Advice:Contraceptive options

Mathaais · June 13, 2015, 2:01am

Wewe, there are women who hold your butt so tight there’s no hope in hell of ever pulling out.

system · June 13, 2015, 3:25am

Wanakuweka stranglehold?

m245 · June 13, 2015, 4:48am

:D:D sasa hio ndo rape ju hukua unataka

mundu_mulosi · June 13, 2015, 5:38am

Not true, after our first child, my wife went for it and apparently, the nurses/doctor told her bwana asikuwe wa kuhanya. Hiyo ni upus gani?

system · June 13, 2015, 5:45am

Hehehe…wacha hizo. The reason, as we always emphasize, is coz whereas contraceptives will protect against unwanted pregnancies they don’t offer any protection whatsoever against STIs (except condoms, and we all know what happens when the risk of pregnancy is removed: condoms will not get used either!)

mundu_mulosi · June 13, 2015, 5:52am

I suspected my wife was using it as a deterrent. Ati haipendi mtu wa kuhanya. Lol.

system · June 13, 2015, 5:57am

Nothing like that. The only contraceptive that’ll protect against STIs is a condom. That’s why HCWs always reiterate the message that all others do not confer any protection against STIs, much as they help prevent unplanned pregnancies.

kijanamrefu · June 13, 2015, 7:44am

Luther12:

Truvada is a combination of two drugs: Emtricitabine (FTC) and Tenofovir (TDF). It’s mostly used to prevent or lower the risk of HIV infection prior to exposure i.e. Pre-Exposure Prophylaxis (abbreviated as PrEP; contrast this with PEP - Post-Exposure Prophylaxis in current use). So far, in Kenya, studies are ongoing to determine the large scale effectiveness of this drug for preventing HIV infection to people who may be routinely exposed. Primarily the studies are focusing on discordant couples and one of the organizations involved is Partners-in-Prevention somewhere in Thika along with the likes of NASCOP and other regulatory bodies.

As of last year, it has already been demonstrated that FTC+TDF combination is more effective than TDF alone for PrEP, albeit in a small study/sample size. Efforts are now focused on studying if similar results would be reproducible in a larger sample size and once this has been demonstrated we will then thereafter expect national PrEP guidelines to be developed.

As I have mentioned, research is primarily focused on discordant couples at the moment so for us here in Kenya it is unlikely that the drug will be widely available for general use. These drugs are ordinarily expensive and since the same drugs are used in normal HIV/AIDS management, we will obviously restrict availability to prevent misuse and subsequent emergence of resistance.

In the meantime, we have recently updated our national ART clinical guidelines to now require that the HIV +ve partner in a discordant relationship be immediately put on ART regardless of his/her CD4 count.

It is also worth mentioning that PrEP is not a magical bullet but is intended to augment other safe sex practices.

Thanks Doc. Consider me educated!

madova · June 13, 2015, 8:01am

Well go ahead with your dry fry sessions ,the last time i did that and the girl refused to get rid of it we ended up with a son.
When that time comes then you will understand responsibilities of taking care of two families including yourself in case you married.

system · June 13, 2015, 8:43am

Coitus interruptus.

madova · June 13, 2015, 8:45am

Did you see the pic on this thread? :D:D:D

system · June 13, 2015, 8:50am

6 years of practicing it, only 1 kid.

Purr_27 · June 13, 2015, 9:00am

Why pull out n ur married ?

system · June 13, 2015, 9:03am

Don’t want her to swallow contraceptives.

Supu_don · June 13, 2015, 9:10am

well, so far so good…

Supu_don · June 13, 2015, 9:12am

kuhanya? coz it doesn’t prevent STIs…but i guess it depends from one person to the other…have had it and so far so good.

Mwenyewe · June 13, 2015, 10:27am

can u quickly google what @4makind has raised with regards to neem oil good sir? is there any credibility to this? crossing my fingers for a positive confirmation

Web_Dev · June 13, 2015, 11:18am

Watu wana shida hapa

system · June 13, 2015, 11:21am

Hehehe…So I noticed. Incidentally, what I put up is a screenshot of the Kenya reproductive health guidelines now in use at health facilities.

kijanamrefu · June 13, 2015, 11:22am

What about tube tying?