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Increases in syphilis have been driven by new cases in men who have sex with men, an estimated half of whom have HIV.
Repeated cases of rectal gonorrhea were associated with an even higher risk of HIV.
In the past 18 months, 42 people who use drugs tested HIV positive in Multnomah County, which includes Portland.
Previously, tests were approved only for use with genital or urine samples.
Douching before receptive anal sex may damage the delicate lining of the rectum and flush out protective bacteria.
A quarter of study participants accounted for three-quarters of newly diagnosed cases of chlamydia, gonorrhea and syphilis.
Researchers suggest that using antiseptic mouthwash may mitigate this risk.
New HIV cases in the city remain higher than those in Los Angeles County and the state.
However, because this combo is not as effective as the current standard treatment, the search for new options continues.
The diagnosis rate fell by 50 percent in just two years among gay and bi men who attended sexual clinics at least twice in one year.
HIV, anti-vaxxers, dengue fever and weak primary health care make the World Health Organization’s list of priorities.
Having a rectal sexually transmitted infection is associated with a higher risk of testing positive for HIV in this population.
The CDC has issued increasingly urgent warnings about the possible emergence of drug-resistant strains of the STI.
But gay men living with untreated HIV did see higher viral loads if they also had a sexually transmitted infection, says a new study.
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