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Review of Case Materials
Reviews records, documents, testimony, data, and other relevant materials and consults with counsel regarding technical issues related to the matter.
Provide Expert Analysis
Applies specialized knowledge and experience to evaluate the technical or professional issues involved.
Form Expert Opinions
Develops independent, supportable opinions based on the available evidence and relevant standards.
Prepare Expert Reports
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Usually not. The ability to estimate when an infection was acquired depends on the specific STI, test used, prior test results, symptoms, treatment history, and possible exposure dates. Some tests can remain positive after an infection has been present for an uncertain period or, for certain infections, after treatment. A positive result can therefore establish that evidence of the infection was detected but generally cannot identify the exact date of acquisition by itself.
Some sexually transmitted infections can occur at genital, rectal, or pharyngeal sites, and infection at one site does not necessarily establish infection at another. The specimen location should therefore be considered with the reported sexual exposures and the testing method used. For infections such as gonorrhea and chlamydia, testing at relevant sites of exposure may be necessary to identify extragenital infection.
No. Many sexually transmitted infections can be asymptomatic or cause symptoms mild enough to go unnoticed. The absence of documented symptoms therefore does not exclude infection. Laboratory testing, prior results, exposure history, and other clinical evidence may still be relevant when determining whether an infection was present.
No. Positive results for the same STI do not by themselves establish which partner acquired the infection first or the direction of transmission. Earlier test results, symptoms, treatment history, possible exposure dates, infection-specific characteristics, and the type and timing of testing may help narrow the sequence of events. Even with that information, the available evidence may not be sufficient to determine transmission direction.
Prepares clear, well-supported expert reports outlining methodology, analysis, findings, and opinions.
Provide Deposition Testimony
Explains findings and opinions under oath and responds to questioning during deposition testimony.
Testify in Court
Presents specialized findings and opinions clearly to judges, juries, arbitrators, or other decision-makers.
The purpose and timing of follow-up testing depend on the infection. Retesting after chlamydia or gonorrhea treatment is commonly used to identify repeat infection, while a test of cure is reserved for particular circumstances, such as pharyngeal gonorrhea or chlamydia during pregnancy. Syphilis follow-up generally compares nontreponemal antibody titers over time to assess the serologic response to treatment. Test timing also matters because some molecular tests can remain positive temporarily from residual microbial nucleic acid after successful treatment.