All Bros playing frequently take note of this STD

[fxty1989]

Originally Posted by PraetorianGuard

PrEP in general, assuming no current or pre-existing underlying health concerns or conditions is well tolerated. Common short term side effects are nausea, upset stomach or developing migraines. Longer term, PrEP can compromise liver and kidney function. If a person has Hepatitis B or C, the regime needs to be altered and "on-demand PrEP" may not be suitable.

Again, she is stressing the following: See a doctor to do a blood panel to determine a baseline for hepatic (liver) and renal (kidney) function and assessment to decide which regime, if any, of PrEP is suitable before self administering PrEP. Also regularly check blood panels to ensure no kidney or liver issues.

It's a minor inconvenience for long term peace of mind. Also, she wants to clearly stress, PrEP is only effective for HIV, not other STDs because some people think it's effective for everything... It isn’t. Use a condom if there is any sex, even oral if your partner has lesions or sores on the lips or around the mouth.

I see, thanks for sharing.

[Bigbadhen]

Great Info but Sg very ex

[hazenut]

Originally Posted by PraetorianGuard

Hi Hazelnut, hope you are well. My SO wants to update you on something and she hopes you don’t mind.

PrEP (Pre-Exposure Prophylaxis) falls into 2 protocols. Either "Daily PrEP" or on demand PrEP, medically known as "Event Based Dosing". Both methods have pros and cons.

For daily PrEP the dosing guideline for hetrosexual (guy/girl) sex is:

• Take 1 tablet every day, at the same time each day. Wait 7 days after you start taking it before you have sex.

• If you want to start taking daily PrEP but might have sex within the first 7 days, take 2 tablets at least 2 hours before you have sex. Then continue to take 1 tablet each day.

Do not to miss your dose but if that does happen, you must have taken at least 6 daily doses in the past week. to be covered. Also, If you have had vaginal/frontal sex, take your daily dose for 7 more days after the last time you had sex.

For gay, bi, transgender, or have medical conditions where you are taking daily medications, speak to your own doctor before starting.


For on demand PrEP she wants to make clear this is only recommended for anal sex and NOT vaginal sex. The dosing guideline for this is:

• take 2 tablets between 2 and 24 hours before having anal sex
• take 1 tablet 24 hours later
• take 1 tablet 24 hours after that
• If you're continuing to have sex over a period of time, carry on taking 1 pill every 24 hours until you have not had sex for 2 days.

She strongly recommends anyone thinking of buying PrEP meds in JB or Thailand to speak your or a doctor first. Make sure the doctor knows about PrEP by asking them. You may need to let them give you your first course and check your blood panel to rule out any underlying conditions that would make taking PrEP unsuitable for you. Then you can safely buy the meds in JB or Thailand.

This is not individual medical advice but general information for anyone considering PrEP.

Have a good Sunday everyone!

I am having PEP at the moment when doctor say it is low risk of it as my healing wound exposes to stranger's blood.

Previously i had first PEP due to the condom slip off when i had sex with a girl. Both of us had check up after that and 100% free from STD/HIV. But, i started to have PEP before the report out.

[PraetorianGuard]

Originally Posted by hazenut

I am having PEP at the moment when doctor say it is low risk of it as my healing wound exposes to stranger's blood.

Previously i had first PEP due to the condom slip off when i had sex with a girl. Both of us had check up after that and 100% free from STD/HIV. But, i started to have PEP before the report out.

Hi Hazenut... SO says she cannot comment on risk level without knowing details but if you have a wound that is still open, healing or doesn’t have a scab covering it, it can potentially be an introduction point for infection so if the examining doctor that assessed you prescribed PEP, you should be ok.

She also says there's generally no limit to the number of times you can be on PEP as long as there's a break between courses, especially if blood panel shows an abnormality. She says good for you that you took it seriously enough to get it checked properly. It's a small inconvenience for long term peace of mind.

[hazenut]

Originally Posted by PraetorianGuard

Hi Hazenut... SO says she cannot comment on risk level without knowing details but if you have a wound that is still open, healing or doesn’t have a scab covering it, it can potentially be an introduction point for infection so if the examining doctor that assessed you prescribed PEP, you should be ok.

