A risky sex can take several forms. Dr. Gérald Kierzek, emergency doctor and medical director of True Medical, recalls what a risk report means: “An unprotected relationship, the rupture or the sliding of the condom, a contact with blood, the sharing of intimate objects not disinfected or a ratio under influence of alcohol or drugs constitute situations at risk“.
Hygienic precautions to be applied immediately
In the hours that follow, a few simple hygiene gestures can reduce risks. Dr. Gérald Kierzek recalls that “Uriner quickly after the report, within an hour, makes it possible to evacuate bacteria from the urethra“. He also recommends”Wash with warm water and a soft soap, without practicing aggressive vaginal shower “. On the other hand, it insists:” Do not use antiseptics on the genitals because they are ineffective and irritating“However, the doctor specifies that vaginal showers are to be banned, as they can push the germs more deep than at origin.
Emergency treatments
When there is a risk of pregnancy, emergency contraception is necessary. According to Dr Gérald Kierzek, “The next day pill is effective up to 72 hours after the report, with maximum efficiency in the first 24 hours “. He adds that” Ellaone can be taken up to 120 hours after exposure“.
For HIV, the urgency is even more critical. The doctor explains: “Post-exhibition treatment (TPE) is an emergency treatment after a risk of HIV transmission. It prevents the virus from settling in the body and allows you to remain HIV“. He details:”TPE is an association of antiretrovirals. Treatment lasts 30 days“”. According to him, “it must be started as soon as possible, preferably less than 4 hours after the report, and at the latest within 48 hours“. This protocol is free, confidential and accessible to hospital emergencies, in CEGIDD (free information, screening and diagnosis of infections by the human immunodeficiency virus and viral hepatitis and sexually transmitted infections) or in certain city doctors.
The necessary screening calendar
The follow -up does not stop at the first gestures. It is necessary to carry out immediate screening, from the day of the report, to establish a reference status. This one understands “A blood test for HIV, hepatitis B and C and syphilis, as well as urinary or genitals samples for chlamydia and gonorrhea“.
The process is to be followed a few weeks after the risk report. Dr. Kierzek then specifies that “Two weeks after the exhibition, new samples are necessary to detect Chlamydia and Gonococcus “. Regarding syphilis,” a test becomes reliable three to six weeks after a risk report“Finally, according to him,”Definitive HIV screening must be carried out three months later, at the same time as those of hepatitis and herpes“.
The incubation times are also important. Dr. Kierzek recalls them:
- The Gonococcus declares itself in 2 to 7 days;
- Hepatitis B in 1 to 2 months;
- Herpes in 1 to 2 weeks;
- Syphilis in 2 to 4 weeks;
- Trichomonas in 4 to 28 days.
How to avoid risk reports?
Prevention remains the best way to protect yourself. “”Male or feminine condoms should be used with each report“Insists Dr. Gérald Kierzek, who also recommends”Dental dike for oro-genitital relationships“. To limit injuries, he advises”Use adequate lubrication to avoid microlatedions“.
Communication is another pillar of protection. “”It is important to discuss with your partner on the status of sexually transmitted infection before the first report and to consider common screening in a stable relationship“, He explains. Finally, for the most exposed people, the doctor recalls the existence of an effective strategy:”PREP allows a seronegative person to eliminate the risk of HIV infection by taking antiretroviral treatment based on truvada, continuously or on demand“.