How to protect yourself from casual relationships. Casual sexual intercourse: consequences, prevention. Preventative measures carried out in our clinic usually include

Unpleasant situations happen when you need to know the answers to regrettable questions: what if a condom accidentally broke, did you have sexual intercourse while intoxicated, with a dubious partner, or did rape occur? Such cases require immediate implementation of appropriate measures to prevent sexually transmitted diseases.

Venereologists answer the question “what to do if you had unprotected sex” and give the following recommendations:

First, within two hours after sexual intercourse, use antiseptics: Chlorgesidine, Miramistin, Betadine or Intimate Spray. Following the instructions for use of these drugs, the genitals, pubic skin and thighs should be treated. But you cannot completely rely on these remedies and consider them 100% protection against STDs.
Secondly, consult a venereologist as soon as possible. Drug prevention is possible for 1-2 days after unprotected sexual intercourse. Correctly selected treatment is 100% effective against bacterial diseases such as syphilis, gonorrhea, trichomoniasis, chlamydia, mycoplasmosis. But such preventive treatment will not help against viral infections: herpes, hepatitis, human papillomavirus, HIV infection, etc.

STD tests after unprotected sex

Some ignorant people go to get tested after unprotected sex the next day, believing that in this way the disease can be identified and treatment can begin as early as possible. Of course, any disease is better treated at an early stage. But it is possible to identify pathogens of sexually transmitted infections only after a certain period of time, after the end of the incubation period. These periods vary for different STDs. If you experience itching, burning, or discharge after unprotected sex, you should consult a doctor immediately.

You can take tests after unprotected sex:

For major bacterial infections after two weeks;
For HIV, herpes, hepatitis in a month and a half.

Tests for STDs at the venereal disease clinic “Blagoye Delo”

Doctors at our clinic will answer the question “what to do after unprotected sex” - immediately contact our highly qualified specialists. As mentioned above, getting tested immediately will not detect the infection. However, the doctor, based on the situation, will prescribe competent preventive drug treatment.

PCR tests and other types of tests for sexually transmitted diseases in our clinic are carried out according to the most modern technologies. We have been cooperating with leading laboratories in Moscow for a long time, which allows us to guarantee the accuracy of the results obtained.

In the arsenal of doctors at the Blagoye Delo clinic, we have the most diagnostic tools for syphilis, which we use in complex and doubtful cases. An express test for syphilis can be carried out on the early stage disease, in the second week after infection (incubation period).

No matter how a person feels about casual relationships, they can happen to almost anyone. Therefore, after questionable sexual intercourse, protect yourself. You should definitely visit a venereologist, and in Moscow this can be done anonymously and quickly at the private clinic “Blagoe Delo”.

Form for making an appointment with a venereologist

A urologist-venereologist will work with you

Residency - in the specialty "Dermatovenereology" on the basis of the Russian Medical Academy of Postgraduate Education. Sechenov 1996-1999 Postgraduate studies - Research Institute of Dermatovenereology, Moscow 1999-2002.

Advanced training in the specialty "Urology" on the basis of the Research Institute of Urology, Moscow, MMSI on the basis of City Clinical Hospital No. 50 2002, 2003, 2004, 2005.

Specialization:
- dermatology-venereology;
- urology;
- andrology.

Internships abroad - Department of Dermatovenereology, Berlin medical institute. 2009, 2011

Regular participation in professional conferences, symposiums, round tables. Member of the Association of Russian Urologists.

Get tested in the CIR laboratories!

Sexual infections using PCR method (smear of discharge, smear from the urethra):

Look

Sexually transmitted diseases (STDs) and sexually transmitted infections (STIs) refer to conditions associated with infectious agents that are transmitted primarily through sexual contact (including those that can be contracted through oral sex). These terms are used more often than the term “sexually transmitted diseases.” A more correct name is “sexually transmitted infections,” since the presence of an infection does not always lead to illness, but a person can spread the pathogen.

