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Avatar universal

PEP and delay ARS

I had an incident where I was with a guy (of unknown status), and there was no actual physical penetration. However, he was rubbed his penis against my anus for less than a minute. At first, “my male sexual partner” and I were just masturbating each other and there was some pre-cum coming from his penis. When we both agreed to have him penetrate me, he masturbated himself a bit more and with the same hand put the condom on this penis. Some of his pre-cum certainly had got on the external part of the condom when he was handling it. Then I told him not to penetrate me, but as I said before, he rubbed his penis on my anus for less than a minute. When I got home, I noticed that there was very small traces of blood (almost unnoticeable) on the toilet paper, probably from irritated a hemorrhoids (which I'm aware that I have).

I was put on PEP (Truvada) only for 28 days with 100% adherence.

Here is my first question: “Is Truvada (two drugs) as a sole medication enough as a PEP regimen instead of three-drugs regimen?”

I completed my full-course 28day PEP on 5/6/12. I had blood test on 5/9/11 and all the results were fine. Rescheduled too see my doctor three months after I finished PEP (not three months after the exposure I as thought was correct).

Exactly one week after I finished PEP (and five weeks after my exposure) I developed a full-symptom flu with the following symptoms: High night fever, night cold sweets, constant headache, fatigue, weakness, sore throat, night chills (around 8pm), joint & muscles pain, persistent cough with a lot of very thick dark yellow phlegm.

It’s important to say that I DIDN’T HAVE any the following symptoms: nausea, diarrhea, watery eye, running nose, vomiting, any sort of skin rash, or swollen lymph nodes.

Because of these worrisome signs, I went to see my primary care physician on 5/17/12 for further evaluation, and then he performed some physical exams and tests for the presence of the influenza virus. He said that I probably had flu and prescribed me a five-day course antibiotic called Azithromycin. I had two doses already and I’m much better now. But I'm still expectorating a lot of phlegm and have some headache.

I hope this is just a coincidence. ARS symptoms appear in two or three weeks after the exposure, correct?

My second question is “Can PEP could delay the ARS symptoms?”

8 Responses
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186166 tn?1385259382
nope...i didn't miss it.

transmission takes place when a penis is INSIDE a vagina / anus
Helpful - 0
Avatar universal
I've heard different answers about this one. Some people say that the HIV Virus dies after it hits the air. Other people say it can last a few minutes. And other people say it can even last for several hours. So does anyone know the accurate answer? Also Lizzie, you skipped a very important point: the presence of pre-ejaculatory fluid first on his hands, then on the condom which he rubber on my anus (with my irritated hemorrhoids).
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Avatar universal
You shouldn't be on nPEP to begin with.
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Avatar universal
How about my second question?
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186166 tn?1385259382
once exposed to air, hiv becomes inactive and unable to infect.

you had NO risk !
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Avatar universal
Hi Lizzie,

Thanks for you quick reply. Yes, I heard that the virus doesn't survive long outside the body. But his hand had some pre-cum and with the same hand he put the condom on his penis, and then he rubbed it on my anus, with a less than a one-minute interim between each action.
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Avatar universal
Hie Lizzie,could you please answear his 2 question?i think it will help us as well
Helpful - 0
186166 tn?1385259382
who the heck put you on nPEP?  that's ridiculous ! ! ! !

you had NO risk.

hiv transmission takes place INSIDE the body...when a penis is INSIDE a vagina / anus.

Helpful - 0

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