That's a question for them, according to local standards and their own policies. If PEP is recommended at all, it's usually considered OK up to 72 hours after exposure.
I'll be interest to learn what their advice is. Until then, I won't have any further comments. Good luck with it.
Hi Doctor,
I know what you mean. Yes,I am a risk taker sometimes,but this time I decided to go visit Callen-Lorde ER,a place specialist for HIV/AIDS to talk with a doctor for PEP later at 4pm. Since I expored the risk with taht man,it;'s been about 24 hrs. So That means it would be still enough of time if I wanted to take it?
You should not make that sort of decision without professional advice. PEP side effects aren't necessarily so bad and may not interact at all with your current medications. My recommendation remains that you see an HIV-knowledgeable provider both to discuss PEP and get personalized advice about HIV testing.
Thank you doctor.
Well,when I called the man's phone number,there's a woman pick up the phone,and then hang up on me twice. (I live in New York City btw). He is unlikely a gay man,but maybe,a str8 bi curious man . As he bought a pice of female pantie ,and want me to wear for him while he's doing it. So I guess that he is probably a married,but bi curious.
Not a gay man,but a stricky top role as a bi curious man.
As what you said that the vhances are only 1 in 200 if even if he has HIV,then I better avoid try PEP. Because I am taking a lot of med for my esophagus spasms and GERD lately. I heared from one of my gay friend said that PEP drugs cause a lot of horrible side effects,he was taking one month last year.
I understood these details. If you don't get PEP, at a minimum you should have an HIV antibody test at 4-6 weeks and again at 3 months. However, you should follow a local expert's advice on testing; s/he might also recommend PCR or p24 antigen testing.
Welcome to the HIV forum. I'll try to help.
A signficcant issue here is the chance your partner had HIV. In most geographic areas -- and certainly in most industrialized/western and Asian countries -- straight men have much lower rates of HIV than gay men. On the other hand, he may have described himself as straight, yet here he was topping a gay man in anal sex. If he does that with any frequency, of course he is at substantial risk of being HIV infected. However, even among gay men, most don't have HIV. Did you ask him about HIV? What did he say? Most persons don't lie about HIV status when asked directly.
The HIV transmission risk to the receptive (bottom) partner in anal sex is around 1 chance in 200, when the insertiive (top) partner has HIV. However, it likely is lower in your case, given the brevity of exposure after the condom broke and lack of intra-rectal ejaculation. However, there are no data on how much lower the risk might be.
Depending on the local epidemiology of HIV in your city or country, and local health policy, you might be a candidate for PEP. You should see a health care provider or health department clinic as soon as possible to discuss it directly. PEP is most effective when started within a few hours of exposure and has no benefit after 72 hours, so see someone as soon as possible. As for HIV testing -- which tests and with what timing -- that's something to discuss with the clinic or doctor you visit about PEP.
All things considered, the odds are in your favor -- your partner probably didn't have HIV, and if he did, most likely you weren't infected. But please do see a local provider and let me know what s/he recommends.
Final comment: Please get in the habit of asking partners about their HIV status before having sex, even when safe sex is planned -- and avoid anal sex with those who are positive, don't know, or are evasive in their replies.
Good luck-- HHH, MD
Hi doctor,
The men did not *** when the condom was broken,but I am only concerned about his precum inside of me. I made him *** with my hand.
So if I go get test about 6 weeks from now,then result would be almost 100% if I did not take PEP? Thank you.