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Author Topic: Oral Sex  (Read 4373 times)

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Offline James7878

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Oral Sex
« on: February 25, 2013, 04:56:31 pm »
Hello two weeks ago I started to preform oral sex on a guy and just as he started to cum I pulled him out and said I couldn't keep going I then noticed some of his glands by the groin were large and hard he told me he was clean but then wanted to have anal with me I presume unprotected. Anyway I left and went straight to er since I didn't know him they gave me antibiotics and combiriv I started the pep about 16 hours later I have been so sick since I don't even feel alive anymore I have taken twice a day today is fourteenth day I have seen two additional drs just regular ones and they tell me there was risk and to keep taking pills. I hAve been reading and on medhelp some educators said it was no risk I am thinking of stopping combiriv and want to know what to expect and also if there is a risk is it better to keep on. Thank you for your time 

Offline jkinatl2

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Re: Oral Sex
« Reply #1 on: February 25, 2013, 05:11:27 pm »
Nothing you did put you in any danger for HIV infection. I find it very irresponsible that an ER would prescribe PEP for a case of oral sex with a partner of unknown status. PEP is not only expensive, it is also a combination of very powerful drugs that can have harsh side effects.

Giving oral sex has NEVER been firmly documented as having transmitted HIV.

There have been no fewer than three long term studies of serodiscordant couples (where one partner is positive and one is negative) that lasted three, five and ten years. The couples used condoms for penetrative anal and vaginal sex, but chose not to use barrier protection for oral sex of any kind. At the end of these studies, not a single person seroconverted due to oral activity. Not one.

Also, referring to people who do not have HIV as "clean" is rather offensive. It implies that people with HIV are "dirty." I know the phrase has been around forever, but try to stop using it.

You can discontinue the PEP is you desire, as you had no risk.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline James7878

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Re: Oral Sex
« Reply #2 on: February 25, 2013, 05:26:17 pm »
Thanks for the reply. I do agree about not liking the clean status. The Dr thought was that he appeared to have an infection of some kind since glands were hard and swollen on one side and that he wanted to penetrate me he was just shady although I was a part of the act as well. If he had been confirmed would that make a difference? I just can not take these pills any longer but I guess it's only two more weeks also my dr said to take thirty days I said online I read 28 he said do thirty so worried

Offline jkinatl2

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Re: Oral Sex
« Reply #3 on: February 25, 2013, 06:32:42 pm »
Thanks for the reply. I do agree about not liking the clean status. The Dr thought was that he appeared to have an infection of some kind since glands were hard and swollen on one side and that he wanted to penetrate me he was just shady although I was a part of the act as well. If he had been confirmed would that make a difference? I just can not take these pills any longer but I guess it's only two more weeks also my dr said to take thirty days I said online I read 28 he said do thirty so worried

I have not heard of a protocol for non-occupational PEP prescription in an ER that deviates from unprotected anal or vaginal sex with someone. However, not all ER doctors are aware of or have not read the science supporting that protocol.

An awful lot of things can provide hard or swollen lymph nodes, from allergies to STDs. Nodes are really a terrible indicator of HIV infection, however. Newly infected people often have swollen nodes, but this is far from a certainty.

For the record, our risk assessment on these forums ALWAYS assumes that the partner in question is indeed HIV positive, with a high viral load. That sort of thinking prevents caveats which can be confusing on the site.

You had no risk over the incident as you described it, and should never have been prescribed PEP. Had you engaged in unprotected anal sex with the individual, even though he was not confirmed positive, I would better understand and even support your decision to engage in PEP. Now that you know how horrible the drugs can feel, please remember to wear a condom for penetrative sex.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline James7878

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Re: Oral Sex
« Reply #4 on: February 25, 2013, 06:46:07 pm »
Thanks very much for your detailed response. I am going to stop tonight I hope I go back to feeling better soon. Even my heart is racing a mile minute.

Offline RapidRod

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Re: Oral Sex
« Reply #5 on: February 25, 2013, 06:51:22 pm »
I have not heard of a protocol for non-occupational PEP prescription in an ER that deviates from unprotected anal or vaginal sex with someone. However, not all ER doctors are aware of or have not read the science supporting that protocol.

An awful lot of things can provide hard or swollen lymph nodes, from allergies to STDs. Nodes are really a terrible indicator of HIV infection, however. Newly infected people often have swollen nodes, but this is far from a certainty.

For the record, our risk assessment on these forums ALWAYS assumes that the partner in question is indeed HIV positive, with a high viral load. That sort of thinking prevents caveats which can be confusing on the site.

You had no risk over the incident as you described it, and should never have been prescribed PEP. Had you engaged in unprotected anal sex with the individual, even though he was not confirmed positive, I would better understand and even support your decision to engage in PEP. Now that you know how horrible the drugs can feel, please remember to wear a condom for penetrative sex.
Yes, there is Pep, nPEP and PrEP.

Pep is for occupational exposures
nPEP is for non-occupational exposures
PrEP is oral pre-exposure prophylaxis (PrEP) for serodiscordant couples, men and transgender women who have sex with men at high risk of HIV.

Offline jkinatl2

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Re: Oral Sex
« Reply #6 on: February 25, 2013, 07:33:03 pm »
Sorry I did not parse the PEP/nPEP terminology correctly, RapidRod. Thank you for pointing that out.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline RapidRod

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Re: Oral Sex
« Reply #7 on: February 25, 2013, 07:48:17 pm »
LOL, can't keep all that useless trivia all archived in that brain.

 


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