[Question #2986] First time anal sex bottoming
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93 months ago
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Dear dr im a 27 yr old gay male...my recent exposure involved oral sex with another male i sucked his penis but the condom tore a bit yhe moment we realised we immediately stopped. He also rimmed me and fingered and kissed me . We tried anal sex but it didnt really happen he tried to penetrate me with a condom but i felt some pain and he stopped in 15 seconds . He said that he didnt penetrte me ass my rectum was very tight and his tip jusy touched however i did feel some predsure . We had sex yesterday and he tested non reactive 2 days before we had sex and also showed me his reports . Im howver worried that what if hes positive and in the window period ? This was the forst time i tried something like anal but it just lasted 10 to 15 seconds at the maximum. Whats my risk of hiv from this incident ? Im also worried about the condom tearing during oral sex. Please help. Thanks . Am i safe ?
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H. Hunter Handsfield, MD
93 months ago
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You have been warned about repeated anxiety driven questions. This is slightly different, i.e. your first attempted experience with anal sex, so I will comment on that aspect of this exposure.
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You are at no significant risk of HIV from this event. Even with unprotected anal sex to completion, usually with a few minutes penetration and ejaculation the the rectum, the average transmission chance is about 1 in 75 for the anal partner (if the penile partner has HIV) and about 1 in a thousand for the insertive partner (if the anal partner has HIV). Since penetration was very brief and witih a condom that didn't break, there is essentaily no risk -- even if your partner had HIV and was in the window period.
We have discussed the absence of risk for HIV from oral sex in your many previous threads and I see no need to repeat that information.
As a gay man, if you have anal sex with other men, you will always be at some risk of HIV. The risk cannot be reduced to zero, because condoms sometimes break and there can be other unrecognized condom failures; and because some partners may not know or accurately infrom you of their HIV status. And other STDs remain common. Therefore, you should plan on having an HIV test, as well as routine STD testing (gonorrhea, chlamydia, syphilis) from time to time, like once a year. You also are welcome to be tested after any particular exposure you are concerned about.
With that information, it should not be necessary for you to come to this forum for new advice every time you have an exposure that concerns you. Therefore, I am again adding the following warning, as you were told previously:
The forum does not permit repeated questions on the
same topic or exposure. This will have to be your last;
future new questions from you about individual exposure obviously at low risk for HIV or other STDs will be deleted without reply and without refund
of the posting fee. This policy is based on compassion, not criticism, and
is designed to reduce temptations to keep paying for questions with obvious
answers. In addition, continued answers tend to prolong users' anxieties.
Finally, such questions have little educational value for other users, one of
the forum's main purposes. Thank you for your understanding.
HHH, MD
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93 months ago
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Thanks for your repy dr...however how woukd i know if the condom broke ? Also what are the chances that he maybe in the window period ? Do you rccomend PEP ? Shoukd i get qn hiv RNA PCR done ? Thanks again
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H. Hunter Handsfield, MD
93 months ago
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Broken condoms are obvious, you wouldn't miss it. The chance your partner was in the window period is extremely low, but I pointed out that even if he was, YOU WERE NOT AT RISK FROM THIS EVENT. Did you even read my reply? Of course you should not seek PEP and you do not need testing.
You have come to the forum repeatedly and recieved reasoned, science based advice that was clearly stated, but you repeatedly haved ignored and keep asking the same questions. It must stop.
---That concludes this thread. The warning above will be enforced: any new questions from you WILL be deleted without reply and without refund.