Thank you doctor.
1. I tested negative last week (2 weeks post exposure while on PEP) for syphilis, chlamydia, hep a b c, and hiv. Also neg hsv2 6 days post exposure. I have not masturbated since the incident since penis has been sore and due to my guilt and paranoia.I have examined my penis regularly. I did experience slight burning/pain in the area near the cut a few days after exposure. But now I can attribute this slight pain/burning to the cut. The cut had healed, but it is now burning a little since I spread my skin and reopened the cut last night. Slight itching from cut to the tip of the backside of my penis. I experienced this a week or so ago too. Probably because the body is trying to close the cut. This cut definitely occured within the 4 hour window of prior masturbation, sex, and post masturbation after lysol and hand sanitizer. But do you still remain certain no exposure occurred even if the slight chance this cut occurred during sex? Again, I never saw blood. Sorry for asking twice. Just wanted to make sure you had all my facts for your response.
2. Also would like more insight on the efficacy of PEP. I hear it is ideally best to start within 24 hours (every hour counts) and efficacy decreases, from 48 to 72 hours. If I took PEP at 39/40 hours post exposure, am I still in the high efficacy range? I read on another thread that Dr. Handsfield, in his 40 yrs of experience, has never seen PEP fail if taken within 72 hours. Would you similarly agree to this? I have taken this medication at the same hour every day minus 15-45 minutes early on about 2 days. I am taking Truvada 200mg/300mg and Tivicay 50 mg. Both once a day. The Truvada has 30 pills but the nurse told me to discard the last 2 pills after my 28 days finish. Is this truvada and tivicay once a day combination of PEP a good medication combo? I know some people take other pep medications and take them twice a day. I don't know how this effects efficacy if I am only doing once a day.
3. Lastly, I did have coronavirus on December 6. I did quarantine, and was recovered at the time of my exposure on December 25. Could covid have weakened my immune system and made it easier for STDs like hiv to enter my body more easily. I had also been drinking excessively (2 liters a week or less for months) before the exposure and 6 or 7 shots a couple of hours after the exposure. I did not drink prior to exposure. I took take some sildenafil 30mg a couple hours prior to sex. Could this also affect my immune system in fighting off my virus? The covid/alcohol combination may have weakened immune system? have not had a drink since exposure.
I think this will be a good place to stop as I have expressed all of my concerns now and have provided every "what if" scenario my mind has raced to and if you still feel strong no STIs will be contracted, then I will be thoroughly relieved. I will stop overthinking and just get tested regularly. Thank you doctor, you are providing the world a blessing through your service.