According to the international classification of diseases, 10th revision (ICD-10), the group of infections transmitted mainly sexually, includes various forms of the following diseases:

In other groups of ICD-10, other infections are identified, including sexually transmitted ones:

Conditions caused by HIV (human immunodeficiency virus)
Candidiasis ()
Phthiriasis (pediculosis pubis, pubic lice)
Scabies

There are also infectious agents - causative agents of urogenital infections, which under certain conditions can cause inflammatory diseases of the genitourinary system in men and women or be dangerous during pregnancy and childbirth:

Preferred routes of transmission of STDs. Unprotected sex. What can you get infected from oral sex?

With unprotected sexual intercourse, there is a high risk of infection with trichomoniasis, hepatitis B and C, HIV, herpes, human papillomavirus, and scabies. Infections can be caused by any type of infection. sexual contact, and not just during vaginal sex. Thus, during oral sex there is a possibility of infection with gonococci, which can cause specific pharyngitis (inflammation of the larynx) or stomatitis (inflammation of the oral mucosa), herpes virus, human papillomavirus infection, syphilis, hepatitis B and C, and HIV infection.

Preventing contracting STDs

Prevention of contracting STIs is extremely important, especially in the case of incurable diseases (HIV infection). It is possible to significantly prevent infection with sexually transmitted infections by using barrier contraceptives (condoms, both male and female).
It is important to avoid contact with the biological fluids of a partner (sperm, vaginal discharge, saliva), which may be a carrier of infectious agents.
Ideally, before starting sexual relations, both partners should undergo screening for carrier infections, which includes blood tests and smears of genital discharge. It is important to know that many infections cannot be detected immediately after infection.
Vaccination is used to prevent certain diseases (eg, hepatitis B, some types of human papillomavirus).

Emergency prevention after unprotected sex

You should immediately toilet the external genitalia using antiseptic agents. As prescribed by a doctor, it is necessary to take medications (antibiotics) to prevent the development of certain diseases (it should be borne in mind that such tactics do not help in the case of hepatitis, HIV infection, papillomavirus infection).
After 14 days, you should take smears to detect infections (), after 1.5-2 months - tests to diagnose hepatitis B and C, syphilis, and HIV infection. If there is a high risk of contracting HIV infection and the first negative test is obtained, the HIV blood test should be repeated later, since early examination may not detect infection.

Diagnosis of STDs. What tests for STIs should be taken and in what cases. Tests after unprotected sex.

Testing for STDs is carried out in the following cases:

Presence of symptoms
Screening tests to detect hidden infections (blood tests and smears of genital discharge)
Examination during pregnancy (blood tests and smears of genital discharge)
Screening of blood donors (tests for HIV, hepatitis B and C, syphilis)
Tests after unprotected sex (blood tests and genital fluid smears)

To diagnose STDs and inflammatory diseases of the genital organs, the following tests and procedures are performed:

Examination by a specialist (gynecologist or urologist-andrologist)
Tests to detect infections:

Blood tests for the diagnosis of hepatitis B, hepatitis C, syphilis, HIV infection.
Analysis of discharge from the genital organs using the bacteriological method (culture), as well as microscopic examination of material from the vagina, cervical canal, and urethra.
Tests to determine antibodies to urogenital infections (for example, antibodies to chlamydia, gardnerella, mycoplasma).

Tests to detect inflammatory changes in the genitourinary organs:

Spermogram
Microscopic examination of a smear from the urethra/vagina
General urine analysis
Urinalysis according to Nechiporenko

Colposcopy (examination of the cervix using a special device - a colposcope)
Ultrasound examination of the genitourinary system

Briefly about some infections (including sexually transmitted diseases):

I would like to know what tests need to be taken to be sure that all STIs are absent? Is there one test that can check for all of these diseases? What is the most reliable material for research?

