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PEP and Risk Question
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PEP and Risk Question

I am a gay male and had a risky (I think) exposure last night.  Another male of unknown status tried to penetrate me without protection or lube.  I am not a receptive partner normally, so therefore it didn't really work and he didn't get very far in at all - perhaps just the head of his penis went in.  It wasn't for very long either as I stopped it from happening.

Of course, now I am a little worried that this was a potential exposure and obviously being the receptive partner there is more risk.  

Should I start a course of PEP (it is now just under 24 hours from exposure), or do you think this wouldn't be necessary based on what happened.

Thank you.
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31 Comments Post a Comment
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186166_tn?1385262982
PEP is normally reserved for those who had an exposure with someone who is known hiv +.

you can do a test at 6-8 weeks post exposure for a good indication of your status...but follow up at 3 months for a conclusive result.
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Avatar_m_tn
Thanks for your reply.  Do you think therefore that I shouldn't worry about this incident?  Obviously I wanted to something right away if it was risky and I have two more days to begin the PEP treatment if it will be a good option for me.  6 weeks is a long time to wait!
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Avatar_m_tn
Did he penetrate you and is he HIV positive?
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Avatar_m_tn
I dont know his HIV status.  He didn't penetrate me completely - it was just a little bit inside - I'm not a bottom so am therefore very tight, so I know it didn't go in very far.  
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Avatar_m_tn
Had he penetrated you, you would have known. nPEP is not recommended.
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Avatar_m_tn
OK, so even if he had penetrated me a bit, I shouldn't go and get PEP?  I did feel that he was pushing into me, so definitely felt something.  It just wasn't that far in.  
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Avatar_m_tn
Also, isn't it better to get PEP than discover in 6 weeks that I'm positive?
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186166_tn?1385262982
we cant tell you whether or not you were penetrated.

DO YOU EVEN KNOW THIS GUY?

can you get him tested?  a negative test wont really tell you very much since he could be in the window period...but a positive test will
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Avatar_m_tn
It was a casual encounter and I don't have any way of contacting him.  Yes I know it was stupid.
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Avatar_m_tn
Do you live in the US and have insurance?
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Avatar_m_tn
Yes I do live in the US and have insurance.
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Avatar_m_tn
Talk with your doctor about his recommendations and then you will have to see if your insurance company will pay for the 900-1200 medications for 28 days or you'll have to pay out of pocket depending on what medication that is recommended.
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Avatar_m_tn
So I went to the doctor today and I got prescribed Truvada today for 28 days.  He said it was a low to moderate risk, but I thought it would give me more piece of mind.  My insurance seems to cover it - I had to pay a copay, but it wasn't too bad.  I have read that PEP is normally a combination of drugs, so hoping that this one drug is ok.
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Avatar_f_tn
the drug is ok on it own. it is a good choice u made.
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Avatar_m_tn
Truvada is a combo drugs not one drug. EMTRIVA® (emtricitabine 200 mg) and VIREAD® (tenofovir disoproxil fumarate 300 mg),
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Avatar_m_tn
Thanks for clarifying what Truvada is - Jessy30, a nurse I spoke to thought it would be a good choice to take it, which is why I did.  I've done some research online and it does seem that my risk is not a high one, but I'm still struggling with the anxiety of waiting for window period to pass - it seems a long way ahead.
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Avatar_m_tn
A quick question - if I was to stop taking the PEP medication - I've taken 2 days only so far, that will enable me to have a RNA test which is a good indication of status - and one I had last time I had a risk.  Or is it already too late to stop the PEP.  Thanks.
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Avatar_m_tn
Discuss it with your doctor.
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Avatar_m_tn
So I talked to the doctor, and he suggested I stay on nPEP as I am not getting any major side effects.  He stated my risk was low to moderate, and therefore with the nPEP that is bringing my risk chances lower - would you agree with that.

Now I am struggling with anxiety and how to cope with waiting so long for the first time I can get tested.  Are there any support groups on here that I could connect with?  Thanks.
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Avatar_m_tn
You are also posting on several websites.
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Avatar_m_tn
Yes I know, just trying to get experienced feedback and support to help me deal with the process.  I hope you appreciate that; it's a tough time.
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Avatar_m_tn
Take it to the HIV Anxiety Support Group chbolero
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Avatar_m_tn
So got a new piece of information today, I have gonnorhea (Gonorrhea). Im getting the medicine for that shortly. As I was infected with this, does it suggest my risk for HIV is higher?
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Avatar_m_tn
Take it to the HIV Anxiety Support Group chbolero
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Avatar_m_tn
So I finished the course of PEP and decided to take a rapid HIV test at 5 weeks.  This was negative.  I know that 5 weeks is not 6 weeks, but what kind of indication is this negative result?
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Avatar_m_tn
Hi everyone,

Quick question - I had protected anal sex two and a half weeks ago with a person who said he was negative.  I penetrated him twice, for about a few minutes each, and each time was with a condom, and we put a new condom on for the second time.  As far as I'm aware there was no breakage of the condom.  I just wanted to check that this puts me at a low risk for acquiring HIV.  Thanks.
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Avatar_m_tn
You didn't have a risk at all.
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Avatar_m_tn
So I just found out I have genital herpes, which I know means there is a greater risk of contracting HIV. I don't know who I caught if from, but if it was through oral sex with the guy I had protected anal sex with, could he have passed HIV on to me at the same time?
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1563685_tn?1310405954
Oral activities including sex never pose HIV risk.
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Avatar_m_tn
Another question - would early HIV symptoms include soreness in the lymph nodes in the groin, pain in the testicles and urethra?  I've been having these for a while now and it's probably connected to herpes (although was tested negative for that).  I will go and get an HIV test though to be sure.  Thanks.
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Avatar_m_tn
No. You've never had a risk of contracting HIV from oral sex or protected anal sex.
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