Aa
I think I was exposed PLEASE help!
Hi and thanks for you response.
Last night I had sex with a ladyboy in bangkok. I had protected anal sex. But my biggest concern is that the ladyboy ejaculated on my pubic hair region (not on my penis). Then she proceeded to give me a handjob in order for me to finish. The condom slipped off as she was doing that and she continued. I am SO scared that her hand was touching her sperm as she was rubbing my penis essentially using it as lubricant. I was kind of drunk at the time so i did not realize what happened until after the fact. Right after I ejaculated, I realized and rushed to the bathroom to urinate and washed my entire genital area with soap multiple times taking to not rinse her sperm towards the tip of my penis. The total time period between the ladyboy ejaculating and me starting to wash was probably around 5-10 minutes. I am so worried that I could have been exposed.
I have read elsewhere on the internet (http://www.heart-intl.net/HEART/011507/HIVandAIDS.htm) about how Thailand's HIV1 subtype E is much more easily transmitted than the western subtype B and does not require a bloodborne route. I heard that it just attacks the langerhans cells and gets into the body much easier (estimated to be 50 fold higher than HIV1-B!). I am circumcised but can the virus still penetrate penis head or shaft skin through those langerhans cells? I am also aware that ladyboys will probably have a higher chance of carrying the disease...
since this happened less than 12 hours ago, i was wondering if i should try to get Post exposure prophylaxis treatment but i read it is extremely expensive.
Please help! i need to know as soon as possible in case i can get PEP
i know i posted this question on the community forum as well but I am so anxious I just need some answers.
Thanks
Last night I had sex with a ladyboy in bangkok. I had protected anal sex. But my biggest concern is that the ladyboy ejaculated on my pubic hair region (not on my penis). Then she proceeded to give me a handjob in order for me to finish. The condom slipped off as she was doing that and she continued. I am SO scared that her hand was touching her sperm as she was rubbing my penis essentially using it as lubricant. I was kind of drunk at the time so i did not realize what happened until after the fact. Right after I ejaculated, I realized and rushed to the bathroom to urinate and washed my entire genital area with soap multiple times taking to not rinse her sperm towards the tip of my penis. The total time period between the ladyboy ejaculating and me starting to wash was probably around 5-10 minutes. I am so worried that I could have been exposed.
I have read elsewhere on the internet (http://www.heart-intl.net/HEART/011507/HIVandAIDS.htm) about how Thailand's HIV1 subtype E is much more easily transmitted than the western subtype B and does not require a bloodborne route. I heard that it just attacks the langerhans cells and gets into the body much easier (estimated to be 50 fold higher than HIV1-B!). I am circumcised but can the virus still penetrate penis head or shaft skin through those langerhans cells? I am also aware that ladyboys will probably have a higher chance of carrying the disease...
since this happened less than 12 hours ago, i was wondering if i should try to get Post exposure prophylaxis treatment but i read it is extremely expensive.
Please help! i need to know as soon as possible in case i can get PEP
i know i posted this question on the community forum as well but I am so anxious I just need some answers.
Thanks
thank you so much for your reply!
MEDICAL PROFESSIONAL
Welcome to the Forum. I will try to help. Your risk of infection from the exposures you describe is zero. You o not have a medical reason to seek testing and certainly do not have any reason to expose yourself to the risks of PEP. Here are the facts:
1. You had protected anal sex and mutual masturbation. Both condom protected sex and mutual masturbation are safe sex, despite the fact that it is typical to get each other's genital secretions on one another during these activities.
2. Surface contamination of skin with HIV infected secretions does not lead to infection .
3. Even though rates of HIV may be higher among Thai commercial sex workers, most still do not have HIV.
4. Differences in infectivity among different strains of HIV make only a very small difference of risk and in your situation where there was no risk to start with, are irrelevant.
Finally, your concerns, like those of many who visit this site, provides a great example of the power of the internet not only to inform but also to mislead. While there is much useful information available on the internet, much of it is also taken out of context or a bit unbalanced and some of it is just plain wrong. Please do not use the internet as your source of infomration
Putting all of these facts together, as I said, you have no reason for concern, testing or PEP. Take care. EWH
1. You had protected anal sex and mutual masturbation. Both condom protected sex and mutual masturbation are safe sex, despite the fact that it is typical to get each other's genital secretions on one another during these activities.
2. Surface contamination of skin with HIV infected secretions does not lead to infection .
3. Even though rates of HIV may be higher among Thai commercial sex workers, most still do not have HIV.
4. Differences in infectivity among different strains of HIV make only a very small difference of risk and in your situation where there was no risk to start with, are irrelevant.
Finally, your concerns, like those of many who visit this site, provides a great example of the power of the internet not only to inform but also to mislead. While there is much useful information available on the internet, much of it is also taken out of context or a bit unbalanced and some of it is just plain wrong. Please do not use the internet as your source of infomration
Putting all of these facts together, as I said, you have no reason for concern, testing or PEP. Take care. EWH
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