[Question #5652] Post PEP Testing

21 months ago

Dr Hook and Handsfield,

I want to thank you for this forum and what you do. Having read many other posts and answers I’ve been able to be as reassured as possible, which has allowed me to calm down a significant amount from where I was.  

I’ve not felt good since coming off the PEP. The reassuring part is that you’ve made it clear to me that if my symptoms where from HIV one of my many tests would have been positive.

I’ve got a testing question for you as I’m trying to find the light at the end of the tunnel in this mess. 

To recap my risk: 

May 26 - I had insertive anal at a bathhouse. The condom did NOT break. It didn’t last long and had no oral of any kind. 

June 2 - I had insertive anal at a bathhouse. Again the condom did NOT break and had no oral of any kind. 

June 3rd - Started PEP 22 hours after encounter.

June 30th - Last dose of PEP

July 3rd - RNA Test Negative 

July 5th- 4th Gen Lab Test Negative 

1) I’ve tested many times throughout this process to help my mind calm down. Thankfully all negative. I realize they are not to the guidelines of 4 weeks PEP yet. Tomorrow I’m going for another 4th Gen and RNA test so that’s 8 days post PEP. How much can I start to calm down after tomorrow’s tests? Would you tag a percentage of risk to me at this point. 

2) I’ve read your posts to other people and see how effective PEP is. So I’m concluding my biggest risk is from the May 26th encounter. I didn’t have PEP until 8 days after that encounter. In theory, had I acquired HIV during that encounter my body would have most likely by now have produced antibodies correct?  Can I start to relax about that event at least?

3) I’m in a monogamous relationship and these two incidents resulted in a big lapse in judgment that won’t happen again so you won’t continue to hear from me. When do you think I can reassume having unprotected sex with my wife without concern?

Thank you for your help!! Words cannot being to tell you how much I’ve appreciated this forum!!

21 months ago
One other quick question. Would the condom likely  have protected me from HSV-2 as well? 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
21 months ago
Thanks for your kind words about the forum. Nevertheless, I'm sorry, but I have nothing to add following our previous discussions. You do not have HIV. As discussed previously, the doctor or clinic who prescribed PEP is where you shoudl be taking these issues. Neither this nor any other online forum ever is a proper substiitue for direct medical care.. You should be continuing sex with your regular partner without worry. 

Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about this exposure, HIV testing, PEP and your fears about HIV 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, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.

Best wishes--  HHH, MD