[Question #11787] Hiv and PEP urgent
 |
12 months ago
|
Dear Doctor
I recently had an encounter with a Romanian escort. We had protected vaginal sex. during the encounter, she was fingering my ass and unexpectedly spit on her finger and push it in me. This has made me very anxious and in particular that she spat in my rectum as its highly susceptible to hiv. especially because she got upset when I asked her about STDs, including HIV, and refused to answer my questions She told me to get tested if I was worried.
Given this situation, I have a few questions:
1. Does this exposure warrant taking PEP (Post-Exposure Prophylaxis)?
2. I have Taffic (generic Biktarvy) available-would this work as PEP if needed?
3. What are my chances of contracting HIV or other STDs from this exposure?
I'm quite nervous and would appreciate your advice on what steps I should take next.
Thank you
 |
Edward W. Hook M.D.
12 months ago
|
Welcome to our Forum. Thanks for your questions and your implied confidence in our service. I'll be glad to comment. You certainly do not need PEP! Here are the reasons why:
---
1. Most commercial sex workers do not have HIV. Even when they do, most single exposures do not lead to infection. The infection rate for unprotected vaginal intercourse (your exposure was condom protected) is less than 1 in 1000. In other words, IF she had untreated HIV and IF you did not use a condom, there would still be a more than99>9% chance that you would not become infected.
2. You used a condom for vaginal intercourse. Condoms work, virtually eliminating risk for HIV and other STIs if worn throughout the exposure
3. HIV is NOT transmitted in saliva. Thus when she put her finger into your rectum, there was no risk. This is a form of masturbation and masturbation is safe, virtually no risk sex.
Thus in response to your specific questions:
1. Does this exposure warrant taking PEP (Post-Exposure Prophylaxis)?
Absolutely not. In fact, while testing is a personal choice, I see no need even for testing based on the activities you describe
2. I have Taffic (generic Biktarvy) available-would this work as PEP if needed?
Yes, but you do not need it
3. What are my chances of contracting HIV or other STDs from this exposure?
Virtually zero
I hope this information is helpful. You have nothing to worry about. EWH
|
12 months ago
|
Thank you for your reply doctor.
The protected vaginal sex is not really a big concern of mine as i understand, yes there is a chance it may be transmitted by the risk is very miniscule.
But in terms of saliva inserted or pushed into the rectum, especially that there was bleeding in the rectum from the fingering, is my understanding correct that I shouldn't be worried about that, and PEP is not required?
Also in terms of other stds is there anything that i need to look out for ?
Thank you
|
Edward W. Hook M.D.
12 months ago
|
You are correct. Saliva does not transmit HIV, even when it is used as a lubricant for inserting a finger into your rectum. PEP is not required.
This was a virtually no risk encounter. I see no scientific reason for concern or for testing. EWH
--- |
12 months ago
|
Doctor, thank you for all your previous support. I have a question regarding some concerns I've been having. Over the past year, I've engaged in several instances of protected sex, but recently, I've been experiencing random symptoms like general fatigue, a runny nose, and others. If I were to take a 4th generation HIV test, would that test conclusively rule out HIV as the cause of these symptoms, or is there a possibility that HIV could be present but not yet detectable by the test? Thank you
|
Edward W. Hook M.D.
12 months ago
|
Final responses. After this reply the thread will be closed. There should be no need for further questions.
If you have experienced worrisome symptoms, a 4th generation test would be positive. Symptoms are due to the presence of both virus and antibody and if a test is negative, your symptoms are due to something other than HIV . Once a test is positive, it stays positive forever.
I hope this information has been helpful. This completes this thread. EWH
---