“…However, the comparison with our study seems difficult: analysis considered HPV, HSV, hepatitis A, B and C viruses, and vaginitis; furthermore, incidence of STIs was assessed in 1998–2012 and is expected to have increased in recent years, according to European general population data [7]. A more recent retrospective study on MSM with HIV in Alabama showed a noteworthy higher incidence of bacterial STIs in this group, even considering the younger age of the enrolled population [8]. The reduced incidence in 4DR-PWH may be partially justified by the absence of STIs in woman and a high burden of disease in this population [2].…”