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Is my partner infected?

I know everyone will say get him tested but I just want to know it there is a risk of him being infected by me. A couple days ago me and my partner had sex and we started off using a condom but then he wanted to finish without using one. I was off of my meds for a few weeks but then I saw that I had two pills left and took one a few days prior to us having sex. When we did it without the condom he went in me for a little then we stopped and I gave him oral. We repeated this until he ejaculated and right now I feel very horrible because I didn't want to do it without a condom but I didn't know what to say or how to get out of that situation. My results in April were undetectable and that was with the exception of missing doses. I am aware that HIV transmission can happen from just one single act of sex but this was the one and only and very last time we done it without a condom. My anxiety has been running wild and I know that getting tested will ease my anxiety but I can't help but think that he will tell me he has it. I don't know what to do because I should have been the one to say no and leave. Can someone help me please? I am so distraught right now to the point that I am losing my mind. One onlime doctor said that I didn't really pose a risk given it was a one time act but I'm not sure about that.
3 Responses
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188761 tn?1584567620
COMMUNITY LEADER
For queries specific to yourself you would need to post in the "living with" of our website. This forum is only specific to HIV Prevention queries and information.
Helpful - 0
188761 tn?1584567620
COMMUNITY LEADER
Risk is moderate given the fact that you were undetectable not too long back and also the exposure seemed to be brief. However, if we step aside from crunching probabilities to facing practical life, a risk is a risk, quantifying risk is ludicrous, it's basically like a Russian roulette scenario.

No one here can guess any thing, also you need to be responsible in the future given your serostatus, it is imperative that you draw your line.

Right course of action is to start PEP if your partner is still in the 72 hrs time frame, if not, wait for 28 days from the date of exposure and test with a p24 antigen / antibody combi test. For a conclusive result the same test needs to be repeated at 6 weeks. I am assuming that we are talking about a homosexual exposure in this context. If not, risk is low and chances of your partner contracting HIV from this event is very low. However, a test at 28 days is warranted for a conclusive.

Good luck.
Helpful - 0
2 Comments
No sir I am a woman. I call him my partner because we are not in a relationship we are friends with benefits. But I was thinking the same thing because since I have been positive I find that my virus does tend to move slow based on the numbers including me missing doses. Not saying I can't get over 1000 copies but my virus has never gone over that. Could it be that I have a strong immune system? Or could I possibly be an elite controller?
Risk is low. I am yet to see some one reporting to be positive from one time exposure in a FTM scenario. Your partner needs to take a test at 28 days with the aforementioned test. You must always insist on usage of condoms.
20620809 tn?1504362969
A one time exposure has a relatively low risk.  So, you should keep that in mind. And you are undetectable.  While there is theoretical risk of transmitting when undetectable, it doesn't mean it happens.  This is a letter from the CDC that says it doesn't https://www.hivplusmag.com/undetectable/2017/9/27/breaking-cdc-officially-recognizes-undetectableuntransmittable-hiv-prevention  I am sure your partner is going to be okay.  
Helpful - 0
4 Comments
So I am still considered undetectable even after not being on meds for almost a month?
Why have you stopped your meds? That's different than missing a dose.  Are you completely off HIV medication? Or did you just miss a dose?  As to your partner's risk, oral sex is not going to give him HIV either performing it or receiving it from you.  It's a theoretical risk that doesn't really happen in real life.  But if you had unprotected sex, that could.  However, you DO know that the risk is less than 2 percent from that single exposure?  Think about HOW low that is.  
You are asking how long until your viral load would begin to increase which is an absolutely impossible question to ask this or any forum. We don't know how many doses you missed, how long it has been and we are all individual in terms of how quickly our body or disease would react.  Easy answer.  YOU go get your viral load checked. The internet can't answer specific questions like if you infected your partner.  We can just tell you that the odds are very low that you did.
No I'm not off meds I haven't had a chance to get to my pharmacy because I have such a busy schedule with work and taking care of my son (he is negative by the way) but I went to the proper forum for viral load. I know you guys can't determine if he's infected or not I am just trying to ease my mind about it because from what one of my doctors  told me she said that my virus moves slow not to say I can't have a viral blip or my counts won't go up but I noticed from an appointment last year in July that my viral load was 6215 and my CD4 count was 1200  (yes I know that is bad) but that count was high because I wasn't taking my meds for about 5 months at that time.
Also let me add that I doubt that I built a resistance to any meds because before taking Biktarvy I was on Truvada, Norvir and Reyataz. My new doctor put me on Biktarvy this year in March (my viral load was 140 at the time) and within a month's time it became undetectable.
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