Possible exposure

[element07]

So I'm a bit worried.  I'm a 26 y/o male who happened to engage in some risky behavior the other night. I met with a transsexual. I initially had a condom on, but couldn't remain erect. The condom came off and I finished topping her for 3-5 minutes unprotected until I came. She said she was negative and has to do consistent testing for her surgeries.  The 72 hour mark is approaching around 11 tonight. should I consider getting pep?

[Jeff G]

You did have a risk and will need to test at 6 weeks past any possible exposure and again at 3 months to confirm the results . PEP is effective within the 72 hour window period and its your call if you want to pursue it or not. Pep is not necessarily recommended in your case but is something to consider .   

You can read about testing here . http://www.aidsmeds.com/articles/HIVtests_5029.shtml
And Pep here . http://www.aidsmeds.com/articles/Transmission_17146.shtml

Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI.Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence .

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

[element07]

I recently had protected sex with a TS escort. I was topping for a minute or so and the condom broke. Within a minute or so I pulled out. I want to know what my chances of contracting hiv are and what the necessary steps from here on out would be. Do I need to consider PEP?

Thanks

[Joe K]

Unprotected intercourse is a risk for infection, however the risk is less for the insertive partner and you were protected until the condom failed.  PEP would not be indicated but that's a decision that only you can make.  Testing guidelines are to test at 6 weeks past any risk and then at 3 months to confirm the result.  There are some tests that can give you results in shorter time frames and you can read about testing here: Testing Information.

You have had a risk and you will need to test over this incident.

Joe