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A bit of advice

Doctors,
I was hoping you could help me with a few questions I have.  First I’d like to say that I have used this forum once before under a different name (I was having trouble recovering my information so I just made a new profile) and it was very helpful.  Anyway the back story is last year I had a scare which you guys assured me was nothing to worry about and you were correct.  Thank you for that.  Anyway I began dating my girlfriend about a month ago and she is a big proponent of “waiting until she knows she is in love” before we have sex, and I agree with her.  Anyway due to my military duties we haven’t seen each other for about two weeks and engaged in unprotected sex on Saturday.  We lasted all of about a minute and a half until we both agreed that we shouldn’t be doing this until the “love” situation is agreed upon.  I also remembered my previous scare and was a little nervous.  We had the talk that, due to her being on birth control, if we engaged in unprotected sex we should both be screened.  She was slightly offended as she had a screening done about a week after her last experience last December but said that if it made me feel better she would when she sees her gynecologist in a few weeks.  I scheduled my screening here on post for next week, although I had an HIV screening with my special forces physical about 3 weeks ago.  I understand this is mostly just old paranoia, but my questions are as follows.
1.   About how much of a risk would you say we put ourselves in on Saturday for HIV?  She is the only sexual partner I’ve had since my scare last year and I am her first since she December a week prior to her last screening.
2.  How prevalent is HIV among heterosexual, Caucasian females in the US?
3.  Should I consider PEP or would that be kind of overdoing it?

I understand this is kind of weird, and I am fortunate to have a very understanding partner, thank you for your advice.
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Avatar universal
Thank you Doctor,
To set the provide the previous missing information, out sexual lifestyles are more or less alike, few partners and almost always protected.  My final test was a 4th generation 8 months post experience and we are both from southwestern Virgina.  Although I do not believe that changes any of your recommendations.  Thank you so very much and I certainly am thankful for your help.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome back to the forum.  Multiple usernames and accounts are discouraged, and the web administrator may be in touch to merge your two accounts.

You don't say enough about either your or your partner's sexual lifestyles, but I have the impression both of you have been at pretty low risk for HIV.  That said, one week after her last sexual exposure is too soon to be 100% confident she doesn't have HIV, although that time is conclusive for the most common STDs, gonorrhea and chlamydia.  And you don't say when you were last tested and how long that was after your last unprotected sexual contact.  But as careful as you apparently have been, I imagine you have been at very low risk, if any, for HIV and most STDs.

To your specific questions:

1) As noted above, you don't provide enough information for a definitive reply, but I doubt there was any risk at all for HIV or any of the common STDs.

2) Well under 1 in 1,000 such women have HIV -- and in most parts of the country, it's a lot lower than that.  But you can't safely apply such broad statistics to any single partner.  From the scant information you have provided, and knowing your partner had a negative HIV test about 6 months ago (even if only a week after her last sexual contact), I would guess the chance she has HIV to be under 1 in a million, probably zero.

3) PEP???  Are you kidding???  Of course not.  If I were in your situation and your partner's, I wouldn't insist on either of you even being tested for HIV.

Best regards--  HHH, MD
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