Which of the following is NOT typically recommended as part of counseling after an abnormal STI screen?

• A. Schedule partner notification and treatment
• B. Plan for retesting
• C. Discuss vaccination (HPV) and resources
• D. Avoid discussing vaccination

Answer: (D)

Post-abnormal STI counseling should focus on reducing transmission, ensuring appropriate follow-up, and promoting preventive care. The approach that fits best includes arranging partner notification and treatment to prevent ongoing spread, planning retesting to confirm clearance and catch reinfections, and discussing HPV vaccination along with resources to access care. HPV vaccination is an important preventive tool for eligible patients and is routinely discussed as part of comprehensive sexual health care. It helps reduce future HPV infections and related diseases, so avoiding the vaccination discussion would miss a key preventive step. Vaccination discussions should be offered when the patient is eligible, with guidance tailored to their age and circumstances.