Diagnosis and medical treatment are difficult for them because of their anxiety and fearing for reproductive tract infection, then it results in recurrence of the disease and severe complication.
There are many types of fear, but the two that inhibit iconoclastic thinking and people generally find difficult to deal with are fear of uncertainty and fear of public ridicule.
There's always a constant fear of falling behind everyone else on the socially perpetuated "race to the finish line", whether that be toward graduate school, medical school or a lucrative career.