In order to exclude the presence of sexually transmitted infections, it is advisable to donate blood from a vein for syphilis (antibodies to Treponema pallidum), antibodies to HIV, hepatitis B (HBsAg) and C (antibodies to HCV) and a smear of genital discharge to identify pathogens urogenital infections (such a smear can show from one to an unlimited number of infections). Our laboratory offers a study of a block of urogenital infections using the PCR method, which can be taken in one go, simultaneously with a blood test from a vein.

Please tell me, do the ideal results of a gynecological smear (according to the doctor) exclude the presence of any infections or is it still necessary to be tested for STIs?

The fact is that, according to the results of a microscopic examination of a gynecological smear, if an increased number of leukocytes is detected in it, a more in-depth examination is indicated, and therefore it is recommended to be tested for. However, if the number of leukocytes in the smear is not increased, this can not serve as a criterion for the absence of sexually transmitted infections, since many of them can occur hidden, including human papillomavirus infection, which is dangerous for the development of cervical cancer. To be excluded or confirmed, you must take it.

Please tell me how long after casual sex you need to take tests, and what kind.

To obtain reliable results, a test for STIs of the cervical canal and vaginal discharge (smear for STIs - and gynecological smear) is recommended to be performed 10-14 days after unprotected sexual intercourse. Blood test for syphilis, HIV, hepatitis B and C - after 1.5-2 months.

Please tell me, is it possible that my husband was found to have a Gardnerella vaginalis infection (PCR), it was not found in me, and the number of leukocytes in all my husband’s tests was 1 (sperm, smears, prostate juice). When treating this infection, do both partners need to be treated?

There is no single point of view when detecting only Gardnerella, since their detection is one of the indicators of such a clinical symptom complex as dysbiosis of the genital tract.
The question of the advisability of treating one or both spouses is decided by the doctor, taking into account all clinical data. If an andrologist insists on treating her husband, the wife is advised to contact a gynecologist and decide at the appointment whether it is worth treating both of them.

So where should we get tests for these infections? Where do they get it from in your laboratory? And if they took it, for example, from the vagina, but didn’t find it there, is it possible that the infection could be somewhere else?

As a rule, a smear for STIs is taken simultaneously from two or three points: the vagina, the cervical canal of the cervix and sometimes from the urethra. In men, the test is not taken from the urethra. To exclude damage to the internal genital organs, a spermogram is analyzed, as well as a study of prostate juice (microscopic examination, PCR, bacteriological examination).

I had unprotected sexual intercourse.... tell me what infections should be tested for and what else (hepatitis, AIDS)?

The lack of awareness among young people, and even older people, about sex issues leads to quite frequent unprotected sexual intercourse. Such sexual acts can occur in a state of alcohol or drug intoxication, random impulsive acts with an unknown partner, sex after youth discos, etc. As a rule, during casual sexual intercourse, few people think about the consequences, and of course, about any precautionary measures (there can be no talk of any condom). What to do if accidental sexual intercourse does occur, but you don’t want to expect possible consequences from it.

What could be the consequences of casual sex? Is there a risk of contracting AIDS, syphilis and other sexually transmitted infections? And also, is it possible to get pregnant after such unprotected intercourse?

Options for what happens after unprotected sex

After you have had unprotected sexual intercourse, there are 3 main options for your actions:

Immediately after sexual intercourse, you need to immediately carry out the so-called preventive treatment, which includes the prevention of major diseases that are sexually transmitted - this is gonorrhea, chlamydia, mycoplasmosis, etc. It is very important to prevent infections within 3-5 days after sexual intercourse . You will be able to find out whether the preventive treatment worked only after 3 weeks from a venereologist, by taking a blood test for infections.
According to the second scenario, you may not carry out any treatment or prevention of sexually transmitted infections, but wait 1 month and, for personal peace of mind, take a blood test for these infections. Before this period, the analysis will not be valid, since the incubation period of infections is exactly 30 days.
Further, the most impossible scenario is to ask your casual partner to take a blood test for HIV and other sexually transmitted infections. But, you understand that not all casual partners agree to this.

