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Author Topic: Had sex with a prostitute and the condom broke  (Read 2012 times)

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Offline Idiotwhotookachance

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Had sex with a prostitute and the condom broke
« on: June 29, 2014, 01:17:34 PM »

I have never done this before but a few days back I was having sex with the prostitute. I have never went to a prostitute before.  It was during the last sequence, which may have lasted not more than 2 minutes, where when I was about to ejaculate and pulled out I noticed the condom ripped. I freaked out.  I asked the prostitute about her medical history and she said she said she gets tested every three months.  The last time she got tested was in mid-may, but she has seen several clients since.  However, according to her she did not experience any condom breakage since she last got tested.  I immediately went to the ER and got the antibiotic prophylaxis treatment.  The ER doctor inspected my penis for any signs of cuts, bleeding or skin ruptures where she found nothing.  She insisted that starting prophylaxis for antivirals is not necessary because the transmission risk is really low for female's to males during vaginal intercourse.

I still went ahead and contacted my primary care doctor and had him start me on Combivir twice a day and Sustiva once a day.  I started both drugs within 42 hours.  The side effects are killing me.  So much dizziness, and now I am experiencing minor confusion/ short term memory loss.  I know these side effects should stabilize after a few weeks.  The prophylaxis is suppose to last for a total of 28 days. 

Is any of this necessary?  Is my chance of getting HIV really high? I am new to this forum, have you ever heard of any one having sex with a prostitute and the condom broke causing them to get HIV?  Please help. 

Offline Jeff G

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Re: Had sex with a prostitute and the condom broke
« Reply #1 on: June 29, 2014, 01:39:25 PM »
Its rare for the insertive partner to go on and test positive after a condom break but there is still a risk all the same . Pep is not recommended for the insertive partner from condom breaks with a person of unknown HIV status . Its your choice to decide if you want to continue taking it . If you choose to keep taking the PEP the combivir twice a day is enough ... the sustiva is not needed .

Pep extends the testing window period to 6 weeks past any possible exposure and last dose of Pep again at 3 months to confirm the results .

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!
« Last Edit: June 29, 2014, 01:54:55 PM by Jeff G »

Offline Idiotwhotookachance

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Re: Had sex with a prostitute and the condom broke
« Reply #2 on: June 30, 2014, 03:22:05 AM »

Thanks for the advice.  So when I was talking to my doctor, he originally suggested using only the combivir twice daily. He got this from the CDC guidelines.  Here's a link to the website.


When I looked at the preferred regimens in table two, it states using Sustiva + Combivir.  This was the only reason why I requested it.  Are you sure that Combivir will suffice?  The reason I decided to take it was to avoid the risk of any sort of infection with HIV.

Also, I am getting tested this Tuesday.  The RN said there is a new breed of testing with can detect RNA or something?  Not sure.  However, she said the CDC still recommends testing at 3 months and then 6 months.  I am thinking of just discontinuing both medications once I get my result back.  Do you think that would be a good idea?

One more question, have you ever heard of an insertive male getting HIV in a situation like this?

Offline Idiotwhotookachance

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Re: Had sex with a prostitute and the condom broke
« Reply #3 on: June 30, 2014, 03:32:44 AM »

Had one more question. On the chart where it talks about transmission risk being 5/10,000.  Does that mean 5 transmissions out of 10,000 known infected individuals?

Offline Jeff G

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Re: Had sex with a prostitute and the condom broke
« Reply #4 on: June 30, 2014, 11:22:35 AM »
We don't get into discussing the statistics on transmission because there are too many variables to each individual case to factor all of it in .

The combivir is enough by itself ... Although its not a factor in which regimen you choose you need to understand that in your case PEP is not indicated in the first place . If you are having trouble with the meds or are feeling ill you need to go see a doctor and discuss it with them . 


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