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Exposure with Sex Worker ---Urgent...do I need PEP, nPEP?
I had an encounter with a sex worker on Friday night.
I had vaginal intercourse with her with condom on. But before vaginal intercourse She gave me a blow job without a condom. She was deep throating. FIrst time I ejaculated and she it was outside her mouth.
we also french kissed several times. I sucked her nipples and did mine too..She gave me a second blow job and this time I came inside her mouth. When she was giving me blow job both times...she was deep throating...She also did lick the base of the penis. (scrotum) and also put the testicles in her mouth...while licking..She was sucking on my penis glans (top part of the penis) which led me to climax and ejaculate in her mouth...
I saw there were slight (but dry) bruises on her back ...looked like nail scratches ..but they were dry...I am having some allergy like symptoms today...since i woke up...my nose is slightly blocked and i sneezed a couple times...
She was a hard core sex worker....I saw her sipping lemonade juice in between..Atleast she told me it was lemonade and the bottle said so. too..dont know if it was anything else...Also...I saw her taking iron tablets ,.,,when we were done...This all is making me very conscious....She give me blowjob without a condom on me...Im scared...Please suggest if I need to go for pep???
I had vaginal intercourse with her with condom on. But before vaginal intercourse She gave me a blow job without a condom. She was deep throating. FIrst time I ejaculated and she it was outside her mouth.
we also french kissed several times. I sucked her nipples and did mine too..She gave me a second blow job and this time I came inside her mouth. When she was giving me blow job both times...she was deep throating...She also did lick the base of the penis. (scrotum) and also put the testicles in her mouth...while licking..She was sucking on my penis glans (top part of the penis) which led me to climax and ejaculate in her mouth...
I saw there were slight (but dry) bruises on her back ...looked like nail scratches ..but they were dry...I am having some allergy like symptoms today...since i woke up...my nose is slightly blocked and i sneezed a couple times...
She was a hard core sex worker....I saw her sipping lemonade juice in between..Atleast she told me it was lemonade and the bottle said so. too..dont know if it was anything else...Also...I saw her taking iron tablets ,.,,when we were done...This all is making me very conscious....She give me blowjob without a condom on me...Im scared...Please suggest if I need to go for pep???
Pep would only be recommended if the sex worker is HIV positive and you had a known exposure, such a unprotected viginal sex or contact with infacted blood. PEP is a severe treatment with dangarous side effects.
Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.
Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:
Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;
Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.
http://www.aidsmap.com/en/news/9119DA7D-74C3-4E96-B2B2-75EC08394FD8.asp US study
In June 2002, a study conducted amongst 135 HIV negative Spanish heterosexuals, who were in a sexual relationship with a person who was HIV positive, reported that over 19,000 instances of unprotected oral sex had not led to any cases of HIV transmission.3 The study also looked at contributing factors that could affect the potential transmission of HIV through oral sex.
There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD
"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD
"I am sure you can find lots of people who believe that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK
"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK
in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA
Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.
Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:
Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117
Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;
Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.
http://www.aidsmap.com/en/news/9119DA7D-74C3-4E96-B2B2-75EC08394FD8.asp US study
In June 2002, a study conducted amongst 135 HIV negative Spanish heterosexuals, who were in a sexual relationship with a person who was HIV positive, reported that over 19,000 instances of unprotected oral sex had not led to any cases of HIV transmission.3 The study also looked at contributing factors that could affect the potential transmission of HIV through oral sex.
There is no debate (among experts) about the HIV risks associated with oral sex. The risk is so low that almost nobody who cares for HIV infected patients has ever had a patient believed to have been infected that way. Among experts, it's a semantic issue about using terms like "no risk" and "very low risk". There is no difference between my or Dr. Hook's use of "low risk" and other experts' "no risk".
DR. HANSFIELD
"And oral sex is basically safe sex -- completely safe with respect to HIV and although not zero risk for other STDs, the chance of infection is far lower than for unprotected vaginal or anal sex. Please educate yourself about the real risks. If you stick with oral sex and condom-protected vaginal or anal sex, you have no HIV worries and very little worry about other STDs. " DR HANSFIELD
"I am sure you can find lots of people who believe that HIV is transmitted by oral sex, but you will not find scientific data to support this unrealistic concern..." DR HOOK
"HIV is not spread by touching, masturbation, oral sex or condom protected sex."- DR. HOOK
in the public HIV Prevention forum of MedHelp, TEAK and the other moderators maintain that oral sex in all forms is a zero risk activity. Would you agree with this assessment?
I TOTALLY AGREE / DR GARCIA
http://www.avert.org/oral-sex.htm
This one says that there has been a few documented cases of transmission of HIV for both receptive and insertive partner during fellatio...etc...any thoughts...likewise i have read some other medical findings and studies results...that there is a risk in oral sex..although less..please comment...
This one says that there has been a few documented cases of transmission of HIV for both receptive and insertive partner during fellatio...etc...any thoughts...likewise i have read some other medical findings and studies results...that there is a risk in oral sex..although less..please comment...
I read medical papers and articles that say that HIV can pass during oral sex but I dont know if I being the insertive partner how much risk do I have?? Please explain me with some numbers....Im very scared right now...?
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