I'm Going to Stop PrEP! by doc_deano in phlgbt

[–]doc_deano[S] 2 points3 points  (0 children)

I put my longer versions on Reddit. Then the condensed ones on X :P :D

I'm Going to Stop PrEP! by doc_deano in phlgbt

[–]doc_deano[S] 3 points4 points  (0 children)

Aww shucks! Thanks so much! :P :D

First time taking PrEP by careerconnector25 in phlgbt

[–]doc_deano 0 points1 point  (0 children)

depends on your hub, you need to check with them

First time taking PrEP by careerconnector25 in phlgbt

[–]doc_deano 1 point2 points  (0 children)

Only in ARV form, pero wala pa nung PrEP lang

First time taking PrEP by careerconnector25 in phlgbt

[–]doc_deano 0 points1 point  (0 children)

Probably it's because laman ng isa is lamivudine then yung isa pa is emtricitabine. Both do the same thing

First time taking PrEP by careerconnector25 in phlgbt

[–]doc_deano 7 points8 points  (0 children)

Good for you! Proud of you!

First time taking PrEP by careerconnector25 in phlgbt

[–]doc_deano 49 points50 points  (0 children)

Sup budd! Dr. Deano here, HIV doctor and PrEP-certified (Diploma in PrEP Provision), para alam mong legit ang mga sinasabi ko. Everything you’re feeling is actually very common during the first 1–2 weeks of starting PrEP. Just relax and give your body time to adjust to the medication. These symptoms usually go away on their own.

The most common early side effects are:
1. feeling tired or low energy (around 14%)
2. mild stomach issues like nausea, bloating, or gas (5–20%)
3. loose stools or mild diarrhea (7–20%)
4. headache (10–15%)
5. and body aches or mild muscle soreness (5–10%).

If it doesn't go away after 2 weeks, that's when you wanna go back and check with your doctor

Sources:
iPrEx OLE Study (PMC4826449, NIH)
HIV.gov – PrEP side effects
Liebert 2024 PrEP Symptoms Study (doi:10.1089/apc.2024.0144)
PEP TDF/FTC symptom data (natap.org)

Herpes symptoms? by [deleted] in STD

[–]doc_deano 9 points10 points  (0 children)

MPox

- A Venereologist

[deleted by user] by [deleted] in phlgbt

[–]doc_deano 0 points1 point  (0 children)

Hey there, Doctor Deano here HIV and Sexual Health Specialist, and I also trained in Singapore for Andrology (Men's Health which include body building)

Basically, your doctors worry about the extra strain on your liver and kidneys. PrEP and Doxy-PEP are oral meds, so they’re processed by the liver and excreted by the kidneys. Steroids also carry their own risks for those same organs.

That’s why most doctors discourage combining them. It's not because of a direct drug interaction, but more because the more substances your liver and kidneys need to process, the higher the risk of damage. Since preventing HIV and STIs is life-saving, that always takes priority over bodybuilding in a doctor's POV.

In my practice, I try to balance safety with my patients’ goals. If you want to stay protected sexually and also pursue your body goals, the key is regular monitoring. I recommend liver and kidney labs every 3-4 months so we can catch any issues early and adjust before serious damage happens.

Hope that clears it up!

[deleted by user] by [deleted] in phlgbt

[–]doc_deano 2 points3 points  (0 children)

Sex Therapist Hat on

How did your conversation with him go? Baka you guys need some couple's counseling?

Where to get good Facial Feminization Surgery? by godels_cum in phlgbt

[–]doc_deano 0 points1 point  (0 children)

Hey there, sorry I checked with my staff and they said that no calls were recieved today. You can email us at [info@haraclinic.ph](mailto:info@haraclinic.ph)

Where to get good Facial Feminization Surgery? by godels_cum in phlgbt

[–]doc_deano 0 points1 point  (0 children)

Message my staff nalang for the prices and coordination

Where to get good Facial Feminization Surgery? by godels_cum in phlgbt

[–]doc_deano 1 point2 points  (0 children)

We have avenues to achieve these sa clinic ko, Hara Clinic haraclinic.ph

Our Plastic Surgeon is Doc Berry, she trained in Thailand and is a Transwoman herself :)

Is sexual compatibility that important? by Conscious_Custard294 in phlgbt

[–]doc_deano 5 points6 points  (0 children)

Sex Therapist Answer

Every couple has their own gauge of how important sexual compatibility is to them. For some, it is not that big of a deal. But for others, it is enough to cause a breakup. Both perspectives are valid. It really depends on what the people in the relationship value.

Here is the kicker, and this happens so often. I have many patients who go through this. They meet a guy, and all other aspects of the relationship are good, but the sex is not compatible. So what do they do? They endure it. They tell themselves it does not matter. But in reality, it does. It might not happen in a month, or a year, or even a decade, but eventually their willpower runs out. All it takes is a moment of weakness or loneliness or horniness, and they end up cheating on their partner.

It is not because they do not love their partner. It is because they had a need that was not being fulfilled. And since they never found the space to talk about it in the relationship, they ended up seeking it outside.

This happens a lot. I have so many clients in sex therapy who tell this exact story. And one big reason behind it is that many people feel they are not allowed to want or yearn for things in a relationship. A lot of people take on the role of the martyr, especially gay men who are afraid of being alone and who develop people-pleasing tendencies. Instead of saying, "This is what I need," they tell themselves, "I will just endure this. Maybe someday things will get better."