Prevention of casual sex

Prevention of casual sexual intercourse is a single or intramuscular injection of drugs. In most cases, this is the use of antibiotics, which in a limited period of time eliminate both minor bacterial and infectious manifestations in the form of thrush, and quite serious ones - syphilis, ureaplasma.

Prevention of casual sexual intercourse can be carried out only once if the sexual intercourse was without a condom.

Prevention of sexually transmitted diseases using pharmaceutical products

There is an option to treat the genital tract with chlorhexidine immediately after intercourse. But venereologists claim that this method is not reliable enough. The only thing is that you can resort to one-time treatment of the genitals with chlorhexidine when promiscuity occurs by accident. But, again, even after using chlorhexidine, it is necessary to take a blood test for sexually transmitted infections after 3 weeks. So, you can resort to one-time treatment of the genitals with Gibitan, Miramistin, Chlorhexidine.

Drug prevention of sexually transmitted diseases

Drug prevention is the prevention of the occurrence of sexually transmitted diseases, which theoretically can be transmitted to a healthy person from a partner through accidental sexual intercourse. Drug prevention is used within 2 days after unprotected sex.

Before the procedure, the patient must consult a dermatovenerologist, then drug prophylaxis is carried out.

Sexual life after drug prevention

After drug prophylaxis, you can be sexually active after 7 days. But in subsequent cases it will be necessary to resort to contraceptive methods, in particular the use of a condom. You should not risk your health and life (which is no less important) for the sake of sexual relations with an untested partner. If you are attracted sex life without protection, then in this case, together with your partner, take a blood test for sexually transmitted infections.

After drug prophylaxis, you can be sure that you will not become infected with infections such as ureaplasma, gonorrhea, syphilis, HIV, and human papillomavirus.

By drug therapy you should mean one injection for infections and certain medications (tablets).

Are there any health risks from medical prophylaxis?

From medical prevention There is no danger to your health, since absolutely all medications are selected taking into account patient tolerability, and of course, effectiveness. The only thing is that no one has canceled an allergic reaction to certain medications.

Necessary medications after casual sex

After accidental sexual intercourse, you must take the following antibiotics for 3-5 days:

Amoxicillin with clavulanic acid;
Penicillin injections - bicillin 3 or 5;
Cephalosporin or ciprofloxacin.

Complex therapy (which it would be desirable for both partners to undergo) is understood as: taking vibramycin 2 times a day after meals at a dosage of 100 mg for 7 days (an alternative to the drug is clarithromycin). To eliminate candidiasis - 100 mg per day for 3 days.

Emergency contraception methods

If your condom breaks during sexual intercourse, then you need to use emergency contraception methods. A woman can take medications such as Postinor, Exapel during the day. The only thing is that they can only be used once - in otherwise There will be a hormonal imbalance with a lot of side effects. The active substances of these medications lead to problems with the desired pregnancy in the future.

As emergency contraception, you can also take 3 tablets at a time of such hormonal contraceptives as Yarina, Zhanin, Jazz, Rigevidon. And then, after 12 hours, a repeat dose of 3 tablets is taken.

The main problem of our time has been and remains sexually transmitted diseases, so drug prevention of STDs is quite relevant. Many are accustomed to thinking that such diseases are the lot of homosexuals and women of easy virtue.

But no one is immune from such diseases. People are designed in such a way that they are prone to any temptations, while many do not think twice about agreeing to intimate relationships with people they barely know. Prevention of sexually transmitted diseases (STDs) is what you can do to protect your health. If you take timely measures, your health will remain intact and your loved ones will be safe.

Why is prevention important?

Statistics show that every year about 300 million women and men become infected with sexually transmitted diseases. Once infection occurs, symptoms appear acute symptoms that completely change the patient’s life. Often diseases behave differently; at first they do not make themselves felt at all.

Whatever the STD, the result will always be serious consequences, unless, of course, you visit a specialist in time. According to research, when an STD occurs, the chances of contracting HIV increase significantly.

