Safe Sex and Sex Related Discussions in Thailand

[1Ball]

If you are too ashamed or too cheap to consult a well-informed and conscientious medical professional with your STI symptoms (and not all are, especially those who know they will never see you again!), you shouldn't be out playing with naughty girls.

yes, Tansak, go see a doctor wud ya, you cheap charlie

[Lenience]

It's been a while now (over two years) that Doctors should have changed their prescriptions from Cirpofloxacin, ofloxacin and levofloxacin because of the increasing resistance to N. gonorrheae to the fluoroquinolone drugs and only the cephalosporins are being recommended to treat gonorrheal infections.

Cehpalosporins can be (in common terms) claforan, keflex, keftabs, ceclor, mefoxin, ceptax, suprax. Surprisingly the change started to these medicines before everyone else in the Asia, Pacific Island, and California due to the resistance of the strains of gonorrheal infections in these regions. I think the recommended treatment changed officially for everyone in early 2007 due to the Gonococcal Isolate Surveillance Project.

For me, I go on a three type of antibiotic and rotate through the year (when needed not continually) but Keflex is my choice.

It is not really a surprise that resistance to first-line antibiotics tends to originate in Southeast Asia. It happened with anti-malarial drugs and now with drugs used for sexually-transmitted infections. The main reason is well-known: the high prevalence of self-medication including the improper use of these powerful drugs (typically using low doses for supposed prevention) and also stopping treatment before the full course has been completed when symptoms actually appear.

Sad to say, the mongers who post dubious recommendations for self-treatment and preventiion here are just as culpable as the "ignorant peasants" and the unqualified drug-sellers that these outcomes are usually blamed on. If you are too ashamed or too cheap to consult a well-informed and conscientious medical professional with your STI symptoms (and not all are, especially those who know they will never see you again!), you shouldn't be out playing with naughty girls. If these drugs are used as seem to be described here, you might or might not be putting yourself at risk, but you will definitely be contributing to the development of drug resistance and putting a lot more people in danger in the future.

[Opebo]

...Doctors should have changed their prescriptions from Cirpofloxacin, ofloxacin and levofloxacin because of the increasing resistance to N. gonorrheae to the fluoroquinolone drugs and only the cephalosporins are being recommended to treat gonorrheal infections.

Thanks for your prompt and useful response! I don't normally use doctors, but the majority of pharmacists in Thailand still recommend Ciprofloxacin or Norfloxacin. A few however know to recommend azithromycin and/or a cephalosporin.

For me, I go on a three type of antibiotic and rotate through the year (when needed not continually) but Keflex is my choice.

Just wondering why you prefer Keflex and how it is different from Cefspan?

[Member #3428]

What I'm wondering is - do you mongers reading here use mostly just azithromycin, or the combo of cefixime and azithromycin? Or cefixime alone? Or do most of you go for the shot in the ass at the doctor's office or hospital? Lastly does anyone know why the CDC recommends only cephalosporins and not azithromycin in light of fluoroquinolone resistance?

It's been a while now (over two years) that Doctors should have changed their prescriptions from Cirpofloxacin, ofloxacin and levofloxacin because of the increasing resistance to N. gonorrheae to the fluoroquinolone drugs and only the cephalosporins are being recommended to treat gonorrheal infections.

Cehpalosporins can be (in common terms) claforan, keflex, keftabs, ceclor, mefoxin, ceptax, suprax. Surprisingly the change started to these medicines before everyone else in the Asia, Pacific Island, and California due to the resistance of the strains of gonorrheal infections in these regions. I think the recommended treatment changed officially for everyone in early 2007 due to the Gonococcal Isolate Surveillance Project.

For me, I go on a three type of antibiotic and rotate through the year (when needed not continually) but Keflex is my choice.

[Opebo]

For many years I always used azithromycin for treating gonorrhea, and I believe this is commonplace in Thailand as this medicament is always prominently displayed in pharmacies. However recently my local pharmacist recommended a one time dosage of 400 mg cefixime in addition to the 1 g one time dose of azithromycin. He seemed to suggest that the former was for gonorrhea and the latter for chlamydia, but he may also have meant that both have effectiveness for both ailments.

Last time (a couple of months ago) I used the cefixime only and it worked fine, without the upset stomach that goes with the azithromycin. Just the last few days I had another bout, which I have just treated with cefixime (Cefspan). I'll report back if the treatment doesn't work. Incidentally cefixime seems very difficult to find in Thai pharmacies, unlike azithromycine.

