[Question #11545] PEP

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13 months ago

Hi doctor,Yesterday i went to asian massage spa and i end up having sex with the a masseuse i was Wearing a condom and the condom didn’t break but after i finished i get weird feeling that the condom maybe didn’t work 100%

My question did you recommend to take pep I’m still under the 72 hour.


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Edward W. Hook M.D.
13 months ago
Welcome to our Forum and thanks for your questions, as well as your implied confidence in our service.  PEP is NOT recommended following the exposure you describe.  Here are the reasons:

1.  Most masseuses/commercial sex workers do not have HIV.
2.  Even following a single unprotected exposure to an infected partner, your risk for infection is less than 1 in 2000 (i.e. there is a more than 99.9% chance you would NOT) become infected.
3.  You used a condom.  When condoms fail, it is obvious- they break wide open leaving no doubt that they failed.  If your condom appeared intact, it was and further reduced your risk for HIV.

The encounter you describe was a virtually no risk event.  PEP is not recommended in this situation and if I saw you in my clinic, I would decline to provide it.  EWH
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13 months ago
Thank you doctor 
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Edward W. Hook M.D.
13 months ago
I'm glad I could help.  Please don't worry.  EWH---
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13 months ago

Sorry to bother you ,last question today is 5th day after the sex encounter I started having itch in different areas and joints pain is that lead to any sti or is too early to have symptoms ? second question if the sex was protected is there is a chances to get sti also after I finish i cleaned my  penis with 100% alcohol 

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Edward W. Hook M.D.
13 months ago
Welcome back to the Forum.  This question could have been asked without a new question.  I will delete your new question and request a refund for you.

As long as the condom was worn throughout the encounter and did not break (it it appeared intact, it was- when condoms break, they break wide open) there is no risk for HIV.  Putting alcohol on your penis after sex may be irritating to the skin and does not add protection.  

Your itching and joint discomfort is unlikely to be due to HIV.  I would not worry about it.  EWH
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13 months ago
Thank you doctor, did thank I should test for hiv ? Can I have sex with my wife sorry my anxiety makes me crazy 
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Edward W. Hook M.D.
13 months ago
You can certainly have unprotected sex with your wife.

Testing is a personal decision.  If you choose to test, the results will show that you were not infected.

This is my 3rd response.  This thread will be closed shortly.  Please don't worry.  EWH
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