40% of women who have chlamydial or gonococcal infection have pelvic inflammatory disease. Every 4th person will never be able to become a mother.
Women who, in 39% of cases, cannot successfully achieve pregnancy. Stillbirth often occurs.
Sexually transmitted infections cause premature death.

What immediate actions need to be taken after unprotected sexual intercourse?

The most popular method of prevention is a condom; it can protect against infection during sexual intercourse.

However, condoms do not provide a 100% guarantee. There were times when they tore. Then you should take action immediately. You only have a few hours to reduce your risk of getting sick.

Emergency prevention of STDs includes taking medications such as antiseptics and suppositories. For example, Miramistin or Chlorhexidine. Antiseptics have an effective effect on the causative agent of the disease and eliminate them. To reduce your chances of developing an STD, you should:

immediately after a casual relationship, go to the toilet and wash your intimate area with soap;
treat the inner thighs, pubis and external genitalia with an antiseptic;
introduce and hold Miramistin and Chlorhexidine in the urethra for several minutes.

Once you have completed all these steps, you should refrain from going to the toilet for the next few hours.
The fact that the number of sexually transmitted diseases is growing does not indicate the complexity of preventive measures; rather, it reflects the frivolous attitude of people towards own health or lack of awareness on this issue. It happens that patients are ashamed to seek help from a doctor and they resort to traditional methods.

STDs and preventive measures

Sexually transmitted diseases represent a whole group of infectious diseases. They have different clinical manifestations, which are united by sexual transmission.

In addition, they have a high social danger. This concept began to be used in 1980, and currently there are more than 20 types of infections and viruses.

STDs according to the type of pathogen:

There are cases when the disease does not show any symptoms, but they appear when the immune system is weakened.

This implies the importance of taking preventive measures: use contraception, do not engage in casual sex, maintain hygiene, and get tested for genitourinary infections twice a year.

If you suddenly experience itching or burning in the genital area, unusual discharge with an unpleasant odor, ulcers or a rash appear, then you should immediately go to the doctor.

What individual preventive measures are there?

A responsible attitude towards your own health and the health of your partner lies in individual prevention of STDs, which includes:

control of personal hygiene;
permanent contraception;
use of local bactericidal drugs;
systematic visits to the gynecologist and urologist;
modern detection of the disease and qualified assistance from specialists;
avoidance of promiscuity;
vaccination against certain types of virus.

In addition, it is necessary to distinguish between mechanical and medications prevention of STDs, and also be able to use them correctly.

How to take medications during prevention?

The meaning of prevention lies not only in the use of antiseptic drugs. If only a couple of days have passed since you had unprotected sexual intercourse, then you can resort to drug prevention of STDs, but you will need to make an appointment with a venereologist. He is the one who will prescribe a certain medicine.

Antibiotics serve as the basis for drug prevention. They give results when it becomes known that the partner is a carrier of a bacterial disease (gonorrhea, syphilis, and so on). If a person has a viral or fungal infection, then one should not expect any effect or result from prevention. STD prevention medications are taken once. Medicines do not harm health. One tablet or one injection will not have time to cause side effects. Drug prevention can only cause allergies.

Visit to the doctor and examination

You should not immediately run to the hospital for tests as soon as you were careless to enter into an unprotected intimate relationship. The fact is that infection entails an incubation period that lasts 2 weeks. During this period, symptoms do not make themselves felt in any way, and laboratory tests will not provide information. You should count 2 weeks after intimate intercourse.

After 14 days and STD preventive measures have been taken after intimate intercourse, you can safely make an appointment with a doctor. The venereologist will schedule an examination, which includes several appointments:

microscopic examination;
blood analysis;
bacteriological examination;
DNA analysis.

