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Currently, individuals at risk for sexually transmitted diseases (STDs) are tested extragenitally only if indicated, most often when there is a history of self-reported symptoms or self-reported anal sex. The sensitivity of such selective symptom-and sexual historyYbased testing for detection of anorectal STD has not been determined. Methods: All men having sex with men (MSM) and swingers (heterosexual couples who have sex with other heterosexual couples and their self-identified heterosexualdoi:10.1097/olq.0b013e31828098f8 pmid:23486492 fatcat:wgazhpmmfnfevodpruxmfxt5fi