Reactive Guides

Reactive guides from PackMap — sexual health education for gay and bisexual men.

• Anal Injury Triage: When to Treat at Home, When to Go to A&E — Sore after sex? Usually minor, and it settles on its own. Here's how to tell ordinary trauma from the signs that need a clinic.
• Doxycycline After Sex: A Controlled Failsafe — DoxyPEP is an antibiotic you take after sex to cut syphilis and chlamydia risk. It's a backup, not a swap for PrEP or routine testing.
• EMERGENCY: Sexual Assault or Non-Consent — After an assault you can get PEP and STI prevention right away — reporting to police is a separate choice, and yours alone. What to do first.
• EMERGENCY: Possible HIV Exposure — PEP can stop HIV taking hold if you start within 72 hours of exposure. The clock is the whole point — here's how to move fast.
• EMERGENCY: Overdose or Bad Drug Reaction — An overdose is minutes, not hours. The signs, the recovery position, when to call, and what to do while you wait for help.
• EMERGENCY: Robbed, Set Up, or Blackmailed — Robbed, set up, or blackmailed with your pics after a hookup? What to do in the first hour, why you shouldn't pay, and your reporting options.
• EMERGENCY: Spiked, Drugged, or Losing Control — Spiking hits fast: sudden, wrong-feeling intoxication. How to spot it in yourself or a mate, and what to do on the spot.
• Partner Notification: How to Tell Previous Partners About an STI — Telling past partners to test isn't punishment — it stops the chain. Scripts to do it, anonymously if you need, and stay safe.
• PEP: The Emergency Brake — PEP is a 28-day course that can stop HIV if you start within 72 hours of exposure. How to get it, fast, before the window closes.
• Protocol: Positive Result (The Reality Check) — A positive STI result has a clear playbook: get the right treatment, tell recent partners straight, move on. What to do, step by step.
• Shigella: The Gut Infection MSM Need to Know About — Shigella is a gut bug that spreads through sex and shrugs off the usual antibiotics. How it moves, and the testing that pins it down.
• STI Diagnosis: Chlamydia, Gonorrhoea & Syphilis — What a Positive Result Actually Means — Chlamydia, gonorrhea and syphilis are bacterial — antibiotics clear them completely. How treatment works and what follow-up you need.
• STI Diagnosis: Hepatitis C — What a Positive Result Actually Means — Hep C is now curable: oral meds clear it over 95% of the time. How to read your results and get onto modern treatment.
• STI Diagnosis: Hepatitis B — What a Positive Result Actually Means — Hep B bloodwork is a tangle of markers separating new infection, chronic disease, and immunity. How to read yours and what it means for treatment.
• STI Diagnosis: Herpes — What a Positive Result Actually Means — Herpes is common, manageable, and nothing like its reputation. The clinical reality versus the stigma, so you can handle it calmly.
• HIV Diagnosis: What a Positive Result Actually Means in 2026 — HIV today is one pill a day to an undetectable viral load — and undetectable means you can't pass it on. What treatment actually looks like.
• STI Diagnosis: HPV — What a Positive Result Actually Means — HPV is near-universal if you're sexually active. Low-risk types cause warts; high-risk types need watching. How to tell them apart.
• STI Diagnosis: Mpox — What a Positive Result Actually Means — Mpox clears on its own, but you isolate until every lesion scabs over. Managing the pain and telling partners — here's the rundown.
• What to Do If You Think You Have an STI — Sores, discharge, anything off — early testing is what limits the damage and the spread. What to do after a possible exposure.

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