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Exposed to HIV - Freaked out
Hello Doctor,
On Feb 12 2013 early morning I met a guy in the club and hooked up at his place. We had a protected anal sex for 2 to 3 minutes . All of sudden he took the condom off and penetrated in my rectum without a condom . This lasted less than a minute and I came and he didn't ejaculate in me. I asked him if he is negative. he said he is Positive and undetectable. I got so mad on him , but I realized that i should be mad on myself for allowing him to penetrate me without a condom. I was about to cry and he mentioned that he is UNDETECTABLE and he has NO PRECUM and he DIDN'T EJACULATEin me. He said the chances are very less to pass the Virus to me. I always played safe and its the first time that i had unprotected sex.
I am so devastated and was crying whole day and Immediately I consulted the STD health clinic. The same day they checked the rapid HIV antibody test and HIV 1 Viral load test ( This took 1 week to get the result and showed it as negative on 2/20/2013 ) and it came negative, How ever if I get exposed to HIV then it will show only after 3 months. Immediately on the same day the Health Clinic put me on PREP medication. I started taking the pill on the same day and continuing it. I am on medication for 28 days. After the Incident I cleaned my rectum and everything seems to be clean and I dont see if there is any bleeding or any precum. But now I am so freaked out that my chances are 99% to become Postive . I dont know what to do . I am crying everyday and have sleepless nights .
On Feb 12 2013 early morning I met a guy in the club and hooked up at his place. We had a protected anal sex for 2 to 3 minutes . All of sudden he took the condom off and penetrated in my rectum without a condom . This lasted less than a minute and I came and he didn't ejaculate in me. I asked him if he is negative. he said he is Positive and undetectable. I got so mad on him , but I realized that i should be mad on myself for allowing him to penetrate me without a condom. I was about to cry and he mentioned that he is UNDETECTABLE and he has NO PRECUM and he DIDN'T EJACULATEin me. He said the chances are very less to pass the Virus to me. I always played safe and its the first time that i had unprotected sex.
I am so devastated and was crying whole day and Immediately I consulted the STD health clinic. The same day they checked the rapid HIV antibody test and HIV 1 Viral load test ( This took 1 week to get the result and showed it as negative on 2/20/2013 ) and it came negative, How ever if I get exposed to HIV then it will show only after 3 months. Immediately on the same day the Health Clinic put me on PREP medication. I started taking the pill on the same day and continuing it. I am on medication for 28 days. After the Incident I cleaned my rectum and everything seems to be clean and I dont see if there is any bleeding or any precum. But now I am so freaked out that my chances are 99% to become Postive . I dont know what to do . I am crying everyday and have sleepless nights .
That has nothing to do with this. That is a trial med and it isn't even approved as of yet.
http://aids-clinical-care.jwatch.org/cgi/content/full/2012/423/1
http://aids-clinical-care.jwatch.org/cgi/content/full/2012/423/1
http://www.medhelp.org/aids-hiv/articles/Anti-HIV-Treatment-Markedly-Reduces-Sexual-Transmission/195
You were given nPEP.
PrEP is short for Pre-Exposure Prophylaxis. It is a new HIV prevention method in which people who do not have HIV take a daily pill to reduce their risk of becoming infected. When used consistently, PrEP has been shown to be effective in men who have sex with men (MSM) and heterosexually-active men and women.
PEP is usually used for anyone who may have been exposed to HIV.
Healthcare workers have the greatest risk. They can be exposed to HIV by:
•Needle sticks or cuts
•Getting blood or other body fluids in their eyes or mouth
•Getting blood or other body fluids on their skin when it is chapped, scraped, or affected by dermatitis
(nPEP)-non-occupational post-exposure prophylaxis
PrEP is short for Pre-Exposure Prophylaxis. It is a new HIV prevention method in which people who do not have HIV take a daily pill to reduce their risk of becoming infected. When used consistently, PrEP has been shown to be effective in men who have sex with men (MSM) and heterosexually-active men and women.
PEP is usually used for anyone who may have been exposed to HIV.
Healthcare workers have the greatest risk. They can be exposed to HIV by:
•Needle sticks or cuts
•Getting blood or other body fluids in their eyes or mouth
•Getting blood or other body fluids on their skin when it is chapped, scraped, or affected by dermatitis
(nPEP)-non-occupational post-exposure prophylaxis
Those scientific studies were found to be flawed. Just because someone has an undetectable serum VL does not mean that their semen VL is undetectable. Prep is given before exposure and nPEP is given after.
I got Prep Medication on the same day when I got exposed. I got exposed on Feb 12 at 1 AM and I took my first PreP medicine on the same day Feb 12 at 7:20 PM
You have a risk but the risk is very low. Scientific studies have shown that transmission is reduced significantly when an HIV + partner is on medication and his viral load is undetectable. Just keep taking PEP as prescribed by your doctor and test 3 months after your last dose of PEP. In all probability you will come out okay.
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