Safe Sex and Sex Related Discussions in Thailand

[QUOTE=HoustonPlayer;2361832]This is a very important question, because you CANNOT take the prophylactic if you are HIV positive. You can only take it if your're negative.[/QUOTE]

As a dermatologist/infectologist, I would say.

Truvada is a medicine to prevent hiv from HIV negative people.

Truvada is also a medicine to treat HIV. It must be used together with other medicines for hiv positive people. Truvada is more often used in Gay community.

Serious side effect.

Worsen hepatitis and some other viral diseases if you have.

Truvada may cause sever liver problem, sever kidney problem, sever bone problem, too much lactid and acid in your blood, changes in your immune system, it may affect some types of immune system.

I never advise straight people to use truvada just to protect from HIV. I still advise people to use condom to protect themselves from other STDs. Fucking a girl is low risk for hiv, to me, it's zero risk.

As you can see, the risk for giving oral sex is like having vaginal sex. 1 per 2500 exposures.

Forget truvada and use condom to protect yourselves from stds and pregnancy. There was a study done in san francisco, it was proved straight men can't get hiv from women.

[QUOTE=GuySexLife;2361935]I would like to know if syphilis is common in Thailand? I heard we need to wait 3 months maximum to develop a penile syphilis ulcer unlike other stds where Symptoms happen quickly.[/QUOTE]A syphilis test is super-simple and can be done in an hour along with an HIV test at the Red Cross place near Lumphini park.

[QUOTE=GuySexLife;2361935]I would like to know if syphilis is common in Thailand? Any of you already caught syphilis? I only hear about HSV, HIV, Chlamydia and Gonorrhea on this website. I heard we need to wait 3 months maximum to develop a penile syphilis ulcer unlike other stds where Symptoms happen quickly. I have only mongered in Brazil and Mexico but I plan to monger in Thailand next year.[/QUOTE]3 months is too much for syphilis to show up. 3 weeks is the maximum. You can have rpr test. But as long as you have no symptom (beautiful painless ulcer, clean, round, indurated, nut purulent. , no need to get tested. If you have these symptoms, you may still test negative because many conditions can cause the same genital ulcers). Most people with tertiary syphilis or neurosyphilis never noticed they had an ulcer or typical syphilis rash. Tertiary syphilis is very rare, most people with untreated syphilis never develop tertiary syphilis. You are more likely to develop neurosyphilis in early stages. Your body can clear syphilis overtime. No std is supermutant, it's always about immune system.

Most people with active tb have negative blood test for TB. Most people with latent tb are less likely to develop active tb. You are more likely to develop TB in the first years. Latent syphilis and Latent TB are the same things, the only difference is TB is more dangerous and that's is difficult to cure or even impossible to cure with antibiotics.

[QUOTE=GuySexLife;2361935]I would like to know if syphilis is common in Thailand?
...[/QUOTE]Regarding it being common or not in Thailand, I can only relate my personal experience based on my getting a test for Syphilis (200 baht) along with a test for HIV (also 200 baht) every 1-2 months at Thai Red Cross for the past 6+ years. And all while engaging in BBFS with hundreds of different women in virtually all possible P4P options. I have not shown a positive test result for either in all that time after all those sessions. However, I have no idea if it was and is common among the women I have had sex with and I just never contracted it.

I also should say I have never tested positive for any STD in my life and I have been tested for just about everything important several times over the years. Maybe my immune system is working extremely well compared to others. Or I have just been lucky. Or I somehow manage to choose well and take care not to exacerbate or increase risk by engaging in a style of fucking that is more likely to cause bacteria/virus welcoming abrasions and opportunities to infect. Who knows. Then again, my personal experiences with a lot of issues don't jive with many things I read from other posters on this site.

And, yes, I realize there is always a bigger, scarier, invulnerable, unstoppable, boogeyman monster disease or malady lurking right around the corner or stomping down a dark hall on its way to destroy me and the rest of the world any minute. That has been the story for everything related to sex since I was 7 years old and first heard about the birds and the bees back in my Catholic school playground. This lovely story has never changed, just the name of the monster. So maybe that monster stomping down that very long hall will indeed eventually grab me in the dark and eat me alive someday after all. Whatever.

YMMV, of course.

As a dermatologist / infectologist, I would say.

Truvada is a medicine to prevent hiv from HIV negative people.

Truvada is also a medicine to treat HIV. It must be used together with other medicines for hiv positive people. Truvada is more often used in Gay community.

Serious side effect.

Worsen hepatitis and some other viral diseases if you have.

Truvada may cause sever liver problem, sever kidney problem, sever bone problem, too much lactid and acid in your blood, changes in your immune system, it may affect some types of immune system.

I never advise straight people to use truvada just to protect from HIV. I still advise people to use condom to protect themselves from other STDs. Fucking a girl is low risk for hiv, to me, it's zero risk.

