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Everything posted by rawfuckr
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As a bottom it bothers me if the top can't perform. What's the point? I don't have any problem per-se with guys not being able to get hard. There are many other things that can be done sexually. But if you are advertising as a top be ready to perform. I'm assuming you've looked into it what you are not getting hard? there maybe some medical underlying condition that's making things worse.
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I didn't realize it had been two months. It really doesn't sound very plausible this would be syphilis. The antibody test would have picked it up by now. Have you thought it could be a herpes sore? If it hurts a bit it may just be that. They can test for those too but test is expensive although usually covered by insurance. They Swab the sore and send it to the lab. Blood tests for herpes are pretty much useless.
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I don't want to be a downer but according to this ( http://www.rainbow-project.org/sh/syphilis ) it may take 2 to 90 days for blood syphilis antibody test to turn positive.. it takes a while for your body to produce antibodies to Syphilis. Seems like you you should check in a couple of months to see if you are in the clear. If it turns positive, penicilin should take care of it right away. Another option is that you get a NAAT syphilis test of that chancre, that would be very conclusive either way, but for that you need someone to swab carefully the chancres while they are still there. Good luck.
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Using Gilead Copay program if your pharmacy doesn't participate
rawfuckr replied to rawfuckr's topic in PrEP Discussion
Your copay depends on the plan you have. i have an ACA plan and my copays are usually $3 for generics, $5 for brand name drugs. My plan is hard to get though, so for regular folks the silver level copays are $20 for generics and $50 for name drugs after a $250 yearly deductible, which is fine because Gilead will pay for most of it, all of it after the first month. For a platinum plan you'd pay $15 per Truvada prescription, no deductibles. This is Kaiser in California. You just have to look at what's the tier where Truvada is in (Kaiser is tier 2) and what the prices for that tier are. If you sign up for Kaiser, you have to use Kaiser for everything. From lab work to pharmacy, you have to use their labs and their pharmacies. I personally don't care where I get my drugs, is the same to me. Their mailing program for their pharmacy is actually super convenient and you can get your drugs in the mail using the internet or a phone app very easily. If you have to get your drugs in the pharmacy you have to physically go to one of their pharmacies. Their lab turnaround time is also spectacular and you get test results in your phone app sometimes in a couple of hours after the blood drawn. Take a look at my main post about Kaiser and PrEP to know more about the costs. It's more than just the Truvada RX. -
I get this asked often so I'm going to write it down here for those interested. This is for Kaiser in California, specially in San Francisco where I am. The Protocol -------------- Kaiser is a solid choice for PrEP. They have a 'protocol' setup for administering PrEP and they are sort of strict about it. 1) You first go to your PCP, although you can probably try to just message them through the online system. He/She'll refer you to the HIV specialists. 2) With the HIV specialist you'll have an 'assesment visit' where they'll determine if you are a good candidate for PrEP. I'm sure that most people here will, but essentially if you say you are getting fucked bare you are in. 3) Before the first prescription is issued you'll have to do comprehensive testing that includes: creatinine clearance, gonhorrea and chlamydia(RNA tests), syphilis, HIV(PCR first test, regular antibody after), HepC(just first test), phosphorus, urinalysis, ALT liver levels(just once). If HIV is clear you'll be issued a one 1 month prescription with 2 refills. 4) For the first three months they want you to go back every month and get tested for HIV and STDs. They will monitor this and if you don't go back to get tested it may raise questions about your adherence to the program. The first three months you get tested every month, and then the frequency goes down to once every three months. At that moment they only require you to get tested every 3 months but you can do more often if you wish. I'm assuming they do all to assess the patients commitment to PrEP. Given that Truvada is so expensive they probably don't want to give it out like candy. It may sound like a lot of hoopla but they make it easy and painless. Even once a month testing is just not a big deal, and if you have any questions they are just online message away. The costs ----------- These are examples using prices from individual ACA plans of 2014 California. Silver and Platinum level prices are quoted. In terms of costs you have to be aware that its not just the cost of Truvada, you'll have to pay copays for the following in a year: - Initial PCP visit for referral ($45 silver, $20 platinum) (maybe free if you get referral asking through online portal) - Initial visit with HIV doctor ($65 silver, $40 platinum) - First three months of testing lab copay($45 x 3 silver, $20 x 3 platinum) - Recurrent three month testing lab copay ($45 x 3 silver, $20 x 3 platinum) - Truvada RX ( $50 x 11 silver + $250, $15 x 12 platinum ) TOTAL: $380 + $800(RX) silver, $180 + $180(RX) platinum Given that the RX component can be mostly reimbursed by Gilead usually the silver plan is the 'perfect' plan for PrEP here in california. Depends of course on other health factors you may have. Silver has about a 25% cheaper premium so you have to do number crunching there. If you have questions let me know.
