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I own a swinger specific telemedicine company. AMA
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I own a telemedicine company called Shameless Care that focuses on swinger health. We established this company after I discovered I had oral gonorrhea, which went undetected during a "complete panel" test. To my surprise, I learned that only a few doctors in the United States offer throat swab testing for gonorrhea or chlamydia.

The company has board certified physicians licensed in all 50 states. We offer prescription ED medication, DoxyPEP and at-home STI testing.

Shameless Care has been operating for 18 months, during which we have completed thousands of tests. It is important to note that our data is based solely on our customers, which has its limitations. However, I suspect that the results would be similar for everyone in the lifestyle.

Do you have any questions? I'll begin with one:

Q: Do swingers have higher STI rates than the general population?

A: No, our chlamydia positivity rate, for instance, is about one-fifth of the rate observed in the general USA population. It is remarkably low.

Comments

A recent comment on Reddit confidently claimed that if you have gonorrhea in one location, it will quickly appear in another. This means that if you have oral gonorrhea, it will show up in your genitals, eliminating the need to test both areas. However, we have never had a patient test positive in both locations.

This is the kind of information I can provide. If you want to know what swingers actually test positive for...here I am.

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I only have data on people who have opted for our testing, which represents a small portion of the swinger community. It is likely that this group represents the more sophisticated section of the swinger community.

Another limitation is that some individuals experience multiple chlamydia infections within a year. Not our patients, but USA citizens in general.

In 2021, there have been approximately 1.66 million cases of chlamydia in the USA, considering there are roughly 250,000,000 adults in the country. Our positive test results are significantly lower than this figure.

It is important to acknowledge the limitations of our data collection process. We solely test our customers and do not have the ability to randomly select swingers.

You are correct that I cannot compare "swinger" general demographics to "non-swingers" in the same demographic.

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Fair enough

I personally am very sex positive. We're all going to die horrible painful deaths and it's not going to be from gonorrhea or HSV. People need to enjoy their lives without doing undo harm to others, I think most swingers get that.

I started the company because I gave gonorrhea to someone, despite being tested. My test didn't include a throat swab. Then I found out how many doctors aren't throat swab testing.

Then I spent years trying to get someone else to fix this problem. No one would.

Why would a for-profit STI Testing company include throat swabs? It doubles their cost and most of their customers dont know the difference anyway?

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You should get off reddit and get that vaccine scheduled TODAY!

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Shameless Care is a national company with thousands of customers across the nation. It's unrelated to the events we produce.

I believe your google search is a study from overseas. I'm telling you results from thousands of test results from real swingers across the nation.

As I've already mentioned, I can only discuss our patients, and that has limitations.

We've been surprised at the low positivity rate.

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FSA debit cards work fine on our system. None of our customers have had any issues with this.

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I'm not a physician.

I will say that your doctor made the same decision most medical professionals probably would. Hep A is uncommon, and spreads in many other ways besides sex.

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You'll find no better resource in history than me. I've been shocked at the low positivity rate. So has our medical director. What questions do you have?

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We deeply appreciate your support! We are eager to assist individuals in leading a healthy lifestyle, but we can only do so with the help of our valued customers. Thank you!
Regarding testing, we were compelled to simplify our options. Previously, we had 21 different testing packages available, accompanied by a website widget that helped customers determine the most suitable package based on their individual needs. The frequency of testing varied from once a year for some individuals to as many as six tests for others, depending on their risk factors and other considerations.
Now, we offer two testing packages: the "Perfect" and the "Very Good." Additionally, we have enhanced our offerings by including the mycoplasma genitalium test, which is a high-cost assay.

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I agree with you 100%

People like you are why we love the lifestyle so much.

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The last time I mentioned our company several people from EU and other places yelled at me about the cost of healthcare in the USA.

“I can get all those tests for free!”

They definitely aren’t free here.

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So here's an example of just because a doctor is lifestyle friendly, that he is fully savvy on STIs. Hopefully he will begin ordering them for your group after your discussion with him!

Your friend group is most likely to contract an oral bacterial infection like gonorrhea or chlamydia. Those are often asymptomatic. Throat swabs are key to keeping these infections our of our friend groups. :-)

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Does your doctor include a throat swab test in their panel? That would be like a COVID nasal swab, except in the back of your throat instead of up your nose.

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I really don't know the average age of our patients...probably 50? I really dont know that information. I only know our positivity rate because I have to pay a physician extra for treatment.

I can only give you data on those being tested. I cannot tell you the STI rates of people who are not our customers. That's true.

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I'm not trying to begin an argument, although I realize that's a lot of what happens on Reddit.

I cannot think of anyone with more first hand experience STI testing exclusively swingers, so I thought I could be a resource.

You are correct that many people blow up with symptoms and rush off to the ER, get tested, and then that positive result is reported to the government.

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I'd say you are correct about all of those things.

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We’ve not considered trimix.

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That would be interesting. I don't have that information.

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My data was a conversation starter - I never intended to present this as a scientific fact.

That said, the positivity rate by customer (not test) would still show a shockingly low amount of positive results.

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If your GP is knowledgeable about STI testing, it doesn't necessarily provide any advantage.
Let's begin with your most recent STI test. It involved a blood draw and either a urine test or a cervix/vaginal swab.However, did it include a throat swab?

If not, it may be an indication that you should consider having someone else perform your STI testing.

But if your GP is an STI rock star, then there are no advantages to my company and you shouldn't use us.

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I really don't know.

I do know that we've never had someone test positive both genitally and orally.

I know that I personally had oral gonorrhea for several weeks without symptoms and without ever testing positive for genital gonorrhea.

People often use this logic to discuss why throat swabs aren't necessary, but I've not personally found that to be valid. I think if someone is going to bother to be STI tested, they should be tested both orally and genitally.

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Our gross revenue is about 50% STI testing and 50% ED medication.

The medication costs less, so most of our customers are ED customers.

We just released DoxyPEP last week. That may end up being the biggest seller of all with men.

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I wish I hadn't have put anything about our chlamydia positivity rate. We are a tremendous resource, and people are focusing in on proving that wrong? Like the whole point is now lost?

I don't Reddit well, I suppose.

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My statistical observations are NOT scientifically sound. It's an observation that we've been surprised at how low our positivity rate has been.

I'll answer your questions:

How do you compare the numbers?
I looked at 1.6 million cases of chlamydia per year in the USA and divided it by adults. I don't know how many people have multiple cases per year.

How many non-swingers test without symptoms?
I don't know

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It doesn't have public health implications.

I've spent my career in public health. Reddit isn't a peer reviewed scientific journal, and a reasonable person would know what I'm presenting here.

Anecdotal as all heck, as I've stated several times - including to you multiple times.

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Posted
11 months ago