Doctor echoed
@Teevster get hep b jab guys
And ok to fuck without outbreak
I missed the boat on lower car insurance by switching genders but should still look into gardasil coverage
Nice! Most of my claims on things related to STI, safe sex has been backed up by specialists - both that I have talked to, but also based on the publications I have read.
To be clear, I am not speculating and sharing an opinion on these matters - they are backed up by serious reading (top scientific journals), conversations with doctors (including specialists in infectious disease) and personal experience.
Good call with the Hep B jab. Take the Twinrix that includes hep A while you are at it.
The most important is the Hep B vaccine. HPV (Guardasil) is more a bonus, but not as essential. Technically it protects you against warts, and some forms of HPV that can, in some pretty rare cases lead to throat cancer. Discuss it with your doctor and let him/her assess the risk/benefit aspect for you.
If you fuck stranger without condoms (which is not recommended medically speaking... but you know...nobody is able to remain categorical on these matters anyway) I suggest you get tested every 3-4 months. You can do that at your GP or a specialized clinic:
Piss: gono + chlam (mychoplasma can be skipped but if they offer it, why not).
Blood: HIV 1 and 2 (4th gen test please - basically the antibody/antigen combo test - this is VERY important - has to be 4th gen - and please no quick test, but good old school needle in arm type of test) and syphilis.
Once you take the Hep B jab, you skip testing for it.
Hepatitis C - test once a year (recommendations in Europe - but follow your doctors' recommendation) but no harm in testing more often if you are in the US as the prevalence there is higher (PS there is a cure that now! yay!). Mind you that hepatitis C is not very contagious (hence why we don't test for it that often, unless you are exposed to blood (injecting drugs...)).
Best,
Teevster