OCD about HIV after had sex in geylang Brothel

[Big Sexy]

u are right boss..
and it also doesnt include many other factors which can increase the probabilities e.g the presence of genital ulcers..
these has been answer many time.. they need to learn how to use the search feature or read the stickies..

Also to quote Dr Tan;s

this guides should not be interpreted as medical advice or a diagnosis of any health-related problem.
If one believe one is in an urgent or emergency situation then one should seek professional medical advice...

Originally Posted by sammyboyfor

Those are probabilities with an infected partner.

If the status of the partner is unknown, you have to multiply those figures by the "probability that the partner is infected" parameter. If the whore was in a legal brothel, that figure is very, very low given that there have been no positive HIV tests for years.

[johnnywalk8750]

Originally Posted by sammyboyfor

Those are probabilities with an infected partner.

If the status of the partner is unknown, you have to multiply those figures by the "probability that the partner is infected" parameter. If the whore was in a legal brothel, that figure is very, very low given that there have been no positive HIV
tests for years.

Better to chiong legal

[DoctorTan]

Here is a quick and brief rundown on HIV risk assessment written by me for a medical meeting few months ago:

Risk Assessment

Risk assessment is a very imperfect science. There are many factors that affect transmission risk. It is not possible to quantify with any accuracy the impact of each individual factor. So we can at best give patients a ballpark figure as to their risk.

More often than not, patients find this very useful as many people tend to overestimate their HIV risk.

Risk assessment can be divided into:
1. Source risk
2. Transmission risk

Source risk

This is based on knowledge of HIV prevalence as well as the individual risk factors of the patient’s sexual partner(s).
Singapore’s HIV prevalence rate is 0.13% of the general population as reported by UNAIDS GARPR statistics. The same report noted that between 40% to 48% of new cases detected were already in the late stage of HIV infection. This suggests that there is a large pool of undiagnosed HIV +ve people in Singapore.
This hypothesis was given further credence by a study conducted by MOH in 2007.
More than 3000 anonymous blood samples were collected from hospitals in
Singapore and tested for HIV. The prevalence rate was 0.28%
Singapore’s MOH in its Update on the HIV/AIDS situation in Singapore 2013 report stated that there were currently 4,558 people living with HIV in Singapore. With a resident population of 5 million, that puts the prevalence rate at just below 0.1%.
The HIV prevalence if MSMs in Singapore is estimated at 3.14%.
There is no published data on the prevalence of HIV among CSWs in Singapore.
Commercial sex is legal in Singapore. CSWs are required to attend monthly
screenings for HIV, Syphilis, Chlamydia and Gonorrhoea. Commercial sex is also widely available at massage centres in Singapore. Masseuse are therefore also required to undergo screening for HIV, Syphilis, Chlamydia and Gonorrhoea but only once every 6 months.
Non-licensed CSWs or “street walkers” are common in Singapore. They are
unmonitored and therefore do not undergo regular screenings. Anecdotal reports have identified Vietnamese non-licensed CSWs as the highest risk group with prevalence approximately 4%.
If the patient’s partner a known injection drug user/abuser, has had organ transplant or blood/blood products transfused prior to 1985 or from an unreliable source, he/she is deemed to be at an increased risk of HIV.

HIV rate in Thailand – The HIV prevalence among MSMs in Thailand ranges from 7.1% to 17.3% with a higher concentration in Bangkok. Reported rates of HIV prevalence among female sex workers range greatly from 2.2% to 20.2%. HIV prevalence rate among male sex workers is reported as 12.2%.

HIV rate in Bali – In 2010, the National AIDS Commission of Indonesia released a report stating that the HIV prevalence rate among CSWs in Bali is 25%.

Transmission Risk
Assessment of transmission risk only makes sense if the source if known or deemed to be HIV +ve.

There are a lot of tables and images for this in the report which I don't know how to reproduce here. So I am attaching the link.

PLEASE remember that this is a professional report meant only for doctors. So PLEASE don't make any medical decisions based on this. PLEASE still see your doctors for medical advice. This link is placed here exclusively for Samsters.

http://www.drtanandpartners.com/wp-c...-Tan-MMM-2.pdf

[sammyboyfor]

I have always been telling samsters that regardless of the probabilities of transmission, there are only two outcomes :

1. You caught HIV.

2. You did not.

The only way of finding out is to get tested at the appropriate time.

My advice is to test for STDs every 6 months as long as you have regular unprotected sex regardless of who it is with. With the degree of infidelity present in today's society, you cannot really trust anyone.

[d0bs]

Thanks for the reply guys. Im going to check my status this Saturday. Will update you guys. thanks.

[ric338]

u r right bro check up every 6 month

[AUDITH]

Originally Posted by DoctorTan

Commercial sex is legal in Singapore. CSWs are required to attend monthly
screenings for HIV, Syphilis, Chlamydia and Gonorrhoea. Commercial sex is also widely available at massage centres in Singapore. Masseuse are therefore also required to undergo screening for HIV, Syphilis, Chlamydia and Gonorrhoea but only once every 6 months.

