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Author Topic: Anxiety strikes again!  (Read 1057 times)

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Offline neurusbear

  • Member
  • Posts: 3
Anxiety strikes again!
« on: June 11, 2012, 01:24:00 PM »
Hello everyone,

First of all I want to thank you for the way you handle this forums and your replies to all those worried people that come here trying to find an answer. Every post I've read makes me realize you really care for each user in this forum.

Well, my situation: I've had an history of HIV phobia 3 times in my life. All of them I was able to manage them with more or less help (being that counseling or ansiolytic pills). The three of them were actually close-to-zero risk situations (receptive oral) but I kept freaking out and taking too long to get tested. Luckily, with time the experience gained I learnt to control those feelings and be smarter when having sex.

3 days ago I got way too drunk and had unprotected receptive anal sex (w/o cum) for a very brief period of time until I realized what I was doing and asked him to put a condom. It was at most 1 minute, and he kept assuring me over and over that he was healthy and that he got tested regularly since he works in the health sector. I also had receptive oral sex (no cum involved) and noticed he had no lesions and that his penis was...hmm "dry" (lmao I don't know how to explain this in English) meaning he didn't had precum. I also checked my anus for any lesion / wounds and found none.

(for the extensive list of details you can already notice how neurotic I can get ^^)

As I write this I get this feeling that I already know the answer but I felt I needed to share this with you guys. And I'm basically more worried about myself and how I'll react with time to this event (I'm pretty sure I'll get a sore throat, fever, chills and the whole deal in a few days, lol) than the actual risk itself (which I believe is very low).

I know that 21 days is the average seroconversion time but that you have to wait 3 months to get a conclusive result. But I have my fears and my anxiety against me, which -even with counseling- sometimes get a little bit out of control (and I manage them as best as I can). So after this much writing my question are:

1) There was a risk. How low/high do you think it was?
2) Getting tested in 3 weeks (and getting a negative result) would tranquilize me a lot, even if it's not conclusive. Do you think that it's worth to get tested so early?
3) I still have time to go to the hospital and ask for PEP, do you think that it's worth it? (I don't even know if they would give it to me considering the risk)

Thank you SO much!
Juan


Offline Andy Velez

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  • Member
  • Posts: 24,699
Re: Anxiety strikes again!
« Reply #1 on: June 11, 2012, 01:31:35 PM »
Juan, from your description I would consider yours to have been a relatively low level risk, that is unprotected anal (risky for sure) but a one-time and relatively short event without ejaculation, (all of which details are significantly in your favor against transmission having occured).

You can test initially at 6 weeks after the incident. If you get a negative result then you will likely continue to test negative at 3 months for a conclusive result.

As for whether to do PEP, it has to be started within 48-72 hours after a risk and the earlier the better. You have to decide what you're comfortable with as a decision. Even without doing PEP I would say the odds are in your favor that you'll come out of this ok.

But you have to decide what's ok for you.
Andy Velez

Offline neurusbear

  • Member
  • Posts: 3
Re: Anxiety strikes again!
« Reply #2 on: June 11, 2012, 01:55:30 PM »
Andy, thank you for your answer. Considering your life experience and what you've read on this forum, do you think that level of risk would require getting PEP? This happened 30 hours ago but I can't go to the doctor today, so I'm trying to figure out whether is it worth it to handle all the side effects or not.

Offline jkinatl2

  • Member
  • Posts: 6,007
  • Doo. Dah. Dipp-ity.
Re: Anxiety strikes again!
« Reply #3 on: June 11, 2012, 02:01:18 PM »
Andy, thank you for your answer. Considering your life experience and what you've read on this forum, do you think that level of risk would require getting PEP? This happened 30 hours ago but I can't go to the doctor today, so I'm trying to figure out whether is it worth it to handle all the side effects or not.

Well, for one thing, the window period for effective PEP is only 72 hours - and realistically, the first 24 hours are crucial, so I think you have gone past that period. PEP is really not an option for you now.

But even if it were an option, I would not recommend it.  You might want to ask yourself why, with a history of HIV-phobic tendencies, you have placed yourself at risk.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline neurusbear

  • Member
  • Posts: 3
Re: Anxiety strikes again!
« Reply #4 on: June 11, 2012, 04:25:14 PM »
Quote
Well, for one thing, the window period for effective PEP is only 72 hours - and realistically, the first 24 hours are crucial, so I think you have gone past that period. PEP is really not an option for you now.

Alright I contacted the guy and he showed me a 1 month old lab result proving he's negative. I know that in this one-month window many things could have happened but I'm much more relaxed now.

Eventually when the time comes I'll go get tested and I'll let you guys know the result, that I'm pretty certain it will be negative.

Thank you, both for the information and the heads-up regarding my behavior. ("You might want to ask yourself why, with a history of HIV-phobic tendencies, you have placed yourself at risk. ")

Thank you, a lot.

 


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