Safe Sex and Sex Related Discussions in Thailand

I did PeP on a 3-week sex trip (200 MG after sex, which for me then meant every day since I had sex every day).

My stomach started hating the doxycycline after about 15 days. No matter how I took it, after a meal, with plenty of water. I usually have no problem with any medication. I think next time I'll go for the PreP (100 MG every day). Or I'll use condoms on and off, say one day out of three so as to give my stomach some recovery time.

I also tried out Truvada, preloading 4 days in advance. After about 3-4 days I felt like I was down with the flu. I can live with the AIDS risk though. I'm more worried by the doxycycline intolerance.

[QUOTE=XXL;3047450]I did PeP on a 3-week sex trip (200 MG after sex, which for me then meant every day since I had sex every day).

My stomach started hating the doxycycline after about 15 days. No matter how I took it, after a meal, with plenty of water. I usually have no problem with any medication. I think next time I'll go for the PreP (100 MG every day). Or I'll use condoms on and off, say one day out of three so as to give my stomach some recovery time.
[/QUOTE]One of my doctors has me on 50 mg of daily doxycycline for skin problems, I've been doing this for years. When I'm in Thailand, I up that to 100 mg/day in hopes that it will fend off bacterial STDs; so far I've had no nasty side effects and I've avoided STDs. Based on zero solid knowledge, 200 mg/day seems like a whole lot for an extended period of time.

Doxy PreP seems good to me. About a year ago I read that there is an ongoing study of sexually active gay men who don't use condoms. Some are given 100 mg/day of doxy and some are given placebo. The study is to show if 100 mg/day of doxy will prevent transmission of bacterial STDs. Preliminary results were positive, though final results had not been published last I knew. I'll keep using 100 mg/day while in Thailand.

[QUOTE=HorseTrader;3047572]One of my doctors has me on 50 mg of daily doxycycline for skin problems, I've been doing this for years. When I'm in Thailand, I up that to 100 mg/day in hopes that it will fend off bacterial STDs; so far I've had no nasty side effects and I've avoided STDs. Based on zero solid knowledge, 200 mg/day seems like a whole lot for an extended period of time.

Doxy PreP seems good to me. About a year ago I read that there is an ongoing study of sexually active gay men who don't use condoms. Some are given 100 mg/day of doxy and some are given placebo. The study is to show if 100 mg/day of doxy will prevent transmission of bacterial STDs. Preliminary results were positive, though final results had not been published last I knew. I'll keep using 100 mg/day while in Thailand.[/QUOTE]Should we take first dose before starting the adventure. Please enlighten. Thanks.

[QUOTE=Ranvir226;3047624]Should we take first dose before starting the adventure. Please enlighten. Thanks.[/QUOTE]All I know is there is an ongoing Doxy 100 MG / day test. I don't know additional details.

[QUOTE=HorseTrader;3047572]The study is to show if 100 mg/day of doxy will prevent transmission of bacterial STDs. Preliminary results were positive, though final results had not been published last I knew. I'll keep using 100 mg/day while in Thailand.[/QUOTE]Be careful, DoxyPREP is effective against bacterial infection, but no more than 40-50% against gonorrhea.

[QUOTE=MomoFarang;3048379]Be careful, DoxyPREP is effective against bacterial infection, but no more than 40-50% against gonorrhea.[/QUOTE]Thanks for that. Have the results of the double blind study been published? I'd like to read it. Gonorrhea has become tough to cure in recent years, in 2000 it was reliably cured by a week of doxy. Now it's a course of oral plus an injection.

[QUOTE=Ranvir226;3047624]Should we take first dose before starting the adventure. Please enlighten. Thanks.[/QUOTE]If post prep (200 MG) take ASAP after sex.

If pre prep (100 MG / day) take every day at the same hour.

[QUOTE=MomoFarang;3048379]Be careful, DoxyPREP is effective against bacterial infection, but no more than 40-50% against gonorrhea.[/QUOTE]There have been numerous studies, Gonorrhoea being controversial across the field.

[URL]https://www.sciencedirect.com/science/article/pii/S0001731025004582[/URL]

Look dudes, let's be honest here. Most of this here on this forum are ancient as fuck. I'm super old, it's amazing I haven't had a heart attack yet. At our age, are we really that concerned with all this? How many years do any of us have left? We fucked up the world, and young people are going to have to deal with the mess we're leaving behind. I fucking love that! If my life is miserable, everyone else's should be too.

[QUOTE=XXL;3048393]If post prep (200 MG) take ASAP after sex.[/QUOTE]That's a rather funny involuntary oxymoron.

PREP stands for Pre Exposure prophylaxis. "Post prep" would be PEP Post Exposure Prophylaxis.

I'm stateside and planning my first trip later this year to Thailand and / or Vietnam (want to see and experience both!

HPV's are one of the STD classes that scare me the most. Warts are not something I want if I can be vaccinated against getting them.

However, I'm 61 and currently in the USA, the HPV vaccination is available only for men up to age 45. So my doctor won't allow me to get the vaccine anyway.

What do fellow mongers do to assure you don't get unexpected souvenirs when it comes to HPV's? Do you get the vaccine there? I've read about medications many of you take daily that keep away other STD's but do they also block HPV's?

Thank you.

[QUOTE=PDXphatbeat;3054277]HPV's are one of the STD classes that scare me the most. Warts are not something I want if I can be vaccinated against getting them. However, I'm 61 and currently in the USA, the HPV vaccination is available only for men up to age 45. So my doctor won't allow me to get the vaccine anyway.

What do fellow mongers do to assure you don't get unexpected souvenirs when it comes to HPV's? Do you get the vaccine there? I've read about medications many of you take daily that keep away other STD's but do they also block HPV's?[/QUOTE]Indeed. Getting genital warts might be considered more debilitating to mongering than HIV. There is no pill for HPV, only vax. You can get the Gardasil9 vaccine easily in BKK. A couple locations that offer the vax quick and no-questions-asked are MedConsult (5500 bhat per dose) and WellMed (6500 bhat per dose) clinics. I have also seen packages offered at many local hospitals, but didn't see a cost advantage. Before you run off and take the shots, consider the following:

1. Gardasil9, which covers the most genotypes, only covers 9 genotypes (hence the 9 in the name). However, there are 29 genotypes of HPV. So getting the vax will protect against only 7 of 14 high risk genotypes and only 2 of 15 low risk types.

2. Before you get the vax, you should get tested for the 29 genotypes and ensure that you are clear for the genotypes that Gardasil protects against. Gardasil9 protects against genotypes 16,18, 31,33, 45,52, 58,6, 11. The first 7 are the high risk genotypes. For the other 20 genotypes, there is no vaccine or prevention other than "safe sex".

3. It is correct that the HPV vax is contraindicated for men above 45. This is because of the high liklihood that an older person has been exposed already. However, if you have a high risk profile (eg frequent barebacking of prostitutes), then a doctor should recommend due to risk profile. You can try to convince your US doctor, but you need to be blunt about the basis of your risk.

4. Getting the vax is not a one-and-done prototol. You need to get 3 shot-in-the-arm doses. After you get the first shot, you get the second shot after one month and the third shot after 6 months.

5. Last, before doing anything, do your research. Google has much more detail to prepare you before testing and consultation.

Not a simple silver bullet for sure, but well worth it for those who are frequent fliers on Bareback Airlines. Enjoy, AR.

One of my regulars was hospitalized for Hepatitis-A recently; although I haven't seen her for a while, my feeling is if one lady has Hep-A, its probably going around. So I got the vaccine. No after-effects, no pain.