Where to go for good quality STI and HIV tests ?

[Media1]

4 minutes ago, BritManToo said:

You're wrong.

Are your sure mate. I know the professor at the Alfred Hospital in Australia. Doctor Paul Cameron.

Post your meds and l will give you a list of the best meds. My cousin is HIV positive former athlete. Been positive 22 years. 

I are waiting for your meds list. So unless your head of the the best ID Unit in Australia. I don't think I are lol

Edited October 1, 2018 by Media1

[orchis]

20 minutes ago, Media1 said:

Then your pal must be on old meds. Life depends on the patients lifestyle. Weight loss and many other niggling problems follow. This is a life changer. Terrible illness. The best meds are 6 a day. The meds you refer to are the old cheaper antvirals

you are wrong. Newest and best regimen are one pill a day.

[BritManToo]

29 minutes ago, Media1 said:

Post your meds and l will give you a list of the best meds. My cousin is HIV positive former athlete. Been positive 22 years. 

I haven't seen them, maybe Australia is a bit behind the UK in treatment.

 

[Sheryl]

Please keep it civil

 

OP: TRC or Med Consult Asia, the latter is a GP clinic run by a British GP and offers a full panel of sexual health related tests, see

https://www.medconsultasia.com/sexual-health-check-ups

 

Both are reliable quality and reasonably priced. Results take longer form Med Consult because they send the specimens out to a a lab.

 

Be sure to test for Hep C and, if you have not been vaccinated for Hep B, test for that to and if negative get the vaccine, it is absolutely essential for anyone who is sexually active with locals here.

 

[Small Joke]

1 minute ago, Sheryl said:

Please keep it civil

 

OP: TRC or Med Consult Asia, the latter is a GP clinic run by a British GP and offers a full panel of sexual health related tests, see

https://www.medconsultasia.com/sexual-health-check-ups

 

Both are reliable quality and reasonably priced. Results take longer form Med Consult because they send the specimens out to a a lab.

 

Be sure to test for Hep C and, if you have not been vaccinated for Hep B, test for that to and if negative get the vaccine, it is absolutely essential for anyone who is sexually active with locals here.

 

Thank you Sheryl. 

To all here, this poster knows their stuff. 

Take heed. 

[Sheryl]

2 hours ago, Goanna said:

Depends on how many men you have rectally invaded. Straight people don't have that problem.

Heterosexuals can and do contract HIV. Most of the HIV infections in Asia are contracted via hetrosexual sex, it differs from the west in that regard.

 

Sexual contacts differ in level of risk, with receptive anal; intercourse being the highest risk, but receptive vaginal, penetrative anal and penetrative vaginal are not zero risk either.

 

OP does nto mention if he has reliably used condoms, makes a big difference.

 

 

[atyclb]

1 hour ago, Media1 said:

1 hour ago, BritManToo said:

You're wrong.

Are your sure mate. I know the professor at the Alfred Hospital in Australia. Doctor Paul Cameron.

Post your meds and l will give you a list of the best meds. My cousin is HIV positive former athlete. Been positive 22 years. 

I are waiting for your meds list. So unless your head of the the best ID Unit in Australia. I don't think I are lol

 

"Post your meds and l will give you a list of the best meds."

 

is it that simple or does it need complete knowledge of medical history, other coexisting diseases, tests, etc etc

[harrycallahan]

HIV became common in the 80s and was a death sentence until around the mid 90s. Most infections would happen earlier in life - promiscuity, risk taking. The HIV life expectancy experiment is a work in progress. 

[lanng khao]

Anyone who ends up with a snotty nose, quick trip to the pharmacy for a product called zythromax, good to take a box home just in case you develop any symptoms, clear in 24 hrs..

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[HerbalEd]

8 hours ago, harrycallahan said:

A whole bunch of things fall into the Sexually Transmissible Infection category so there is no single test. If you don't have obvious symptoms you can rule most out. Start by looking at your pecker. It's said a HIV infection starts with an extreme bout of illness then subsides. Hep is another you have to worry about. HIV and Hepatitis are all you need to test for the rest will show up as warts, blisters, painful urination etc. If you have either of those you're in trouble for the rest of your shorter than average life. 

You are so ill informed that your info is actually dangerous. "It's said ...."??? Really? 555

[harrycallahan]

6 hours ago, HerbalEd said:

You are so ill informed that your info is actually dangerous. "It's said ...."??? Really? 555

Yes it's said. Provide your correction or begone. 