She also says there's generally no limit to the number of times you can be on PEP as long as there's a break between courses, especially if blood panel shows an abnormality. She says good for you that you took it seriously enough to get it checked properly. It's a small inconvenience for long term peace of mind.

During the consultation, the DR told me that there are some people take the PEP regularly even they are negative. I am thinking these are those whom want to go for raw?

What is SO ??

[PraetorianGuard]

Originally Posted by hazenut

During the consultation, the DR told me that there are some people take the PEP regularly even they are negative. I am thinking these are those whom want to go for raw?

What is SO ??

SO is significant other, she's the lady I will spend the rest of my life with

Actually she has a correction for you, PEP is a combination of 2 different tablets, taken either once a day or twice a day depending on what is prescribed and you take it for 28 days only. Taking PEP long term or regularly is not recommended or prescribed. PEP will only be prescribed by guidelines if you are given within 72 hours of exposure. After 72 hours, the effectiveness is greatly reduced.

The one taken regularly and long term is PrEP. This is 1 tablet, taken daily as described in an earlier reply

Hope this helps.

[paymaster]

Guys, this PrEP HIV is very helpful. Please go for this is you are high risk.

Meantime, There is PrEP Doxy or DoxyPEP. Many test are already being carried out with promising results.


And if you are wondering what is PrEP Doxy, it is the same thing as PrEP HIV, just that it targets the other STD like Chlmydia, Gon and SIlphilis. It does not have as high as 99 % success rate like PrEp HIV, But test shows 60-70%.

[entering]

Originally Posted by blitzkriegg

May I ask how much does the full HIV+STD cost in Johor? It costs me S$574 here after GST. I don't do rapid tests.

Cost me $80 at DSC. Just did it last month.

[Mr1Hr]

Always plan to go to Vietnam for health checks, medicines, and happy ending experiences. They are all cheaper there. The stays and restaurants are also good and cheap. It's a bit pricier than JB when you count the air tickets, but worth every penny.

[paymaster]

Singapore DSC only do HIV, Syphillis, Chlamydia, Gonnoria,
and their appointment minimum 1 month.


JB do all the above plus Herpes 1 and 2, VDRL, HEP B . Pierce also about same as DSC if converted to SGD

Malaysia appointment immediate within the day,

Average cost of test Rm 240-288, 3 days will get and will WhatsApp you.

Treatment for Chlamydia and gonnoria (they will do treatment for both because this 2 are same family) Average rm 240-260. JB will give you one injection and 2 type of antibiotics. Singapore only give antibiotics. According to what I saw, not so effective without the injection. I don't know how much in Sg but it is Much higher.


A lot of people have Herpes also. they have meds to control it for long term. This cannot cure but the current meds can control.


To find the clinics , just google, there are many and you don't need a specialist for this.

Originally Posted by entering

Cost me $80 at DSC. Just did it last month.

[blitzkriegg]

Originally Posted by paymaster

Guys, this PrEP HIV is very helpful. Please go for this is you are high risk.

Meantime, There is PrEP Doxy or DoxyPEP. Many test are already being carried out with promising results.


And if you are wondering what is PrEP Doxy, it is the same thing as PrEP HIV, just that it targets the other STD like Chlmydia, Gon and SIlphilis. It does not have as high as 99 % success rate like PrEp HIV, But test shows 60-70%.

Thanks for this info. I've read about PrEP and PEP for HIV on Men's clinic websites but this is the first time I've read about Doxy PEP. Asked a Men's clinic doctor about it and it's very cheap - 2 tablets post exposure is all that is required, and 10 tablets cost $25. So that's like $5 for every post exposure. Bought some myself.

The CDC Clinical Guidelines from US says the follows:

"In three large randomized controlled trials, 200 mg of doxycycline taken within 72 hours after sex has been shown to reduce syphilis and chlamydia infections by >70% and gonococcal infections by approximately 50%."

https://www.cdc.gov/mmwr/volumes/73/rr/rr7302a1.htm

As you have mentioned the protection rate isn't extremely high, but for the price of just $5 it already does a very good job. So I would highly recommend other bros to consider buying this as well. Even with a condom I think this still helps since there's also kissing, BBBJ where exposures can happen.

