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Peer reviewedOpen accessSchistosomiasis

Diagnosis and treatment of female genital schistosomiasis

The Lancet Microbe·

Amy S Sturt, Bodo Randrianasolo, Jennifer A Downs, Karoline Jøker, Humphrey D Mazigo, Lisette van Lieshout, Peter Leutscher

DOI
10.1016/j.lanmic.2026.101356
PMID
42127951
PMCID
OpenAlex
W7161108215
Study type
Journal article
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

FGS is a neglected tropical disease that affects reproductive health in women and girls in schistosomiasis-endemic regions. Improved diagnosis and treatment strategies are needed to address this sex-specific manifestation of schistosome infection.

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Structured evidence summary

Research question

This Series paper examines diagnostic techniques and treatment strategies for female genital schistosomiasis, a condition caused by immunogenic eggs from Schistosoma parasites becoming trapped in genital tissues.

Study design

The paper is a literature review summarizing global evidence on FGS diagnosis and treatment, and introduces a classification framework proposing visual, histological, and molecular subtypes.

Population and setting

The paper addresses women and girls in areas endemic for urogenital schistosomiasis, particularly low-resource settings where FGS predominantly occurs.

Main findings

FGS diagnosis is challenging with currently available methods, especially in low-resource endemic areas. The authors propose three FGS subtypes—visual, histological, and molecular—and emphasize the need for tailored diagnostic and therapeutic strategies given the association with poor reproductive health outcomes.

Public-health relevance

FGS is a neglected tropical disease that affects reproductive health in women and girls in schistosomiasis-endemic regions. Improved diagnosis and treatment strategies are needed to address this sex-specific manifestation of schistosome infection.

Important limitations

This summary is limited to the supplied single-article abstract and metadata. The original paper is required for decision-grade interpretation of the literature synthesis, proposed subtype framework, and treatment recommendations.

GIDS interpretation

The article was classified under Schistosomiasis with topics Diagnostics and Treatment, reflecting its focus on improving clinical management of a sex-specific manifestation of this parasitic disease.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 7 auditable classifier relationships to diseases, places, topics, and study design.

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