[Elkski]

 HIV Type 1
HIV Type 2
 Herpes 1 
Herpes 2
Hepatitis A
 Hepatitis C
 Hepatitis B
 Chlamydia
 Syphilis
Gonorrhea

Here is a list of tests done in USA for 180$ using many if the online STI testing sites.  I ask my partners to ask to get tested for this list.   And yes the new tests differentiate between HSV 1 & 2 and this is about 130$ if the cost but important to me.  But I have not found a lab in Thailand that can do this HSV determinate test.  Most red Cross, planned Parenthood, and doctors don't worry about HSV because it not going to kill anyone so it's not considered a public health threat. 

 

And don't forget HPV

   And I guess there are drug resistant things popping up as well as the throat locations which can require a swab.  

[xylophone]

12 hours ago, lanng khao said:

Anyone who ends up with a snotty nose, quick trip to the pharmacy for a product called zythromax, good to take a box home just in case you develop any symptoms, clear in 24 hrs..

Sent from my SM-G955F using Thailand Forum - Thaivisa mobile app
 

 

Don't rely on it, but get tested to identify what you have got.

 

This is a much overused antibiotic and as such is now not recommended as a first line treatment in some countries because of resistance to it and as such an older drug is often used instead (for chlamydia and gonorrhoea)...…...doxycycline twice a day for 7 days as an example.

 

So the takeaway message is...……...know exactly what you've got before taking antibiotics.

Edited October 2, 2018 by xylophone

[Bonobojt]

Ok I’ve had sex with 9 different girls, 6 were normal regular working Thai girls and 3 were prostitutes from beach road Pattaya, I used condom with the hookers, but one of them performed oral sex on me without condom (I’m an idiot).

 

i didn’t use a condom with a Thai woman on Koh Samui and a Thai woman in Chiangmai. 

 

So I have a chance of Having something.

 

my pee is currently purple pink sometimes but that probably is from the beetroot juice I had on Sunday morning. 

 

I am having some symptoms of a possible std (mild stinging urethra) but the problem with me is I also have a pelvic condition that can also give me STD like symptoms. 

But I have to get checked. 

Ill go to the Thai Red Cross then and not a hospital. The last time I was there I had to wait 2 weeks for results though. And I’m not taking antibiotics before I know the results. Maybe a hospital would give me quicker results ? 

[CH1961]

I recommend this clinic in Pattaya, full range of test's, professional and the result is sent discrete via email ...

[Sheryl]

OP appears to be in Bangkok.

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[Sheryl]

Ok I’ve had sex with 9 different girls, 6 were normal regular working Thai girls and 3 were prostitutes from beach road Pattaya, I used condom with the hookers, but one of them performed oral sex on me without condom (I’m an idiot).

 

i didn’t use a condom with a Thai woman on Koh Samui and a Thai woman in Chiangmai. 

 

So I have a chance of Having something.

 

my pee is currently purple pink sometimes but that probably is from the beetroot juice I had on Sunday morning. 

 

I am having some symptoms of a possible std (mild stinging urethra) but the problem with me is I also have a pelvic condition that can also give me STD like symptoms. 

But I have to get checked. 

Ill go to the Thai Red Cross then and not a hospital. The last time I was there I had to wait 2 weeks for results though. And I’m not taking antibiotics before I know the results. Maybe a hospital would give me quicker results ? 

Not nessecarily. Some of these tests take time.

 

Receipt of oral sex is pretty low risk. But you should use condoms with all partners not just those you consider to be hookers. These "normal regular working girls" had sex with you without a condom so likely have done so with others as well. A woman does not have to be a prostitute to have HIV or other STD. If anything sexually promiscuous nom-prostitutes may be more of a risk as less likely to get regular checks.

 

You have not replied re Hep B immunization status. Have you had the Hep B vaccine?

 

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[Bonobojt]

34 minutes ago, Sheryl said:

Not nessecarily. Some of these tests take time.

 

Receipt of oral sex is pretty low risk. But you should use condoms with all partners not just those you consider to be hookers. These "normal regular working girls" had sex with you without a condom so likely have done so with others as well. A woman does not have to be a prostitute to have HIV or other STD. If anything sexually promiscuous nom-prostitutes may be more of a risk as less likely to get regular checks.

 

You have not replied re Hep B immunization status. Have you had the Hep B vaccine?

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

Yes in England I’ve been vaccinated Hep B.

 

[lanng khao]

 
Don't rely on it, but get tested to identify what you have got.
 
This is a much overused antibiotic and as such is now not recommended as a first line treatment in some countries because of resistance to it and as such an older drug is often used instead (for chlamydia and gonorrhoea)...…...doxycycline twice a day for 7 days as an example.
 
