Hiv insertive anal risk

[pentm]

I had insertive anal sex with a csw. I used oil based lube and the condom broke during the 2 min act. I had a pop when we started the deed but i wasn't sure it was the condom break. I only realized after i ejaculated and pulled out. What are my chances of acquiring infection please help! Thanks

[Eduardo_Romero31]

Take a test after three month mark. There's a exposure, also if you are still in less than 72 hours you can ask for PEP.

[pentm]

Is the risk very big? This is my 3rd day.

[Eduardo_Romero31]

Insertive vaginal sex is the third place in the scale of risky sexual behaviour, even though transmission from woman to man is not as easy as from man to woman your risk still justify a consultation for PEP.

[Eduardo_Romero31]

Correction: Insertive anal sex is second on the scale of risky behaviour. Sorry I missunderstood your question.

[pentm]

Thanks but i think am almost past 72 hours. This was a single exposure, Does this matter? Do you think statistics are for or against me or do they even matter in the first place ?Also Thanks for your replies, really appreciate your help.

[Eduardo_Romero31]

First of all, do you know the status of the person?. Most sexual workers are not infected with HIV. You can contract HIV from a single exposure, it's that too frequent?. I don't really know but the thing is that if you were (indeed) exposed transmission depends on many factors the most important would be viral load (the quantity of virus in blood or sexual fluids). Only way to know is getting tested take one at 6 weeks but it will not be conclusive, you'll need to confirm the result at three month mark.

[pentm]

She said she was clean. But you cant be sure right? Thanks again

[Eduardo_Romero31]

What do you mean by clean?. HIV + people is not "dirty", they just have a chronical infection, don't be mean.

[pentm]

No, sorry i didnt mean that way. Apologies for any misconception. I just meant free from any stds including hiv. Sorry

[nursegirl6572]

Let me clarify a lot of the information in this thread, seems there is a lot of confusion and uncertainty of the answers being given.

For starters, nPEP is usually reserved for exposures involving CONFIRMED + partners.  If you're beyond the 72 hour window period for that, it's irrelevant anyway.

Secondly, a risk is a risk.  While it's true that some exposures are riskier than others (ie MSM anal vs hetero vaginal), but if you've had a risk, you get tested, it's that simple.  There's no sense trying to figure out where on the list your exposure falls.  That just causes more anxiety.

Brevity of exposure is one of the biggest things working in your favor.  Very seldom do people become infected in a condom rupture scenario, so that's good news for you also.

Lastly, viral load isn't an absolute.  Infected people do NOT have to have a high viral load to be infectious.

[hangon51]

Putting a number on your chances having been infected is now an academic exercise.

When you research statistics your chance of having been infected as the "inserter" during this "singular" and " brief" exposure with a partner that "may" not even carry the virus is pretty low.

But you did have a real risk and you should get tested at the appropriate time.

[pentm]

Thanks for reply but i think i was completely unprotected because i heard a pop sound when we started but wasnt aware it was the condom breaking. After I ejaculated i pulled out and realised the condom broke completely and my penis head was exposed. This is why I am assessing my risk and pep medication since am not yet past 72 hrs. Does this change anything?

[Teak]

If you can find a doctor that will prescribe nPEP without knowing that the other person was HIV positive and if your insurance will pay for the medication you will have to start within 72 hours.