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Hepatitis

Hepatitis C and chemsex

Chemsex is largely understood to be responsible for a marked increase in Hepatitis C (HCV) among gay men.

Prevention includes harm reduction, testing donated blood and the treatment of people with chronic infection. HCV and HIV co-infection raises additional issues if you are living with HIV. (See below).

Fucking, fisting, sharing douche kit, sharing lube, and sharing dildos and snorting straws can all put you at risk of catching Hepatitis C, HIV and other STIs. You can reduce your risk by:

  • Using condoms for fucking or getting fucked
  • Using sterile syringe and needles when injecting
  • Using latex or non-latex gloves when fisting or getting fisted
  • Using your own supply of lube and not sharing
  • Using a new condom on dildos every time
  • Using your own straw when snorting drugs

Disinfecting douche heads

DOUCHINGUnlike HIV which dies when it leaves the body, Hepatitis C has a 'tough outer shell' and can be passed on by sharing towels, toothbrushes, dildoes, and douche equipment, for example. Keeping douche heads and kit clean is an important part of reducing risks, especially at sex parties where they may be shared.

Use a commercially available sex toy cleaner or you can make up your own solution of 1 part thin bleach to 10 parts water. Make sure you clean and rinse well before each use.

Chemsex | MEN R US

Sexual health services  (Greater London)  | MEN R US

Hepatitis C | Hep C Trust
Gay Men's Hepatitis C Support Group | Hep C Trust
Hepatitis C | British Liver Trust
Liver disease, hepatitis and HIV | nam aidsmap
Hepatitis C | NHS
Hepatitis C | GMFA
Hepatitis C | Wikipedia

Treatment

Hepatitis C | Hepatitis C Trust
Hepatitis C [HCV] and HIV/ HCV co-infection | nam aidsmap
Hepatitis C | GMFA
Hepatitis C | NHS
Hepatitis C | British Liver Trust

Sofosbuvir for treating chronic hepatitis C | NICE
Ledipasvir–sofosbuvir for treating chronic hepatitis C | NICE
Elbasvir–grazoprevir for treating chronic hepatitis C | NICE

Hepatitis C treatment is not straight forward | nam aidsmap

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