The alarming thing is that people are using ChatGPT to get information about STDs (and maybe P4P as well?). Chances is that they've also asked these LLMs about how to interact with providers, too.
Sexually Transmitted Disease (std) Talk
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Alice
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Hey, my AI boyfriends have always been more attentive than real life men so why not? 😂
Maxblack
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MikeH
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Then again you are dating men so the bar is not exceptionally high or anything.
MikeH
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Hello,
Not really sure where to ask but I'm pretty much at my wits end.
About 4 months ago after som SL activity in Tokyo, 2 days later I started getting a sore throat. Basically kind of like a super minor cotton/scratchy feeling around tonsils, and it's just stayed the entire time.
I've since gone back to US and seen over 7-8 doctors, and I have done pretty much every possible swab, blood test, etc, all of it negative and inconclusive. Meanwhile it's been 4 months and hasn't gone away. I'm 99% positive it came from the risky encounter, since she had a super fishy/bad smell down there that I only noticed after doing some oral. I've done a few rounds of different antibiotics, and nothing has stuck or been helpful (doxy, ceftriaxone, metronidazole, nystatin). I'm going crazy.
Does anyone know of anything that was going around towards the end of summer? Or maybe seen something like this? My only hunch is that maybe there's something in Japan that's hard to pick up in tests in my country. Any help would be appreciated.
Not really sure where to ask but I'm pretty much at my wits end.
About 4 months ago after som SL activity in Tokyo, 2 days later I started getting a sore throat. Basically kind of like a super minor cotton/scratchy feeling around tonsils, and it's just stayed the entire time.
I've since gone back to US and seen over 7-8 doctors, and I have done pretty much every possible swab, blood test, etc, all of it negative and inconclusive. Meanwhile it's been 4 months and hasn't gone away. I'm 99% positive it came from the risky encounter, since she had a super fishy/bad smell down there that I only noticed after doing some oral. I've done a few rounds of different antibiotics, and nothing has stuck or been helpful (doxy, ceftriaxone, metronidazole, nystatin). I'm going crazy.
Does anyone know of anything that was going around towards the end of summer? Or maybe seen something like this? My only hunch is that maybe there's something in Japan that's hard to pick up in tests in my country. Any help would be appreciated.
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Yes - you have a raging case of hypochondriasis. You're seeing the wrong kind of doctor, the illness is not in your throat, it's in your mind.
Go see a psych. And stay away from P4P in the future, this is not for you.
Ddddd
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Gonorrhoea, chlamydia, syphilis, and HIV (and possibly others I haven't mentioned) are conditions known to have long-lasting systemic effects or even to be potentially lethal. That's why STI panels specifically target these infections.
However, that doesn't mean there aren't many other bugs that can be transmitted during sex, which might cause issues like acute prostatitis, vaginitis, or, as in your case, a sore throat. Think about common colds—you can catch the flu, COVID-19, or any of hundreds of other viruses that won't appear on a test.
The good news is that what you're experiencing is most likely self-limiting, so it should go away on its own eventually.
Sex providers tend to experience vaginitis more often than the general population, that's probably the smell you felt.
Personally, I had a nasty bout of prostatitis several years ago that lasted for months. Since then, I've chosen to avoid BBBJ.
As a side note, a sore throat could be a sign of oral Gonorrhoea. Did you test for that?
However, that doesn't mean there aren't many other bugs that can be transmitted during sex, which might cause issues like acute prostatitis, vaginitis, or, as in your case, a sore throat. Think about common colds—you can catch the flu, COVID-19, or any of hundreds of other viruses that won't appear on a test.
The good news is that what you're experiencing is most likely self-limiting, so it should go away on its own eventually.
Sex providers tend to experience vaginitis more often than the general population, that's probably the smell you felt.
Personally, I had a nasty bout of prostatitis several years ago that lasted for months. Since then, I've chosen to avoid BBBJ.
As a side note, a sore throat could be a sign of oral Gonorrhoea. Did you test for that?
Unfortunately, I passed it onto my current partner pretty much as soon as I got back. So we've both had inflamed throat, scratchy tonsils, oral thrush, tonsil stones, etc for the past 4 months, and as you can understand I'm a little anxious to try and figure out a diagnosis in the case it could spread again.
She's been doing salt gargles weekly, and it's been getting better only marginally for both of us without fully going away. Kind of a shitty situation, and have been met with a lot of skepticism despite not being able to find an actual cause yet.
I'd be less concerned if it were viral, but then it likely would not have stuck around for this long. Recent HSV and viral panels were all clean too. I'm not going to use this forum to try and do a differential diagnosis for my particular case, just trying to see if anyone had experienced something similar or heard of anything like this.
She's been doing salt gargles weekly, and it's been getting better only marginally for both of us without fully going away. Kind of a shitty situation, and have been met with a lot of skepticism despite not being able to find an actual cause yet.
I'd be less concerned if it were viral, but then it likely would not have stuck around for this long. Recent HSV and viral panels were all clean too. I'm not going to use this forum to try and do a differential diagnosis for my particular case, just trying to see if anyone had experienced something similar or heard of anything like this.
