Aa
little worried
I went to an asian messuage polar in San Francisco wednesday night (well very early Thursday, 1-2 am). the girl gave me a messuage, and we started having sex with a condon on. in changing positions (we were in this position for about 4 minutes) we realized that the condon had slipped off. it wasn't lost inside her, but was half inside half outside, as if it had slipped off while i was removing my penis from her. she quickly left the room to clean herself and i jumped into the shower and washed off.
Immediately that morning i went to the doctor and was prescribed Truvada. i starting taking that at 10:00 am-ish that morning.
The question is with this one possible exposure and taking Truvada within the first 12 hours of exposure, what are the chances that i was infected by HIV, others.
I was thinking of going to the messuage polar again and seeing if the girl would be willing to take an oral HIV test (20 minute wait time). Pretty sure she would for the money.
Immediately that morning i went to the doctor and was prescribed Truvada. i starting taking that at 10:00 am-ish that morning.
The question is with this one possible exposure and taking Truvada within the first 12 hours of exposure, what are the chances that i was infected by HIV, others.
I was thinking of going to the messuage polar again and seeing if the girl would be willing to take an oral HIV test (20 minute wait time). Pretty sure she would for the money.
MEDICAL PROFESSIONAL
Great and congratualtions on your approach. Youcan safely stop the Truvada at this time. Take care. EWH
Hello Doctor,
You were very right. I went over to the massage palor and asked the girl what her HIV status was. She said she was definately negative. She gets tested every year for work, and had just bought life insurance (which required an HIV test also), and said she never has sex without a condom. she said, if you have a Oraquick test with you, I'll do a test right now (just so happened that I did have one with me). She did the test, and it was negative.
Would you agree with stopping the Truvada. Can one just stop cold turkey, so to say.
Alonzo
You were very right. I went over to the massage palor and asked the girl what her HIV status was. She said she was definately negative. She gets tested every year for work, and had just bought life insurance (which required an HIV test also), and said she never has sex without a condom. she said, if you have a Oraquick test with you, I'll do a test right now (just so happened that I did have one with me). She did the test, and it was negative.
Would you agree with stopping the Truvada. Can one just stop cold turkey, so to say.
Alonzo
MEDICAL PROFESSIONAL
The OraQuick would be fine. Some blood tests are a bit more sensitive (how much is debatable) but when all things are considered, the difference would not make much difference in evaluating your risk or on my recommendations. EWH
Thank-you Doctor,
For the HIV test, i was thinking along the lines of an OraQuick test (20 minutes). Would you agree with this, or do you think going to the clinic and having her give a blood sample is required.
For the HIV test, i was thinking along the lines of an OraQuick test (20 minutes). Would you agree with this, or do you think going to the clinic and having her give a blood sample is required.
MEDICAL PROFESSIONAL
Welcome to our Forum. I'll be happy to comment. From what you tell me, it sounds like this was a low risk encounter and that as you suggest, your condom came off as you exited your partner rather than during sex. Further, it is statistically unlikely that she has HIV. I probably would not have prescribed antiviral therapy for you in this situation.
I also think that your plan to see if you can get your partner to go and get tested is an excellent idea. If her rapid test is negative you can be confident that she is almost certain to not have HIV and could discontinue taking the Truvada at that time. On the other hand, if she did have HIV, having started taking the Truvada within 12 hours of exposure you would greatly reduce your risk for infection. The risk for acquisition of HIV from unprotected genital sex with an infected partner is less than 1 in 1000. With a condom that risk falls to about 1 in a million even if she was infected. If you were exposed because she is infected and the condom came off, with the Truvada your risk would be less than 1 in 100,000 and perhaps lower.
You have a good plan- get your partner tested. I suspect at that time you will be able to stop taking the Truvada. EWH
I also think that your plan to see if you can get your partner to go and get tested is an excellent idea. If her rapid test is negative you can be confident that she is almost certain to not have HIV and could discontinue taking the Truvada at that time. On the other hand, if she did have HIV, having started taking the Truvada within 12 hours of exposure you would greatly reduce your risk for infection. The risk for acquisition of HIV from unprotected genital sex with an infected partner is less than 1 in 1000. With a condom that risk falls to about 1 in a million even if she was infected. If you were exposed because she is infected and the condom came off, with the Truvada your risk would be less than 1 in 100,000 and perhaps lower.
You have a good plan- get your partner tested. I suspect at that time you will be able to stop taking the Truvada. EWH
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