Sexually transmitted infections and diseases (STIs/STDs) have quickly become a major problem in America, and they continue to cause massive concern among health care professionals. Increasingly, some in the field are becoming skeptical of the efficacy of "safer sex" methods, and are discussing the limits of the safe sex approach in dealing with the epidemic. A recent article published in the American Journal of Obstetrics and Gynecology (2004) discusses the extent of the STD problem, and the ways in which it can, and cannot, be managed.