OB GYN

OB-GYN questions? Ask a gynecologist online.

Ask a Doctor,
Get an Answer ASAP!

I was wondering if someone could breakdiwn treatment options…

Customer Question
I was wondering if...

I was wondering if someone could breakdiwn treatment options snd cost for me. I am getting told HIV treatment is imposdible unlesd rich and you won't get insurance

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

None yet. But I have a partner overseas taking genvoya and wanted too understand options as well as preventative for me in future reference

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

None that I can imagine

Submitted: 2 months ago.Category: OB GYN
Show More
Show Less
Ask Your Own OB GYN Question
Answered in 1 hour by:
5/27/2018
OB GYN Doctor: Dr. S, Board Certified in Family Medicine replied 2 months ago
Dr. S
Dr. S, Board Certified in Family Medicine
Category: OB GYN
Satisfied Customers: 49
Experience: Attending Physician
Verified

Hello, I am Dr. S and look forward to working with you towards an answer to your question.

To allow me to better answer your question, do you currently live in the USA?

Ask Your Own OB GYN Question
Customer reply replied 2 months ago
No. I am in military. My situation is that my family doesnt support the relationship due to the percieved burden and risk if HIV and I wanted more information on it before I continue or decide
OB GYN Doctor: Dr. S, Board Certified in Family Medicine replied 2 months ago

Thank you for the information. So treatment options depend on HIV status and partners HIV control. If you are HIV negative and have contact with someone where there is risk for HIV to be passed to you, they do have PEP (post-exposure prophylaxis). This used to be given within 72 hours of exposure, however recently the FDA has approved for daily use for people with frequent contact. It is typically done with a medication called Truvada. Some insurances cover it, some do not. The manufacturer does sometimes have coupons or assistance plans that can be obtained to help subsidize the cost for certain insurances. Some health departments will also often have assistance programs to help afford medication if needed. This will vary depending on location.

If a partner's HIV is well controlled with an undetectable viral load, there is a much lower risk of possible transmission.

If you have HIV and need treatment, you are right certain regimens can be very expensive. However again many local departments will have access to assistance programs to make them obtainable. The choice for which regimen is chosen is based on multiple factors including overall health, age, kidney function, liver function, HIV genotype (particular strain) and resistance patterns.

It is very possible in our age to have a relationship with an HIV positive individual without contracting HIV (although there is still a risk) and live a normal happy live, including having children.

If you have additional questions or want more clarification, please let me know.

If you feel the above has provided good information, please give a positive 5 star rating so I may receive credit and continue answering questions for others. This will not close the question, so you may still continue to ask questions.

Is it US military or another country?

Ask Your Own OB GYN Question
Customer reply replied 2 months ago
US Military. I had another question on if you could tell me the difference in effectiveness in antiviral and antiretroviral
OB GYN Doctor: Dr. S, Board Certified in Family Medicine replied 2 months ago

Antiviral is a broader category and used to describe any medications that work on a virus, however the term is typically used when referring to medications like tamiflu that work on the influenza virus or valcyclovir or acyclovir for herpes/shingles.

HIV is a classified as a type of virus called a "retrovirus" so the medications used to treat them have taken on the name "antiretrovirals." Antiretrovirals have different classes with different mechanisms of action; some block enzymes that disrupt copying of HIV genetic code which disrupts the virus from replicating, some block protease enzyme which prevents the virus from maturing, some prevent fusion of HIV with cell membranes which makes it harder for them to enter new cells. Antiretroviral therapy usually uses at least 2 classes, there are multiple different regimens currently. The advent of the single pill drug (Has combinations inside) has revolutionized the treatment options as it greatly simplified regimens.

In treating HIV you want to use antiretrovirals. Many things can impact their effectiviness, which is one of the reason so much testing is done when selecting treatment. They check resistance patterns, strains of HIV, the patients overall health and any underlying chronic medical issues (kidney, liver). With all the testing however, the remission rate and control rate has improved significantly.