As you can see, the risk for giving oral sex is like having vaginal sex. 1 per 2500 exposures.

Forget truvada and use condom to protect yourselves from stds and pregnancy. There was a study done in san francisco, it was proved straight men can't get hiv from women.

But yes you can get HIV from a female, if you like fucking them in the ass.

Realmenneveroverpay#.

[QUOTE=EihTooms;2362226]Regarding it being common or not in Thailand, I can only relate my personal experience based on my getting a test for Syphilis (200 baht) along with a test for HIV (also 200 baht) every 1-2 months at Thai Red Cross for the past 6+ years. And all while engaging in BBFS with hundreds of different women in virtually all possible P4P options. I have not shown a positive test result for either in all that time after all those sessions. However, I have no idea if it was and is common among the women I have had sex with and I just never contracted it.

I also should say I have never tested positive for any STD in my life and I have been tested for just about everything important several times over the years. Maybe my immune system is working extremely well compared to others. Or I have just been lucky. Or I somehow manage to choose well and take care not to exacerbate or increase risk by engaging in a style of fucking that is more likely to cause bacteria/virus welcoming abrasions and opportunities to infect. Who knows. Then again, my personal experiences with a lot of issues don't jive with many things I read from other posters on this site.

.[/QUOTE]What blood test do you use for Syphilis? I was unlucky I contracted tuberculosis at 12. I never had trouble with STDs. I did not even contcat molluscum contagiosum.

[QUOTE=MongerForSex;2362268]What blood test do you use for Syphilis? I was unlucky I contracted tuberculosis at 12. I never had trouble with STDs. I did not even contcat molluscum contagiosum.[/QUOTE]For those who have never been there, the first step for each visit to Thai Red Cross' testing clinic is to sit at a desktop computer and choose from a list of tests you'd like to be done that day. Based on the boxes you've checked you will receive a print out and a bill for the tests. One of the choices on that list of tests is for "Syphilis".

Then, when you get your test results document, it is stated as:
"Treponemal test CMIA/ECLIA"

Personally, I wish they would include the words "Syphilis test" for that item on the results document as well. Without that being stated on there, anyone wanting to see my document has no idea what I have been tested for in that line entry and what exactly has been determined to be "Non Reactive". I mean, unless we sit there and do a Google Search on it I suppose. As long as it is referred to as a "Syphilis test" in that list of options on the computer, I think it should say so on the results document too.

[QUOTE=EihTooms;2362301]For those who have never been there, the first step for each visit to Thai Red Cross' testing clinic is to sit at a desktop computer and choose from a list of tests you'd like to be done that day. Based on the boxes you've checked you will receive a print out and a bill for the tests. One of the choices on that list of tests is for "Syphilis".

Then, when you get your test results document, it is stated as:
"Treponemal test CMIA/ECLIA"

Personally, I wish they would include the words "Spyhilis test" for that item on the results document as well. Without that being stated on there, anyone wanting to see my document has no idea what I have been tested for in that line entry and what exactly has been determined to be "Non Reactive". I mean, unless we sit there and do a Google Search on it I suppose. As long as it is being referred to as a "Syphilis test" in that list of options on the computer, I think it should say so on the results document too.[/QUOTE]It's different, I use RPR for my patients. I use treponemal test for confirmation if rpr is positive.

[QUOTE=MongerForSex;2362303]It's different, I use RPR for my patients. I use treponemal test for confirmation if rpr is positive.[/QUOTE]When the counselor gives you the test results document, he or she always points out a form stating they will be doing further tests on your blood in the next week or two and will call you if they arrive at a different result. I have never gotten that call so I don't know what procedure they have done to conduct further testing. Is it possible that is when they do the RPR test and do the Treponemal test while you're waiting at the clinic for the sake of expediency?

[QUOTE=RoamingRob1;2362034]Go back and read my previous posts. I contracted Syphillis during one of my visits to Thailand last year. As far as is it common I think that can be debated. My Dr's told me that it was on the rise in Asia but others here state that it is rare and that they think it due to me having a weaker immune system.[/QUOTE]I saw you contracted neurosyphilis. Did you have genital ulcer before having neurosyphilis? Did you recover?

I think it is because we live a stressful life that's why our immune is affected. Some folks on here live the good life. Many on here are not tourists. They enjoy their life everyday and never go back to a sex prison.

[QUOTE=EihTooms;2362306]When the counselor gives you the test results document, he or she always points out a form stating they will be doing further tests on your blood in the next week or two and will call you if they arrive at a different result. I have never gotten that call so I don't know what procedure they have done to conduct further testing. Is it possible that is when they do the RPR test and do the Treponemal test while you're waiting at the clinic for the sake of expediency?[/QUOTE]Its unlikely you went there purely for Syphilis test, right? Therefore I wonder if the follow up test is for Syphilis or more likely for HIV.

