Do your own medical research
[QUOTE=JohnD89;7619342]Emtricitabine / TDF For HIV.
Doxycycline for Syphilis, gonorrhea and chlamydia.
Acyclovir for HSV 1 and 2.
A PCP or sexual health clinic should help facilitate. Tell them you are a highly sexual person that has multiple sexual partners.
Also, would just suggest regular STD screening even if you don't use PrEP. Almost all STDs like syphilis and HIV can initially cause some outward signs and symptoms that then go away, but you will remain contagious and spread to others. So, just get tested if you engage in high risk sexual activity like we do.[/QUOTE]Doc fails to elucidate us on the absolute and relative risk reduction of his recipe. Please do your own research before taking his advice. For example Doc's method would only reduce your chances contracting HSV-2 by 30% in heterosexual relationships per the CDC. According to google the chance of a male getting HSV-2 from a female is. 04% 1% per encounter, so a 30% decrease is a marginal risk reduction. In fact, if you think you are bulletproof because of said cocktail and increase your number of encounters your overall risk may increase.
Talk to your own doctor, do your own research, and remember: the person who graduates last in their medical school class is still a doctor. Below is the link where I got my CDC information.
[URL]https://www.cdc.gov/std/treatment-guidelines/herpes.htm[/URL]
Shakespeare said it best.
[QUOTE=JohnD89;7620050]Agreed, definitely discuss risks and benefits with your own healthcare provider. As for discussion of absolute versus relative risk reduction, that's a bit beyond the scope of this forum.
As for HSV suppression and treatment, valacyclovir and acyclovir efficacy is well documented in the literature. I'd rather have acyclovir or valacyclovir coursing in my system if I am exposed before replication can even take place. No studies have been done on the PrEP capabilities of either antiviral, but heuristics would suggest that stopping replication before it can even begin would be very helpful. Acyclovir is relatively cheap and well tolerated so I see little downside to its use.
As for your passive aggressive ad hominem attack on my graduating status in the lower tier of my class. I graduated in the top ten percent and always scored in the top 10th percentile in all standardized tests.
This information was given to those wondering if there are any reasonable ways to mitigate risk and I provided it. Why don't you comment on the use of PrEP for HIV and syphilis, gonorrhea and chlamydia. That's right, you can't because all you likely have is a quick search on Google and a link to the CDC website versus drilling down to individual papers. This is the last I'll mention or comment on this topic. Always some keyboard warrior.
Remember, the keyboard warrior that uses ad hominem attacks likely never graduated from high school.[/QUOTE]"The (Good Doctor) doth protest too much, methinks". Anonymous forum or no, you come here and provide half ass medical advice with no citations / risk assessment under the auspices of being a physician. It doesn't take a high school keyboard warrior to recognize the need for you to revisit the Hippocratic Oath. Come correct or don't come at all.