SexEd: Post Exposure Prophylaxis (HIV and Hep prevention *after* exposure)

It recently came to my attention, that not many people seem to know about Post Exposure Prophylaxis [link: CDC info site about PEP], so I want to make a post about it, because it’s so important. It appears to be (false) ‘common knowledge’ that after having had unprotected sex / exposure to HIV or Hepatitis in the worst case, it’s down to sheer luck if you get infected or not - and this is NOT correct!

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❗ ‘Post Exposure Prophylaxis’ is a 4-week anti-viral therapy, that prevents/terminates an HIV or Hepatitis infection *after* exposure to the virus (eg unprotected sex) by killing it off before it can multiply so much that it’s too late to get rid of it again ie becomes uncurable. It has to be started within 72 hours after exposure; the earlier, the more effective it is, but at any point during this time the effectiveness is extremely high, up to 99% [link: aidsmap.com info on PEP effectiveness]! You can get a PEP in every hospital! If you have been exposed to a potential HIV or Hepatitis source, so mainly unprotected sex or a needlestick injury, go instantly to the nearest ER, explain what happened and say you need a Post Exposure Prophylaxis. ❗

HIV is manageable nowadays but still not curable. If you miss this 72 hour time frame PEP is not possible anymore and then it’s really down to luck if you get out of it safe. And if you don’t, you have to deal with this shit for the rest of your life. VERSUS Getting treatment for 4 weeks after exposure and you’re (very likely) good. This should be an easy call!

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Unfortunately BDSM folk (especially submissives) seem to belong to a rather high risk group when it comes to potential exposure. Many of the subs on Tumblr I know can tell at least one story of rape / unprotected sex without consent, so especially for us it’s super important to know about PEP.

I don’t want to know how many cases of infection after a rape could have been prevented if more people knew about this. Of course you get PEP automatically if you go to a hospital after a possible exposure without explicitly demanding it, it’s standard procedure (or at least it’s supposed to), but too many victims of rape / unprotected sex without consent just don’t do that, don’t see a doctor afterwards because they think there’s nothing to be done anyway. And this is where they are wrong!

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Please spread the word! - Exposure to HIV or Hep does NOT necessarily mean infection anymore, these times are long over! - Please reblog the shit out of this post!

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[Edit: Improved formatting and readability, but the information provided is the exact same as in the original post.]

I improved the formatting, rearranged some of the paragraphs, dropped a few recurring sentences, summarized the most important info in a better way, changed the Wikipedia to the CDC -link and added a TLDR at the end.

The information provided is still exactly the same as in the original post, but the readability should be significantly improved now in the new version.

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Thank you to everybody who reblogged/-s and helped/-s making this treatment option more public. It’s so extremely important, life saving information, yet strangely so little known. Most people still think once the virus is in the body, game’s over, and don’t know that it can still be terminated within the first 72 hours.

I hope this info will reach the people, at least somebody, who need/-s it and helps saving a life.

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Btw somebody asked me privately, why I’m so invested in this topic, if there would be a personal reason behind this post, which I’d like to answer publicly in case anybody else is wondering but doesn’t feel comfortable asking me:

I have been exposed to both unprotected sex without consent with a stranger, and a needlestick injury - with somebody’s needle whom I knew of that he has Hep C! - in the past and I did not know about PEP at this time (despite two years in medical school!). I was very lucky and did not get infected, but it could have easily turned out differently. Also a formerly very good friend of mine (the one with the needle) has Hep C, and considering his self destructive lifestyle by now probably HIV too (just an assumption, I didn’t talk to him in years), as well as many other good people I knew many years ago when I was 'at the peak’ of my addiction issues.

This is my personal reason for being so invested in this topic. It’s long in my past and I’m not infected myself, but only because of luck, and I don’t want anybody else to have to rely on luck for their life and health.

Reblog again because this is important.

Just an experiment. Reblog if you actually give a fuck about male victims of domestic violence and rape.

Of fucking course

What sick bastard doesn’t

“You’d be surprised”, said Xaldien, who just lost four followers and received a lovely “men can’t be raped” anon shortly after reblogging this the first time.

Yowch, disgusting.

If I don’t reblog this, assume I’m dead.

Always reblog this

If you Dont reblog this if u see it then i cant call u my friend

IF ANYONE TELLS ME THAT MEN CAN’T BE VICTIMS OF DOMESTIC VIOLENCE AND RAPE, I AM SICKENED BY THEIR MERE PRESENCE ON MY BLOG.

If you disagree with me, unfollow my blog, block me and never look at my blog again.

If you want to debate about this or send anon’s about this, I will reply but your actions have consequences.

Out of 19000+ followers I have, only one of you actually reblogged about this issue, yet a lot of you have reblogged and liked a picture by playboy about catcalling and that how men should never do it.

Additionally, I have received abuse in my ask box (which I will be answering when I can) and threats. In particular death threats and rape threats.

