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Conditions and Diseases > Sexually Transmitted Diseases Forum > How can I prevent infections after risky Sexual Behavior?
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Q: How can I prevent infections after risky Sexual Behavior?
asked by: DoctorQuestion on August 31st, 2006
Doctor,

i was recently in asia and slept with a girl that I met from a bar. I am really worried that I have contracted something. We had kissed and she had performed oral sex on me without protection. We also had intercourse and I had protection. However, I was really paranoid the next day and went to a doctor ini asia. He took my blood sample for a test but told me that it would be about 7 days before the results would come. I flew back to the united states the next day and went to another std doctor (this was about 4 days after sexual intercourse). I did not have any symptoms yet and no tests were done on me from this doctor. I noticed a minor cut on my penis and informed him about it. He told me that it was probably a bacterial infection and gave me levaquin (500 mg, 7 pills... Im currently on my last two) and injected me with bicillin la (2,400,000 units) for prevention of chlymadia, gonorhea and syphillis. Is this the right procedure? He told me to rest assure and that these diseases would not reoccur, that they would be eliminated... Is this true? I am really worried for other viral dieseases as well. I am scheduled to return two months from now and have a herpes test, and then another hiv test in the 3rd month. The doctor in asia emailed me the results and they were negative concerning hiv and vdlr. However I know that these results are probably inaccurate because it was done only after one day of sexual intercourse.
My main question is what I should do now? What other precautions can I take or am I just waiting, if any, as the virus incubates into my body? Should I go to another std clinic and get tested again? Please help.. I am really worried and scared.


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Dr. Nikola Gjuzelov , MD
replied on September 6th, 2006
Sexually Transmitted Diseases Answer A1438
According to your description (unprotected oral sex),it seems that you participated in very risky sexual behavior. The risk is greater if your sexual partner had ragades in her mouth or you had ragades on your penis. The preventive antibiotics that you took are generally OK. Bicillin (penicillin) will protect you from syphilis and gonorrhea. Levaquin (a type of fluoroquinolone) acts on Chlamydia but according to my data, tetracycline or macrolides are usually used for treating/preventing Chlamydia infection. For viral infections, unfortunately, there is no efficient treatment or prevention. You can try preventing a HSV-infection by using acyclovir. You can prevent the B-hepatitis virus (HBV) only if you were previously immunized with vaccine. There is no way you can prevent Hepatitis-C virus (HCV) infection. You can try preventing HIV/AIDS infection by using anti-retrovirus therapy (ZDV, AZT). For all these preventive treatments you must consult an infectologist, first. You will also have to ask your doctor for HIV-testing 6 weeks, 12 weeks and 6 months after the risky exposure.


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