[Question #7333] Exposure risks
56 months ago
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Hello,
Almost two weeks ago now I hooked up with a guy I didn’t know at all. Very unusual for me and bad judgment as I am celibate to be safe. He used a condom, and it lasted a very short while as I stopped it. The condom didn’t break and there was no ejaculation in the condom from what I saw. I did notice before though that the condom didn’t seem to be lubricated I don’t think? Or at least not much. But I haven’t had sex in so long that I don’t know how exactly they are supposed to feel .I have been terrified ever since. Should I be worried if this condom didn’t feel lubricated it felt and tasted like straight rubber to me? Could it have been old? I don’t know. I did see it and it was on. He doesn’t seem to care to want to show many any test results of his but claims he had given plasma recently but he hasn’t shown me any proof and isn’t interested in engaging with me this. I am extremely paranoid uncomfortable and worried. I live in atlanta, 1 in 53 people here have HIV and it is highly prevalent among the black community. I am black and he is Black. Originally born in Nigeria but an American citizen he is now. He is young. I am African American and from the west coast originally. But because of this high rate among African Americans and African American men in this city and in the country it is huge cause of concern for me. Do you find this a concern in my case? I went to the doctor the day after and immediately got on pep , I haven’t been tested yet though. I can’t be tested until pep is over from my understanding. Then I will go in and probably get the rapid test. Since this sexual encounter I did get what seemed like a brief flu or something : I was sneezing like I never have nose congested and one day woke up with the uvula in the back of my throat enlarged so much so I could feel it after a few hours it went down. Are these signs of early infection? I’ve also had muscle pain, but this pep medication has made me so Sick that I have had so much diaharrea, nausea, tiredness that I don’t know if the muscle pain is related to the pep? I can’t tell what is what. I know muscle aches can be sign of early infection Then this morning I found about 5 red bumps each spread our far
Each other and this reminded me of what could be an early rash also associated with early infection. I’ve been on pep over 2 weeks I think and I can’t wait to get off of it. Are these bumps/ possible rash a concern ? The doctor didn’t say much about it . Which made me more paranoia and even caused me to cry.
Please answer all of my questions and concerns and let me know if you think I have been exposed or anything to worry about it considering everything I told you.
I also wanted to take an at home Ora quick swab test now or as soon as I’m done with pep or will this not be helpful as the medication is still in my system. ? I would like to know your suggestion on that as wel. I hate waiting for bloodwork because the wait gives me extreme anxiety to the point where I go into full on panic attacks.
I also wanted to mention that my last two sexual encounters were 2 years ago this time I was with another woman a one night stand she used a strap on with a condom over it and then before her it was a few years before her I was with another guy I didn’t know but he only rubbed his penis with a condom above and not where you would insert the penis into the vagina. Are either of these risks ?
I am a 32 year old African American woman I believe he was in his mid to late 20s.
Thank you.
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Edward W. Hook M.D.
56 months ago
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Welcome to the Forum and thanks for your thoughtful questions. Congratulations as well on your careful approach and practice of safe sex. I'll be glad to comment. You are correct that the Atlanta area has relatively high rates of HIV, as well as other STIs. the key word however is relatively and the fact is that most persons do not have HIV or other STIs, that most single encounters with infected persons do not result in infection, and that use of a condom throughout sex is virtually 100% protective for HIV and most other STIs unless the condom breaks. Despite your reasonable questions about the condom used, if it did not visibly break, it did not fail. When condoms fail, they break wide open leaving no doubt that they have failed. I would not be concerned about the encounter you describe.
Other comments.
Condom lubrication and age. The lubrication present on many lubricated condoms may not be particularly obvious or apparent and the import of lubrication has more to do with comfort than anything else. Further, the dating on condoms reflects a time when breakage begins to occur but most condoms somewhat past their "expiration" date will still work fine and not break. You report that the condom appeared intact. I suspect it was. As I said above, if the condom appeared intact following sex, be confident that it was.
The symptoms you describe are not those of HIV or other STIs. Some of these symptoms may be due to the combination of medication side effects, possibly amplified by your own level of concern. If you have respiratory symptoms at this time, they are almost certainly NOT HIV. (you might seek COVID testing however).
PEP. PEP is highly effective. From the description you provide, I doubt that you needed it but I understand that you likely acted out of an abundance of caution. Currently, the recommendations are that follow-up testing after completion of PEP not be performed until about 6 weeks after completion of the medication. Earlier testing is OK but not conclusive. In your situation. I anticipate that you will find that you were not infected and urge you not to worry.
The other two past encounters you describe were also no risk events.
I hope that the information I have provided is helpful. If anything is unclear, please use your up to two follow-ups for clarification. Please don't worry. EWH
56 months ago
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I am wondering if these are not signs of infection why are they listed as signs of early infection?
As far as pep testing is concerned, I don’t think my anxiety could allow me to wait 6 weeks after finishing pep to take a test. Why did the doctor tell me to test after taking pep? I guess she didn’t specify a time from
But even yesterday she gave me paperwork to get a blood test since I came
In there all concerned about those few red dots on my skin that were a possible rash. So any rapid blood prick test or Ora quick Swab test would not be useful during pep or immediately after? I do not like waiting for blood work.
Also can you please tell me how affective and Ora quick at home swab test would be in my situation and after pep? I asked that in my
Initial question as well.
Is my loss of appetite due to pep? I believe the bad diaharrea and tiredness is
Associated with it.....?
I forgot to ask if you think a dentist appointment could have been an exposure where they used something to numb my mouth, and also do you think anything the guy I hooked up witj could have possibly
Put in my drink could have caused exposure? I am extremely paranoid . I am highly doubtful he did anything to the drink I brought but have to ask.
Also as far as the strap on the girl I used mentioned what If she (and this is paranoia ) maybe in the bathroom inserted her own strap on with the condom on in her vagina first and then used it on me... would that be exposure ? I do not believe she did as I don’t se why she would but wanted to ask.
Also I read they are now recommending doctors to not prescribe the drug they generally combine with pep
Truvada, to ticvacay to to people and instead a new one due to some concerns about how it can affect . I think they said pregnant woman in the article. Have you heard of truvada and Tivacay which was used for prep for me being an issue and possibly not what should be used for pep anymore — as in it is no longer affective ? Article didn’t say that part but I wanted to ask.
Also, I just don’t see how 1 in 53 people infected in atlanta is not considered “a lot”. That’s a huge population, I would say....?
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Edward W. Hook M.D.
56 months ago
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56 months ago
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![]() |
Edward W. Hook M.D.
56 months ago
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56 months ago
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56 months ago
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