So the takeaway message is...……...know exactly what you've got before taking antibiotics.

Iv got nothing my mate I'm happily married, I was just passing on a bit of info off a whoremonger I know, well it's my dad but he doesn't mind that tag, I will pass on to him what you have said, good to know, he goes through a box a month...

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[Bonobojt]

The Koh Samui woman is certain she’s clean and sent me pics of her tests previous results. She’s more worried than me about having something and feels regret. She’s 33. 

 

the Chiangmai girl is younger, 26. School teacher, doesn’t seem like the type to sleep around with no condom.

 

both the no condom incidents have 2 things in common, alcohol and they both said the condom hurt them. 

 

But it was stupid and I should have better control with myself for sure.

[bkk6060]

Every male who is active in Pattaya should wear a condom.

But, they do not so I guess get tested frequently.

The biggest ex-pat monger or tourist lie is "I always glove up".  No you don't.

Just get to know some of the girls especially on Beach road.

After 3 years here I know many of them.

They will tell you no man wants to use a condom and 95% of those girls will go without. 100's of guys every evening/night taking girls off BR.

Sorry to disappoint, same on Soi 6.  Probably more like 80%+ no condom.

Believe what you want about this but bareback is pretty much the norm and STD's are very much alive.

Edited October 2, 2018 by bkk6060

[Sheryl]

Yes in England I’ve been vaccinated Hep B.
 

Did you specially requestt his? As it is not part ofthe routine vaccine schedule in the UK except for health care providers and other high risk professions. Otherwsie what you get in routine vaccinations is only Hep A.

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[Cactus99]

21 hours ago, atyclb said:

 

 

doctor, is there any truth to the claim azithromycin effectively treats multiple different sexually transmitted diseases?

Azithromycin is generally reserved for and has a high degree of efficacy in treating respiratory tract infections, pneumonia etc. Because different infections have various levels resistance to each antibiotic, it's critical not to self-medicate, but to actually find out what *exactly* you have so an infectious disease specialist can get you the right course of medications/treatment for the right amount of time for each infection, if there is more than one.  And then a follow-up test to be sure they actually worked! In some cases, a second round of antibiotics may be in order.

Edited October 2, 2018 by Cactus99

[Sheryl]

There is no better way to end up with multidrug resistant STD than to repeatedly self medicate with antibiotics without benefit of medical diagnosis and folliw up.

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[atyclb]

1 hour ago, Cactus99 said:

22 hours ago, atyclb said:

 

 

doctor, is there any truth to the claim azithromycin effectively treats multiple different sexually transmitted diseases?

Azithromycin is generally reserved for and has a high degree of efficacy in treating respiratory tract infections, pneumonia etc. Because different infections have various levels resistance to each antibiotic, it's critical not to self-medicate, but to actually find out what *exactly* you have so an infectious disease specialist can get you the right course of medications/treatment for the right amount of time for each infection, if there is more than one.  And then a follow-up test to be sure they actually worked! In some cases, a second round of antibiotics may be in order.

Edited 1 hour ago by Cactus99

 

thank you for your reply. a physician i have known for several decades trained and licensed in the united states had told me that azithromycin is commonly used and could even be called a first line drug of choice given no contraindications like drug allergy. are you saying you would not use azithromycin for applicable std's but reserve it for respiratory tract infections?

 

theres tons of reputable medical sites such as emedicine,  webmd, etc etc that show azithromycin is very commonly used for a slew of applicable std's.

 

 

std's as far as i know are very commonly treated by general practitioners, primary care doctors, gynecologists. from what you wrote it seems patients should see an infectious disease specialist. i always thought infectious disease specialists are consulted by other more primary care and/or surgical doctors when they need help with complex cases and/or are encountering resistance. 

 

 

 

 

 

Azithromycin in the treatment of sexually transmitted disease.

Steingrimsson O¹, Olafsson JH, Thorarinsson H, Ryan RW, Johnson RB, Tilton RC.