The choice of analysis method remains with the doctor. He will analyze the existing symptoms and decide on the urgency of diagnosis. When you undergo the examination, try to follow the recommendations below:

Before taking a smear, it is better not to use antibacterial drugs or use antiseptics. The time from sexual contact to the test must pass 72 hours.
If a blood test is prescribed, you should visit the clinic on an empty stomach. You can eat 6-7 hours before you plan to visit a specialist.
In the process of preventive measures, due to random connections, different ointments are not used. This applies to cases where the genitals become covered in rashes or redness appears. Before consulting a doctor, do not try to hide traces of plaque and discharge that are on the skin.

Thus, STDs are serious and common diseases. If you want to protect your health, be conscious when choosing a sex partner and always use protective equipment (condoms). You should not use suppositories, antiseptics, or drugs for the medicinal prevention of casual relationships too often. This will have bad influence on health, since frequent use of medications leads to imbalance of microflora.

Emergency drug prevention of STDs is a method that can be used to prevent infection with STDs, this acronym, familiar to many adults, stands for “Sexually Transmitted Diseases”. The list of STDs is long and includes a wide variety of diseases.

They have one thing in common: the ability to be transmitted through sex.

How can you get sick after unprotected sex?

Diseases that can be obtained in this way are divided into bacterial and viral. Prevention of bacterial diseases exists; viral - no.

Bacterial STDs include:

syphilis
gonorrhea
chlamydia
trichomoniasis
mycoplasmosis
ureaplasmosis
gardnerellosis

Important! Mycoplasma, ureaplasma and gardnerella are opportunistic microorganisms. Their presence in the body is often not associated with sexual life.

Why is emergency prevention of STDs needed?

A person’s intimate life is not always predictable. It may happen that the partner is not very familiar, and there is no condom at hand.

What to do if everything has already happened?

General tests blood and urine.

Microscopy of discharge from the genital tract (a smear for STDs in women is taken from the posterior vaginal fornix, a smear for STDs in men is taken from the urethra), if intracellular infections are suspected, scrapings are performed from the mucous membranes so that not only the discharge, but also epithelial cells are included in the preparation .

Sowing biomaterial on nutrient media for the purpose of growing pathological microorganisms, their identification and determination of sensitivity to antibiotics.

PCR, or polymerase chain reaction, allows you to determine the genetic material of the pathogen in the blood or secretions and accurately determine the cause of the patient's symptoms.

Determination of antibodies in the blood to possible pathogens, which allows you to confirm a specific infection.

Ultrasound of the pelvic organs to identify possible complications.

These diagnostic methods are very accurate and make it possible to identify the pathogen in 97% of cases, which is extremely important for prescribing adequate therapy.

General prevention of STDs (sexually transmitted diseases) and sexually transmitted diseases.

The increase in the number of sexually transmitted infectious diseases indicates that many people are taking the risk of contracting and transmitting STDs too lightly. The reason for the constant growth and spread of sexually transmitted infections is many factors of a psychological and physiological nature. Some people are simply embarrassed to contact a venereologist after casual sexual intercourse, others believe that since there are no manifestations, then the disease itself does not exist. However, many sexually transmitted diseases can be asymptomatic for a long time, but the person infects others, and the pathology gradually develops, disrupting work internal organs and embracing new fabrics.

The best solution after casual sex is to visit a doctor. But there are certain actions that are best applied as quickly as possible, without waiting for a visit to the medical center.

What diseases can be sexually transmitted

The group of sexually transmitted diseases (STDs) includes five infectious pathologies - gonorrhea, granuloma inguinale (donovanosis), syphilis, chancroid and lymphogranulomatosis venereum. However, this list is not complete. Diseases that can be contracted through sexual contact are classified according to the type of pathogen:

Many of these pathologies at the initial stage may occur without symptoms, and some (for example, chlamydia) develop covertly over a long period, causing harm to human health. If you follow preventive measures and rules for the prevention of STDs after casual relationships, such a dangerous development of events can be avoided.

Drug prevention after casual relationships

If you have had unprotected sexual intercourse with an unfamiliar partner, you can use medications to prevent STDs after casual relationships. The products are divided into internal and external according to the type of use.

