It is increasingly apparent that the differences in the prevalence and
severity of various gynaecological conditions are a function of immun
osuppression and differences in behavioural factors, rather than a dir
ect effect of HIV itself. Women infected with HIV will present with th
eir gynaecological disorders initially to their carers in both primary
care and genitourinary medicine clinic settings. It is therefore esse
ntial that all those involved in the management of these women are awa
re of the interactions between HIV infection, immunosuppression and va
rious gynaecological conditions so that they may be appropriately mana
ged.