Patient case (clinical description): A 19-year-old girl comes to the clinic due to a left wrist mass.  She noticed swelling on the top of her wrist about 4 months ago and came to the clinic due to cosmetic concerns.  Examination shows a nontender, rounded mass on the dorsal wrist that transilluminates with a penlight. Vital signs are normal. The patient needs to type on her computer almost all day. She is left-handed. She does not smoke or use illicit drugs. She is in sexual relationship with two male partners and uses condoms.

Patient's own account: I'm a 19-year-old girl and I went to see my doctor because of a mass on my left wrist. I noticed a swelling on top of my wrist, like 4 months ago, and I went the first time to the doctor because it was pretty ugly! My wrist was not tender, and the mass was round and let the light go through when the doctor used a penlight. My blood pressure, breathing and temperature were normal. I'm left-handed and I need to be on my PC all day. I don't smoke or do drugs. I'm sexually active and I have 2 male partners but they all use condoms.

Clinical trial: Acceptability, Feasibility and Impact of Oral HIV Self-testing for Partner Testing Among Kenyan Adolescent Girls Aged 15-19 Years: A Randomized Controlled Trial

Eligibility criteria:
Inclusion Criteria:

          -  Female

          -  Aged 15-19 years

          -  HIV-negative (willing to self-test onsite in the presence of the Research Assistant
             who is also a trained HIV counselor)

          -  Has at least one current sexual partner she expects to meet at least twice in the next
             3 months (not necessarily to have sex); this will provide opportunity for the
             participant to suggest/offer testing.

          -  Resides in Siaya County and does not intend to relocate within 6 months from
             enrollment, to allow follow up to be completed and to conduct IDI with those selected.

          -  Willing to be randomized into the partner self-testing or HTS referral groups.

          -  Reporting no incident of sexual, physical, emotional, or economic abuse in the last 12
             months from the partner she intends to offer (Appendix 4) or refer for testing
             (Appendix 3) in the next 3 months and does not believe the partner will abuse her if
             she offers the self-test kits or HTS referral coupon.

          -  Has a male partner who has not tested for 6 months or whose HIV status is unknown to
             her.

          -  Agrees to give consent to participate in the study.

        Exclusion Criteria:

          -  Male

          -  HIV-positive

          -  Not willing to self-test onsite under in the presence of the Research Assistant

          -  Aged <15 years or >19 years

          -  Does not have a current sexual partner or does not expect to meet the partner at least
             twice in the next 3 months

          -  Does not reside in Siaya County or intends to relocate within the next 6 months

          -  Not interested in obtaining HIV self-tests or HTS referral coupon for purposes of
             suggesting testing to their sexual partners

          -  Reporting an incidence of sexual, physical, emotional or economic abuse in the last 12
             months from the partner she would have offered self-test kit or referred for testing,
             or believes the partner may subject her to sexual, physical, emotional, or economic
             abuse if she offered them self-test kit or HTS coupon.

          -  Has a male partner who tested within the last 6 months.

          -  Does not give consent to participate in the study
Female
Accepts Healthy Volunteers
Subject must be at least 15 Years old.
Subject must be at most 19 Years

Eligibility (NLI label): Entailment