Changed condom with same hand.

[tert123]

Month ago I had sex with CSW. Vaginal than oral and vaginal again - all wirth condom, but before oral she changed condom with the same hands. On the next day I started to freak out. I took PEP atripla 36 hours after incident. I know risk is low but I checked my cd4 and cd8 and it frightened me.

It was
 cd4 1000 cd8 570
now after 26 days it is
cd4 1500 cd8 1000
Laboratory references 1400 and 900 as normal.

I read it is typical for seroconversion.
I have no symptoms yet. All STD are negatives.

Does this mean PEP fail?

[Jeff G]

You never needed PEP . Hiv is a fragile, difficult to transmit virus that is primarily transmitted INSIDE the human body, as in UNPROTECTED anal or vaginal intercourse where the virus never leaves the confines of the two bodies. Once hiv finds itself outside the body, small changes in temperature, and pH and moisture levels all quickly damage the virus and render it unable to infect. You can’t get HIV on your hands and infect another person that way . You never had a risk and do not need to test again for this incident . 

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.

Although you did not have a risk and do not need to test for this specific incident , 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!

[tert123]

Thanks Jeff your words are encouraging.
But  I can't calm down when I think about numbers.
I have HIV fear from previous incident more than a year ago.
Since than I measured cd4 cd8 periodically and it never riched more than
cd4 700-1000
cd8 500-650

Now suddenly such numbers cd4 1500 cd8 1000

Even lesbians could had HIV from sex toys, so transition outside the body is possible.
I can't find  other explanation than seroconversion.
I'm going to test for antibodies 2 weels later.

Thank you for the support.

[anniebc]

One the virus is outside the body it is rendered harmless within minutes. 

To have an even remote, and when I say remote, I'm talking next to a zero chance of getting infected from a sex toy the one using the sex toy is actually infected with HIV.

Also blood, semen/ vaginal secretions should be present and fresh on the sex toy.

Infectious body fluids has to have a direct route into your bloodstream, this would not happen with a sex toy.

Jan

[Jeff G]

I will go further ... there is not a chance you were infected from a condom change ... its not possible for that to happen and it never has . You never had the slightest risk and took PEP for no reason at all and now you are still worried . I would think that not having a risk and taking a round of meds that are known to be 99% effective at preventing HIV would be enough . You need to stop worrying about this and get on with your life ... you do not have HIV .

[tert123]

Of course this is unlikely. PEP would delay seroconversion or prevent from infection.

Almost 2 month ago I visited another CSW and didn't think there was any risk.
Oral, short vaginal, oral, vaginal. Everything with same condom and it didn't break.
Only possible scenario I can speculate is that vaginal fluids could pass to foreskin during withdrawal of penis because there was some condom shift. It didn't slip but half shift I adjusted it. Than we had oral sex during which there were condom frictions.
Oral sex was intensive and long.

Normally I consider this as zero risk situation.
But you could never be 100% sure.

I read there is theoretical benefit if seroconversion heppens during PEP.
I hope I didn't get resistance.

[Jeff G]

I cant fathom why you would come here and ask for the facts on HIV transmission and then totally disregard everything you have been told . Its not possible you were infected this way and no one in the history of HIV has been . We will not pretend that you had a risk so that you can continue to hand wring.