For HIV, they have the follow-up amplification test, which is more expensive and takes more time to run. To save money they amplify a batch of samples together, e. G. Could be 100 samples (I don't know the optimal number maybe less in a batch). If that amplification batch proves negative for HIV, then all persons in the batch are in the clear. If positive, then they have to test smaller batches or eventually individual samples until discover which ones caused the positive. The complexity is the cause of the delay to get the final HIV result, but is more reliable and can detect HIV a much lower time after the person is exposed, maybe as little as a week. The initial 1 hour HIV test is not likely to discover persons exposed very recently if level of HIV is too low.

The chances that a person is HIV+ but passes the initial test are there, but probably incredibly low. Chances of passing it on if not detected are also probably extremely low. So regard the initial quick test as good enough evidence for those looking for reassurance. Some girls are paranoid about catching HIV and some are blasé.

I remember I asked this before on Bangkok thread I think, and someone suggested to try to find in soi 21/19.

Well I couldn't find dental dam there. Does anyone knows where I can find dental dam, in Bangkok? I have asked multiple chemist in Sukhumvit and they don't have it.

Thanks,

[QUOTE=EihTooms;2362306]When the counselor gives you the test results document, he or she always points out a form stating they will be doing further tests on your blood in the next week or two and will call you if they arrive at a different result. I have never gotten that call so I don't know what procedure they have done to conduct further testing. Is it possible that is when they do the RPR test and do the Treponemal test while you're waiting at the clinic for the sake of expediency?[/QUOTE]They only use one test, if it's positive you should have another blood test. I don't really trust Elisa treponemal tests. I prefer FTA. ABS and TPPA. I never use EIA or CMIA. Sensivity is not good, many people get tested positive without having the disease. Today, it's not good because some of labs use EIA or CMIA first and RPR for confirmation. In the past, all labs, use vdrl or rpr first and for confirmation TPPA or FTA. ABS. For example if it's positive for EIA and rpr, no further test. Thousands of people were misdiagnosed as having syphilis witout having the disease. I always advise people that don't agree with the results to see another doctor to see if there is another medical condition that triggers syphilis test. Many vergin people tested positive for syphilis without having the disease and their parent are syphilis negative.

[QUOTE=Syzygies;2362594]Its unlikely you went there purely for Syphilis test, right? Therefore I wonder if the follow up test is for Syphilis or more likely for HIV..[/QUOTE]Yes, that is true. I don't believe I have ever had them say it specifically, but it is probably about a follow up call on the HIV test part of it.

[QUOTE=EihTooms;2362226]..........I also should say I have never tested positive for any STD in my life and I have been tested for just about everything important several times over the years............[/QUOTE]I am actually astounded by this given that, by your reports, you are a bareback specialist.

This being the safe sex board I think I could be forgiven for giving a little of my history for comparison sake. I started mongering in the early seventies when I first started working. For many years I was stationed in a Caribbean island. At that time condom full sex in the p4p world was non-existent. Back then I would get an std on average once a month. At first It would be treated by a doctor administering an injection. Some years later doctors started administering oral antibiotics and subsequently just giving prescriptions for the required treatment. It came to such that I would photocopy a doctor's prescription and take it to the pharmacy each time I became infected to cut out the middle man so to speak. When HIV began proliferating I was unperturbed as it was regarded back then as a gay disease.

My indulgence in BBFS occurred throughout the seventies and eighties. Then something happened. Magic Johnson got AIDS. That scared the shit out of me. I immediately got an AIDS test, it was the first STD test that I ever got in my life (1991). I would never forget the wait for the results, I was never so overwrought in my life. After it came back negative I vowed never to ever bareback a working girl again.

At first I had lots of difficulties using a condom. For the first time in my life I experienced not being able to get it up. I had difficulty cumming and I was in my thirties. Eventually I got accustomed to using a condom. Since then I have actually contracted STDs on very few occasions only in China and the Philippines when the condom broke or when finding myself without one took a chance being too lazy or horny to go buy one with the girl being with me in the room.

About ten years ago something weird happened and from that time I always use a condom no matter what the situation. I visited this brothel in the Caribbean and chose a particular girl. I usually walk with my own condoms but as fate would have it did not have one on me. The girl did not have one either and there was none in the brothel. However, the papasan sent someone to buy a few. In the room we proceeded with the session with DFK and BBBJ. With me hard the girl said BBFS is ok. I resisted and said lets wait on the condom. This girl tried every which way to get me to fuck her bare back and I used all my will power to desist. She cajoled, pleaded and demanded but I was having none of it. After what seemed as an eternity the condoms arrived. I put one on, entered her and after no more than two minutes she wanted no more and left the room. I explained to the papasan what happened and he gave me another girl for a reduced period of time.

I have thought the worst of the intentions of this girl ever since that incident; I have rethought the encounter many times and have not concluded otherwise. Since then I have always used a condom and have never contracted an STD.