Quantcast

Subscribe to:
POZ magazine
Newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr Instagram
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
December 21, 2014, 10:09:16 PM

Login with username, password and session length


Members
  • Total Members: 24268
  • Latest: jpchc
Stats
  • Total Posts: 650123
  • Total Topics: 49625
  • Online Today: 218
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 4
Guests: 147
Total: 151

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Welcome to Am I Infected

IMPORTANT UPDATE
Posted Tuesday, August 28, 2012

Welcome to the "Am I Infected?" POZ forum.

New members -- those who have posted three or fewer messages -- are permitted to post questions and responses, free of charge (make them count!). Ongoing participation in the "Am I Infected?" forum -- posting more than three questions or responses -- requires a paid subscription.

A seven-day subscription is $9.99, a 30-day subscription is $14.99 and a 90-day subscription is $24.99.

Anyone who needs to post more than three messages in the "Am I Infected?" forum -- including past, present and future POZ Forums members -- will need to subscribe, with secure payments made via PayPal.

There will be no charge to continue reading threads in the "Am I Infected?" forum, nor will there be a charge for participating in any of the Main Forums; Meds, Mind, Body & Benefits; and Off Topic Forums. Similarly, all POZ and AIDSmeds pages, including our "How is HIV Transmitted?" and "Am I Infected? (A Guide to Testing for HIV)" lessons, will remain accessible to all. 

NOTE: HIV testing questions will still need to be posted in the "Am I Infected?" forum; attempts to post HIV symptoms or testing questions in any other forums will be considered violations of our rules of membership and subject to time-outs and permanent bans.

To learn how to upgrade your Forums account to participate beyond three posts in the "Am I Infected?" Forum, please click here.

Thank you for your understanding and future support of the best online support service for people living with, affected by and at risk for HIV.

Author Topic: Is PEP recommended?  (Read 1092 times)

0 Members and 1 Guest are viewing this topic.

Offline InGermany

  • Standard
  • Member
  • Posts: 3
Is PEP recommended?
« on: July 07, 2013, 06:32:55 AM »
Last night I got pretty drunk, and was in a dark room in a bar in Germany.

A guy I fooled around with managed to "dip" into me for about 1-3 seconds.  After he dipped in, I moved to remove him, and no further anal sex was had.

I do not know his HIV status. He did not ejaculate during that brief period of insertion.  He was uncut and I had been giving him oral sex moments before this, and I do not believe he had precum.

Under these circumstances would PEP be recommended (the clock is at about 8 hours at this point)?  I did PEP once about 4 years ago, so I am aware of how the program works.

I am an American traveling in Germany and unsure how to access the health system here.  I do have a long-term travel insurance plan (I'm here for a couple of months) which includes medical coverage.  If PEP is recommended, and anybody on this forum knows what my first step would be to interface with the German health system I would appreciate the info.


Offline Ann

  • Administrator
  • Member
  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Is PEP recommended?
« Reply #1 on: July 07, 2013, 06:51:25 AM »
IG,

Your risk is very much on the lower end of the scale and I wouldn't think PEP was necessary. If you'd had full-on intercourse and he came inside you, it would be a different matter.

However, going by all that you said, I really think PEP would be overkill. Hiv simply isn't as easily transmitted as some may think and brief dipping isn't very conducive to transmission. The main risk in dipping is having it lead to full-on intercourse in the heat of the moment.

You will have to decide for yourself whether or not you take PEP.

Unfortunately I don't know how the health system in Germany works. However you can find an agency that deals with hiv near where you're currently staying by using the searchable organisation database at http://www.aidsmap.com/e-atlas

Alternatively, if you're in a large city (or can travel to one) an A&E (ER) in a large hospital would probably be able to help you. Make sure that wherever you go, you are given a rapid hiv test FIRST before you are prescribed anything. That is if you decide to go with PEP. Again, I think it would be overkill but ultimately you will have to decide for yourself.

If you do decide to go with PEP, you need to take the first dose within 72 hours of the incident. Closer to 24 is better but with it being a weekend, you may not be able to achieve that. Seriously though, with your low level of risk 36-72 hours would be fine.

I wouldn't expect you to end up hiv positive over this situation, PEP or no PEP.

You also need to know that taking PEP extends your testing window period by 28 days, or whatever amount of days you take it (should you decide to stop early).