Author information

 

Abstract

One hundred and eighty-two patients were enrolled in a randomized third-party blinded study to assess the efficacy and safety of azithromycin in the treatment of sexually transmitted diseases. Three regimens of azithromycin, including a single oral dose, were compared with a standard treatment with doxycycline. The patients were followed for four weeks. Efficacy was evaluated in 168 patients (113 azithromycin, 55 doxycycline). Fourteen patients had negative cultures or did not come for all follow-up visits. Of the 168, 138 were infected with Chlamydia trachomatis, 43 with Neisseria gonorrhoeae, and 45 with Ureaplasma urealyticum. Ninety-six per cent of patients with chlamydial infections and 92% of those with gonorrhoea were cured with azithromycin. Two patients infected with N. gonorrhoeae, four with C. trachomatis and six with U. urealyticum had positive cultures on follow-up visits after receiving azithromycin. Of these 11 patients with positive cultures on follow-up visits, seven (five with U. urealyticum and two with C. trachomatis) violated the protocol by having intercourse with infected individuals during the study. Azithromycin was very well tolerated; one patient complained of mild abdominal pain shortly after receiving the drug, seven patients complained of mild nausea and two patients had mild diarrhoea.

 

 

=======================================================================================

 

https://www.std-gov.org/stds/treatment.htm

[atyclb]

6 hours ago, Bonobojt said:

Ok I’ve had sex with 9 different girls, 6 were normal regular working Thai girls and 3 were prostitutes from beach road Pattaya, I used condom with the hookers, but one of them performed oral sex on me without condom (I’m an idiot).

 

i didn’t use a condom with a Thai woman on Koh Samui and a Thai woman in Chiangmai. 

 

So I have a chance of Having something.

 

my pee is currently purple pink sometimes but that probably is from the beetroot juice I had on Sunday morning. 

 

I am having some symptoms of a possible std (mild stinging urethra) but the problem with me is I also have a pelvic condition that can also give me STD like symptoms. 

But I have to get checked. 

Ill go to the Thai Red Cross then and not a hospital. The last time I was there I had to wait 2 weeks for results though. And I’m not taking antibiotics before I know the results. Maybe a hospital would give me quicker results ? 

 

 

purple pee that you think may be due to beetroot juice?

 

suppose you could test that theory by switching to drinking a lot of orange juice and see if the piss turns orange

 

some test results at red cross are fast.  a culture and sensitivity to identify possible organism requires growing it so naturally takes longer

[atyclb]

50 minutes ago, Sheryl said:

There is no better way to end up with multidrug resistant STD than to repeatedly self medicate with antibiotics without benefit of medical diagnosis and folliw up.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

 

 

std's are very commonly treated empirically at tons of medical practices and even if a c&s is sent there will have been an empiric drug started. same with hospitals although hospitals are more likely to send c&s .    presumptive diagnosis

Edited October 2, 2018 by atyclb

[Sheryl]

8 minutes ago, atyclb said:

 

 

std's are very commonly treated empirically at tons of medical practices and even if a c&s is sent there will have been an empiric drug started. same with hospitals although hospitals are more likely to send c&s .    presumptive diagnosis

There is a world of difference between a trained medical practitioner empirically treating after examining a patient (and, presumably, following up after treatment)  and someone self treating  at the rate of "a box a month" as previously described.

 

BTW medical care in Thailand is highly specialized, GPs as such as rare and even internists (the more common alternative - treat adult non-surgical only) are often quite  limited in the range of skills, nothing at all like the skill set of primary care physicians in western countries.   There are some internists to be found who have experienced/comfortable handling STDs but it would not be at all uncommon in Thailand for them to refer such to an ID specialist.

 

The same is also true of dentistry. Regular dentists here will not do root canals, for example, not even those in genera practice in remote rural areas where endodontists are few and far between.

 

 

[Cactus99]

10 minutes ago, atyclb said:

 

thank you for your reply. a physician i have known for several decades trained and licensed in the united states had told me that azithromycin is commonly used and could even be called a first line drug of choice given no contraindications like drug allergy. are you saying you would not use azithromycin for applicable std's but reserve it for respiratory tract infections?

 

theres tons of reputable medical sites such as emedicine,  webmd, etc etc that show azithromycin is very commonly used for a slew of applicable std's.

 

 

std's as far as i know are very commonly treated by general practitioners, primary care doctors, gynecologists. from what you wrote it seems patients should see an infectious disease specialist. i always thought infectious disease specialists are consulted by other more primary care and/or surgical doctors when they need help with complex cases and/or are encountering resistance. 

 

 

 

 

 

Azithromycin in the treatment of sexually transmitted disease.

Steingrimsson O¹, Olafsson JH, Thorarinsson H, Ryan RW, Johnson RB, Tilton RC.

