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Please help! Possible HIV risk
Dr:
Yesterday, I had an encounter with a man. He told me he was tested 3 weeks ago and that he was clean across the board. Of course, I don't know if this is true. We only practiced safe sex (kissing, mutal masturbation), but as some point I decided that I wanted to try anal sex as a bottom. Of course, we used protection (condom) and lubrication. The problem is as follows: when he placed the condom on his penis, he noticed it was the wrong way and then he flipped it over to the correct side. It took a couple of seconds, Then he rolled the condom down with his hand and then put some lube. I'd never had anal sex before so after a couple of unsuccesful attempts with him, we stopped. I am really worried with the fact that precum may have been on his penis and when he placed the condom backwards, the precum ended out on the outside of the condom which eventually ended up inside of my rectum. Also, Im worried that he may have had precum on his hands which he used to put on the condom since we had been jerking off before. I'm most worried because I noticed right after the event that I was bleeding. I took some toilet paper and saw considerable spotting.
I havent been able to sleep or work. Please doctor, your advice is much appreciated.
Do you think I should get tested? Was is the risk in this situation?
Yesterday, I had an encounter with a man. He told me he was tested 3 weeks ago and that he was clean across the board. Of course, I don't know if this is true. We only practiced safe sex (kissing, mutal masturbation), but as some point I decided that I wanted to try anal sex as a bottom. Of course, we used protection (condom) and lubrication. The problem is as follows: when he placed the condom on his penis, he noticed it was the wrong way and then he flipped it over to the correct side. It took a couple of seconds, Then he rolled the condom down with his hand and then put some lube. I'd never had anal sex before so after a couple of unsuccesful attempts with him, we stopped. I am really worried with the fact that precum may have been on his penis and when he placed the condom backwards, the precum ended out on the outside of the condom which eventually ended up inside of my rectum. Also, Im worried that he may have had precum on his hands which he used to put on the condom since we had been jerking off before. I'm most worried because I noticed right after the event that I was bleeding. I took some toilet paper and saw considerable spotting.
I havent been able to sleep or work. Please doctor, your advice is much appreciated.
Do you think I should get tested? Was is the risk in this situation?
MEDICAL PROFESSIONAL
I think your degree of worry is out of proportion to your risk. Unless you think he is lying (and I cannot think of why you should), if he has recently tested (within the past month or two for sure) I would not suggest PEP. You can search under the keyword of PEP on this site and see why we would not suggest it for your situation. EWH
Dr. Hook. Thanks for your response. I'm extremely worried about this and I don't know what to do. This incident was with the same guy from my earlier post. Before we did anything last night, we talked about what happened last time and he said that I freaked him out when I got worried and emailed him about hiv, etc. He said he went and got tested for everything because he thought I was hiding something from him. After, we engaged in what I described in my post. Subsequently, I emailed him again, worried, and he said that we had talked that, and that he was neg and had been tested (110% neg were his words). I emailed him earlier this morning with your advice but I've been unsuccesful at getting a hold of him. One more thing I want to add that I know won't change your analysis: When I saw him flip the condom and in that moment not understanding the magnitude of the problem, but surely concerned, took my hand and tried to wipe off whatever was there. Unfortunately, this doesn't give me much reassurance. I called in sick to work today b/c I am really worried.
Here's my question: If I can't get another this guy to test (i guess he thinks I'm crazy -- problem is that I wasn't there when he tested), and I came to you, would you recommend PEP? At this point, Im desperate. Thanks.
Here's my question: If I can't get another this guy to test (i guess he thinks I'm crazy -- problem is that I wasn't there when he tested), and I came to you, would you recommend PEP? At this point, Im desperate. Thanks.
MEDICAL PROFESSIONAL
Welcome back to the Forum. We address your concerns about the possible transmission of HIV on your partner's hands and fingers in prior communications and I will urge you to just review those comments. All that I said then holds for this- no risk.
On the other hand, your partner used the condom incorrectly and to apply a condom, then remove it, flip it and then reapply it can potentially be associated with STD/HIV transmission. From his history and most people do tell the truth, it is unlikely that he was infected. For that reason there is a small risk to you. While testing for you is a good idea, a far better and immediate way to address your concern is to have your partner tested. If he is negative, your risk for HIV is miniscule (at least less and 1 in 100,000 I would estimate). On the other hand, for you, testing, even with combined HIV p24 antigen/HIV antibody tests such as the DUO tests will not provide completely reliable results until 4 weeks following exposure.
Your risk remains low but I know from both this and our earlier exchanges that this makes you nervous. I hope you can arrange for this person to be tested. It is the most direct way to address your concerns. EWH
On the other hand, your partner used the condom incorrectly and to apply a condom, then remove it, flip it and then reapply it can potentially be associated with STD/HIV transmission. From his history and most people do tell the truth, it is unlikely that he was infected. For that reason there is a small risk to you. While testing for you is a good idea, a far better and immediate way to address your concern is to have your partner tested. If he is negative, your risk for HIV is miniscule (at least less and 1 in 100,000 I would estimate). On the other hand, for you, testing, even with combined HIV p24 antigen/HIV antibody tests such as the DUO tests will not provide completely reliable results until 4 weeks following exposure.
Your risk remains low but I know from both this and our earlier exchanges that this makes you nervous. I hope you can arrange for this person to be tested. It is the most direct way to address your concerns. EWH
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