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srider

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Everything posted by srider

  1. srider
    PrEP taken daily approaches 100% reduction in HIV transmission. If you miss a dose, it's probably fine. For trans men, frontal sex requires daily dosing as the genital tissue doesn't absorb as well as the rectum. Just remember that PrEP is better than nothing or condoms at HIV prevention. Also, I can assure you that there are very few PrEP failures. Also, we do know long term side effects, there can be kidney, liver or bone mineral density problems. But these should be monitored by your prescriber.
  2. srider
    I agree it could possibly be LGV. You should ask for a test of cure and doxycycline 100 mg orally twice a day x21 days. They should also do a rectal exam to rule out other causes.
  3. srider
    Usually a titre of 10 or greater is immune to HBV. And the kidney function issue, there may be greater benefit to PrEP than the risk of harm to your kidney. You'd have to discuss with a MD/NP to see about your specific situation though.
  4. srider
    That's not uncommon.
  5. srider
    For most people the benefits outweigh the risks. It hasn't really been studied in that population. Discuss with your MD, but I think it is a good idea.
  6. srider
    You may want a second opinion on both of those suggestions. This is not medical advice, and there may be specific circumstances that lead the nurse to their conclusions, but it doesn't seem in line with current best practice for HBV vaccination and kidney function.
  7. srider
    Glad to hear you got it sorted.
  8. srider
    Syphilis is cured through penicillin (or another antibiotic). The bloodwork is not direct detection or culture. The screen and confirmatory is looking for antibodies. The RPR which is the titre (e.g. 1:16) is also an indirect testing method, which is measuring something released due to damage from syphilis. It's more accurate to say that the test will always be reactive if you have had syphilis in the past.
  9. srider
    It can take a while for your titre to drop. Some people, especially HIV+, will serofast at higher titre levels.
  10. srider
    Nurse here in Canada with lots of syphilis experience for context. There are likely two possibilities, the margin of erroe for the test is a 1 dilution or a 2-fold difference. Therefore a 1:8 and 1:16 could be just down to the lab tech's interpretation. Alternatively, he could have been re-infected with syphilis and it was incubating and that represented a true increase and if he doesn't receive treatment a repeat test in 2-4 weeks would be a much higher titre. For yourself, if you had a non-reactive syphilis test, repeat in 2-4 weeks from that time. If you were infected the serology would become reactive by that point. Also, if you have a chancre at the site of exposure, swollen lymph nodes, a rash, or neurological symptoms that may be indicative of a syphilis infection.
  11. srider
    With that viral load there is the possibility of sexual transmission. If it was in the last 72 hours, you could start PEP. You may want to go to your healthcare provider or a sexual health clinic to discuss options for testing. At this point the most important thing is to find out your status. If you are HIV+ there are lots of supports and if you go on medication you can live a long and healthy life. If you are HIV- you should strongly consider going on PrEP.
  12. srider
    No, the medication is different.
  13. srider
    7 days is more than enough time. Nurse here who works in sexual health.
  14. srider
    Go see a doctor and have them do a rectal exam. Also, consider getting tested for rectal chlamydia and gonorrhea. Ask specifically for LGV testing in case they don't do it automatically for rectal chlamdyia.
  15. srider
    In most cases the lab is the one that reports it, not the healthcare provider. Some health departments don't call people routinely, they just collect the data and monitor to make sure others are doing their job correctly.
  16. srider
    Lol I find it funny you are concerned about the health deparment calling you. As that's actually what I do as a job. We collect data to reduce spread of communicable disease. We also make sure you were treated correctly, as some healthcare providers don't follow guidelines. We also provide counselling in case your healthcare provider is sex negative. As annoying as it may be, we do much more good than the harm from your lack of privacy.
  17. srider
    He has an injection there, plus pills but in one tablet. There is a tablet form of a similar medication to ceftriaxone, but in many parts of the world there is gonorrhea resistance to the pill form. Taking azithromycin for that long of a time will probably give you a lot odlf stomach issues.
  18. srider
    There is no vaccine for Hep C. There is treatment and you can be reinfected.
  19. srider
    If you are in the midst of taking doxycycline then you reduce the risk of chlamydia and syphilis (there was study thar found doxy prep reduced infections but did not eliminate them). Gonorrhea is usually resistant to doxy. Azithromycin stays in your system 2-3 days, so it might help right afterwards. Benzathine Penicillin G is long acting over a week. It prob gives protection from syphilis in the first few days. Ceftriaxone is short acting so probably not much past the first day. Reinfection is quite common and the best bet is to test regularly and go for treatment if symptomatic. Also syphilis shouldn't cause scars. Primary stage is a chancre (painless raised bump at site of inoculation), secondary is classically a self-resolving rash that typically is on the trunk, hands and feet, early and late latent are asymptomatic. If it goes untreated, neuro, cardiac or gummatous (skin lesions) can develop. Of course, syphilis can present differently in each person.
  20. srider
    Go to MedsExpert in the village and they can advise you.
  21. srider
    Alright a few things about syphilis - many doctors don't have a lot of experience with it. To clear up some confusion about syphilis. Syphilis that has been adequately treated does not flare up again without re-exposure. First line treatment for primary (chance), secondary (rash, lymph swelling, etc.) and early latent (confirmed non-reactive within last 1 year) is one dose of 2.4 million units benzathine penicillin (bicilin) and for late latent (greater than 1 year since last non-reactive) is three doses over 3 weeks of 2.4 million units bicilin. Syphilis is easy to transit on physical contact with intact skin or mucous membranes. It is generally considered non-infectious when symptoms resolve or within 7 days if no symptoms. The RPR drop for adequate treatment depends on the stage of syphilis but if you have an RPR greater than 1:8 after a while then you should be evaluated by a healthcare provider who is knowledgeable about tertiary syphilis. The 1:16 in isolation means nothing.
  22. srider
    Did they test you for LGV? If not, ask about that. And when you say you were cured are you certain? Did they perform a test of cure? This may seem silly but clean your sex toys, douche, etc as they can harbor chl. If you have regular partners check to see if they get tested and treated
  23. srider
    I love Andy Star. I want to rough his hole up hard.
  24. srider
    You probably won't get too many breeders out that way. You'd be better off at a sleazy hotel downtown.

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