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Diagnosis and follow up were made by a combination of history, physical examination, and the Gram stained smear. Of 38 married cases, 31 reported unprotected intercourse with permanent wives while infected, and only four of 38 gave prescribed drugs to their wives.
Most of the prostitutes and professional sigheh wives were practising survival sex. Conclusions: The majority of the prostitutes and sigheh wives in Iran exchange sex for survival. Being uneducated survival sex workers, they accept risky sex behaviours easily. Sigheh wives are an important source of infection. The very high rate of persistent infection despite standard treatments is disturbing. Our ideal is a world in which nobody is obliged to enter commercial sex work. In the meantime, however, there is an urgent need to offer medical care and education to sex workers as needy patients in a safe and unprejudiced environment.
Denying the presence of such realities as prostitution and sexually transmitted diseases STDs because of their disagreement with cant claims and official propaganda, does not eradicate the facts but results in catastrophic public health problems.