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Avatar universal

what can I do now?

Last night in Hong Kong, I meet two girls, I remember one of them was trans but the other must been gay, she was sitting in my living room. Both of them were from Thailand, when I have seen the girl in my bed was trans, I fall sleep and didn’t do anything with her. How about if the other gay  one had anus sex with me, how would I know, I was drunk? Please help, what can I do know?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I cannot predict the chance either of your partners had HIV.  But if there was unprotected anal sex (apparently you don't know), there could have been a chance of HIV transmission.  If there was no anal sex, there was no transmission risk.  (If you don't remember it, most likely it never happened.)

If you are quite certain unprotected anal or vaginal sex occurred, then you should immediately find a clinic or doctor familiar with HIV.  I understand Hong Kong has excellent STD clinics; or you might go to a hospital emergency room.  You need the immediate advice of someone who knows the epidemiology of HIV in Hong Kong and the local guidelines for post-exposure prophylaxis (PEP) with anti-HIV drugs, because you might qualify for it.  For PEP to be effective, treatment must start within 72 hours of exposure, so don't delay.

In the meantime, don't panic.  Even if one of your partners had HIV, and even with anal sex, and even without PEP, the odds against infection are in your favor.  (With unprotected anal sex, the chance of HIV transmission is around 1 in 100.)  Still, don't take chances; see an expert right away.

And if, as you think about it, you are pretty certain there was no anal sex, then just forget the whole thing.  Without vaginal or anal sex, there is little if any HIV risk.

Good luck--  HHH, MD
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Avatar universal
if I take a PEP now, is that save?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I don't know exactly what you mean.  Is PEP safe?  Yes, although there are possible side effects.

Will PEP save you from catching HIV?  PEP reduces the chance of infection, but is not 100% effective.
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Avatar universal
Hi Doctor,

I saw a Doctor and he put me PEP madicine called Combivir.
how will this impact my job and normal life with the side effects?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Those are questions for the doctor who is treating you.  That will be all for this thread.
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Avatar universal
Doctor,

Sorry to bother you, I'm now in Manila and can't follow up with the same Doctor, i tried to lookup for a Doctor who is familiar with STD here but no luck so far.

Just have two questions if PEP will impact normal life and work and also how will it impact my future health?

Thanks
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Most people have no side effects and there should be no effect on your future health.
Helpful - 0

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