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Ddddd
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That sucks. But if it's something that does not appear in a panel, it will probably go away at some point.
kirayamato
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Maybe already done, anyway:
Have the doctor swab your throat and look at it with a microscope.
Presence of white blood cells, antibodies could help to form a diagnosis.
Also mycoplasma, yes
Maxblack
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There are no guarantees in life. She sucks dicks for a living. Every day, so many dicks. Assess your risk tolerance and make wise choices.
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If you're afraid of STDs, never - ever - go to a pink salon. In a busy shop, those ladies often go through 20+ customers a day.
Just for fun, since it's a rainy day and I'm working from home with nobody looking over my shoulder, let's look at the quantified risks of pink salons.....
First, let's establish the risk that a pink salon worker has contracted an infection. Chlamydia and Gonorrhea are the most prevalent infections that can be transmitted via oral sex. Note that I'm going to use government figures for prevalence, which are significantly lower than actual figures, but you can consider that to be offset by the ladies rejecting customers that have obvious signs of infection, so the figures should be roughly the same.
1. Chlamydia Risk via Oral Sex for a Pink Salon Worker in Japan:
Parameters:
P_infected ≈ 0.025 (2.5% prevalence of chlamydia in Japan)
P_transmission ≈ 0.07 (7% transmission risk per encounter via oral sex)
E = 100 (encounters per week)
Risk = 1 - (1 - (P_infected * P_transmission))^E
Substituting the values:
Risk = 1 - (1 - (0.025 * 0.07))^100
This will give the Chlamydia risk as 16.5%.
2. Gonorrhea Risk via Oral Sex for a Pink Salon Worker in Japan:
Parameters:
Prevalence of Gonorrhea (P_infected): 0.1% or 0.001
Transmission Risk per Encounter (P_transmission): 15% or 0.15
Number of Encounters (E): 100
Formula to Calculate Gonorrhea Risk:
Risk = 1 - (1 - (P_infected * P_transmission))^E
Substituting the values:
Risk = 1 - (1 - (0.001 * 0.15))^100
This will give the Gonorrhea risk as 1.5%.
3. Total Risk (Either Chlamydia or Gonorrhea):
Now, to calculate the total risk of contracting either chlamydia or gonorrhea from 100 oral sex encounters, we use the following formula:
Formula to Calculate Total Risk:
Risk = 1 - (1 - Chlamydia_Risk) * (1 - Gonorrhea_Risk)
Substitute the Chlamydia and Gonorrhea risks (calculated earlier):
Risk = 1 - (1 - 0.165) * (1 - 0.015)
This will give the total risk of contracting either chlamydia or gonorrhea from 100 oral sex encounters as 17.8%.
So, in any given week, there's a 17.8% chance that a pink salon worker in a relatively busy shop will have either chlamydia or gonorrhea.
Now, you as a punter are only having one encounter with her, but as she is facing a hundred customers a week, your own risk is significantly higher than normal.
4. Your Risk of Contracting Chlamydia or Gonorrhea from a Single Encounter
Given:
Woman's Risk of Contracting Chlamydia: From the previous calculation (approximately 16.5%),
Transmission Risk for Chlamydia (P_transmission): 7% (0.07).
Risk = Woman_Risk_Chlamydia * P_transmission_chlamydia
Risk = 0.165 * 0.07
This gives your risk of contracting chlamydia from a single encounter at a pink salon at approximately 1.16%.
Given:
Woman's Risk of Contracting Gonorrhea: From the previous calculation (approximately 1.5%),
Transmission Risk for Gonorrhea (P_transmission): 15% (0.15).
Formula to calculate your risk of contracting gonorrhea from a single encounter:
Risk = Woman_Risk_Gonorrhea * P_transmission_gonorrhea
Risk = 0.015 * 0.15
This gives your risk of contracting gonorrhea from a single encounter at a pink salon at approximately 0.23%.
Finally, we calculate the total risk of contracting either chlamydia or gonorrhea from a single encounter by combining the individual risks (since the two infections are independent):
Formula to calculate the total risk of contracting either chlamydia or gonorrhea:
Risk = 1 - (1 - Risk_Chlamydia) * (1 - Risk_Gonorrhea)
Risk = 1 - (1 - 0.01155) * (1 - 0.00225)
This gives your total risk of contracting either chlamydia or gonorrhea from a single encounter at a pink salon at approximately 1.37%, or 1 in 73.
So, to quote Dirty Harry Callahan:
Dont know what the big deal is about STIs is.
Sure, be protected and dont do anything stupid but ultimately its your health and your responsibility. Want your dick sucked? Dom up or take the risk.
If its any consolation -
Herpes: You probably already have it. Incurable but most people asymptomatic. Unavoidable even in normal sexual encounters. Avoid people with obvious active infection.
Chlamydia/ghonorrhoea - single antibiotic and you're cured. Is asymptomatic in men a lot of the times so get checked regularly.
