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Lifetime same-sex behavior is commonly reported by women in large population-based surveys, ranging from 11.2% of women in the 2002 NSFG to 7.1% of women in National Health and Nutrition Examination Survey (NHANES), 2001–2006 [1, 2].

Effective delivery of sexual health services to WSW requires a comprehensive and open discussion of sexual and behavioral risks, beyond sexual identity, between care providers and their female clients.Viral STIs including herpes simplex virus type 1 and 2 (HSV-1 and HSV-2) and human papillomavirus (HPV) occur in WSW.Data from the 2002 NSFG were used to examine self-reported viral STIs among women aged 15–44 years.In 2008, Singh et al [7] examined chlamydia positivity among WSW aged 15–24 years tested at family planning clinics participating in the Infertility Prevention Project in the northwestern United States from 1997 to 2005.WSW and women who have sex with both men and women (WSMW) in the 12 months prior to testing were included.

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