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About Mark Behar
Expertise
Almost any question or concern about sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), gay men's health issues. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “prescreen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and conseqences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience
Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answer STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; Wisconsin Academy of Physician Assistants; American Society of Colposcopy and Cervical Pathology (ASCCP); Board of Directors, National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA)

Education/Credentials
Physician Assistant Certified, since 1982; Masters in Physician Assistant Studies; Colposcopy Recognition Award, American Society of Colposcopy and Cervical Pathology (ASCCP);

Awards and Honors
Colposcopy Recognition Award (CRA), from the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI

 
   

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Sexually Transmitted Diseases - Hello


Expert: Mark Behar - 10/20/2009

Question
Hello Dear Doctor, I am wajid 18 years old single male. when i do urine at the middle or at the last of my urine some drop like milk or like low quality sperm takes out automatically and i have no pain or burning at that time. This problem occurs 6 months ago at first this happens some times and nowadays it happen always please help me i am so worried. when it takes out i became very weak for a day. I went to doctor and did my urine test i was having few pus cells then he give me the medicine below.

Tab. Norfloxacin    400 mg
Tab. Serratiopeptidase      10 mg
Cap. Vitamin E      600 mg

Now i ask you that is this medicine useful or not and this cause from what ?

I will wait for your answer

Abdul Wajid

Answer
Hello Abdul Wajid,
"Pus" cells in your urine are always due to an infection and inflammation, possibly a sexually transmitted infection.   Norfloxacin is an antibiotic that may or may not effectively treat what you have. Unfortunately, I do not know what you have!! The serratiopeptidase is a dietary enzyme that may have helped you when taking the antibiotic-- so as to not have stomach upset or diarrhea, that frequently occurs when taking some antibiotics; vitamin E has little or no use or benefit.

You may have had a prostate infection, or a urethral infection caused by chlamydia, gonorrhea, ureaplasma, mycoplasma. Some diagnostic tests may be in order to determine whether you were correctly treated for what you had.

Good luck!
--mark  

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