Sexual health issues in gay and bisexual men - Massimo Giola

Massimo Giola talks about sexual health issues in gay, bisexual and other men who have sex with men. Massimo is a sexual health and general infectious disease physician for the Bay of Plenty DHB. He holds a PHD in HIV drugs pharmacokinetics and is on the board of trustees for the New Zealand AIDS foundation.

Topics

Overview of epidemiology of HIV in NZ and world
Risk factors
Communication tips for facilitating a patient to open up about their sexuality
The sexual health consultation questions
STI Screening best practice
Key preventative messages to promote
Pre exposure prophylaxis drugs
Who should we encourage to start prep treatment?
Alternate prescribing approaches?
What side effects to communicate
HPV vaccination

Take home messages

Screening best practice: We all need to be up to date with asymptomatic STI screenings in MSM.

Resources

Sexual health check - management summary NZSHS (2017)
How to take an anal swab
Sexually transmitted infections - Summary of guidelines NZSHS (2017)
Men who have sex with men. Australian STI management guidelines for use in primary care. MSM (2016)
AIDS Epidemiology Group Dunedin School of Medicine
Gay Men’s Sexual Health (GMSH) Research Group University of Auckland
Ending HIV website
STI Surveillance Annual Reports. NZMOH Public Health Surveillance
Pre-Exposure Prophylaxis (PrEP) ASHM
Post-Exposure Prophylaxis (PEP) ASHM

Patient Resources

Presenter

Massimo Giola

Consultant Physician

To contact Massimo Click here.

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The Goodfellow Unit podcast is funded in part by the Royal New Zealand College of General Practitioners.