Sexually Transmitted Diseases/help ?


Hi i was asking you some questions before 1 month...

After that i went to a std clinic was tested negative for hiv... chlamidya... gonnorhea....syphillis... i have the vacc for hep B .... not sure what is the chance to get hepatitis C from sex ? afyer condom broke maybe for 30 sex unprotected sex ?

second question is... after using valtrex.. the doxtor treated me but i didn't had nothing i got candida infection? i was using 3 tab a day for 7 days ( one tab 1000 mg ) i never used antibiotics... now am experiencing weird iching , like rib pain...expecialy when i eat sweet... is it possible that the antibiotics destroyed my stomach ? .. i was on a diet and was feeling good but i staret to using sweet stuff sometimes and it comes back...

And the thirt question ? can i get oral hpv ? without having oral sex ? or if you kiss somebody ?

Sorry for the bad spelling ... i aprichied your help on this side .. thank you very much for that ...

Hello Mark,
The chance of hepatitis C from sex is very low, but not impossible.  Usually acquired from exposure to infected blood through needle sharing during drug use.

You should not get candida from Valtrex because that medication is an antiviral, not an antibacterial medication. Getting rid of "good" bacteria in the bowel and genitourinary system allows opportunistic fungi such as candida to become evident. You may have had a skin fungus before and it just became evident after your medication.  You could also have a metabolic disorder such as diabetes, which may predispose you to candidal infections as well.

No, you can not get human papillomavirus (HPV) infection from kissing an infected partner. You can however, get oral HERPES (HSV) from kissing.  You asked about HPV but I wanted to make sure you wouldn't confuse the two viruses.

Learning to spell makes sure that no one misunderstands your written comments, and although a few typos are probably okay, it's good to try to perfect communication skills! "chlamydia, gonorrhea, after, doctor, started, appreciate, site"

Good luck!

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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. 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 “pre-screen” 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 consequences 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!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered 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.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

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

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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