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My current pharmacy benefits are provided by Kaiser and when I went to them with my Gilead Co-pay assistance card for Truvada PrEP they laughed at my face and said they don't participate in copay programs. This doesn't mean that you don't get reimbursement, it's just a little bit more involved: 1) Call Gilead copay assistance, the phone is in the card, and ask for a 'reimbursement form' 2) Make sure you keep the prescription label in the Truvada bottle, and the payment receipt to the pharmacy 3) fill out form with RX number, prescription label and receipt. 4) Mail form After a few weeks wait you'll get a check in the mail with the reimbursement. Up to $200/month so it maybe worth it. Definitely more cumbersome than just having your pharmacy participating in the program, but better than nothing. Hope this helps for some
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Adding to this it wouldn't be a bad a idea to check if your vaccine is still working every few years. They can check if you are still immune to Hep A/B by looking into the amount of certain antibodies flowing through your blood that the vaccine generated.
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IMHO There is a benefit for the whole community when people publicize they are using PrEP. More awareness means more normalization. Then of course, everyone should be comfortable with disclosing their PrEP taking as wish. If its too much trouble for someone just don't. Most of the time, I just don't say anything.
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I was wondering about this. I must use Kaiser pharmacy and you can't go to walgreens or CVS. Kaiser claims they pay $1338 for a bottle of Truvada (30 pills) which is right in line with what other pharmacies are quoting. Anyway, I'll take it because I don't have to pay anything, but the whole thing still seems like a racket and there should be a better way to do drug pricing.
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Actually: Your insurance benefit saved you $3997.65 Retail Price: $4012.65 Your Price: $15 Kaiser has now switched my Truvada PrEP prescription to 90 day supplies (yay!) but I'm still baffled at the cost of this. I'm very fortunate to have great insurance and I only have to pay $5 per month but still seems Gilead is going to make tons of money if PrEP becomes popular. At the end of the day we all pay this stuff with our premiums. Maybe Gilead will lower the price now that there are more 'customers' for Truvada?
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You don't really have to wait for symptoms: - Gonhorrea and chlamydia, should be picked up by RNA amplification tests if there is any there. Ask for an RNA test if possible, they are a lot more accurate than cultures. - Syphilis, it really depends on the test, but it may take a while for you to show antibodies for it on your blood. One week or two maybe? You can test now, but definitely follow up in a month or two. - Herpes, unless you are having a outbreak and they do RNA testing on the outbreak sores there is no way to directly test for this. You can do an antibody test to see if you are infected though. If it shows positive you had this before. - HPV. nothing is going to show up now. check back in 6 months-1 year with an anal pap smear to see what's going on. If you got fucked raw, having some HPV in your butt is a guarantee, the question is if it's affecting your ass in any meaningful way. - Hep A/B.. I'm assuming your vaccinated for this? - Hep C. It will take a while for antibodies to show - HIV. they can do an PCR test. If you got any it should be picked up after a week. those are the ones on the top of my head!
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I'm totally in the closet when it comes to my usage of Truvada PrEP. A year an a half ago I got so much backlash when I was telling people that I just stopped disclosing my Neg+PrEP status. Most people would think I was a total whore, which I sort of am, but without mentioning PrEP they would fuck me raw without problem, while if I brought it up they would call me a 'diseased slut that they wouldn't touch me with a 10 foot pole'.. a dude actually used those words. Things are changing quickly and I think there is a lot more awareness about PrEP right now, at least in the USA. Maybe I should try to talk peopl about it again. What do you guys do? Do you update your profiles? do you mention your PrEP taking to prospective fuck partners?
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When I went on PrEP about a year and a half ago I was super excited and decided to tell people. Got the exact same shit as you got. People are just plain stupid and ignorant. They would rather fuck you raw without any questions than them knowing you are on PrEP, which in reality makes you at so much less risk than any other fuck. I personally ended not saying anything and has worked well. On the occasion I'm not really interested on the top I'll tell them I'm on PrEP and looking to get fucked raw a most of them will scream and run away PrEP is still very new and most people have no clue what is about. It will take years of education until people get comfortable with it and equate it to condoms.
