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Ask what happens if you miss or delay an injection, because the answer involves a plan rather than a shrug and it is better to know it before you start.

It is real and it is in the CDC guidance now, from 2024. The short version is a dose of doxycycline taken within 72 hours after sex. The trials showed a large drop in syphilis and chlamydia and a smaller one for gonorrhoea, which fits with how much resistance there already is in gonorrhoea.

It is not offered to everyone. In the US guidance it is aimed at men who have sex with men and transgender women who have had a bacterial STI in the last year, and it is meant to be a conversation with a clinician rather than something you decide alone.

Ask your clinician up front how long they would expect to keep going before rethinking the approach. Having a number to hold onto made the repeat appointments much easier to face.

Whichever you choose, PrEP comes with a monitoring schedule, regular HIV testing and other checks. Ask what that schedule looks like before you start, because it is part of the commitment and people are sometimes surprised by it.

Worth adding, because it is the bit that trips people up: having wart causing types does not rule out also having a high risk type. They are separate types and you can carry more than one at once.

A wart diagnosis is not a statement about your high risk status in either direction, which is exactly why screening is a separate programme rather than something the wart appointment covers. It is not that anyone is being cagey, it is two different questions.

This is the single most common reason people end up back in the clinic. Going back too early, or before the partner is done, and then being genuinely baffled by a second positive.

Practical wording, since drafting it is the part that takes people days.

Say what you tested positive for, say they should get checked, offer nothing else. No apology essay, no explanation of how you think it happened, and above all no guess about who gave it to whom. You do not know that and saying it out loud turns a health message into an accusation.

Send it and then put the phone down. You are not obliged to manage their reaction.

It is not usually the first thing offered, and in some places it is not licensed for this specifically. So expect a conversation rather than a simple request being granted.

If you have symptoms, say so and ask for it specifically. That is the situation where it will be tested for essentially anywhere.

Ask for the list in writing. Mine was on the results letter and answering this question for myself took about ten seconds once I actually read it.

Worth asking the school nurse or your doctor for the local information sheet. It answers the question with local data, which tends to land better than a forum post in a family argument.

If you do keep shaving anywhere, do not reuse the blade and do not go over treated skin. That is the minimum.

The part people skip is the prodrome rule. Shedding is highest around symptoms, so the days either side of an outbreak are where most of the risk sits.

If the supply situation is part of why you missed it, say that too. Clinics are managing around shortages and that is relevant to what they offer you next.

Head lice and pubic lice also do not really colonise each other’s territory, so finding one is not a reason to assume the other.

Lab variation and recent illness or vaccination are both offered as explanations. My clinic repeats the test rather than changing anything, which is standard.

Get the interpretation in writing. You will be asked about this result for the rest of your life and having a clinician’s written conclusion saves a great deal of repetition.

Ask to be assessed for that specifically rather than just retested for the same infection repeatedly. Repeat negative tests answer one question and leave the actual one open.

Viewing 18 replies - 1 through 18 (of 18 total)

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