The first group includes antibiotics for emergency care in case of threat of contracting a sexually transmitted infection. Preparations for prevention after casual relationships:

doxycycline;
amoxicillin;
ceftriaxone 3rd generation;
azithromycin;
saphocide.

It should be understood that there is no universal remedy against any infection, therefore 3-4 weeks after a casual relationship it is necessary to get tested. Use these medicines It is not recommended on an ongoing basis; like any antibiotics, they have side effects. However, in emergency cases, without the possibility of seeing a doctor, they can be used for one week. In this case, you should follow preventive measures to avoid infecting your sexual partner - use a condom. In addition, it should be understood that antibiotics do not act on viral infections, so if you suspect an infection, it is better to undergo a targeted examination.

External means of drug prevention after casual sexual intercourse include antiseptic drugs that can be used to treat the genitals and nearby areas to prevent infection:

miramistin;
Chlohexidine bigluconate;
betadine;
Gibitan.

These drugs should be used as early as possible, preferably immediately after sexual intercourse. Men will need to thoroughly rinse the mucous membrane of the penis and all surrounding areas. It is better for a woman to douche with one of these products and also treat the genitals externally.

What other drugs can be used for prevention after casual relationships? Prevention means also include spermicides, which are available in the form of ointments or suppositories: Pharmatex (suppositories, cream, vaginal tablets), contraceptin (suppositories), Sterilin (suppositories).

It is important to note that none of the above methods of prevention can guarantee that a casual relationship will not cause infection with one of the many sexually transmitted infections. To be sure and start timely treatment, it is better to contact a venereologist and undergo a study.

What should you do if you have unprotected sexual contact (a condom breaks, contact while under the influence of alcohol or drugs, rape, etc.) with a casual partner?

In this case, three options are possible:

Within a few days after such sexual intercourse, it is possible drug prophylaxis (preventive treatment). It will prevent the development of bacterial sexually transmitted diseases (,). Preventive treatment regimens correspond to treatment regimens for a fresh, uncomplicated infection.

You don’t have to carry out drug prophylaxis, wait 3-4 weeks, and then be examined by a venereologist. There is no point in being examined before 3-4 weeks, since during this time most sexually transmitted diseases (with the exception of gonorrhea) are in the incubation period. Therefore, within 3-4 weeks after infection, most sexually transmitted diseases do not manifest themselves in any way; laboratory tests during this period are also uninformative.

There is another option (in most cases difficult to implement). You can convince your casual sexual partner to come to an appointment with a venereologist and be examined for sexually transmitted infections.

Which of the mentioned options is preferable?

It depends on the specific situation. It is best to resolve this issue not independently, but together with a venereologist who will help assess the risk of infection. At the same time, people who are married or have regular sexual partners often choose drug prevention.

How long after drug prophylaxis can I have sexual intercourse without a condom with a regular partner?

In about 5 days. Until this time, when contacting a regular sexual partner, it is recommended to use a condom.

How is drug prevention of casual relationships tolerated? Isn't it dangerous to health?

Most drugs used in this case are prescribed once (that is, they are taken orally or injected intramuscularly only ONE time). Therefore, in most cases, the side effects of antibiotic therapy (intestinal dysbiosis, candidiasis/thrush) do not have time to manifest themselves. Side effects antibiotic therapy usually occurs with longer (a week or more) use of antibiotics. The only thing to be wary of during drug prevention is drug allergies. Therefore, if you are allergic to medications, be sure to inform your doctor!

How often can drug prevention be used to prevent casual relationships?

Drug prophylaxis after casual sexual intercourse is a last resort (backup) method of preventing sexually transmitted diseases. It cannot be performed frequently and cannot be considered as an alternative to a condom. In addition, such prevention does not prevent the development of viral diseases (genital herpes, human papillomavirus/genital warts infection, HIV infection). It is effective only against bacterial sexually transmitted diseases (gonorrhea, chlamydia, ureaplasmosis, mycoplasmosis, syphilis, trichomoniasis).

