This is for someone with a solid medical background.  If a girl has a
compromised immune system and some guy wants to have a sexual
relationship with her- what tests should she insist upon before he
could do so?  He is willing to go to a hospital and submit himself to
any tests regardless of how painful, humiliating and time consuming. 
Write the list in as something that he could literally take to the
doctor and have these tests done and the doctor won't say that the
tests are ridiculous, unnecesary or too hard to perform.

I assume all the usual tests, but what about HPV tests?  What other
things could be tested for to make sure she is safe?

---

Clarification of Question by redshark66-ga on 21 Jul 2006 15:58 PDT

could whoever is working on an answer give me an idea when they expect to respond?

Hi redshark66,

I was able to locate a range of STD (STI) tests you can ask for, You
should be very frank with your clinician about the situation,
specifically the compromised immune system. Here's your list, better
yet, print this answer and take it with you.

This information does not replace that of a qualified professional,
please seek medical advice.

YOUR LIST:

____BLOOD
CMV (cytomegalovirus)
hepatitis B & C
herpes
HIV
syphilis 

____URINE
chlamydia, gonorrhea 

____CELLS
BV (bacterial vaginosis)
chlamydia
gonorrhea
HPV (human papilloma virus)
molluscum contagiosum
scabies
Balanitis - Candidiasis, presence of yeast (Very Important)

____FLUID, SECRETIONS or DISCHARGE
BV (bacterial vaginosis)
gonorrhea
herpes
HPV
syphilis
trichomoniasi


REFERENCE:

Dear Experts, how do you get tested for STDs?
http://www.teenwire.com/ask/2005/as-20050825p1100-test.php
..."When clinicians test for sexually transmitted infections, they
usually test for a few different ones. To decide what to test for,
clinicians examine their clients. They talk with them about their
visible symptoms, other symptoms they may feel, and what kind of risks
they may have taken.

Depending on what is found during the examination and conversation,
the clinician may take samples of:

blood ? to check for CMV (cytomegalovirus), hepatitis, herpes, HIV, or syphilis  

urine ? to check for chlamydia and gonorrhea

cells ? to check for BV (bacterial vaginosis), chlamydia, gonorrhea,
HPV (human papilloma virus), molluscum contagiosum, or scabies

fluid, secretions, or discharge ? to check for BV, gonorrhea, herpes,
HPV, pelvic inflammatory disease, syphilis, or trichomoniasis

..."


Candidiasis
http://health.mweb.co.za/medical/Head2Toe/777-778-783,12355.asp
Good read, important info.


There's some information regarding compromised immune systems and safe sex here:

Chapter 2: HIV: Biology and Safer Sex
http://health.ucsd.edu/owenclinic/documentspatiented/biology.html


These folks will have some further information for you:

Call the Centers for Disease Control and Prevention (CDC) if you have
a severely compromised immune system and would like further
information on Cyclospora (1- 800-342-2437)


?Crypto? (krip-TOE) 
http://www.cdc.gov/healthyswimming/cryptocifacts.htm
Facts for People with Compromised Immune Systems


Preventing Cryptosporidiosis: A Guide for People with Compromised Immune Systems
http://www.cdc.gov/NCIDOD/DPD/PARASITES/cryptosporidiosis/factsht_crypto_prevent_ci.htm


Here's what the male can expect to happen during the exam:

Male Physical
http://www.sexinfo101.com/sh_stdtesting.shtml
..."Okay guys, this is for you. Your physical will go something as
follows. The doctor will proceed with the examination and will check
you externally for any bumps, rashes or anything out of the ordinary.
The doctor will check for any warts, ask if you?ve had any pain while
urinating or discharge from the penis. The doc also wants to know if
you?ve had a swollen throat recently or swollen glands anywhere.
He/She will check your pubic hair, check urethral opening, and check
your anus (he/she may have to do a digital anal exam if there?s a
possibility of warts or prostate inflammation). Then comes the dreaded
part, the doctor then has to insert this plastic stick into your
penis. This stick collects live cells from inside your penis which are
checked under microscope for any sexually transmitted diseases
(gonorrhea and chlamydia). Almost done.

He/She then checks for scrotal hernias, by holding your scrotum while
asking you to cough. It?s over ?.?Yeah!!!? But wait one more thing.
Just as I told the women, make sure that you ask for your blood HIV
test. This is the one thing that the little plastic stick does not
test for, yet is a most important test to get..."


STD Testing
http://www.bsu.edu/students/healthcenter/article/0,,16356--,00.html
..."This article will address the most common STD's we see:  HPV,
Chlamydia, Gonorrhea, Genital Herpes, HIV, and Syphilis..."


ASHA's STI Resource Center Hotline
http://www.ashastd.org/herpes/herpes_hotline.cfm
1-800-227-8922 

..."The STI Resource Center Hotline is a program of the American
Social Health Association (ASHA) that provides information, materials
and referrals to anyone concerned about sexually transmitted
infections (STI). Health Communication Specialists are on staff to
answer STI questions on such topics as transmission, risk reduction,
prevention, testing and treatment. The service receives more than
180,000 calls a year and is not supported by state or federal funds,
but by donations from foundations, corporations and individuals such
as yourself.

The Hotline is open from 9:00 am to 6:00 pm, Eastern Time, Monday
through Friday..."


MORE ADVICE:

NO ANAL SEX PLAY, PERIOD
USE CONDOMS, __EVERY TIME__


I hope this helps, please be safe!


~~Cynthia


STD OR STI Doctor "what to test for"
sex "compromised immune system"
"partner testing" STD OR STI

thank you!

A walk down the aisle is a good test. It shows courage, commitment,
dedication, etc, plus gives you certain legal rights.

Look, kid, use condoms as though your life depended on it; it does.