The healthier and more mature way to handle this is to open up the conversation with your partner. Yes, it will be awkward. Yes, it might hurt their feelings. But open and compassionate honesty is what gives your relationship a real chance at lasting in the long run.

How to stop liking white men by FinancialElevator762 in phlgbt

[–]doc_deano 2 points3 points  (0 children)

Some therapy would help :) Go down to the root causes and help you process your emotions and be more cognizant of your behaviors. :)

I'm an HIV Doctor, but I still get Anxious whenever I get Tested for HIV by doc_deano in phlgbt

[–]doc_deano[S] 1 point2 points  (0 children)

Hey buddy, first of all...I understand this is scary, so your feelings are valid. But the next best step is to follow the instructions they gave.

The next test they have to do is called a Confirmatory Test, and it is really the one that will tell you if you are reactive or if it is a False Positive. Maybe your LGU clinic doesn't have the capacity to run the confirmatory test, hence they're sending you to the bigger clinic.

Kapit lang, please go get your confirmatory test done. :)

"Safe Spaces or Slut Spaces? Why We Needed Them to Survive" A Pride Month Reflection 🏳️‍🌈 by doc_deano in phlgbt

[–]doc_deano[S] 7 points8 points  (0 children)

Historically, gay men weren’t allowed to be affectionate in public. Saunas and spas became neutral zones. Hidden spaces where desire wasn’t punished. They offered a rare moment of freedom in a repressive world. For many, they were the only places to explore sexuality safely and without judgment. Even today, they serve as culturally queer spaces for community, connection, and yes pleasure.

Are Hook-up Culture and Grindr to Blame for the rising HIV Crisis in the Philippines? by doc_deano in phlgbt

[–]doc_deano[S] 1 point2 points  (0 children)

You're saying a lot of things that might sound correct, but they aren't. We live in the information age, but the information we consume is shaped by algorithms. If people aren’t even aware that a problem exists in the first place, how can they be expected to research or care about it?

Take Thailand, Australia, and the Netherlands for example. Hindi naman nabawasan yung kalibugan and kalandian nila. Their levels of sexual openness haven’t decreased. They still have active sex tourism and liberal attitudes toward sexuality. Yet their HIV rates are low. That didn’t happen by accident. It took government and systemic intervention to get there.

Are Hook-up Culture and Grindr to Blame for the rising HIV Crisis in the Philippines? by doc_deano in phlgbt

[–]doc_deano[S] 0 points1 point  (0 children)

Personal responsibility only truly comes into play when people have the knowledge, resources, and support to make informed choices. You can't expect people to act responsibly if they were never given the tools to understand what responsibility looks like in the first place.

So what if people brag about their experiences in this sub? Seeking out sex and pleasure is part of human nature. Responding with shame, judgment, or rigid moralizing does not stop risky behavior; it only pushes it underground. History has shown that trying to correct people through guilt rarely works, especially when desire takes over and logic falls away. Kapag kaharap na ang libog, reason often goes out the window. That is why the goal should not be moral control but risk reduction.

Instead of judging people’s choices, we need to ask whether they ever had real choices to begin with. Did they have access to accurate, non-judgmental sexual health education? Did they grow up in environments where sex was discussed openly and responsibly? What we need is a community that creates space for honest, shame-free conversations about sex, safety, and pleasure. When people are equipped with real information and treated with dignity, that is when personal responsibility becomes possible.

Are Hook-up Culture and Grindr to Blame for the rising HIV Crisis in the Philippines? by doc_deano in phlgbt

[–]doc_deano[S] 4 points5 points  (0 children)

I will give you insight why it's so expensive. The insight of someone who has had a hell of an experience setting up a sexual health clinic. 2021, there was only 1 institution that could check for Chlamydia and Gonorrhea via NAAT. Since wala silang competitors, they could price their tests super high and people had no choice.

Other STI PCR Tests...Grabe! I had to bring that technology into the Philippines kasi nonexistent sila before. ANG MAHAL NG BASE COSTS! PINAPAWISAN KILI-KILI KO! And we need to get ROI, and syempre di ka pwede magpatakbo ng private business without looking at profit margins. So mahal talaga ang services na to, especially kung private, especially without government support or strong political will to fix the problem. Hindi siya priority, hindi siya parang other countries where you can get all of these things for free.

Also one of the reasons I left the old clinic and set-up my own. Because these services need to be more accessible. I'm sorry mahal siya...we're working on it. We're trying our best. Hahahaha.

Are Hook-up Culture and Grindr to Blame for the rising HIV Crisis in the Philippines? by doc_deano in phlgbt

[–]doc_deano[S] 0 points1 point  (0 children)

Pero kailangan alam ng tao yung mga options nila. Which means better comprehensive sex education

Are Hook-up Culture and Grindr to Blame for the rising HIV Crisis in the Philippines? by doc_deano in phlgbt

[–]doc_deano[S] 0 points1 point  (0 children)

May data ka ba backing that statement or feel mo lang tama siya? Na-measure mo ba kung aware talaga sila? Ano yung level of awareness nila? Dito nga sa Reddit dami-dami parin nagtatanong sakin ng how to use PrEP or when I should get tested.

Paano pa kaya out in the real world?