Essential to wear condom, even for oral sex

[homeseeker]

http://www.bbc.com/news/health-36065314


The outbreak started in straight couples, but is now being seen in gay men too.

"We've been worried it would spread to men who have sex with men," Peter Greenhouse, a consultant in sexual health based in Bristol, told BBC News.

"The problem is [they] tend to spread infections a lot faster simply as they change partners more quickly."

They are also more likely to have gonorrhoea in their throats. There further resistance is more likely to develop as antibiotics get to the throat in lower doses and the area is also teeming with other bacteria that can share the resistance to drugs.

The bacterium that causes gonorrhoea is extremely adept at shrugging off our best antibiotics.

So two drugs - azithromycin and ceftriaxone - are used in combination.

But now resistance to azithromycin is spreading, doctors fear it is only a matter of time before ceftriaxone fails too."

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[Oliver]

Yes, indeed it is essential. Many Thai guys are unaware (in my experience) of the dangers of unprotected oral sex and I always make a point of educating my partners.
Hiv infection is also a small possibility....small but big enough for me not to take chances and not to allow my partners to take chances either. I know one Thai guy who is convinced, rightly or wrongly, that his hiv status is the result of oral sex.

[fountainhall]

Many Thai guys are unaware (in my experience) of the dangers of unprotected oral sex and I always make a point of educating my partners.

I would make a guess than in fact most Thai guys are unaware of this danger - and add that a huge number still remain unaware of the risk of contracting HIV through unprotected anal sex. I have met a few guys - as I'm sure most of us have - whose first experience of sex was as a schoolboy through unprotected anal intercourse with a local older Thai. But though living outside main cities, these guys then developed a desire to meet farang for sex. Each then arranged to come to Bangkok to meet a farang partner for a week-end of sex, sometimes unprotected, even though the boys then were not yet 18.

One, now 23 has just graduated from a prestigious specialist college. He decided to be checked about 2 years ago and discovered he was positive. He has kept this information from almost all of his friends. Now he is applying for jobs and has finally started to realise the enormity of his condition - even though his viral load is now undetectible. He has been through half a dozen interviews with major companies. At each one the interviewers have congratulated him and said they would offer him the advertised position. But these companies require medical certificates. Solely as a result of his HIV status, he was then turned down for each. He is now becoming desperate, not just because of his condition, but because he might never be unable to work in the industry which has been his childhood dream.

What makes these cases all the sadder is that Thailand used to be a leader in the field of anti-HIV education programmes. But then these were significantly reduced in the early 2000s. Had they remained in place, perhaps these guys would not now be infected. And unless something on a national scale is done to point out the real risks of unprotected oral sex, the HIV toll will just keep rising although at a much smaller rate.

[lego]

What's next, hand jobs wearing gloves?

[scottish-guy]

What's next, hand jobs wearing gloves?

Normally one has to pay EXTRA for that - especially if it's the pink rubber ones!!

[cdnmatt]

Found the solution:

[fountainhall]

Found the solution:

For those few who haven't seen the movie, here is the clip -

[scottish-guy]

It's not just in Thailand too - my BF in Vietnam has a friend in the same position after a positive HIV diagnosis and has told us -

Cannot find any work as medical certificate required - and has similarly had promises of work withdrawn,
99% of "friends" he has confided in have deserted him,
Family regard him as letting them down and if not overtly hostile, at best cold with him
Now openly talking of suicide as his best option

I don't know how much we in the West kid ourselves that it would be better where we are - and I hope we never have to find out.

[fountainhall]

And if it is this bad in Thailand and Vietnam, consider what it may very well be like in places like Myanmar, Laos and China!

[Surfcrest]

Just by the nature of the HIV virus, the likelihood that it could be passed from person to person through oral sex, kissing or anything involving the mouth is unlikely. Absorption is different for the mouth than it is for the colon and vagina, if you're familiar with oral tinctures and anal suppositories. Blood through the mouth is a possibility, but I think that would be quite noticeable and a deterrent in itself.

Gonorrhea is much different. It jumps easily from mouth to throat, making it a bug that sweeps through the casual sex environment. The good thing with gay men though, is that the symptoms when you have it on your penis are quite noticeable. You may not notice it in your throat, but because it jumps so easily...the infection will probably become more noticeable when it gets to the penis. Only if you suck, but don't get sucked...might you not notice it in your throat.

The one that we need to watch for, especially lately with the amount of infections in Gay Men is Syphilis. Some people show symptoms, while others don't or don't know what the sores are and ignore them until the disease moves into advanced stages. You are diagnosed by a blood test that doesn't always catch it, so some practitioners may simply start you on the treatment (usually a powerful antibiotic injection into your hip) rather than risk missing the infection.

I've never been infected with anything in Thailand, but I did get Gonorrhea once at a bathhouse in Mexico City and then through the bathhouse scene in the 80's and 90's. What I've noticed with Thai bar boys over the years are warts. That's more of a concern because it turns into cancer.

Surfcrest