In regards ***** ***** previous question about cost. I am assuming with the military, that you have tricare. Tricare's formulary shows that Truvada (medication for PrEP) is covered. Free if you are active duty, $24 for 90 days if you are not. (link below)

https://www.express-scripts.com/static/formularySearch/2.9.1/#/formularySearch/drugDetails/61958070101/Truvada/F/30/200-300%20MG/?accessLink=FSTDrugStrength

-So treatment is obtainable. Using condoms has also been shown to greatly decrease the risk of exposure, however there have been studies of non-condom using partners where the positive partner had a nondetectable viral load where there was nearly no cases of transmission in those studies.

-For treatment of HIV, with or without insurance, if you are stateside, each state has an HIV hotline that can help one to locate resources near you where there is assistance in obtaining treatment. (Link below)

https://hab.hrsa.gov/get-care/state-hivaids-hotlines

-If you have additional questions, please send a message back.

-If you feel the above has provided good information, please give a positive 5 star rating so I may receive credit and continue answering questions for others. This will not close the question, so you may still continue to ask questions

Ask Your Own OB GYN Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with an ob gyn doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. S Your Own Question
Dr. S
Dr. S
Dr. S, Board Certified in Family Medicine
Category: OB GYN
Satisfied Customers: 49
49 Satisfied Customers
Experience: Attending Physician

Dr. S is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. C.

Dr. C.

Board Certified

2,537 satisfied customers

30 years of experience and an award-winning educator.

Monika Hearne, M.D.

Monika Hearne, M.D.

Board Certified OB/GYN

5,752 satisfied customers

With experience and compassion, I treat my patients like family.

DR PRABIR KUMAR DAS

DR PRABIR KUMAR DAS

CONSULTANT GYNAECOLOGIST

1,651 satisfied customers

MBBS(CAL)MD(G&O)

Dr.JBB

Dr.JBB

Board Certified OB/GYN

1,293 satisfied customers

15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence

Dr. Lawrence

Dr. Lawrence

OB/GYN

822 satisfied customers

Board Certified OB/GYN and accomplished educator

Dr.Ashwini Joshi

Dr.Ashwini Joshi

OB/GYN (Doctor)

400 satisfied customers

Consulting Obstretician & Gynecologist

Dr C

Dr C

OB/GYN (Doctor)

