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Bacteria called Neisseria gonorrhoea, or gonococcus cause gonorrhoea. Some people used to refer to it as “the clap.” It is passed between someone who is having unprotected anal, oral or vaginal sex with a person who has it or by sharing unwashed sex toys that have not been covered with a condom. (1,2)

Symptoms vary between men and women, although some men and women experience no symptoms at all. Around half of women and 1 in 10 men have no symptoms. However, symptoms in men include an unusual discharge from the tip of the penis, pain when urinating and sometimes, pain in the testicles. Women who are infected may experience an unusual discharge, pain when urinating, lower abdomen pain and, rarely, bleeding between periods. (1,2)

Gonorrhoea is an STI that is very simple to treat. It is no longer necessary to visit a GP to obtain a gonorrhoea cure. Treatment, after taking an STI test, comes in the form of a single dose of 2 antibiotics called Azithromycin and Cefixime. This treatment also  clears chlamydia and can be bought online. (3,4)

Read more information: gonorrhoea drug

Typically, men begin losing hair from around their temples (which causes a receding hairline) or from the crown of their head. It’s commonly known as male pattern baldness. Hair loss is also called androgenetic alopecia. So, don’t be confused by the terminology here; it all means precisely the same thing. It’s the most common form of hair loss in men and can be treated.
In rarer cases, a man may lose all of his hair. Sometimes this occurs because of anxiety, an illness, iron deficiency, or cancer treatment. (1,4)

Hair loss tablets online are now available. The most effective hair loss medication for men is called Finasteride. This increases hair growth and prevents further hair loss. Finasteride is the generic version of Propecia. It’s much cheaper than Propecia, yet it’s just as effective. Both medications come in 1mg doses. (2,3,4)

Finasteride is a medicine for men and shouldn’t be taken by women or children. It’s possible to obtain a prescription for Finasteride or Propecia on the web just after completing a short online health questionnaire. This is assessed, and if you’re suitable for either medication, a prescription is issued. (2,3,4)

Read more information: Hair loss medication for men

1. NHS hair Loss [cited 4 January 2018]. Available at: https://www.nhs.uk/conditions/hair-loss/
2. National Institute for Health and Care Excellence (NICE) hair loss prognosis [cited July 2018]. Available at: https://cks.nice.org.uk/alopecia-androgenetic-male#!backgroundSub:1
3. Electronic Medicines Compendium (EMC) Finasteride 1mg [cited August 2018]. Available at: https://www.medicines.org.uk/emc/files/pil.791.pdf
4. Electronic Medicines Compendium (EMC) Propecia 1mg [cited September 2018]. Available at: https://www.medicines.org.uk/emc/files/pil.2194.pdf

Being unable to achieve an erection is very common, especially in men over 40. Causes of erection problems include anxiety, drinking too much alcohol, tiredness or stress as well as a symptom of a more serious underlying medical condition like cardiovascular disease. (2)

Tadalafil works in the same way that other ED medications do. It increases the blood flow to the man’s penis, which then helps a man achieve an erection. Taking Tadalafil daily alone will not, however produce a firm erection. A man must be sexually aroused too. (2)

Often called the “weekend pill”, Tadalafil will typically begin to work around half an hour after being taken with or without food, and with a glass of water. However, it’s essential not to take it with grapefruit juice, which can prevent the breakdown of Tadalafil in the body. This may increase the likelihood of suffering from any side-effects.Tadalafil is called the “weekend pill” because it can be taken on a Friday evening and still be effective on a Sunday morning. (2,3)

Read more information: Buying Tadalafil online

1. National Institute for Health and Care Excellence (NICE) Tadalafil. Available at https://bnf.nice.org.uk/drug/tadalafil.html
2. NHS Erectile Dysfunction, [cited 16 August, 2017]. Available at https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/
3. Electronic Medicines Compendium (EMC). Tadalafil 10mg [cited March 2019]. Available at:
   https://www.medicines.org.uk/emc/files/pil.8636.pdf
4. Electronic Medicines Compendium. Tadalafil 20mg [cited March 2019]. Available at: https://www.medicines.org.uk/emc/files/pil.8637.pdf

We have changed to Nitrofurantoin(brand name Macrobid) as first line treatment for women with lower urinary tract infection (also called cystitis)due to the NICE (National Institute for Clinical Excellence) guidelines for women who do not have a catheter. It aims to optimise antibiotic use and reduce antibiotic resistance.(1)

Previously Trimethoprim was recommended as first line treatment but developing resistance to it’s effectiveness has meant that Nitrofurantoin may be the preferred choice. It depends on your geographical location and your kidney function.

Read more information: Nitrofurantoin

The cheapest erectile dysfunction (ED) pills are generic Viagra, called Sildenafil.

What is a generic drug?

The term “generic” refers to the active ingredient of a medicine or drug rather than to the advertised brand name under which the medicine is sold. It is a term referring to any drug marketed under its chemical name without advertising.

Pfizer made the original Viagra tablet that is often referred to as the “blue pill”. The patent expired in 2013 which then allowed other pharmaceutical manufactures to make a generic version under the name of the active ingredient called Sildenafil. They are exactly the same medically and perform in the same way with the same side-effects.

Read more information: Generic Viagra

Epididymitis is a painful condition which affects men and has several causes, with a major cause being sexually transmitted infections (STIs), particularly in men under the age of 35. Most cases can be resolved with a course of antibiotics. (1)

What is epididymitis?
Epididymitis is the medical term for inflammation of the epididymis, which is a tube which runs along the back of the testicle. Both testicles have an epididymis and it is possible for one or both to become inflamed. When the condition also affects the testicles themselves, it can be known as epididymo-orchitis (orchitis means inflammation of the testicle(s)). (1)

What are the symptoms of epididymitis?
Epididymitis symptoms can include:

• Pain in one or both testicles (the onset of epididymitis pain can be sudden or gradual)
• A painful, swollen, tender scrotum which can feel hot to the touch
• Fluid collecting around the testicle(s), giving a swollen or lumpy appearance and feel
• Trouble passing urine
• Discharge from the tip of the penis – this can be white, yellow or green, which signals an infection (1)

Read More Visit – epididymitis

Our returning guest blogger Hanna, 35, today talks about her experience getting STI tested.

Well I never thought my last boyfriend and I were destined to be together forever, but we’d fallen into a comfy routine of watching box sets whilst eating take away. Plus, we’d both reached our mid-thirties and were cohabitating in relative contentment; or so I thought…

When I found out that his ‘work’ nights out were a string of one-night Tinder hook ups I suddenly had that dread that he’d left me with more than just the outstanding rent; so I started looking online for ways I could get tested, sharpish, and without anyone finding out.

It’s a mine field. The local G.U.M. (Genito-Urinary Medicine; and yes, I had to look it up) clinics open no longer than three hours at a time and the slots that are by appointment only are notoriously difficult to call through and get booked on to. I looked at the NHS home test kit, but due to a staff back log it would take 14 days to send me a kit out and then I wouldn’t get the results for 3-4 weeks. Well, the thought of what I could potentially be harbouring in my nether regions meant that I wanted results in days, not weeks, and certainly not over a month – so I tootled off to my local walk-in clinic.

Read More Visit – NHS home test kit