Unprotected topping, now on PEP.

[theuberconfusedone]

A few nights ago I had an unprotected encounter with a man I'd just met. He was doing oral on me and out of the blue, pulled his pants down and put my erection in his butt. Where we were it was pretty dark and I was very drunk so at first I wasn't sure what was happening. When I clued in I kept going with it (unfortunately)for about 3-5 minutes as I was unsure whether or not pulling out earlier would make a significant difference. He kept telling me to "cum inside of him" but eventually, once the shock wore off I left in horror.

When I got back home I found info on PEP and after thinking over the situation decided to see if I could get a prescription for it. Fortunately, the hospital I went to obliged and prescribed me a mix of lamivudine, zidovudina and kaletra to be taken over the course of 28 days. I took my first dose at about 36 hours after the incident.

My question is, how likely is it that I'll stay negative? I know that being a top and the fact that I'm taking PEP reduces my chances, but I'm guessing that because of the fact that this guy clearly doesn't care about his health would indicate he's probably HIV+ and/or does not care about his health. Hence, I am terrified. Any advice would be appreciated, thank you.

[Ann]

Confused,

You're highly unlikely to end up positive over this situation, particularly as you're taking PEP.

You need to start paying closer attention when you're in a sexual situation and stop having unprotected intercourse.

You need to know that taking PEP extends your testing window period by four weeks. The earliest you should test again (you should have been tested before being given PEP) is at six weeks POST-PEP.

A six week POST-PEP negative is highly unlikely to change, but must be  confirmed at the three month POST-PEP point.

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!

Ann

[theuberconfusedone]

Thank you, Ann!

[theuberconfusedone]

Hey, so I'm currently on day 4 of PEP and have so far not experienced any serious side effects. No nausea and only mild diarrhea, however I am depressed/anxious (however I don't know if this is due to the meds or just the situation I'm in generally). Is this a bad sign? I ask because I've read that most people who test negative do experience physical side effects. Any help would be appreciated, thanks!

[Jeff G]

Many people do not experience side effects and it has no significance to whether you had an exposure or not . 

[Ann]

Hey, so I'm currently on day 4 of PEP and have so far not experienced any serious side effects. No nausea and only mild diarrhea, however I am depressed/anxious (however I don't know if this is due to the meds or just the situation I'm in generally). Is this a bad sign? I ask because I've read that most people who test negative do experience physical side effects. Any help would be appreciated, thanks!

The meds you're on aren't known for causing depression/anxiety. The situation your in, on the other hand, is well known for causing depression/anxiety. Keep Calm and Take Your Meds and you'll be just fine.

The side effects that some people experience from the combo you're on are nausea and diarrhea. If you don't experience these side effects, it doesn't mean they aren't working, it just means you have the constitution of a proverbial ox and you're lucky. It's not too late, however, for the shits to start for you. If they do, don't panic. Either stay near a toilet or get some over the counter anti-diarrhea meds. You'll live.

Ann