367 satisfied customers

MD

< Previous | Next >

Related OB GYN Questions
Can genvoya be taken for hiv prevention. None and I'm
None and I'm considering prep I last tested negative … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
976 satisfied customers
I'm nervous I just started pep yesterday. I went to the ER.
I'm nervous I just started pep yesterday JA: Have you seen a doctor about this yet? What medications are you taking? Customer: Yes I went to the ER JA: Anything else in your medical history you think … read more
Dr. D. Love
Dr. D. Love
Doctoral Degree
10,423 satisfied customers
The mother of my two children has genital herpes that she
The mother of my two children has genital herpes that she has controlled for years with prescription medication. I am not infected with HIV, even after years of intimate relations. However I am concer… read more
Dr Stan
Dr Stan
DO
3,628 satisfied customers
My boyfriend is a carrier for HSV-2. We began having sex in
Hello- my boyfriend is a carrier for HSV-2. We began having sex in mid September. Once without a condom, with a condom ever since. I recently went to my ob/gyn and had full STD testing including herpe… read more
Dr.Scheufele
Dr.Scheufele
Arzt für Gynäkologie u. Geburtshilfe
Doktor
7 satisfied customers
I was just diagnosed with having HPV. They said they found
I was just diagnosed with having HPV. They said they found abnormal cells and I tested positive. Little to say I'm having a constant panic attack thinking abouT this. How do I know what strain I have?… read more
Dr. K.
Dr. K.
Staff physician
MD
596 satisfied customers
We've been trying to concieve for about 18 months. We
we've been trying to concieve for about 18 months. We recently did some fertility testing and found that everything on my side of things is completely normal. However my partner got a very low sperm r… read more
Dr Leah Benson
Dr Leah Benson
Doctor of Osteopathy
105 satisfied customers
I've had an issue where my period lasts for a few months
I've had an issue where my period lasts for a few months without end it has blood clots and it'll change from heavy and go back to light but it's always constant it won't stop. So I was wondering what… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
How is Trichomoniasis transmitted? I did not have vaginal
How is Trichomoniasis transmitted? I did not have vaginal penetration with a woman, but I believe I got Trichomoniasis. What is my risk for HIV? Does Trichomoniasis only infect a man if it gets in the… read more
Monika Hearne, M.D.
Monika Hearne, M.D.
Board Certified OB/GYN
Doctoral Degree
5,752 satisfied customers
4-29-12 the condom broke during vaginal sex with my boy
4-29-12 the condom broke during vaginal sex with my boy friend- I thought i was in a monogamous relationship but he just told me I should get tested. What test should I be sure are conducted? what pro… read more
Dr. C.
Dr. C.
Board Certified
Doctoral Degree
2,537 satisfied customers
I'm a 55yr old woman who is wondering if there is some whole
I'm a 55yr old woman who is wondering if there is some whole body health screen that I should be going for? I am also sexually active and though careful and responsible, I am going into a new relation… read more
Monika Hearne, M.D.
Monika Hearne, M.D.
Board Certified OB/GYN
Doctoral Degree
5,752 satisfied customers
My girlfriend has been diagnosed with 2 fibroids. Doctor has
My girlfriend has been diagnosed with 2 fibroids. Doctor has prescribed Marvelon 21 birth control pills and Norvir 100 mg. Is this considered a standard treatment for this condition?… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
I have had an ultrasound with no unusual growths detected. I
I have had an ultrasound with no unusual growths detected. I am 50, not yet at menopause and have heavy periods. I am told that the uterus is enlarged and am being advised to do either an in-office bi… read more
Dr. Zach
Dr. Zach
OBGYN Physician
Doctoral Degree
4,514 satisfied customers
Am I allowed to be here as I am male. I am a concerned
Hi, am I allowed to be here as I am male. I am a concerned Fiancee, she is 45 yrs of age. 2 days ago my Fiancee went to see her Dr, after yet another bout of prolonged bleeding. She had a minor Op abo… read more
Dr. Norm S.
Dr. Norm S.
Doctoral Degree
8,202 satisfied customers
I tetsted positive for hpv on my papsmear and it came back
I tetsted positive for hpv on my papsmear and it came back irregular. I am having a consultation with my doctor but having no insurence what do I have to ecpect now?… read more
Mary Claire Haver, M. D.
Mary Claire Haver, M. D.
Physician, MD
Doctoral Degree
2,533 satisfied customers
I am a gay female and was recently told by my partner that
I am a gay female and was recently told by my partner that she has HPV. How can it be transmitted between females....1) through kissing, 2) through oral sex? 3) through touching the genital area.....W… read more
Dr. Saul
Dr. Saul
Physician
Doctoral Degree
1,887 satisfied customers
What happens if I admit to having had unsafe sex? I asked
What happens if I admit to having had unsafe sex? I asked for an HIV test, and my doctor was intense about asking. I lied for now. Is there a stigma attached? Will my insurance company treat me differ… read more
Dr.Jason,MD-OB/GYN
Dr.Jason,MD-OB/GYN
Doctoral Degree
250 satisfied customers
I just had unprotected oral sex with someone I don't really
Hi, I just had unprotected oral sex with someone I don't really know very well last night. Should I get PEP or is that for more certain cases? What is the risk of getting HIV from oral sex?… read more
Anjali
Anjali
MBBS
220 satisfied customers
I HAVE JUST BEEN TOLD THAT I HAVE PERIMENPAUSE. WILL THE
I HAVE JUST BEEN TOLD THAT I HAVE PERIMENPAUSE. WILL THE DOCTOR GIVE ME SOMETHING TO STOP THE DISHARGE.BLEEDING, AND WILL I BE ABLE TO CONTINUE TO HAVE SEX… read more
Dr Heal
Dr Heal
Senior Physician
Bachelor's Degree
344 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x