I can see the real problem here already. Male domestic violence and rape is just invisible in our society because we don’t want to talk about this because it just damages the status quo of this fucking website.

I’m a male victim of child sexual abuse. We matter. Please, reblog this.

Please never forget male victims are real and it can happen to everyone/anyone

I’m a boy , and when i was younger I was sexually assaulted every damn day for three years by my younger step SISTER, So don’t go saying that ‘boys can’t be raped’ bull shit

This is so important. That kinda shit can happen to everybody

Anybody can be raped, and anybody can be a rapist

I give a fuck about all victims of fucking everything. Reblog to signal boost.

That it even needs said that men can be raped or suffer domestic violence and that some argue they cannot is truly a sad thing and a mark against humanity in general.

I hate Trump even more now.

I hated him a lot before, but watching my sweet 79 year old grandma sit glued to the news on Christmas Day because she’s an immigrant and she’s worried Trump is going to find a way to deport her makes me sick.

Watching her sit and cry as she’s talking about all the families he’s sepperated and has apart during the holidays. Listening to her tell her story and holding her hand when she gets choked up when she talks about how thousands of families are being ripped apart trying to seek a better life.

I want to throw a table through a window.

Didn’t oblomo separate 96,000 children from their families?

And if your grandma is here legally what is she worried about?

But their emotional appeal.

You’re shredding thier thinly constructed argument.

Y'all can crawl back in the hole you came from. Literally this has nothing to do with you.

This isn’t a debate.

This isn’t a call for your opinions.

This is me feeling heartbroken because my grandmother (Who has been a citizen since before you were born by the fucking way) is blindly terrified.

We’re not debating jack shit because this is not your life and this is not your experiance.

Eat shit and enjoy living your lives as human dumpster fires.

The key here is “blindly terrified”

The point @pickupyourgun was making is that all this same stuff (or worse) was going on under obama but your grandmother wasn’t scared then.

Nor does it seem the fact that absolutely no one has ever suggested deporting legal American citizens seem to bother her blind and completely unreasonable fear.

You want to be angry at someone for scaring people like you’re grandmother it’s certainly not Trump you should be looking at, think instead the of who might have most to gain from people being scared. Who has the ability to spread stories that scare people, regardless how true they might be?

You want your grandmother to not be scared? You don’t need to put a pussy hat on or bitch about who’s in the White House, instead all you need to do is turn off the CNN or MSNBC, and stop reading the New York Times. When you see an article about how horrible the world is actually read more than the headline and consider how believable it is, maybe even look for information on the topic from other sources.

There’s less reason for your grandmother to be scared of any of that stuff you said she’s afraid of than to be afraid of a deadly car crash, but the media seriously downplays one of those threats and inflates the other, so which is she most afraid of?

Help her by being less of a dick and using facts to help her see those fears are unfounded.

@abqryan no. The same shit did not happen under Obama. There was no policy to separate children from their parents. There *was* a policy to separate children from adults who were suspected to be traffickers or otherwise not the parents of said children. The default of splitting up families is a wholly Trump administration tactic. https://www.google.com/url?sa=i&source=web&cd=&ved=2ahUKEwiWoKSGucXfAhVVIDQIHe9DC6oQzPwBegQIARAC&url=http%3A%2F%2Ftime.com%2F5314769%2Ffamily-separation-policy-donald-trump%2F&psig=AOvVaw1xqOV1As_SBq9LWtzw6Lw4&ust=1546186861352301 Now... On to the idea that grandma is here legally so what's the big deal...? Buckle the fuck up, asshole. Fuck just posting a link, here. Havethe while fucking google search. Pick one. This shit is happening. Latinos are now having their fucking birth certificate and social security cards declared insufficient evidence of citizenship among other things. https://www.google.com/search?q=citizens+deported&oq=citizens+deportrd&aqs=chrome.1.69i57j0l3.17915j0j4&client=ms-android-hms-tmobile-us&sourceid=chrome-mobile&ie=UTF-8 take your apparently white privileged ass the fuck out of This discussion until you've fucking learned better.

Id like to show you all something.

Yes indeed no nudity but you can find all the discriminatory and hate speech you want!

But wait, the icing on the cake…

…really? Do i need even say anything.

Options are being brought to us, now. Read this open letter then peruse their option. -Wolf

OPEN LETTER 

To: Tumblr Jeff D’Onofrio, Tumblr CEO New York City, New York, United States

Dear Jeff D’Onofrio,

On December 17, Tumblr will be banning porn from its site.

By banning “adult content” from your website in truth you categorically ban sex workers regardless of how they are using your platform. You cut them off from the ability to build an audience for their work, and what’s even worse, you declare their very existence as obscene.

Tumblr allows every content creator, artist, or small entrepreneur to build an audience and communicate with this audience at any moment in time - if you do not work in the adult industry of course.

Many brands use social media to sell products. Social media and eCommerce are interlocked. You take this now away from every adult content creator around the globe. And that is wrong.

