At Northland Obstetrics and Gynecology we advocate an abstinence-based approach to STI(sexually transmitted infection) prevention. The advantages of this approach are overwhelming. We realize that patients may choose other paths and that even married partners may have to deal with HPV based on any type of sexual contact in either partner's past. Condoms are a helpful but not reliable tool for prevention of STIs. They certainly have a role in contraception and disease prevention. The HPV vaccine certainly represents a new tool for primary prevention of HPV infection and should be considered even in patients who plan to be monogamous.