pregnancy and STIs/ HIV, hence a dedicated high quality integrated sexual health clinic may help to reduce morbidity associated with STIs in young people