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Author Topic: PEP Failure After Condom Break  (Read 548 times)

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Offline Rocky Times

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PEP Failure After Condom Break
« on: November 14, 2014, 04:10:59 AM »
Hello,

I am a new member to this website but as of a couple of days, I have been a loyal reader due to the wealth of information available about the potential risks of HIV transmission, condom breaks, PEP etc. I want to thank the creators of this forum as you all are doing an excellent job informing, educating, comforting all of us misinformed and frightened individuals about HIV. So thank you!

Four days ago, I had a sexual encounter with a sex worker (insertive vaginal intercourse with a condom) and realized when I pulled out, that the condom was broken (exposed for maybe 2 minutes). The sex worker said she hadn't been tested in a while and that she didn't want to go and get tested. I live in Sub-Saharan Africa in a country where HIV prevalence is very high. So you can imagine the fear and dread that I am feeling right now. At the 39 hour mark after exposure, I started Atripla and so far it's going fine.

I wasn't going to post anything until I saw an article on a website called "Ask Dr. Tan". He is a doctor from Singapore and he reported an incident about PEP failure after a condom broke. The individual was HIV negative prior to being put on PEP. I read on this forum about how very unlikely a man is in contracting HIV from a condom break let alone after he is on PEP after the exposure.

So my question is, how could this happen? The article and the doctor's findings freaked me out and I just wanted to here some of your thoughts as you all have vast amount of experience regarding these issues. Here's the link to the article:
Thank you very much for your help and all that you are doing.

Sincerely,

Rocky Times
« Last Edit: November 14, 2014, 06:26:36 AM by Jeff G »

Online Jeff G

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Re: PEP Failure After Condom Break
« Reply #1 on: November 14, 2014, 06:26:02 AM »
We usually do not comment on what other sources say about transmission but I will go as far to say that PEP and is highly effective and I have never seen a case that failed . The doctor you referenced is using 1 patient he has had as a cautionary tale and ended it with this saying The ONLY way to be sure you do not catch HIV is to either abstain from sex or have only 1 mutually monogamous partner.

He also said that  fortunately he has had a good run and that all of his PEP failures have been either patients who started PEP after the recommended 72 hours treatment window, or who did not complete their treatment. So it was 1 of many of his patients where PEP has failed and proves that there are no 100% guarantees of PEP being effective, but very near it . I think if its initiated early or within 72 hours its very effective and I have not seen it fail ... all things are possible though .

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!

Offline Rocky Times

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Re: PEP Failure After Condom Break
« Reply #2 on: November 14, 2014, 10:32:27 AM »
Jeff G,

Thanks for your response.

What jumped out at me is not the realization that PEP is not 100%, but the fact that the individual contracted HIV from one episode of a condom breaking. On this forum, time and time again I have seen responses from the moderators saying that it's almost impossible for it to happen and here we have an example of it happening. Not only did it happen, but the person who contracted the virus went on PEP within 72 hours of exposure and still got infected by HIV.

I was wondering how all this happened since ya'll say you've never seen this happen.

Thanks!


Online Jeff G

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Re: PEP Failure After Condom Break
« Reply #3 on: November 14, 2014, 10:45:12 AM »
Jeff G,

Thanks for your response.

What jumped out at me is not the realization that PEP is not 100%, but the fact that the individual contracted HIV from one episode of a condom breaking. On this forum, time and time again I have seen responses from the moderators saying that it's almost impossible for it to happen and here we have an example of it happening. Not only did it happen, but the person who contracted the virus went on PEP within 72 hours of exposure and still got infected by HIV.

I was wondering how all this happened since ya'll say you've never seen this happen.

Thanks!



We can say it with confidence because WE have never seen it happen . If you want to discuss information on other websites then go there and discuss it with them .

Offline Rocky Times

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Re: PEP Failure After Condom Break
« Reply #4 on: November 14, 2014, 11:00:05 AM »
This website is far more informative and helpful compared to other websites that I've seen on this subject and so I thought I would pose the question here, that's all. You seem upset and if that's the case, I'm sorry!

Online Jeff G

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Re: PEP Failure After Condom Break
« Reply #5 on: November 14, 2014, 11:09:25 AM »
Im not upset, we just have to make it clear what we will and will not devote time to . The information you posted is not new or necessarily out of line with information we provide if you are able to keep it in the proper context .

We do risk assessemnst for HIV in this forum and itís not a place to come for conversation or to chat about things . If you had a risk for HIV I would have been thrilled to help get the information you need ... commenting on what another site has to say ... not so much.

 


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