How effective is drug prevention? Can you rely on it?

Drug prevention against bacterial venereal diseases is very effective. Its efficiency is close to 100%.

What other methods of prevention exist after casual sex without a condom? How effective are they?

Other methods of prevention after casual sex without a condom include:

Washing immediately after contact of the external genitalia with water or soap and water;

Rinsing the vagina or rectum with water using a shower, enema or douche;

Rinsing the vagina or rectum with chlorine-containing antiseptics (Gibitan, Miramistin) or introducing them into the urethra.

The effectiveness of these methods is low. They make no guarantees. They can be used, but should not be relied upon.

If a person uses the methods mentioned, fully relying on their effectiveness, it may do more harm than good. For example, a person, relying on prevention with chlorine-containing antiseptics, lives a promiscuous sex life without a condom. However, he does not consider it necessary to be checked by a venereologist. As a result, he risks acquiring a whole “bouquet” of sexually transmitted diseases.

In conclusion, it is worth mentioning the dangers of some of these methods. For example, washing the vagina (douching) promotes the movement of pathogens into the upper parts of the female genital organs, causing complications. Washing the vagina (douching) with chlorine-containing antiseptics (Gibitan, Miramistin) promotes the development.

What should you do if you have unprotected sexual contact (a condom breaks, contact while under the influence of alcohol or drugs, etc.) with a casual partner?

In this case, three options are possible:

First: within a few days after such sexual contact, prevention (preventive treatment) is possible. It will prevent the development of bacterial sexually transmitted diseases (gonorrhea, chlamydia, ureaplasmosis, mycoplasmosis, syphilis, trichomoniasis). Prevention is carried out within several days after sexual intercourse. After 3-4 weeks you need to undergo examination by a venereologist. Preventive treatment regimens correspond to treatment regimens for a fresh, uncomplicated infection.

Second: you don’t have to carry out prophylaxis, wait 3-4 weeks, and then get examined by a venereologist. There is no point in being examined before 3-4 weeks, since during the incubation period there are no symptoms of the disease, and laboratory tests during this period are uninformative. The third, in most cases difficult to implement: you can convince your casual sexual partner to come to an appointment with a venereologist and be examined for sexually transmitted infections. If nothing is found on him, then you have not become infected with anything.

Which of the mentioned options is preferable? It depends on the specific situation. It is best to resolve this issue not independently, but together with a venereologist who will help assess the risk of infection.

How is the prevention of casual sex tolerated? Isn't it dangerous to health?

Most drugs prescribed for the prevention of casual relationships are prescribed once, that is, they are taken orally or administered intramuscularly only once. Therefore, in most cases, the side effects of antibiotic therapy (intestinal dysbiosis, candidiasis/thrush) do not have time to manifest themselves. Side effects of antibiotics usually appear with longer use.

The only thing you should be wary of when preventing casual relationships is drug allergies. Therefore, if you are allergic to medications, be sure to inform your doctor.

How often can casual sex be prevented?

Prevention after casual sexual intercourse is a last resort (backup) method of preventing sexually transmitted diseases. It cannot be done frequently and therefore cannot be considered as an alternative to a condom (as many would like).

In addition, prophylaxis after casual sexual intercourse does not prevent the development of viral diseases (herpes, genitals, human papillomavirus infection/genital warts, HIV infection).

How effective is the prevention of sexually transmitted diseases with chlorhexidine (Gibitan, Miramistin, etc.)?

Prevention with chlorhexidine is not a very reliable method. She makes no guarantees. Moreover, in some cases, prophylaxis with chlorhexidine can do more harm than good. For example, a person, completely relying on this method, lives a promiscuous sex life, without a condom. However, he does not consider it necessary to be checked by a venereologist. As a result, he risks acquiring a whole “bouquet” of sexually transmitted diseases.

In women, douching with chlorhexidine contributes to the development of bacterial vaginosis - gardnerellosis.