Author information

 

Abstract

One hundred and eighty-two patients were enrolled in a randomized third-party blinded study to assess the efficacy and safety of azithromycin in the treatment of sexually transmitted diseases. Three regimens of azithromycin, including a single oral dose, were compared with a standard treatment with doxycycline. The patients were followed for four weeks. Efficacy was evaluated in 168 patients (113 azithromycin, 55 doxycycline). Fourteen patients had negative cultures or did not come for all follow-up visits. Of the 168, 138 were infected with Chlamydia trachomatis, 43 with Neisseria gonorrhoeae, and 45 with Ureaplasma urealyticum. Ninety-six per cent of patients with chlamydial infections and 92% of those with gonorrhoea were cured with azithromycin. Two patients infected with N. gonorrhoeae, four with C. trachomatis and six with U. urealyticum had positive cultures on follow-up visits after receiving azithromycin. Of these 11 patients with positive cultures on follow-up visits, seven (five with U. urealyticum and two with C. trachomatis) violated the protocol by having intercourse with infected individuals during the study. Azithromycin was very well tolerated; one patient complained of mild abdominal pain shortly after receiving the drug, seven patients complained of mild nausea and two patients had mild diarrhoea.

 

 

=======================================================================================

 

https://www.std-gov.org/stds/treatment.htm

14

Cheryl, hit one of the nails on the head when she said :There is no better way to end up with multidrug resistant STD than to repeatedly self medicate with antibiotics without benefit of medical diagnosis and follow up."

1) Doctors are having terrible difficulties saving peoples lives right now because of antibiotic-resistant bacterial infections. Most doctors want to preserve azithromycin because it is still good for respiratory tract infections - and we don't have many other options if that becomes resistant. So even if azithromycin can be used - it is neither the preferred choice or the best choice.

 

2) You have no bloody idea what infections you have or don't have? While you seem to be a smart fellow who knows how to research subject matter on the internet, you are not a doctor. You are unfamiliar with why doctors do what they do (treatment protocols). You are unfamiliar with the testing you need. And you are unfamiliar with diagnosis. You are trying to skip accountability and put your health at risk, and maybe your life by avoiding a simple visit to a clinician for testing. C'mon mate, you are not the first person to be in your position. It is unremarkably common. So, stop the denial. Stop considering self treatment. Get it done. It's just a blood draw?

 

3) If you're concerned about and worried about your health, I have one important bit of advice - GO TO THE BEST, MOST QUALIFIED DOCTOR AVAILABLE - Whether it's STD's, a surgery, or cancer. Sure you can go to an OB-GYN, a GP or anyone else choosing to hang a shingle out on a store front to make money off someones misery, without any notable expertise - But why would you, when you can see an expert in a properly staffed and equipped hospital?? This is your health! You're not looking for the cheapest beer or least expensive rice cooker! At a minimum - see an Internist (Internal medicine doctor) or any doctor in a good hospital in their department that takes care of these things, whether it's called infectious disease or not. Treatment protocols change. Testing methods change. The guy in the store front may not have access to best or most current testing.

 

4) There is a saying that "a little knowledge can be a dangerous thing". Stop researching. You have all the info you need. And you have read a lot of the absolute worst advice by shear, bored idiots I have ever seen on this thread. Go to a proper hospital that takes care of foreigners (If they have JCI accreditation, that would be best) and get this taken care of! Get your blood drawn, get the results, you'll get a prescription for medication if necessary, and you'll return for a follow up to make sure you are cleared of any nasties you might have. EASY PEASY! And you *WILL* start carrying and using condoms!! Time to grow up already and do right by yourself and your life! You have worth, my friend. Once again, good luck...

[atyclb]

48 minutes ago, Sheryl said:

1 hour ago, atyclb said:

 

std's are very commonly treated empirically at tons of medical practices and even if a c&s is sent there will have been an empiric drug started. same with hospitals although hospitals are more likely to send c&s .    presumptive diagnosis

There is a world of difference between a trained medical practitioner empirically treating after examining a patient (and, presumably, following up after treatment)  and someone self treating  at the rate of "a box a month" as previously described.

 

i was going to add that but i got caught up in lasagne i am preparing.  you beat me to the punchline

 

arguably doctors are the biggest culprits in antibiotic resistance lol

 

 

48 minutes ago, Sheryl said:

 

BTW medical care in Thailand is highly specialized, GPs as such as rare and even internists (the more common alternative - treat adult non-surgical only) are often quite  limited in the range of skills, nothing at all like the skill set of primary care physicians in western countries.   There are some internists to be found who have experienced/comfortable handling STDs but it would not be at all uncommon in Thailand for them to refer such to an ID specialist.

 

 

you mean an id specialist is inundated with garden variety std treatment in thailand ??

 

 

48 minutes ago, Sheryl said:

 

The same is also true of dentistry. Regular dentists here will not do root canals, for example, not even those in genera practice in remote rural areas where endodontists are few and far between.