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doxyPEP: A Pill After Sex Could Help Slow STIs Among Gay Men

metta

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doxyPEP: A Pill After Sex Could Help Slow STIs Among Gay Men

A low dose of an antibiotic could decrease some STIs affecting gay and bisexual men and trans women.



"As rates of sexually transmitted infections continue to skyrocket across the United States, a growing number of physicians are prescribing a commonly used antibiotic as a way to prevent chlamydia, gonorrhea and syphilis infections in gay and bisexual men and transgender women.

Doxycycline is a class of medications traditionally used to treat bacterial STIs after someone has been infected. Yet recent research suggests that one 200mg dose of the drug can be effective in preventing such infections among men who have sex with men if taken within 72 hours after unprotected sex.

This approach, called doxyPEP, has garnered so much attention that the US Centers for Disease Control and Prevention is expected to post draft guidance for public comment in the next several weeks on how health care workers may deploy the preventative treatment, such as how many pills should go into a prescription or which people could benefit most from the drug."




I'm not familiar with this, but I'm a little concerned that it is an antibiotic. Antibiotics are over prescribed and what they are used against can become more tolerant of antibiotics, making them less effective, especially when they are misused. I don't know if this is possible with this particular drug, but I hope they are looking into this.
 
My French lover picked some up from Colombia together with a nice black Colombian friend last time he took us both to Munich and we three took it.

The criticism is that the use of Doxy-PreP is like to promote mutation/evolution of STI-strains that are antibiotic resistant.

This is worrying.

Having said this... I have been infected with something or other almost every three months for the last two years. (That's when I get tested for my PreP regime).
 
Medicine is medicine, but I'm more concerned that this will add to the pile of rationalizations and equivocations that further STI's among gays, especially young gays who simply don't want to live responsibly.

Denying STIs and their transmissibility and continuing to have many partners unprotected is folly, selfish, and basically is a factor in causing much suffering and death as STIs are spread needlessly.
 
Medicine is medicine, but I'm more concerned that this will add to the pile of rationalizations and equivocations that further STI's among gays, especially young gays who simply don't want to live responsibly.

Or they have gone through what we have... yet.

Denying STIs and their transmissibility and continuing to have many partners unprotected is folly, selfish, and basically is a factor in causing much suffering and death as STIs are spread needlessly.

Who directly die of STI's these days?
 
Medicine is medicine, but I'm more concerned that this will add to the pile of rationalizations and equivocations that further STI's among gays, especially young gays who simply don't want to live responsibly.

Denying STIs and their transmissibility and continuing to have many partners unprotected is folly, selfish, and basically is a factor in causing much suffering and death as STIs are spread needlessly.
Not to mention causing even worse antibiotic-resistant strains of the disease
 
I worked at an urgent care and its crazy how many people run in there for std's straight and gay. Straight guys think they can always use the pull out method leading to an unwanted baby or std's and the amount of gay men that sleeps around is crazy. I wish people would just practice safe sex but thats impossible nowadays.
 
...The criticism is that the use of Doxy-PreP is like to promote mutation/evolution of STI-strains that are antibiotic resistant.
Well... and the scant research on it says that it is only about 65% effective in preventing gonorrhea, chlamydia and syphilis.

Condoms on the other hand, are about 90% effective for those those 3 STIs, plus it also covers HPV, HBV, HCV, HIV, et al that are never prevented by an antibiotic.

I worked at an urgent care and its crazy how many people run in there for std's straight and gay. Straight guys think they can always use the pull out method leading to an unwanted baby or std's and the amount of gay men that sleeps around is crazy. I wish people would just practice safe sex but thats impossible nowadays.
It was like that back in 80s in public health clinics. We also used to see a lot of pelvic inflammatory disease and epididymitis in the emergency rooms.

We're back to those days again, only the antibiotics that we used to use back in the 80s often no longer work because of antibiotic resistance.
 
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It was like that back in 80s in public health clinics. We also used to see a lot of pelvic inflammatory disease and epididymitis in the emergency rooms.

We're back to those days again, only the antibiotics that we used to use back in the 80s often don't work because of antibiotic resistance.
Dating folks from non-Western cultures that don't believe in STI-infection without symptoms also doesn't help.
 
Who directly dies of STI's these days?

I can't find any complete data set, only selected age ranges for women of reproductive age.

But, whether the number is 200 or 20,000, is it implied that those deaths are acceptable losses so that others can fuck carefree?

Arguing that the worst consequence may be rare doesn't change the reality that in the US alone, tens of millions contract STDs annually. And it's not just as simple at take a pill and go on your way.
 
I am concerned that excessive use of doxycycline will lead to antibiotic resistant STD variants. Hopefully, in time, technology will lead to a non-antibiotic prophylaxis medication. Until then, safe sex and condom use is the best defense.
 
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