Syphillis - easily treated. Secondary and Tertiary Syphillis can be a concern but unless you give no shits about your health, you arent going to miss the characteristic ulcer on your dick in primary syphillis
HIV/AIDS - Not transmittable through saliva. You're more likely to give it to her by cumming in her mouth, than she is to you by sucking your dick - even then the risk is tiny and thats if she has actively bleeding gums etc and assuming she has a high viral load if shes not already being treated for it. Even direct blood to blood innoculation from someone who has HIV the risk is very low. Take PrEP if youre planning on going bareback with sex workers or get checked afterwards.
Source: Health care professional
Sure, be protected and dont do anything stupid but ultimately its your health and your responsibility. Want your dick sucked? Dom up or take the risk.
If its any consolation -
Herpes: You probably already have it. Incurable but most people asymptomatic. Unavoidable even in normal sexual encounters. Avoid people with obvious active infection.
Chlamydia/ghonorrhoea - single antibiotic and you're cured. Is asymptomatic in men a lot of the times so get checked regularly.
Syphillis - easily treated. Secondary and Tertiary Syphillis can be a concern but unless you give no shits about your health, you arent going to miss the characteristic ulcer on your dick in primary syphillis
HIV/AIDS - Not transmittable through saliva. You're more likely to give it to her by cumming in her mouth, than she is to you by sucking your dick - even then the risk is tiny and thats if she has actively bleeding gums etc and assuming she has a high viral load if shes not already being treated for it. Even direct blood to blood innoculation from someone who has HIV the risk is very low. Take PrEP if youre planning on going bareback with sex workers or get checked afterwards.
Source: Health care professional
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Seroprevalence of HSV2 in Japan is about 8% (7.4% in men, 9.3% in women).
Haven't heard of the antibiotic resistant strains of gonorrhea that are going around in Japan? Give you three guesses where they incubated.
(Hint: The first case was discovered in the throat of a pink salon worker in Kyoto.)
Many people don't notice chancres - they are painless and often small - especially if they're on the underside of the penis. This is why regular testing is highly advisable.
You're correct regarding saliva transmission.
The risk of transmission via oral sex is generally low, but ramps up quickly if there are exacerbating factors like foreskin tears or sores on the genitals for the receiver. For the giver, menstrual blood contact and bleeding gums are the main risks.
You're correct regarding saliva transmission, but "blood to blood innoculation [sic]"? No such thing exists for HIV... inoculation is the practice of immunization through the use of infective materials - such as a vaccine. If you're talking about transfusions, the rates are low because donated blood is scanned and tested for infectious diseases before use. Prior to this, infection via transfusion was one of the most prevalent vectors of HIV transmission in Japan. If you're talking about straight blood to blood exposure, accidental needles sticks carry a 0.3% risk, while intravenous drug users sharing needles is still a leading cause of transmission in countries where IV drug use is common - sharing needles and IDPE has an indicated odds ratio of ranging from 7.3 to 34.03 depending on the study.
Found that professional...
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My Apologies,
I hadnt looked up the statistics in Japan specifically, though in retrospect probably would have been a good idea before stating the above.
Seroprevalence in Japan of 8% for Herpes is surprisingly low to be honest, however seroprevalence in Australia or America is likely >50% for adults, which still means that you probably already have it (im assuming the people posting on here are not born and raised in Japan).
Antibiotic resistance does not mean it can't be treated. Its still a relatively simple fix. My point wasnt that you should be complacent when it comes to sexual health, but that its not the end of the world if you do contract either of these. Still need to get tested regularly even with safe sex practices.
Fair enough about your point on HIV. Most punters I assume are not having direct blood to blood contact. But again, my point is you should take the risk if its worth it to you, but the risk isnt as high as some people think.
Im not a duck! It was from chat GPT....
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And yet above you stated
Serious advice: Don't consult ChatGPT for medical matters. It's often incorrect even if the prompt it is given is good, and to give a good prompt, you need somewhat decent medical knowledge in the first place.
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And again - seroprevalance of HSV2 in Australia is 12% (16% women, 8% men) and in the USA it's 11.9% (8.2% men, 15.9% women).
You really should stop digging that hole.
I mean, it doesn't really change my underlying message.
If the HSV2 Seroprevalance is 10-15%, as you have stated, then you are less likely to contract it than if the HSV2 prevalence is >50%. So either you already have it, or youre less likely to get it. In either case, most cases are mild symptoms, or asymptomatic. The only way to avoid it is to use condoms for every single encounter, which is fine, if that is what you want.
This post is specifically about a Pink Salon, so I am assuming that the original author is worried about HSV1 and the chance of converting from HSV1 to HSV2 is pretty low from memory. If you are having bareback sex with someone who has HSV2 with visible warts, then thats on you.
The risk of getting it remains the same outside of sex work whenever you sleep with anyone from anywhere. And I assume most people on this forum prefer BBBJ over condoms, so inherently most people are willing to take that risk. I know nothing about you but im willing to bet at some point in your life you've taken that risk, be it with a partner or sex worker. And if you haven't, thats okay too. But most people have.
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HSV1 and HSV2 are two different viruses with a common ancestor. What you just said is semantically the same as saying "the chance of converting from a rottweiler to a doberman is low."
And you claim to be a health care professional?