The CDC reports 10, million cases of STIs this last year. 1/2 among young poeple.  The 8 most common are; 1)HPV This seldom causes harm tho some problems of explanation and the ones most likely to cause trouble be prevented with a series of 3 vaccinations.
2)Gonorrhea and 3)trichimonas.  These are easily treated if recognized.  Gonorrhea has become resistant to the old therapies but combinations work well.
4) Syphilis is quite treatable
5) Chlamydiae responds to antibiotics if recognized.
6)Hepatitis B can be prevented f you get vaccinated 7) HIV which remain a problem especially in certain populations as does 8) herpes.
Interestingly, the better professional providers have NOT been a major source of these but it is rather young people and specially at risk groups.
I have been concerned by the lack of public awareness of the prevention methods open to us all and the possible use of some of the simple antibiotics that can even be taken after contact to protect against some of these.  (I remember one hobbyist who had HPV and thought this meant he had too be guilty of infidelity --- It did not prove this, tho it was true in his case, and he was able to have a physician reassure his wife about this.)
Americans tend to have dirty minds and there are no easy sources of prevention for those among us without medical degrees who want access to the latest technology to cut their chances.  Maybe I should write an updated newsletter as each thing evolves for the respectable unfaithful or the responsible careful professional provider.    
There are specialist who treat those infected and the specially exposed groups like IV drug users.  But who is there to protect the respectable accountant who hobbies or the professional provider he sees. Many physicians do get hep B and HPV injections because of our work exposure.  

-- Modified on 2/21/2013 2:43:08 AM

Is doctor-patient confidentiality not enough? They can't share your information, that is illegal. Tell your wife you are going for something else.

Also, I am young, but take more precautions than MANY of the ladies in my area so I don't really agree with your generalization.

I don't think anyone will specialize - let alone advertise - that he specializes in "the respectable unfaithful or the responsible careful professional provider." My anonymous clinic down the street does a swell job and treats everyone.

What are you so afraid of?


and let me restate your opening argument -

"The CDC reports 10, million cases of STIs this last year. 1/2 among OLD poeple." (Since the other half is among young lol. This is such a silly way to start your generalization)


And professional providers come in all ages shapes and sizes, we are not just old and therefore not a cause of STD spread (which is also not true since 1/2 of STIs are among old ppl, the other half among young!).



The more I re-read and answer your post the more I dislike it. Have a sun-shiney day doc.

It is also quite easy just to walk in to Planned Parenthood and get a full spectrum of tests. I was tested a month ago this way. HIV takes only ten minutes to get a result.  The rest a few days but results can be faxed to you or sent to your cell.  There are also national chains of test centers that are anonymous but some require a prescription.

Your writing style sucks. Paragraphs help a great deal to separate and clarify ideas, but your sentences as well run all over the place and are hard to follow. Result? I've read it twice and have no idea what you are trying to say.

This "hobby" is full of risks. People who participate take whatever precautions they can to minimize the risk, and choose to move forward. They don't need "monster-shouters" to come around periodically trying to scare them.

If promiscuous sex was as dangerous as some would like you to believe, we'd all be dead by now. There are a very large number of people in the world right now having unprotected oral, vaginal, and anal sex (for pay, or not) and a large number using condoms (which do not eliminate, but only reduce the risks).

You know who is at high risk for STD transmission? People who are having promiscuous, unprotected sex who also:
- have open sores in their mouths or on their genitals
- abuse IV drugs and share needles
- have very rough, unprotected vaginal or anal sex that causes skin tears, with multiple partners on a
  daily basis
- have a severely weakened immune system due to genetics or illness
- already have another STD (for instance, a simple fungal infection like candida can cause the skin to
   break down, reducing your body's protection against other diseases).

