Aa
had a definite exposure
Doctors i know ive posted before. I would appreciate your expertise. I have just had an exposure with a transexual im sure is hiv positive and might have herpes. Im sure of this because i saw the medecines valacyclovir, lexiva, and omeprazole. Im am freaking out now. I performed unprotected oral sex on her and insertive anal with a condom. She performed unprotected anal on me. She also maturbated us both at the same time using salkva at times to lubricate. She also used lube in her anus and touch my penis. She did place my penis unprotected near her rectum but i remkved it immediatley. She ejaculated and im not sure if some of her semen came in contact with my penis. There was alotof kissing. I didnt know about those medecines before i had sex. I would have left if i did. She said she was on hormones as well. Twice after performing anal i removed the condom with what would have been the virus on it and masturbated. Do i need PEP. Could you please assess my risk for hiv and herpes.
MEDICAL PROFESSIONAL
You don't need to wait that long for reliable testing. even though the official advice for stand-alone HIV antibody tests is 3 months. See http://www.medhelp.org/post/show/170470
Thank you doctor. Is the three month window period still required?
MEDICAL PROFESSIONAL
Given the nature of the exposure, I doubt you caught your chlamydia from the exposre described above. If you have otherwise been sexually active in the past several months, you'll have to inform your other partner(s) and assure they are treated.
Having chlamydia somewhat increases the risk of catching HIV if exposed. But as discussed above, you can safely assume you weren't exposed. However, testing for HIV should be automatic whenever someone has any STD, so you'll need HIV testing. Discuss it with the doctor treating your chlamydial infection. But you can expect your HIV test to be negative and remain that way.
Having chlamydia somewhat increases the risk of catching HIV if exposed. But as discussed above, you can safely assume you weren't exposed. However, testing for HIV should be automatic whenever someone has any STD, so you'll need HIV testing. Discuss it with the doctor treating your chlamydial infection. But you can expect your HIV test to be negative and remain that way.
Doctor I know its been days but I was just tested for chlamydia and I have it I recieved treatment. Does this increase my HIV risk
Im sorry i did have another question. I did suck het nipples as well. I dont know if because she is on hormones she secrets anything but ive seen that before. Would that carry the virus as well
Thank you very much doctor. I meant unprotected oral she performed on me. Ive been trying to contact her to ask her that but i habent gotten a response. Youve really given me reassurance.
MEDICAL PROFESSIONAL
It was more than not "clear". You specifically stated "She performed unprotected anal on me."
Given this clarification, I'm sure you don't need PEP and needn't see an HIV clinic. That makes this a zero risk exposure. If you want still greater assurance about it, you could still follow my advice and ask your partner about her HIV status and viral load. If she confirms she is on treatment with an undectable or low viral load, it would confirm there was no risk even if there had been anal penetration.
Given this clarification, I'm sure you don't need PEP and needn't see an HIV clinic. That makes this a zero risk exposure. If you want still greater assurance about it, you could still follow my advice and ask your partner about her HIV status and viral load. If she confirms she is on treatment with an undectable or low viral load, it would confirm there was no risk even if there had been anal penetration.
Sorry i was never penetrated eithee im sorry id i didnt make it clear
No i didnt penetrate her without a condom. She put my penis near her anus. But it never went inside without a condom
MEDICAL PROFESSIONAL
Welcome to the forum.
OK, I'll accept the strong possibility your partner has HIV, based on the medications you found (assuming they were really hers, i.e. prescription bottles with her name). I'll also tell you that it was really, really dumb for you to permit anal penetration without a condom. What were you thinking??? Why in heaven's name would you use a condom for penetrating her anus but not the other way around?? Finally, I'll also say it was wrong for you to discover she had HIV only after the event. You should have asked her about her HIV status before starting any sexual contact. Most people don't lie when asked directly, and probably she would have told you if she has HIV -- and you could then have decided not to proceed. This advice -- which I call "do ask, do tell" -- is central to HIV prevention in men who have sex with men (including pre-operative male to female transexuals). If you continue these sorts of practices, you can expect to catch HIV someday.
Sorry to be so blunt, but I hope this advice will knock some sense into you and help you stay uninfected.
OK, lecture over. What to do now?
Despite all I have said, you are probably at little or no risk of HIV. Assuming your partner has HIV, if she is on effective anti-HIV therapy, the odds are that there is no transmission risk. Being on HIV therapy almost completely eliminates any chance of HIV transmission. Of course the problem is that you don't know how effective her treatment is.
So my advice is that you immediately see a local HIV treatment clinic or other expert and get their advice about PEP. If you can speak with your parnter, confirm she is infected, and learn her viral load (the amount of HIV in her blood), that will help guide a decision about PEP. If you cannot contact her, PEP may be started -- but could perhaps be stopped in a couple of days, if it takes a while to learn your partner's true HIV status and viral load. For the details, follow the advice of the doctor or clinic you see.
As for herpes, there probably is little risk. Even if she is infected, if on valacyclovir, there is probably little chance of transmission. And in any case, herpes is a trivial issue compared with HIV. Deal with the important one. You can worry about the minor one once the HIV issues are sorted out.
I hope this has helped-- HHH, MD
OK, I'll accept the strong possibility your partner has HIV, based on the medications you found (assuming they were really hers, i.e. prescription bottles with her name). I'll also tell you that it was really, really dumb for you to permit anal penetration without a condom. What were you thinking??? Why in heaven's name would you use a condom for penetrating her anus but not the other way around?? Finally, I'll also say it was wrong for you to discover she had HIV only after the event. You should have asked her about her HIV status before starting any sexual contact. Most people don't lie when asked directly, and probably she would have told you if she has HIV -- and you could then have decided not to proceed. This advice -- which I call "do ask, do tell" -- is central to HIV prevention in men who have sex with men (including pre-operative male to female transexuals). If you continue these sorts of practices, you can expect to catch HIV someday.
Sorry to be so blunt, but I hope this advice will knock some sense into you and help you stay uninfected.
OK, lecture over. What to do now?
Despite all I have said, you are probably at little or no risk of HIV. Assuming your partner has HIV, if she is on effective anti-HIV therapy, the odds are that there is no transmission risk. Being on HIV therapy almost completely eliminates any chance of HIV transmission. Of course the problem is that you don't know how effective her treatment is.
So my advice is that you immediately see a local HIV treatment clinic or other expert and get their advice about PEP. If you can speak with your parnter, confirm she is infected, and learn her viral load (the amount of HIV in her blood), that will help guide a decision about PEP. If you cannot contact her, PEP may be started -- but could perhaps be stopped in a couple of days, if it takes a while to learn your partner's true HIV status and viral load. For the details, follow the advice of the doctor or clinic you see.
As for herpes, there probably is little risk. Even if she is infected, if on valacyclovir, there is probably little chance of transmission. And in any case, herpes is a trivial issue compared with HIV. Deal with the important one. You can worry about the minor one once the HIV issues are sorted out.
I hope this has helped-- HHH, MD
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