[Question #574] Follow up re recent question I asked about incident with thai massage girl
107 months ago
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Edward W. Hook M.D.
107 months ago
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Today I happened to pick up your question and will be answering. Before I address your hypothetical questions let me agree and endorse his earlier statement that the exposure you describe did NOT put you at meaningful risk for any STI, including HIV and that the doctor who give you these medications put you at more risk for side effects than anything else, not to mention wasting your money.
PEP would reduce your risk for HIV, had you been meaningfully exposures, by more than 80% and perhaps even more if you take the full 28 day course of therapy (which is a waste of time and money in your case).
An injection of ceftriaxone would prevent gonorrhea, syphilis, and chancroid.
There is no known effectiveness of antiviral therapy for STD prevention other than EPE/PrEP. It is unstudied. Similarly since I have no idea what you mean by "antibiotics" I cannot comment. EWH
107 months ago
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Edward W. Hook M.D.
107 months ago
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Correct, following taking these meds (that you did not need) you should be confident that you were not infected with an STD from the no risk exposure that you described to Dr. Handsfield.
Testing for STIs would depend on which STI you were interested in: Gonorrhea or chlamydia could be tested for any time more than five days after completion of the ciprofloxacin, syphilis could be tested for about a month after exposure with reliable results, for HIV you would need to wait until at least a month after completion of your PEP. EWH
107 months ago
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Edward W. Hook M.D.
107 months ago
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I cannot imagine a situation n which I would recommend PEP for someone whose only exposure was oral, whether protected or not.
I also see no reason for you to continue the PEP. I suspect that when you talk to an informed health care provider there in Australia they will say the same thing. EWH
107 months ago
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107 months ago
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106 months ago
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Edward W. Hook M.D.
106 months ago
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Forum guidelines specify that there should only be three exchanges per question. this is not only a new question but your 4th. After this there will be no further replies and this thread will be closed later today.
Transmission of herpes typically requires direct contact. Your risk, particularly in the absence of symptoms by now is very, very low. EWH