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Author Topic: Is pep necessary?  (Read 574 times)

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Offline Worrysum

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Is pep necessary?
« on: March 24, 2013, 11:55:25 AM »
Hello, I will make this short and sweet as I have been reading posts that seem to go on and on and it's confusing.

Yesterday I was having sex with a new partner, we met online. After oral and rimming (which I know is not a risk) I was laying down and he was sitting on me rubbing my penis on his hole.. He was doing for a bit and then all of a sudden leaned back and say right down on it, inserting it into his ass. I told him to let me get a condom and lube and he simply said 'just wait a second' and masturbated until he came.. Which was literally about a minute or so. There was no thrusting just the initial insertion of my penis.

What is the transmission rate in this instance (I read as a bottom it's 1/200) and also should I go get PEP. I know it was stupid I should have pushed him off right away.

Online Andy Velez

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Re: Is pep necessary?
« Reply #1 on: March 24, 2013, 12:05:20 PM »
The risk for the insertive partner is significantly lower than it is for the receptive partner. And we are talking about a single incident of relatively short duration. All of those are factors which make for relatively low risk for you.

BUT lower risk is not the same as no risk. We don't believe in using percentages and numbers in a situation like this. You have to decide whether you are willing to take the risk and skip PEP. If you do PEP, it means that you can test initially at 6 weeks after completing the 28 days of PEP. If you get a negative result, which I think there's a good chance for, then you test at 3 months after PEP for a conclusive negative result.

This has to be your call. You seem to realize that you need to avoid this kind of risk in the future. And if you are going to do PEP, the earlier you begin it within 48-72 hours after the incident, the better your chances are that it will be effective.
Andy Velez

Offline Worrysum

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Re: Is pep necessary?
« Reply #2 on: March 24, 2013, 12:46:48 PM »
Thank you for your quick response.

Would you recommend it for my situation though? I've heard it takes a toll on the body with all the side effects

Offline jkinatl2

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Re: Is pep necessary?
« Reply #3 on: March 24, 2013, 06:47:51 PM »
Thank you for your quick response.

Would you recommend it for my situation though? I've heard it takes a toll on the body with all the side effects

Most PEP administered today will have few if any effects that linger beyond the month you are on the medications. Some of the combos (especially those that involve Kaletra and AZT) might cause a host of side effects which might or might not diminish over the month.

If you do decide to get PEP (it's really up to you. Seems a bit overkill to me) you must know that this extends your testing window by a month. The earliest you should ter is six weeks AFTER you finish the drugs.

Need to remind you that if you are going to get PEP then getting it within the first 36 hours is pretty important. The stats give you 72 hours but the efficacy drops off sharply after 35.

"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

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