My drinking determines my sexual health!

I nearly jumped out of my skin when I went to use one of the hospital bathrooms while on duty and as I opened the door, a voice screamed out ‘Cant someone have some peace here?’
I summoned the courage to open the door wider and found a young lady sprawled on the toilet floor obviously too drunk to realise she was in a public toilet and not in her own bedroom.
Poor thing!
With the help of security, she was escorted to her own house.
Research show that our young people continue to drink alcohol excesively.
Alcohol excess blurs the lines between responsible behaviour and what is not responsible behaviour. Many young people engage in reckless and risky sexual behaviour under the influence of alcohol.One of the major fall-out of this is the rise in the incidence of unplanned pregnancies and teenage pregnancies.
Unplanned and teenage pregnancies can result in disruption to social, mental and academic wellbeing of young people. Sexually transmitted infections (STI) like Chlamydia and HIV are also possible consequences of risky sexual behaviour.
All sexually active young children should be encouraged to delay sexual intercourse until they are much older and in committed relationships. But if this advise falls on deaf ears, it is important that contraception is available for young people to use.
Barrier type contraceptions like condoms used carefully can prevent transmission of STIs and also prevent pregnancy.
Contraceptions that need to be remembered such as condoms, daily pills or weekly patches can easily be ommited in the heat of passion. As a result, I strongly advocate the use of reversible long acting contraceptions such as the implants or coils for young people.
My book ‘Understanding contraception’ was written to explain the concept of contraception in a way any young person above the age of 14 years can understand.
 understanng contraception214
You can get it by clicking here for your young people as an eBook or to get the hard copy, click here. They will find the illustrations and jokes very engaging while learning about the different contraceptions and how they work.
I believe that equiping our young children with information does not make them promiscuous but rather protects them from easily avoidable mistakes.

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My phone can diagnose HIV but how do I get the drugs?

HIV, Smart phone, Dongle, Sexual wellbeingA device attached to your phone could soon be used to diagnose HIV in 15 minutes! This exciting new device could help the poorest people across the world to take control of their own health.

Uses only a finger prick of blood.
Cost only $34 to manufacture.
Small enough to fit into one hand
Does not rely on laboratory facilities.

Gets its energy supply from the phone so can be used in remote places

I applaud the makers for their new device called ‘Dongle.

Being able to find out if you have caught something quickly reduces the risk of spreading it to other people.

HIV, Dongle, Sexual wellbeing, HIV test



So it is an exciting development in the fight against HIV, particularly in African countries where mother to child transmission of HIV (amongst other routes) remains a major concern with over 2 million children infected with HIV while in the womb, during birth, or by being breastfed.

The next step is for the antiretroviral medications (used to treat HIV) to be so readily available in developing countries as well.

Otherwise, what is the point of fast, easy and cheap diagnosis if there isn’t corresponding available and cheap medication to treat those diagnosed with HIV in poor communities?

Dr Adaeze Ifezulike is a Family Physician/GP based in Aberdeen. She is a Finalist at the UK Sexual Health Awards 2015 and for her book ‘Understanding Contraception: A guide for black ladies’ she has been nominated ‘Author of the Year’ at the Women4Africa Awards.


HIV? Me? No, I am married! (10)

Nma came with her daughter Aka to see me a few days later. I was surprised as I thought she might be coming with Dike as mentioned at the last meeting.
I had no idea if she had told her daughter about her diagnosis.
As usual she looked immaculate and so did her daughter.

”Hello, come and have a seat” I smiled at them.
”How can I help you today?” I asked once the pleasantries were done.
”I would like you to tell my daughter about my sickness,” Nma said.
I gave her a questioning look.

”Yes, go ahead” she read my unspoken question.
”What’s wrong with my mother?” Aka asked with a frown on her face.
I hesitated uncertainly.
”I..Nma could I have a word in private with you?” I asked gently with an apologetic glance at Aka.
”There’s no need,” Nma replied with a hint of irritation ”Just tell her, please.”

Aka spoke up ”Tell me what? Tell me what?” she repeated with a slightly raised voice as I hesitated.
”Your mother has been unwell,” I started carefully.
”Yes I know..”
”We have run a number of tests and we found out that she has a viral infection..”
”Viral infection? What’s that?”
”I have got HIV,” Nma declared, impatient at my delay.

”What?” Aka screamed and instantly backed away from her mother.

HIV? Me? No, I’m married! (9)

”Partners of people who have a sexually transmitted infection need to be tested and treated as well.”

”She doesn’t have it,” he said.

”And you think so because you are not having sex with her?”

”Of course we are having sex…”

”So do you use a condom?”


”So she might have caught it from you.”
He was silent.
black man
”Chlamydia infection can be serious for women, you see. It can cause infertility, constant pelvic pain, miscarriage and ectopic pregnancies.The good news is that it can be easily treated with antibiotics if detected early and then it wouldn’t have a chance to cause the things I have mentioned.”

”Well, this was two years ago and I am not going to drag this up now. My wife will kill me!”

”I understand. We can help though. When a patient has a sexually transmitted infection but is unable to tell their partner, with their permission, we can send a general text to the partner explaining that they may have been at risk of an infection and encouraging them to come for testing. This is called ‘Partner Notification’.

”I see.”

”Would you like us to do that for you?”

”I will have to think about that,” Dike replied.

Feel free to post your comments below and you can also join the discussion on our facebook page Have a lovely weekend.

HIV? Me? No, I’ m married! (8)

”So how long ago did you have chlamydia infection?” I asked Dike.

 “About two years ago.”

 ”Did you get treatment for it?”


 ”How do you think you may have caught the infection?”

 ”I don’t know,” He shrugged. ”Through sex, I suppose.”

 ”What about your wife? Did she get treated for it?”

 ”My wife?” he asked surprised.


 ”I didn’t get it from my wife.”

 I paused expectantly.

 He shuffled his feet. He was getting impatient again with all the questioning. I saw he wasn’t going to take my bait. He probably felt he had said enough to this nosy doctor.

 How far would you expect your doctor to pry into your private affairs?

Remember you can join the discusson on our facebook page at blackladies

HIV? Me? No, I’m married! (6)

“Did you use a sterile needle to inject the heroin?”

“I can’t remember to be honest, my friend just made up the shot and helped me inject it,” Dike replied.

“So how long ago was this?”

“About 20 years ago.”

“Have you had a test for HIV or hepatitis since then?”


“Well, it’s good you are here now. We can check and let you know your status.


A few more questions, if that’s okay? Have you ever had a sexually transmitted infection?”

He frowned as he thought about it.
“Thats gonorrhoea….isn’t it?” He asked.

“Gonorrhoea is just one of the sexually transmitted infections,” I replied,”but there are others like chlamydia…”

“Yes! I’ve had that!’ He exclaimed.

Did you know that people infected with a sexually transmitted infection like chlamydia, pubic lice, genital warts or syphilis are 2-5 times more likely to acquire HIV infection if exposed to the virus?