Aa
Possible anal exposure
Hi dr
I think this a really a risk situation and I don't know how to deal with,
Yesterday night I had sex with a random guy,
We used condom for the penetration (i'm bottom) and I put the condom on him. I checked the condom 2 or 3 times during the act to make sure it was on it and it was ok. But 5 mn after, I jerck off and he pulled out his penis for that. After I finished jercking off, the condom was not anymore in his penis. I think it was on his hand but I'm not sure.
I asked him what happen and he told me that he just removed it cause I was cumming. But i'm so scared that he removed it before without I knew it. He really told me not to worry about this and himself was paying attention on the condom becase he saw crackle skin in my back and it scared him.
THe fact is that I asked him before we had sex if he would done it without condom (I wanted to test him) and his response was vage and I think he would have done it without..
I followed your advices and I asked to the man BEFORE the act if he was negative and he told me that he was always safe, don't often had sex and got tested in Beginning of may. I really don't know what to do, do you think I should go to the ER to get a PEP?
I think this a really a risk situation and I don't know how to deal with,
Yesterday night I had sex with a random guy,
We used condom for the penetration (i'm bottom) and I put the condom on him. I checked the condom 2 or 3 times during the act to make sure it was on it and it was ok. But 5 mn after, I jerck off and he pulled out his penis for that. After I finished jercking off, the condom was not anymore in his penis. I think it was on his hand but I'm not sure.
I asked him what happen and he told me that he just removed it cause I was cumming. But i'm so scared that he removed it before without I knew it. He really told me not to worry about this and himself was paying attention on the condom becase he saw crackle skin in my back and it scared him.
THe fact is that I asked him before we had sex if he would done it without condom (I wanted to test him) and his response was vage and I think he would have done it without..
I followed your advices and I asked to the man BEFORE the act if he was negative and he told me that he was always safe, don't often had sex and got tested in Beginning of may. I really don't know what to do, do you think I should go to the ER to get a PEP?
MEDICAL PROFESSIONAL
Congratulations on having a rational approach to safe sex. It is nice to hear that my advice on this forum is taken seriously from time to time!
But I'm not sure understand what happened. Wouldn't you have known if your partner had withdrawn and then reentered your rectum? If he didn't do that, I don't see how he could have removed the condom while still inside you. It seems much more likely that he withdrew and removed the condom. But you were there and I wasn't. However, it also seems he most likely gave you accurate information about using protection and having a recent negative HIV test. If he said those things in a straighforward, non-invasive way, then probably he was being truthful.
The advice I have given, and that you have followed, is not foolproof. But if you continue to handle your sexuality in this way, you'll likely go a lifetime without catching HIV. Of course, it also would be wise to settle into a less risky scenario somewhere along the line, such as a committed relationship with another HIV negative partner.
All in all, I don't see a need for PEP. Even if there was anal penetration without the condom, and even if he ejaculated in your rectum, since it is probable your partner didn't have HIV, PEP doesn't seem warranted. But ultimately the decision to visit a provider who might prescribe PEP is up to you. (In general, however, an ER isn't the best place. It would be much better to find a clinic or provider who has more experience with HIV/AIDS and PEP than the average ER doctor.)
I hope this helps. Best wishes-- HHH, MD
But I'm not sure understand what happened. Wouldn't you have known if your partner had withdrawn and then reentered your rectum? If he didn't do that, I don't see how he could have removed the condom while still inside you. It seems much more likely that he withdrew and removed the condom. But you were there and I wasn't. However, it also seems he most likely gave you accurate information about using protection and having a recent negative HIV test. If he said those things in a straighforward, non-invasive way, then probably he was being truthful.
The advice I have given, and that you have followed, is not foolproof. But if you continue to handle your sexuality in this way, you'll likely go a lifetime without catching HIV. Of course, it also would be wise to settle into a less risky scenario somewhere along the line, such as a committed relationship with another HIV negative partner.
All in all, I don't see a need for PEP. Even if there was anal penetration without the condom, and even if he ejaculated in your rectum, since it is probable your partner didn't have HIV, PEP doesn't seem warranted. But ultimately the decision to visit a provider who might prescribe PEP is up to you. (In general, however, an ER isn't the best place. It would be much better to find a clinic or provider who has more experience with HIV/AIDS and PEP than the average ER doctor.)
I hope this helps. Best wishes-- HHH, MD
In fact, sometimes during the act, you change the position and during this time he is out of me then he repentrated me. I'm scared during one of this time, he removed the condom very quickcly without I noticed it. The unprotected sex could not have been more than 5 mn because I checked the condom before.
He didn't *** inside me because I saw him come in his chest after.
I have been to see my local provider, he told me that he was not a specialist so I have an appointement this afternoon with a Physician which is specialist of HIV. He told me that they should prescribe me the PEP based on what he heard from the physician. But this doctor will evaluate more my situation.
Does PEP decrease significantly the risk of acquiring HIV?
He didn't *** inside me because I saw him come in his chest after.
I have been to see my local provider, he told me that he was not a specialist so I have an appointement this afternoon with a Physician which is specialist of HIV. He told me that they should prescribe me the PEP based on what he heard from the physician. But this doctor will evaluate more my situation.
Does PEP decrease significantly the risk of acquiring HIV?
Hello doctor,
Well, I went to see an HIV specialist that told be that's it's safer to take the treatment. Therefore exactly 17h after the exposure, I have taken 2 pills of Kaletra (200 mg/50 mg) and 1 pill of truvada (200mg/300mg). They also make me a shot for the gonorea and some medications for the syphilis. I Hope that with all that I will avoid to be contaminated. Thank you for your help
Well, I went to see an HIV specialist that told be that's it's safer to take the treatment. Therefore exactly 17h after the exposure, I have taken 2 pills of Kaletra (200 mg/50 mg) and 1 pill of truvada (200mg/300mg). They also make me a shot for the gonorea and some medications for the syphilis. I Hope that with all that I will avoid to be contaminated. Thank you for your help
And also to be confident, I tru to evaluate my risk :
Let's say that there is 20% chance that the guy was positive (which is perhaps smaller but he is gay so I guess high); 50% chance that he penetrated me without condom, 3% chance that i was contaminated (the doctor told me that it was 1% chance but other people say 3%) then finally 20% chance that the PEP fails
Therefore I would have 0.20 * 0.5 * 0.03 * 0.2 = 0.0006 chance to be contaminated which is 6 over 10000, Am I correct?
Let's say that there is 20% chance that the guy was positive (which is perhaps smaller but he is gay so I guess high); 50% chance that he penetrated me without condom, 3% chance that i was contaminated (the doctor told me that it was 1% chance but other people say 3%) then finally 20% chance that the PEP fails
Therefore I would have 0.20 * 0.5 * 0.03 * 0.2 = 0.0006 chance to be contaminated which is 6 over 10000, Am I correct?
MEDICAL PROFESSIONAL
Your numbers sound fine to me.
I won't any further advice. The doc who prescribed the PEP is now the person to approach with any additional quesitons.
I won't any further advice. The doc who prescribed the PEP is now the person to approach with any additional quesitons.
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