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Risk evaluation and Pep

Hello,

About 43 hours ago I received unprotected anal sex from a sex worker. It was totally stupid of me and I was very drunk. He pushed his penis in my anus all the way, very hard and because I have hemmoroids (piles) it was very painful so I stopped him. I now have a massive hemmoroid that has come up, which I didn't notice bleeding until today. considering it was only pushed in once maybe twice, but that hemmoroids were involved, do you think I need to get pep? Thank you
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20620809 tn?1504362969
Unprotected anal sex is going to be a risk for HIV, true. However, it is less than 1 percent. That low, less than ONE percent. And this sound pretty brief. I personally would not think you qualify for pep which is reserved for those who have unprotected sex with a known HIV+ person. Pep has a ton of side effects and is very hard to take. I'd just test at 28 days with a 4th generation duo test.

You could also ask the person when the last time they were tested was and do they have the results. I hate to suggest that for various reasons but it does allow you to assess risk better. You can't get hiv from someone who is negative for hiv.
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Avatar universal
Just as a side note, I know I can find the information on Google,but I've been looking it up and the info is scaring me half to death.  I just don't know what to do. I don't even know how I would get hold of pep anyway, I'm terrified
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6 Comments
There isn't anything you can do about what already happened, unfortunately. If you want PEP, you can see if there's a sexual health clinic nearby. If all else fails, you can go to the emergency department - but don't go there as a first resort as they may be treating people who have immediate, life-threatening emergencies. If taking PEP is what you want to do, you need to get on the phone and start calling clinics.

It's not a great sign that a sex worker was willing to have unprotected intercourse with you, but as GuitarRox stated, the risk from a one-time encounter is VERY low. At most, you had an 0.06% chance of contracting HIV, which translates to a 99.94% chance of NOT contracting HIV. Also, the risk is going to be even lower since you did not have full-on intercourse.  Of course you only had any risk at all if your partner was HIV+, which you don't know to be the case.  
Thank you, to both of you.  After taking some time to think it over and considering the odds, I've decided not to get PEP. I will test at 28 days and in the meantime, keep off the internet and hope and prey and keep kicking myself for being so stupid. I'm also going to work on my alcohol problem, as this is clearly not doing me any good.
Hi CurfewX, I'm sorry to bother you again, but do you think the fact that I have hemmoroids has increased the risk above 0.06%? Thank you for your time?
No, it's probably lower than that due to the brief contact. HIV isn't that easy to contract, and generally requires a lot of rubbing, such as the intensity that would happen during full intercourse.

This will be my last response until you test at 28 days. You should take your own advice and stay off the internet until then.
I'm so sorry, I know you are going to be mad with me, but regarding your answer above, if I have hemmoroids that potentially bleed as he pushed it in to me, make it easier for HIV to enter me? I promise I won't ask any more questions, but this is really confusing me
I'm not mad, but I'm sticking to my statement and will not keep feeding your anxiety until you are able to test. Take care until then.
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