[Question #1328] Should i take pep..? Please help me.
99 months ago
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Edward W. Hook M.D.
99 months ago
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Welcome to our forum. I'll try to help. If you were my patient and asked for PEP I would not prescribe it for you because, in my opinion, it would be unethical to do so. With or without a condom and irrespective of her oral hygiene this was a no risk event. There are no cases in which HIV has been proven to be acquired as a result of receiving oral sex. Receipt of oral sex is the only sort of penetrative sex which has never been associated with risk for acquisition of HIV. Other forms of penetrative sex are variably associated with HIV risk- Receptive rectal sex is the riskiest sort of exposure and transmission occurs about once for every 100 exposures, with unprotected penile vaginal sex the risk is lower, about 1 infection per 1000 sex acts and for performing oral sex on an infected partner is it lower still- probably less than 1 infection per 10,000 sex acts.
Further, it is unlikely that your partner had HIV. Even among commercial sex workers infections are rare.
Finally, in addition to the no risk nature of your experience, PEP is costly and associated with side effects in some patients who take the medication. For all of these reasons I recommend against seeking PEP. Unfortunately, I suspect you can find someone who might be willing to prescribe PEP but I recommend against it and would not do it.
I hope these comments are helpful to you. EWH
99 months ago
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Edward W. Hook M.D.
99 months ago
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Glad to hear you found my comments helpful.
Unless there are other reasons for concern about HIV in your past, there is no reason for testing prior to resuming unprotected sexual contact with your partner. EWH
99 months ago
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Edward W. Hook M.D.
99 months ago
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