Non-licensed CSWs or “street walkers” are common in Singapore. They are
unmonitored and therefore do not undergo regular screenings. Anecdotal reports have identified Vietnamese non-licensed CSWs as the highest risk group with prevalence approximately 4%.

Are there screening for the ladyboy (transvestite/ transsexual) CSW in legal Desker Rd & both male & female social escort from licensed social escort agency?

[d0bs]

Originally Posted by DoctorTan

Here is a quick and brief rundown on HIV risk assessment written by me for a medical meeting few months ago:

Risk Assessment

Risk assessment is a very imperfect science. There are many factors that affect transmission risk. It is not possible to quantify with any accuracy the impact of each individual factor. So we can at best give patients a ballpark figure as to their risk.

More often than not, patients find this very useful as many people tend to overestimate their HIV risk.

Risk assessment can be divided into:
1. Source risk
2. Transmission risk

Source risk

This is based on knowledge of HIV prevalence as well as the individual risk factors of the patient’s sexual partner(s).
Singapore’s HIV prevalence rate is 0.13% of the general population as reported by UNAIDS GARPR statistics. The same report noted that between 40% to 48% of new cases detected were already in the late stage of HIV infection. This suggests that there is a large pool of undiagnosed HIV +ve people in Singapore.


http://www.drtanandpartners.com/wp-c...-Tan-MMM-2.pdf

Doctor, i went for checkup, and they said i need to retest next few weeks after 14th of Feb 2015 (Last exposure was 30th Jan 2015). As i know 4th gen window period is 14days after exposure. Its already 15days for my case, so should i go back again? the result was negative.

[RaggaeSoul]

Originally Posted by ric338

u r right bro check up every 6 month

Yes correct thats what i know also

[DoctorTan]

Originally Posted by AUDITH

Are there screening for the ladyboy (transvestite/ transsexual) CSW in legal Desker Rd & both male & female social escort from licensed social escort agency?

No and No. BTW Desker Road is not legal. It is tolerated. Also, licensed social escort agencies are also NOT legally allowed to sell sex.

Since both practice under a grey area of the law (actually black rather than grey but everyone just close 2 eyes), then there cannot be any governmental policing.

So there is obviously no regulations that apply or can be enforced. If the OKT is nice and wants to get his girls screened to protect his reputation that is his perogative.

[DoctorTan]

Originally Posted by d0bs

Doctor, i went for checkup, and they said i need to retest next few weeks after 14th of Feb 2015 (Last exposure was 30th Jan 2015). As i know 4th gen window period is 14days after exposure. Its already 15days for my case, so should i go back again? the result was negative.

Whoever said 4th Gen window period is 14 days? It's 28 days my friend.

[d0bs]

Originally Posted by DoctorTan

Whoever said 4th Gen window period is 14 days? It's 28 days my friend.

http://afa.org.sg/what-is-a-4th-gen-hiv-test/

u might wanna check this,doc. They said that its accurate after 14days exposure?

[Rungfah]

Originally Posted by DoctorTan

No and No. BTW Desker Road is not legal. It is tolerated. Also, licensed social escort agencies are also NOT legally allowed to sell sex.

Since both practice under a grey area of the law (actually black rather than grey but everyone just close 2 eyes), then there cannot be any governmental policing.

So there is obviously no regulations that apply or can be enforced. If the OKT is nice and wants to get his girls screened to protect his reputation that is his perogative.

Thanks for sharing this doctor tan

[peanut123]

Dude, this is normal for a newbie to the commercial sex scene. The first time I had commercial sex, I got worried the next day. I went for a checkup at 2 weeks, 1 month, 2 months, and 3 months. Each time the nice folks at AFA would ask me for the details, and then tell me I had very little to worry about, and they've heard much much worse. Turned out I was negative all along.

After that I calmed down, assessed the risks, and decided that the calculated risk of *protected* sex was acceptable. I go for regular checks, but no longer do I freak out or worry needlessly. Just remember to ALWAYS use a condom.

Originally Posted by d0bs

Title says it all. currently OCD about my health whether im infected or not. keep on thinking , irritating feeling , cant put away. going this AFA checkup on 14 feb ., last exposure was on 30 jan. had sex with brothels 3 times including this latest one. went 2 checkups , all negative. but now suddenly got the feeling of checking up again when i already know im not infected. $40 gone again.

[muthu_curry]

Originally Posted by DoctorTan

Commercial sex is legal in Singapore. CSWs are required to attend monthly
screenings for HIV, Syphilis, Chlamydia and Gonorrhoea. Commercial sex is also widely available at massage centres in Singapore. Masseuse are therefore also required to undergo screening for HIV, Syphilis, Chlamydia and Gonorrhoea but only once every 6 months.

Hi Dr Tan

This is the first time I am hearing that masseuses are required to undergo mandatory screening.

Is this true for every massage joint in sg?



i mean we have AV raiding massage joints and yet at the same time commercial sex is available and they have to go through screening.