high risk exposure, PEP??

I had an encounter at an asian spa in georgia. I received oral with condom on and then had insertive vaginal for maybe 15 seconds with condom on and finished with oral. I am a male. My fear is that when I was receiving oral it was very rough and may have damaged the condom before I inserted for what amounted to 5 thrusts of insertive. From what I could tell the condom was in tact when i pulled out. I want to get on PEP. I know the risk of infection from my encounter is minimum but PEP is 79% effective and its not like my encounter was 100% safe. So in theory wouldnt PEP only help my odds??? Please help!!! my 72 hours are up 6/15 at 4am.

[Peter1983]

What?
You had no risk at all, so why PEP?
Just try to calm yourself.

[LIZZIE LOU]

PEP is for those who had unprotected sex or shared iv drug works with someone who is KNOWN positive.

you do NOT fit the criteria for receiving PEP...YOU HAD NO RISK...NONE ! !  ZILCH ! !

[sodeep]

Here is my dilema. No one can say that my exposure was 100% safe. If PEP is 79% effective........ than taking the course of anti virals will only increase my odds on not contracting the virus, however small those odds might be.

[LIZZIE LOU]

you used a condom...YOU HAD NO RISK.

condom failure is CATASTROPHIC...you WOULD have known if your condom failed.

[Teak]

Unless you seen the condom fail and you knew for a fact that the person you were having sex with was HIV positive would you be within the guidelines to receive nPEP. nPEP can affect the kidneys and liver causing failure and also cause mental issues. It's not given haphazardly.

[sodeep]

After two decades of research a UN Report stated that HIV; Failure Rate Found to Be 10 Percent. Is this true? people still get pregnant while using condoms why would hiv be an exception?

[Teak]

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[disturbed777]

Dear Doctor,

About a month ago I slept with an escort. I fingered her anally, and vaginally and I went down on her. I used a condom for penetration. As far as Im aware, the condom didn't break. Would I be right in thinking that I am not at risk of HIV, or would you think I need to have a test for it? I've been tested for other STD's but have to wait another week for results. Your forum is fantastic by the way! You should feel wonderful for the reassurance you provide to people who feel they have nowhere else to turn!

Best Regards
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  #2  
Old 12-03-2009, 03:37 PM
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Dr Jose Dr Jose is offline
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Hello, there!
Thank you very much for your very kind comments about our forum.
Regarding your question, you are certainly right to say that you do not need to have a HIV test because you have not put yourself at risk of HIV infection whatsoever. There is no risk from fingering or performing oral sex on a lady. It is wise that you have been tested for other STDs and from your encounter the only ones that might have contracted would have been throat Chlamydia or Gonorrhoea (tested with a throat swab) and syphilis (tested with a blood test).
I hope this helps.
Best wishes,
Jose
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Old 12-04-2009, 08:07 AM
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Thanks for your reassuring words Doctor. If another STD has transmitted orally, does that increase the risk of me having contracted HIV or does the zero risk remain? I should point out also that I suffer from very fragile gums. I don't know if that changes anything?
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Old 12-04-2009, 10:27 AM
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HIV cannot survive in saliva. That is why there is no risk. You would need to ingest vast amounts of HIV infected vaginal fluid in the presence of bleeding mouth sores. And even under these circumstances, the risk would be negligible. No need to worry about HIV.
Best wishes,
Jose

[Teak]

* Anyone who continues to post excessively, questioning a conclusively negative result or no-risk situation, will be subject to action by MedHelp. Conclusively negative results or a no-risk situation will be based upon the criteria established by MedHelp’s doctors. Action will be taken as follows:
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[sodeep]

thanks for the reassurance buddy. hope all is well.

[sodeep]

i forgot this partly because I was messed up, but when finishing the girl took condom off and finished up with lotion and hand job. what if there were cuts or fluids that transgressed boundries?? That was not protected. I am freaking out, please advise.

[Teak]

* Anyone who continues to post excessively, questioning a conclusively negative result or no-risk situation, will be subject to action by MedHelp. Conclusively negative results or a no-risk situation will be based upon the criteria established by MedHelp’s doctors. Action will be taken as follows:
* After excessive posting, a warning will be issued by MedHelp
* Continuing to post regarding the negative result / no risk situation will result in a 3 day suspension
* Continuing to post upon your return will result in a permanent ban.

[LIZZIE LOU]

your "FREAKING OUT" does not change the FACTS about hiv transmission.

hiv is transmitted through...
unprotected vaginal / anal intercourse
sharing iv drug works
mother to child

CLEARLY you can see that at no time where you ever at risk for contracting hiv.

enough is enough...time to ACCEPT THE FACTS and move on with your life.  there is no reason for you to expect us to keep repeating our answers.

[sodeep]

thanks lizzie, Ill stop  now:)