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Author Topic: Broken condom abroad  (Read 1005 times)

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Offline Dan6347

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Broken condom abroad
« on: June 15, 2013, 10:06:06 AM »

I'm currently in holiday in south east Asia and after a very drunken night ha sex with a local girl. I used a codom but it broke approximately half way through. So I probably ha unprotected sex for about 10 minutes fairly vigorously. After I ejeculated I pulled out and realised the condom had broken completely.  I'm fairly the positive the girl was hiv positive even though she said she wasn't, the rate of hiv amongst prostitutes is very high in the area, I did not know this before hand. Also she showed me a booklet with evidence that she has been taking regualr injection for somthing after the incident. i think it began with t, any ideas? To make matters worse i had a small sore near the base of penis, not open like a spot with no head. Approximately 30 hours after this I managed to get hold of pep in the form of efavirenz and duviral (lamvudine and zidovudine). I have heard this is slightly outdated but I don't think there is a better option here. From other post of yours iv read I know this would normally be an extreme option but do you think in my case this could be wise. I am also circumcised which I hear helps. And don't seem to suffering much side effects, however it is only my second day. Ps just vaginal sex.
« Last Edit: June 15, 2013, 10:16:06 AM by Dan6347 »

Online Jeff G

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Re: Broken condom abroad
« Reply #1 on: June 15, 2013, 10:21:08 AM »
Hi Dan . You had a risk but the good news is that PEP is highly effective if taken within 72 hours and you were well within that range . I would expect you to come out of this OK .

You will need to test 6 weeks after you finish you PEP medications and again at 3 months to confirm the results .

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 Dan6347

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Re: Broken condom abroad
« Reply #2 on: June 16, 2013, 04:34:17 AM »
Does any one have any info on the pep drugs I have been prescribed, because I know it is not what they give in the uk. And aslo does anyone have info on sub type e hiv with is supposedly more contagios?

Online Ann

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Re: Broken condom abroad
« Reply #3 on: June 16, 2013, 07:08:43 AM »

I removed your post thanking Jeff as it was your last free post. Now you still have one free post left - please use it wisely.

In the UK, two of the meds you're on (lamivudine and zidovudine) are usually given as one tablet called Combivir. It's a perfectly acceptable PEP regimen for your risk, which is on the lower end of the scale.

If you want to read more about the meds you're on, click here.

In the UK you probably would have been given Truvada alone (if they gave you PEP at all) not because it's any better, but because it's only taken once a day and has fewer side-effects, making adherence (taking your meds as prescribed) easier to achieve.

You need to be taking the lamivudine and zidovudine twice a day. The efavirenz should be taken once a day, before bed, at least two hours after eating. Eating too close to taking efavirenz may increase your side-effects - namely vivid dreams or nightmares.

You can take your lamivudine and zidovudine with the efavirenz at night, and take the other dose of lamivudine and zidovudine twelve hours later. An hour or two variation won't make a difference, what's important is that you take them every day.

Hiv is much more difficult to transmit from a woman to a man and I would not expect you to test positive over this one incident, PEP or no PEP. I've been answering questions in this forum since 2001 and I've yet to see the insertive partner end up hiv positive following a condom break. (PEP or no PEP.)

Don't start fretting about sub-types; it's pretty much irrelevant. Just take your meds.

Don't forget that - as Jeff told you - taking PEP extends your testing window period by four weeks (the length of time you take PEP). The earliest you should test is at six weeks post-PEP, and again at three months post-PEP for a conclusive negative result.

A six week negative is highly unlikely to change when you re-test at three months.

I really do not expect you to test positive in this situation. Remember to take your meds and enjoy the rest of your holiday. Don't let fretting about this ruin it for you.

Condoms are a girl's best friend

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"...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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