Oral sex. especially, is much safer than they want you to believe; there are VERY few cases of the transmission of deadly disease via oral, and not so many cases of less serious or treatable things like chlamydia or herpes #1. The lining of your mouth is MUCH tougher than that of anus or vagina, and saliva has been shown to start to break down bacterial infections. Stomach acid will destroy just about anything (so I say "swallow")

As to your statement about "the possible use of some of the simple antibiotics that can even be taken after contact to protect against some of these," if you are suggesting taking any antibiotic immediately after sex as a preventative measure, that's quite unwise.  In fact, if that's what you meant than I doubt you're a real doc.
First of all, if you have some reason to suspect your partner may be infected with something the best thing to do is leave and not complete the act.  And unless you are a medical professional who can diagnose yourself and her without an actual test, then you are misusing antibiotics, which should never be taken unless test results show an actual infection.  Most STDs do not present physical symptoms that can be seen with the naked eye.  Herpes sores can, but are caused by a virus that can't be affected by antibiotics.
Your basic message if fine.  It's too bad you weaken it with other mis-information.

MDR types of infections are growing at an alarming rate.  Below is one article dealing with drug resistant gonorrhea.  Vaccination (where available) is the best hope we have on the prevention of the spread of STDs.  Sadly due to liability, few commercial incentives, etc. there is little research being done to develop new approaches or drugs to treat infectious diseases worldwide (STD or other).  Years ago I had identified a pathway that was unexplored with respect to the treatment of infectious diseases, but sadly, I could not recommend moving forward as there would be no commercial champion within the company to push it forward.  

Sigh, I know that the NIH & CDC do have programs, but are they enough.  Soon our last line of defence against infections will be chemotherapeutic agents.  not a pretty option.

I simply asked my doc to leave an open order at the lab for testing, I get the full array done every six weeks (every other time my ATF visits, seems like the right increment to me, cautious but not obsessed).

It is just that easy.  If anything ever comes up hot, he will call me.

Regular health screenings are very important, it is good for prevention and education.

I agree with you, I don’t agree with the generalization either. Unless you know where the sample population came from, the statistics may not affect many population segments. By young generation, what age group are we talking about? What income levels?  

Without knowing the some details about the sample, all are just “scare tactics” most intelligent people doesn’t pay attention to.

So, his writing style may not be the best, but maybe he copied and pasted from a Mobile Device? Bottom line, he is an actual MEDICAL DOCTOR, which is more than most here could say about themselves. Know your risks, and play accordingly...it's really that simple. You can't depend on another person to protect YOUR health, so YOU protect it! If a client insists on a bbbj and gets herpes from a provider, that's on him. He is the one who insisted on not using a condom. She may not have known she even had the shit, but because of his insistent demands, he sealed his OWN fate. Now, his wife may also get it and he will lose everything. Don't blame another person for YOUR actions...protect YOURSELF!

-- Modified on 2/21/2013 2:09:25 PM

I'm another hobbyist who also happens to be an MD.  I occasionally treat patients with STI's,  though it is not my area of expertise.   However, I agree that I found the OP somewhat confusing, and thought I'd try to clarify a few things.

Most of you seem to recognize that it is critical to separate viral from bacterial STI's, at least in regards to treatment.   HPV, Hepatitis B, HIV, and herpes simplex are all viral illnesses, thus antibiotics are ineffective, though occasionally anti-viral meds may be beneficial.    We have vaccines for HPV and Hepatitis B.  

Gonorrhea and syphilis are caused by bacterial infections, and there are antibiotics that are effective against them ..However, as the OP says, there has been significant recent resistance,to gonorrhea,, which requires a change in the treatment regimen.  Even though Chlamydia isn't a bacterial infection,  there are actually antibiotics which are effective against this.   Same with Trichomonas, it is a protozoa, but it does respond to meds.

Prevention is ALWAYS more effective than treatment, so we recommend vaccination when possible.   Strongly consider HPV vaccine if you are not over 26 yrs old. Get a Hepatitis B vaccine,  it is the only one of these required as a rule
for medical professionals.  

And a huge piece of prevention is consideration of the relative risks of various sex acts, whether they be oral, vaginal, or anal.  It's been discussed ad nauseum on many other threads, so I won't digress any further here.

As far as the comment of using some simple antibiotics after contact to protect against some of this, you have to know what you are treating to know which antibiotic to choose.   And this isn't some country where antibiotics are available over the counter.   As someone already said, if you think you need to treat, then you'd better start to run out of there.

I'm not from San Francisco,  but I found this resource excellent for both lay and professional readers.

Www.sfcityclinic.org

Very accurate, especially about using the wrong antibiotics to treat something you don't even have. Your body actually builds an immunity to these things, when docs just hand them out like candy. Next time you have something, that same drug does not work.