There was a risk of selection bias due to problems in random assignment and a high risk of RCT performance bias arising from a lack of masking and more than 20% loss in 7 studies 46 level of evidence: moderate. The recommendation about sexual health consultation was agreed upon by the experts level of evidence: very low.
Hubo riesgo de sesgos de selección por problemas en la asignación aleatoria y alto riesgo de sesgos de desempeño de los ECA incluidos por ausencia de enmascaramiento y pérdidas mayores al 20% en 7 estudios 46 Nivel de evidencia moderado.