The vast majority of people who have actually been infected will seroconvert and test positive by six weeks (or six weeks post-PEP), with the average time to seroconversion being only 22 days.

A six week negative is highly unlikely to change, but must be confirmed at the three month point - or three months after your last dose of PEP.

You also need to realise that you should be tested for all the other, MUCH more easily transmitted STIs. You can test for the other STIs ten days to two weeks after the incident, but syphilis (transmitted through skin-to-skin contact and therefore a real possibility) shares a three month window period with hiv for a conclusive negative result.

Good luck.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...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

Offline InGermany

  • Standard
  • Member
  • Posts: 3
Re: Is PEP recommended?
« Reply #2 on: July 07, 2013, 08:58:06 AM »
IG,

Your risk is very much on the lower end of the scale and I wouldn't think PEP was necessary. If you'd had full-on intercourse and he came inside you, it would be a different matter.

However, going by all that you said, I really think PEP would be overkill. Hiv simply isn't as easily transmitted as some may think and brief dipping isn't very conducive to transmission. The main risk in dipping is having it lead to full-on intercourse in the heat of the moment.

You will have to decide for yourself whether or not you take PEP.
...

Good luck.

Ann

Thank you for your time Ann.

While the risk is low, I have to determine whether or not I want to roll the dice on the (admittedly small) chance of an HIV infection.  If last night I were infected how much would I kick myself for not having taking action when I could?

I suppose I should put it in perspective: Do I have a higher probability of being run down in a crosswalk than having contracted HIV?  Yet I continue to live on the edge and cross the street on foot multiple times a day.  On the other hand, were I hit by a car I wouldn't hesitate to seek medical attention...

I wish there were some sort of "decision tree" I could use to make the choice for me.  After typing that I did a quick google and I just found one here: http://www.westerntrust.hscni.net/pdf/HIV_Post_Exposure_Prophylaxis.pdf   I'm somewhat unsure of the answer to the second question (significance of exposure).

Thanks you for your speedy reply to my first post!
                                                                 

Offline Ann

  • Administrator
  • Member
  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: Is PEP recommended?
« Reply #3 on: July 07, 2013, 09:54:37 AM »
IG,

The paper you linked to is for occupational exposures, not sexual. Here's the BHIVA (British HIV Association) paper for PEP in a sexual exposure (PEPSE) setting: http://www.bhiva.org/documents/Guidelines/PEPSE/PEPSE2011.pdf

Keep in mind that they do not include dipping. Dipping is somewhere between full-on intercourse and frottage - the sexual rubbing of body parts together without penetration - and frottage is not listed as it is NOT a risk for hiv infection.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...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

Offline InGermany

  • Standard
  • Member
  • Posts: 3
Re: Is PEP recommended?
« Reply #4 on: July 07, 2013, 04:44:23 PM »
IG,

The paper you linked to is for occupational exposures, not sexual. Here's the BHIVA (British HIV Association) paper for PEP in a sexual exposure (PEPSE) setting: http://www.bhiva.org/documents/Guidelines/PEPSE/PEPSE2011.pdf

Keep in mind that they do not include dipping. Dipping is somewhere between full-on intercourse and frottage - the sexual rubbing of body parts together without penetration - and frottage is not listed as it is NOT a risk for hiv infection.

Ann

Interesting document, thank you for putting that up.

A funny thing just happened, I stepped out for dinner and found myself face-to-face with the individual from last night.   I spoke to him, and asked about HIV status, he says he is negative and seemed genuine. (I of course have to take that with a grain of salt, he was after all attempting to have bareback sex in a dark room of a bar.)  While I was out, and before I ran into the man from last night, I stopped by the local gay info center and got a business card for a person I can talk to tomorrow morning.

Thank you for your time.

Offline Andy Velez

  • Global Moderator
  • Member
  • Posts: 25,387
Re: Is PEP recommended?
« Reply #5 on: July 07, 2013, 05:49:27 PM »
Even a well meaning guy doesn't necessarily know his HIV status accurately. So although somewhat reassuring to have heard that from the quy in question, it should not be the basis for your deciding about PEP.

What's more to the point is that if you are sure it was as brief a dipping as you say, then the risk was more theoretical than real. But it's your decision to make about doing PEP. Given what you have described I would expect you ultimately to test negative, but that's an experienced guess.

 
Andy Velez

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.