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Author Topic: infection risk - fingering  (Read 1961 times)

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Offline temp

  • Member
  • Posts: 3
infection risk - fingering
« on: September 02, 2009, 11:05:08 AM »
Hi. I had a condom break with a (indoor) sex worker during vaginal sex from behind. I don't know how long it took before we noticed, max 2 minutes, minimum a few seconds. Somehow I had the impression she had one finger on the condom the whole time, maybe to avoid it from getting in her/slipping of... i don't know. If that was the case she would have noticed the break up instantly i suppose.
Directly afterwords i washed my penis with some soap and took a towel to dry. Unfortunately it was a very brief washing, just putting some soapy water on it and then washing it of with the hand, so no real waterstream...  The girl cursed when she saw the break-up and left the room to get other condoms, she came back after 2 minutes and didn't see to be bothered. Later she told me that she's german-italien,21 years old an been working this job for 6 months "only". I know that there aren't any real control instances by the government (here in Central Europe) and it's up to the owner of those venues to decide who he takes to work for him.
On the way home i got a real bad feeling and wished i did this 'washing' a bit more intensively. I remembered from college that there was some sort of morning after pill for HIV and went home to check it on the internet. Found out that it s called PEP and to my surprise has to be taken a whole month. Anyway, i went to a hospital in charge  and asked for the treatment. I took the first pills (1 combivir,2caletra) 3 hours after the breakup. Have been taken these pills twice a day since then. No side effects except less appetite (probably from fear..) and i'm very tired.

the questions now:

1) how big is my initial risk?

2) how well does PEP work? the doctor said 99% but internet sources claim less (80% on zidovudine only)

3) they wont do PCRs because it's to much work, but i  ll get an ELISA/p24 test  32 days after the exposure. how reliable is this test at that time mark? i read over 99% but can't believe this as everybody puts so much emphasis on the  3 month mark.

4) is there a reason not to do another Elisa at the 2 month mark?

5) does PEP influence the p24 test in anyway?

6) why does PEP not include any fusion inhibitors????


these are a lot of questions but i hope to get some help, waiting one month is terrible









Offline RapidRod

  • Member
  • Posts: 15,288
Re: a few questions...
« Reply #1 on: September 02, 2009, 11:45:03 AM »
You don't meet the guidelines for nPEP. The exposure would have to be with a partner known to be HIV positive. There are no tests that will give you a conclusive negative test result earlier than three months.

Offline Andy Velez

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Re: a few questions...
« Reply #2 on: September 02, 2009, 12:51:56 PM »
Let's keep this simple, Temp. I wouldn't have thought PEP to be necessary in this instance. You were protected until the condom broke. It was a single and relatively brief possible exposure. It is also significantly harder to transmit HIV from woman to man rather than the other way around. With all of that considered I don't think there was a serious risk.

Yes, it does merit testing just to be sure of your negative status. However, if you do the PEP regimen it extends the waiting period. You would have to get a final negative result at 13 weeks AFTER the COMPLETION of the PEP regimen. You can test first when you finish it if you want to just to reassure yourself, but for a final negative, it's at 13 weeks after completion.

I expect you to test negative.

Cheers.
Andy Velez

Offline temp

  • Member
  • Posts: 3
Re: a few questions...
« Reply #3 on: September 02, 2009, 01:07:18 PM »
ok thanks!

but how come the doctor insisted on a test 4 and 12 weeks after the exposure and not 4 and 12 after PEP as I can read on a few posts on this board?

Offline Ann

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  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: a few questions...
« Reply #4 on: September 02, 2009, 02:48:11 PM »
Temp,

We're not mind readers. If you have questions about why the doctor told you what he did - or why he put you on PEP against the guidlines - you'll have to ask HIM.

I fully expect you to test negative over this no matter when you test.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...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 temp

  • Member
  • Posts: 3
infection risk - fingering
« Reply #5 on: February 25, 2011, 03:25:29 PM »
Hi
i am somewhat worried about a contact i had with a prostitute...

i consider myself very aware about HIV transmission and i know that this was a very low-risk situation but now....... i just can't get it out of my head.

this happened:

she was giving me a handjob and with her other hand she fingered herself outside and inside.

she didn't seem to switch hands but i can't tell exactly because it lasted quite long... so its possible that she touched my penis with the other hand. the rubbing was rather hard/aggressive, so i 'm scared that this might have created some micro-fissures.

because it lasted rather long she also used a lot of lube (took the bottle 3-4 times)

i know this is not a classical risky situation but still... what do you think?

also: do HI-Viruses quickly degrade in waterbased lubricant ?

can i presume that it is rather the cervix-fluids that are infectious?


maybe the ejaculation helped at least to "clean" the urethrae...



Offline Matty the Damned

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  • Posts: 12,228
  • Ninja Please
Re: infection risk - fingering
« Reply #6 on: February 25, 2011, 04:54:11 PM »
You must keep all your thoughts questions and comments in your original thread. This helps us follow your story and allows us to give you the most accurate advice.

If you cannot find your original thread, please click the red link I have posted above. Alternatively you can use the "Show own posts" link which appears in the uppermost left hand column on any forum page.

Your questions will not be answered unless you return to your original thread

Please take the time to read our Welcome Thread and familiarise yourself with the posting guidelines.

MtD

Offline Ann

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  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: infection risk - fingering
« Reply #7 on: February 26, 2011, 07:13:14 AM »
Temp,

I've merged your new thread into your original thread - where you should post all your additional thoughts or questions. It helps us to help you when you keep all your additional thoughts or questions in one thread. It doesn't matter how long it has been since you last posted in your thread or if the subject matter is different.

If you need help finding your thread when you come here, click on the "Show own posts" link under your name in the left-hand column of any forum page.

Please also read through the Welcome Thread so you can familiarize yourself with our Forum Posting Guidelines. Thank you for your cooperation.





Masturbation is not a risk for hiv infection and it does not matter what was on the other person's hand. NO RISK.

Hiv is a fragile difficult to transmit virus that is primarily transmitted INSIDE the human body, as in unprotected anal or vaginal intercourse where the virus never leaves the confines of the two bodies. Once outside the body, small changes in temperature, and pH and moisture levels all quickly damage the virus and render it unable to infect.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. IT REALLY IS THAT SIMPLE!!!

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...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

 


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