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Author Topic: Chance of transmission  (Read 1228 times)

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Offline nolaguy

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Chance of transmission
« on: August 21, 2009, 10:13:37 AM »
In a weak/ stupid moment. I had unprotected insertive anal sex with a guy I did not know.  He said he was HIV negative (I know and knew that people lie).  I also had receptive/insertive oral sex with him, he was not able to get an erection, don't know if that matters. Afterwords he emailed me and tells me he is positive.  Reports his viral load as "675 undetectable" which seems like a contradiction.  If it is undetectable wouldn't it be zero?  So of course am I freaking out a bit.  It has been about 12 hours.  Should I pursue PEP, would a physician even give it to me under these circumstances.  Are there ways to get PEP anonymously? Any idea of the cost?  What is my risk for transmission?  Advice? Comments?  I am in New Orleans if you know of services here that might help.

Offline Andy Velez

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Re: Chance of transmission
« Reply #1 on: August 21, 2009, 10:29:55 AM »
Well, you definitely were at risk. You haven't mentioned if ejaculation took place in you. Risk is lower if that didn't happen. You don't have to be concerned about the oral part of the incident. Oral sex is only theoretically risky. The risk is greater for you in the receptive role. As the insertive partner there is still risk when unprotected, but lower than for insertive.

As far PEP is concerned, you can go to the emergency room of any hospital and get it prescribed. In order to be effective it should be started as soon after a risky incident as possible  and not more than 48-72 afterwards. The meds are strong and often have side effects which can be uncomfortable. You have to take them for 28 days.

For future reference you can sex with someone who's HIV+, including anal intercourse. You just need to do it the safer way which means that the insertive partner has to be wearing a condom. NO EXCEPTIONS. Even well intentioned people don't always know their accurate status so a condom is a must everytime.

Good luck to you and keep us posted.

 
Andy Velez

Offline Ann

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  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Chance of transmission
« Reply #2 on: August 21, 2009, 11:37:14 AM »
guy,

The 675 will most likely be his CD4 count because he would not be saying undetectable otherwise.

Sometimes people lie and sometimes people don't accurately know their hiv status. They only THINK they're negative.

If I understand your post correctly, you were top for the anal. This is much lower risk than bottoming and even more so with him being undetectable. Giving him a blowjob wasn't a risk.

You can pursue PEP if you want, but in this instance it isn't really warranted.

If you do decide to persue PEP, you need to get in gear and see a doctor.

Good luck. From what you've written (if I have understood your activities correctly)  I'd expect you to test negative, PEP or no PEP.

You need to learn from this experience and NEVER top OR bottom with anyone of unknown hiv status.

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 all three 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.

Ann
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline nolaguy

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  • Posts: 2
Re: Chance of transmission
« Reply #3 on: August 21, 2009, 01:34:59 PM »
Thanks Ann and Andy
Especially the clarification about  CD4 and undetectable.  It was good to hear what I was already kind of feeling.  My positive anonymous sex partner did not ejaculate.  And I was the top for the anal.  I know as most everyone should know by now, everyone should be considered positive for HIV and other STIs unless you are in a truly monogamous relationship and both have been tested together.  The more i think about it, I think going without the PEP is likely the best route....hopefully I don't regret that decision.  This definitely has been a lesson.  I am now carrying condoms with me, when there is any chance of sex occurring.  Last night was a real exception for me and unexpected and stupid.  Thanks again  for your input.  I guess I need to wait 3 months before I can be sure about transmission. Is that right?

Offline Andy Velez

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Re: Chance of transmission
« Reply #4 on: August 21, 2009, 02:00:43 PM »
Ok, you're having topped will definitely be in your favor that you'll get a happy answer when you test.

And yes, you do need to test at 13 weeks.

Fingers crossed. I'm expecting you to come out of this ok. 
Andy Velez

 


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