You mentioned in a blog post titled “A better, more positive Tumblr”:

You are wrong: There is a shortage of sites on the internet that feature adult content, in particular when it comes to shadowbanning and the ability to also advertise on these sites.

Look, here is what we do:

Sharesome is a site that welcomes all the people that you just kicked off your platform. You gave them time until December 17th to export a backup of their blog to save their years of work. Meanwhile we will develop an import tool, so they can move to us, and we leave you with all the white supremacist Nazi blogs – because we ban that kind of shit.

Regards,

Tudor Bold                                         Ralf Kappe CEO, Sharesome                              Founder, Sharesome

Posting for reference and for others to see.

Mal zur Info….

Perhaps this is a solution…

An Open Letter to Tumblr about the Adult Content Ban and How it is Hurting Your Users:

Recently, Tumblr was removed from the Apple app store due to an incident involving child pornography. This incident is incredibly unfortunate, but it doesn’t stand alone. Tumblr was also removed from the app store due to the large influx of porn bots and pornographic spam, users claiming to be proud to be pedophiles, blatant Nazism, racists who are not deleted for sending hate and harassing users, and more. I myself reported someone for harassing me, but because I had blocked the person and couldn’t access the messages where they harassed me, they were still able to send me anonymous asks. Your support staff, with back doors to the website (presumably), claimed they could not access the messages, and I was left SOL. Many features on this website do nothing to actually protect your users from harassment, racism, homophobia, transphobia, Nazis, pedophiles, predators, porn bots, and more. 

You claim in your statement to us that you “have been working on these problems for a long time”. This is blatantly untrue. Please do not lie to us and patronize us. We’ve been here. We’ve seen you do nothing over, and over, and over again. 

We complained to you for months and months about the rampant porn bots, and you did nothing except add a report button on mobile which only reported sensitive content or spam at best. You could have addressed this problem with an effective algorithm, but you did not. We complained to you about being harassed and sent hate speech for being LGBT+, and you did nothing. We complained to you about blogs being randomly deleted, and sometimes you’ve restored them, other times you have not. We complained to you that there were people proudly claiming to be “Minor Attracted Persons”, or pedophiles, and you did nothing. We complained to you about people proudly claiming to be white supremacists, and you did nothing. All of these things are “against the community guidelines”, and yet over and over, you have not found effective ways to handle these problems or suppress the feeling of welcome that these users claim to get here. You have had a long time to work on these problems, but you haven’t addressed them. To say you have is untrue. 

 Multiple other social networking websites, such as Wordpress, Facebook, Instagram, Pinterest, and others have effectively dealt with rampant pornography, racism, pedophilia, and other problems without causing massive issues for their users who are not misusing the platform. They are continuing to find new, effective ways to deal with these issues without causing problems for their userbase as a whole.  There is no reason that you are unable to do this effectively other than that you wanted to do it quickly. You have once again chosen your stock holders over your users. And we have had enough. 

You have already started to ban “Adult” content with a new algorithm. Here are screenshots of just a fraction of the posts you have flagged as containing adult content:

Your new system of simply tackling everything at once is not working. At all. And each of these screenshots is proof of your utter incompetence. None of these posts contain pornographic acts, “female nipples”, or any community violation of any kind. 

We, the users, have been asking you for months to deal with these problems - particularly, the porn bots and bots that spam. In order to block a bot from a side blog, I have to do it manually, even though they are in my side blog’s feed. This is a huge issue for mobile - only users. They keep cropping up in droves, taking over our posts and tricking google into making it look like a legitimate blog linked to a pornographic website. We have complained to you for months and months now, and your solution to simply “ban all adult content” is ineffective. I agree that children should not be able to access pornography - but this is not how you tackle a porn bot problem. Your system is utterly useless, allows for racists, pedophiles, porn bots, and Nazis to remain untouched. It also harms sex workers and real people who may use this website for some forms of adult content responsibly. Moreover, as seen above, it harms plenty of users who have in no way violated your terms of service.

 If you keep this up, you threaten your website and company as a whole. Many of us are backing up our blogs and planning places to go to. 

You already have a content filter for “sensitive” content (content inappropriate for younger viewers). You could have improved this, instead of attacking your entire user base. It seems to be a very lazy “solution”, if you could call it one at all, and one that harms your entire userbase.

If you are going to keep this filter in place and make Tumblr, a website that has never been known for being family friendly and has never claimed to be, you are going to lose millions of your users. We are already planning our exodus. It isn’t hard to follow. Censor us, and we will go somewhere else. That is not a threat. It is a promise. 

Sincerely, 

The users of your website. 

@staff @support

They flagged this post immediately and I’ve submitted it for review… this is… quite a week.

If you believe these words, reblog it, please. I want this to be right in their face because I couldn’t email them directly. 

@staff @support

@staff @support

oh no, tumblr is doing a bad.

Republicans are focused ONLY on pleasing the NRA. No amount of deaths will change their cold, narrow hearts.

This is the hill I am willing to die on.