[Question #921] Protected sex with hiv + women before 20 hours !

52 months ago
First sorry for bad language 
I had protected sex with hiv + women before 20 hours 
It was for 4 min and with durx extra safe 
I know the women and she is my girlfriend 
She toled me she start take truvada before 15 days 
I know it is crazy to do this but im scare know should i go for PREP or what 
Advice plz ????
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago

Thanks for your question.  I will provide some facts which I hope you will find helpful.

1.  If your partner had HIV  and was not on treatment and you did not use a condom, your risk for getting HIV would be, on average, 1 infection per every 1000 acts of vaginal intercourse.

2. If your sex partner has HIV and is on effective treatment (usually people take another drug in addition to Truvada) this greatly reduces her ability to infect you. 

3.  If you wore a condom throughout the intercourse and it did not obviously break (condoms do not lead a little, when they fail, they break wide open), you were using the most effective means of protection there is for prevention of HIV transmission.

Despite all of this, the most conservative thing you could do to eliminate your risk for infection is to take PEP (Post Exposure Prophylaxis, not PrEP which is Pre-Exposure Prophylaxis.  this is a personal decision which only you could make.  The medications given for PEP are sometimes expensive and less than half of people who take PEP complete their medications however, when used properly, PEP is highly effective.  If you choose to take PEP, the sooner you begin it, the more effective it is and there is no benefit to starting PEP more than 72 hours after exposure.

I hope these comments will be helpful to you.  EWH

---
52 months ago
Yes she take another drug but i dont know the name ... About pep yes i can take it it is free in my contery ... But what you think should i take it or not ???? .. And The candom was okay no break 
52 months ago
It is not personal  .. If i came to you and ask do i take it or not what you would say 
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago
Again, I would tell you that the decision is up to you.  Safest to take the PEP BUT if you do not think you can obtain it or will not be able to take it for the entire 30 day period, then I would not.  EWH
---
52 months ago
If i dont take it 
Would may risk be high or what 
In may mind i dont want to take pep 
But if my sex very high i will take it 
It is not in safest it is on should i or should i not ...
Edward W. Hook M.D.
Edward W. Hook M.D.
52 months ago
If you only had sex with her once, if you used a condom, and if she is on treatment, then your risk for infection is less than 1 in 100,00 (very low) but there is still a very small risk for infection.  EWH
---