[blitzkriegg]

Originally Posted by paymaster

Singapore DSC only do HIV, Syphillis, Chlamydia, Gonnoria,
and their appointment minimum 1 month.

JB do all the above plus Herpes 1 and 2, VDRL, HEP B . Pierce also about same as DSC if converted to SGD

Not sure about the waiting times but the DSC website lists all the HIV and STI tests they have which includes Herpes 1 and 2, Hep B as well. VDRL test is a screening test for syphilis, which they also have. You can check it out here:

https://www.nsc.com.sg/dsc/our-servi...s/default.aspx

It's also on their prices page:

https://www.nsc.com.sg/dsc/our-servi...c-Charges.aspx

Originally Posted by paymaster

Treatment for Chlamydia and gonnoria (they will do treatment for both because this 2 are same family) Average rm 240-260. JB will give you one injection and 2 type of antibiotics. Singapore only give antibiotics. According to what I saw, not so effective without the injection. I don't know how much in Sg but it is Much higher.

Not sure where you asked in Singapore but I asked a Men's health clinic doctor about the treatment for Gonorrhoea and he told me he gives an injection. So it's definitely available in Singapore.

[hp2k]

Originally Posted by blitzkriegg

Thanks for this info. I've read about PrEP and PEP for HIV on Men's clinic websites but this is the first time I've read about Doxy PEP. Asked a Men's clinic doctor about it and it's very cheap - 2 tablets post exposure is all that is required, and 10 tablets cost $25. So that's like $5 for every post exposure. Bought some myself.

The CDC Clinical Guidelines from US says the follows:

"In three large randomized controlled trials, 200 mg of doxycycline taken within 72 hours after sex has been shown to reduce syphilis and chlamydia infections by >70% and gonococcal infections by approximately 50%."

https://www.cdc.gov/mmwr/volumes/73/rr/rr7302a1.htm

As you have mentioned the protection rate isn't extremely high, but for the price of just $5 it already does a very good job. So I would highly recommend other bros to consider buying this as well. Even with a condom I think this still helps since there's also kissing, BBBJ where exposures can happen.

Bro where to buy doxycycline?

[ladodgers]

Originally Posted by blitzkriegg

Thanks for this info. I've read about PrEP and PEP for HIV on Men's clinic websites but this is the first time I've read about Doxy PEP. Asked a Men's clinic doctor about it and it's very cheap - 2 tablets post exposure is all that is required, and 10 tablets cost $25. So that's like $5 for every post exposure. Bought some myself.

The CDC Clinical Guidelines from US says the follows:

"In three large randomized controlled trials, 200 mg of doxycycline taken within 72 hours after sex has been shown to reduce syphilis and chlamydia infections by >70% and gonococcal infections by approximately 50%."

https://www.cdc.gov/mmwr/volumes/73/rr/rr7302a1.htm

As you have mentioned the protection rate isn't extremely high, but for the price of just $5 it already does a very good job. So I would highly recommend other bros to consider buying this as well. Even with a condom I think this still helps since there's also kissing, BBBJ where exposures can happen.

Bro thanks for this info! I'll probably buy this as well since the price is really cheap - like the cost of a hawker meal nowadays, all for a 70% reduction in infection rate for the common STDs. Only 2 tablets post exposure sounds doable as well. Unlike HIV PEP which requires you to take a tablet for 28 days. I checked with my doctor HIV PEP costs > $2000. Too tedious and too expensive.

Also appreciate all the quotes and links from government sources you always provide. Always better to read from these reputable sources like CDC and MOH, there's just too much hearsay being thrown around for critical info like this.

[shimasu]

Have been thinking to go for a check soon.. tried Googling and undecided..

Any good reco pls?

Sg one can. JB one also can.

Maybe JB one can reco the clinic/hospital that comes with comprehensive checks? I may even go for bigger package including regular health checks on top of the hiv checks. if nearby got mall or even place to chiong even better