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Jun 6, 2014

Hi much great information here that keeps me knowledgeable and feeling good about he future. Thanks! I've been positive for 5 years, started meds shortly after seroconverting. I have an undetectable viral load and cd4 greater than 800. I have alot of casual sex, always protected for anal but not for oral. I seem to be a magnet for STD and last couple of years have been treated for NSU several times. Can STD compromise my good HIV health? If treated repeatedly, can I become resistant to some of the meds treating STD and therefore jeopardize my HIV health? My doctors who is amazing says I could consider having less sex to minimize the risk...not sure if I want to do that. Thoughts?

Response from Dr. Young

Hello and thanks for posting.

Sexually transmitted infections (STIs) can certainly cause health problems, some of them long-term. For example, papilloma virus (HPV) can increase risk of oral, cervical and rectal cancers.

Condoms can and do prevent many infections, but be mindful that while oral sex is low risk for HIV and hepatitis C, it still a very good way to contract herpes, syphilis, gonororrhea or HPV. Active oral or genital ulcers (from some STIs) can also increase your risk of getting super-infected with another strain of HIV.

Drug resistance isn't a problem for some STIs (like herpes, syphilis or chlamydia), but is for others, like gonorrhea.

Decreasing your number of partners will generally decrease your risk (especially if they're casual or anonymous partners). The greater the number of partners, the greater the risk that any one of them might harbor an unwanted infection. This isn't a statement about fidelity and morals, but rather one of risks and knowledge. Hope that helps, BY

started pep medication ..need sincere advice

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