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My first boyfriend was the very same way. His ex had just found out he was HIV+ and they had been fucking bare all along so it was clear that he needed to get tested. He didn't, in all the time I was with him. That meant we had to use condoms all along. He kept saying he was too afraid of finding out he was HIV+ and that's why he didn't want to get tested. I sort of understand that, but it's always better to know and deal with it.
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So this happened. Got many loads from the man over the weekend. I squirted one of them out and put the brownish spooge onto an oraquick. 20 minutes later control line had showed up and no line on test line so test should be negative. I did an additional oraquick on my, oral this time, neg too. Doesn't seem like we are going to last much longer so no more of this craziness will be needed.
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Self diagnosing / medicating
rawfuckr replied to anonfuck28's topic in HIV/AIDS & Sexual Health Issues
Syphilis on its first stages is usually treated with a penicilin shot. The treatment of choice changes a lot with the moment depending on what's going around, and the STD doctors have to be on top of it to know what's the best course of action. Don't fool yourself thinking you can somehow deal with Syphilis on your own. Syphilis can become very serious shit if it doesn't get treated on time correctly. Other ones like gonhorrea and chlamidia are a lot more forgiving.. for now. Just go to the STD clinic and have them look at it -
Further inspection of the testing package clearly states that "OraQuick is a single-use, qualitative immunoassay to detect antibodies to HIV Type 1&2 in oral fluid, fingerstick whole blood, venipuncture whole blood, and plasma specimens" ... with that and this http://www.ncbi.nlm.nih.gov/pubmed/7714486seems pretty clear testing on ejaculate should be just fine.
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I know, I know. It has been such a contentious issue over the years. I love the man, but every time I insist he goes get tested just we get into a fight and I just try to avoid the discussion. I'm on PrEP but I want to get off it for a while, but I'm just not sure about letting him bareback with me unless he gets tested. I'm thinking I may ask a friend who is positive, to see if I can ejaculate on an oraquick to test if this works. According to this study (http://www.ncbi.nlm.nih.gov/pubmed/7714486) this should totally work.
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By the way just googled that quote because the "... HIV virus .." threw me off, as the test only looks for anybodies. The only hit for that quote is from "oraquick.org" which is no way related to OraSure. It does says at the bottom "OraQuick.org is an independently owned site and any other properties or websites owned by it's owners are not affiliated with, endorsed or authorized by Orasure Technologies Inc." ....
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Yeah, yah, yah. I know what all the legalese when you buy the thing. But I actually have oraquick's that I got for medical setting and seems the testing device can be used in blood too. My suspicion is that this will test positive to HIV antibodies no matter where they are, blood, gums or cum? That's what I'm asking. If someone who knows the technical details of this stuff knows. Of course Orasure is never going to tell you to use this in any other way than the approved form.
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I have an unusual situation. My partner refuses to get tested for HIV and he's fucking me and creaming my ass often. I won't go into why he doesn't want to get tested, but he hates doctors and clinics. He also says that just the fact I'm asking him means I don't trust him. It's complicated... I actually think he's only having sex with me but I'd like to see if I can make sure he's neg. I was thinking that I could make him dump a load in my ass and then use an Oraquick with his cum squirted out of my ass onto the Oraquick pad without him seeing all this. Does anyone know if HIV antibodies present on cum would work on the Oraquick? My gut tells me that this is actually fine and that Oraquick will pick up the antibodies on any body fluid including blood, gums and cum. thanks guys
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Oral HIV tests don't use saliva. They use secretions from around the gums on your mouth where HIV antibodies can be found. If you didn't swab your gums the results of the test are invalid.
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There is no way to know if someone is HIV- at the moment of having sex. When you get a test and is negative its tells you the person was negative 4-8 weeks before because of the window period that HIV tests have. It takes a while for the body to build up antibodies that can get picked up by the test. Actually, the likely way people who are going to give you HIV are the ones who tested negative a while back. People are most infectious when they are not on meds and after seroconversion. As long as you and your bf are monogamous you should be ok. Otherwise everything is up in the air. If you want to make sure you don't seroconvert use rubbers or go on PrEP.
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All this supplement stuff is total bullshit when it comes to ejaculate volume, sperm quality maybe another story. The only things that matter to ejaculate more are: - Time since last ejaculation. The more abstinence the bigger load - How fricking horny you are - How good the sex that makes you ejaculate. Even masturbation doesn't produce as much cum as real sex does. I was a sperm donor for a while and I got it down to a science how to provide the 'best samples' for my friends.
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