What should I do if I have unprotected sexual intercourse (a condom broke, contact in a state of intoxication, rape , etc.) with an accidental partner? Within a few days after such sexual contact, drug prophylaxis (prophylactic treatment) is possible. It will prevent the development of bacterial sexually transmitted diseases (gonorrhea, chlamydia, ureaplasmosis, mycoplasmosis, syphilis, trichomoniasis). Preventive treatment regimens are consistent with those of a fresh, uncomplicated infection.
You can not carry out drug prophylaxis, wait 3-4 weeks, and then be examined by a venereologist. Before 3-4 weeks, it makes no sense to be examined, 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 appear in any way, laboratory tests during this period are also uninformative.
There is another option (in most cases, difficult to do). You can convince your accidental sexual partner to see a venereologist and be examined for sexually transmitted infections. Which of the above options is preferable? It depends on the specific situation. It is best to solve this issue not independently, but in conjunction 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 medical prophylaxis.
How long after drug prophylaxis can I have sex without a condom with a regular partner?
After about 5 days. Until this time, it is recommended that you use a condom when contacting a regular sexual partner.
How is drug prophylaxis of casual relationships tolerated? Is it dangerous to health?
Most drugs used in this case are prescribed once (that is, they are taken orally or administered intramuscularly only once). Therefore, most often the side effects of antibiotic therapy (intestinal dysbiosis, candidiasis (thrush)) do not have time to manifest themselves. They are possible with a longer (week or more) intake of antibiotics. The only thing to be wary of with drug prophylaxis is drug allergy. Therefore, if you are allergic to drugs, be sure to inform your doctor!
Drug prophylaxis after accidental sexual intercourse is an extreme (reserve) method for the prevention of sexually transmitted diseases. It cannot be carried out often 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).
Drug prophylaxis against bacterial sexually transmitted diseases is very effective. Its effectiveness is close to 100%.
Other methods of prevention after accidental contact without a condom include: washing immediately after contact of the external genitalia with water or soap and water; washing the vagina or rectum with water using a shower, enema, or douche; washing the vagina or rectum with chlorine-containing antiseptics (Gibitan, Miramistin) or introducing them into the urethra. The effectiveness of these methods is low. They do not give any guarantees. You can use them, but you should not rely on them.
If a person uses the mentioned methods, fully hoping for their effectiveness, this can do more harm than good. For example, a person, relying on prophylaxis 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 advancement 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 of gardnerellosis.
Your health is also a guarantee of the health of your loved ones, your loved ones and even your children: many sexually transmitted infections are transmitted in everyday life, not only sexually.