Reading the latest CDC information I could find it seems that organization has resolved that the cipro/norfloxacin route (fluoroquinolones) is no longer viable due to resistance, and thus it recommends the cephalosporin family only for treatment of gonorrhea (cefixime being the oral formulation).

What I'm wondering is - do you mongers reading here use mostly just azithromycin, or the combo of cefixime and azithromycin? Or cefixime alone? Or do most of you go for the shot in the ass at the doctor's office or hospital? Lastly does anyone know why the CDC recommends only cephalosporins and not azithromycin in light of fluoroquinolone resistance?

[Tiny 12]

Nah, not worth it unless you're bored.

Warts are no big deal really. They kill women not men.

Killing women sounds like a big deal to me. HPV, the virus that causes warts, increases your chances of getting oral/throat cancer, a lot.

[LittleBigMan]

Go to www.webmd.com
Look for myths!
LBM

[Ny Desiman]

I may sound stupid by asking a question related to our favourite activity. But, better safe then stupid and better now then never. And hopefully my posting this report on this thread will enlighten me ........

I enjoy the the P4P scence because of the convenience and hassle free nature of it. However, I miss the GFE activities where I do my part such as kissing deep, cullinigus etc. But, in a P4P situation, I have always been cautious and always used condom and in foreplay only touching, licking, dry kissing of my lady. I mostly let the woman take care of things. But, this can be unfulfilling sometimes. I have seen many pictures here in the forum that shows our ISG members doing the above things i.e. french kissing, DATY, bareback 69 etc.

How far can I go in terms of foreplay when I am picking up a freelancer? I love Thai woman but I want to play it safe too.

[White Whale]

returned about four weeks ago from philippines and and short stay in bkk. very soon my right eye got severily infected and then also left eye. eye doctor prescribed eye drops with antibiotics and antibiotics as pills for seven days. she said that the infection might have been caused by chlamydia.

two weeks later my foreskin got painful because of wounding so i went to doctors again. this morning numerous blood and a [CodeWord109] sample was taken. also bacteria growth will be analyzed. they are checking for syphilis, chlamydia, gonorrhoea, hepatitis, herpes and hiv.

in one and half weeks i will know what i won. it may not be std but until then i will not sleep that well. i wore condom with every penetration but did daty and fingering unprotected. all bjs were owo. i wonder if one can get std rubbing eye with finger carrying germs...

all tests came back negative. the foreskin problem must just have been wear and tear

just got my second shot for hepatitis b. third one still coming.

[Joe Cose]

I went for a full check on my return from LOS. All was clear but the doctor suggested I get Hep B immunisation. He told me I was flirting with Hep B which is prevalent in Thailand and the immunisation gives a high level of protection. You get three jabs over the course of three weeks.

[Opebo]

Another knee-jerk response to the funding of scientific research. Gentlemen, $178,000 is a very tiny budget for such study, and anyway all such spending is beneficial in a Keynesian sense.

However, MY particular kneejerk response is this - that this sort of study is part of the American anti-sex campaign around the world. They want to shut down sex whereever it is still happening freely around the world, and Thailand is a major target.

[Run Mann]

NIH Spends $178,000 to Study Why Prostitutes in Thailand Have High HIV Risk:

http://www.foxnews.com/politics/2009...high-hiv-risk/

You have to wonder why they selected Thailand to do this study and what benefit the people paying the bill will gain. Probably also could be done for a less lot money.

[Redfield10]

Read "The Wisdom of *****s" by Pisani. If you want to know all about HIV, etc. Great, informative book by a researcher.

NIH Spends $178,000 to Study Why Prostitutes in Thailand Have High HIV Risk:

http://www.foxnews.com/politics/2009...high-hiv-risk/

[Dobinator1]

NIH Spends $178,000 to Study Why Prostitutes in Thailand Have High HIV Risk:

http://www.foxnews.com/politics/2009...high-hiv-risk/

[Betong]

I assume you mean Thanon Ratchadamri.

That's the official pronunciation. Most Bangkokians just say Ratdamri.

Results took about 40 minutes.

They don't report to the government. They do of course compile statistics on their overall findings, since they're a research institute, but individual results are strictly confidential and anonymous. They give you a form on which you can provide as much or as little information as you want -- I left it mostly blank. They like to take a fingerprint which they claim is purely for internal use (understandable for legal liability and research reasons) but I think that's optional too.

They seem to take pride in their discretion, and seeing as how they've been operating since the early 1990s without any bad reports that I know of, I'd tend to trust them.