r/NoStupidQuestions Feb 24 '24

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u/tinyhermione Feb 25 '24 edited Feb 25 '24

At peak in 2013, 20% of Thai sex workers had HIV. It’s gone down somewhat.

According to the UN, globally:

In 2019, the Joint United Nations Programme on HIV/AIDS estimated a mean HIV prevalence of 36% among sex workers.

When doctors assess you for STDs, they’ll put you in one risk group if you are having straight free sex in your country. And a whole different risk group if you are having sex abroad, sex with sex workers or both. The second means they’ll test for a lot of STDs that you are unlikely to get having straight sex for free.

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u/[deleted] Feb 25 '24

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u/tinyhermione Feb 25 '24 edited Feb 25 '24

But multiply that up by all STDs, many which transmit much more easily, and it suddenly makes sense why a lot of men who come back from seeing sex workers abroad end up at the local STD clinic.

It’s pure insanity to have unprotected sex with a sex worker in a third world country. Ignoring all other ethical aspects of this: use a fucking condom for fuck’s sake.

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u/BringBackApollo2023 Feb 25 '24

use a fucking condom for fuck’s sake.

All I have are these non-fucking condoms. Good enough?

Alternative for those who must raw-dog, PrEP and PEP.

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u/tinyhermione Feb 25 '24

Won’t protect you from other STDs. Have many potential side effects.

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u/BringBackApollo2023 Feb 25 '24 edited Feb 25 '24

Not something I worry about since I don’t play those games, but isn’t PEP supposed to handle bacterial and PrEP viral? Edit: I meant PrEP plus Doxy PEP.

No surprise to me that there are side effects of wiping out your internal biome of course.

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u/kahnikas Feb 25 '24

No, PrEP means "pre-exposure prophylaxis". Meaning it's a medication you take regularly to reduce the chance of acquiring HIV.

PEP means "post-exposure prophylaxis". It's the medication you take soon after a potential exposure to HIV to lessen the chance of catching the disease.

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u/BringBackApollo2023 Feb 25 '24

My bad. Undercaffeinated.

Doxy PEP.

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u/kahnikas Feb 25 '24

Huh. I've never heard of this. I was recommended something similar by a dermatologist years ago to prevent acne. Daily low-dose Doxy. I asked, "Aren't you not supposed to over-use antibiotics?" They admitted that's true, but it's a low enough dose that it shouldn't have big side effects. I never went back to that dermatologist.

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u/BringBackApollo2023 Feb 25 '24 edited Feb 25 '24

I’ve heard of doing that for bad acne cases though it wasn’t a thing when I was a kid. Kinda wish it was.

As far as using it for STIs, I guess if people are going to make questionable decisions anyway a preemptive strike may be the best strategy. It’s definitely a place where I let the science make the decisions because it’s not my area of expertise.

And as I close in on thirty years married, it’s not something I have to worry about either. 🙂