HIV Prevention and Testing > Do I Have HIV?

HIV tranmission while on PEP

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thichtructhaiminh:
Hi Jim and everybody

Sorry for my bad English if any as I'm not native English speaker.

Below is my question:

I had a real RISK (broken condom why Have sex with a girl with unknown HIV status, I didn't realized that until finish). So I went to meet doctor, get test which come back Negative and then I start PEP (Acriptega) for 28 days around 16 hours from exposure. I finished full 28 days (not miss any dose) and then at day 29 I went to test and I got Negative result, 4 months later I tested and also got Negative.

But while I was on 28 days PEP course. I have few times unprotected sex with my wife, last time was 27th day (I cum outside all times)...

My question is: since I got Negative result after 4 months after PEP, is my wife at risk getting HIV from me (from few times unprotected sex) while I'm on 28 days PEP course?


Could you help to give me answer? thank you very much

Jim Allen:

--- Quote ---I had a real RISK (broken condom why Have sex with a girl with unknown HIV status, I didn't realized that until finish). So I went to meet doctor, get test which come back Negative and then I start PEP (Acriptega) for 28 days around 16 hours from exposure. I finished full 28 days (not miss any dose) and then at day 29 I went to test and I got Negative result, 4 months later I tested and also got Negative.
--- End quote ---

You took PEP and had a non-reactive test 4 months later, so you did not get HIV from this incident.


--- Quote ---My question is: since I got Negative result after 4 months after PEP, is my wife at risk getting HIV from me (from few times unprotected sex) while I'm on 28 days PEP course?
--- End quote ---

Thankfully you did not get HIV from the incident with the broken condom. So you did not have HIV to pass on to your wife at the time.

Of course, I can't give your wife a full risk assessment without talking to her, so send her my way.


--- Quote ---my wife
--- End quote ---

I'll mention the same thing I always do when someone says they are in a relationship;

If you engage in condomless sex with your partner, you are obviously at risk of acquiring HIV. In relationships, condomless sex is often based on trust or past test results; however, this does not prevent HIV, so if condomless sex does occur, you should consider testing more frequently.

Here's what you need to know to reduce your HIV risks:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV and get vaccinated against HPV, Hepatitis A & B.

Keep in mind that some sexual practices described as safe in terms of acquiring HIV still pose a risk for other easier-acquired STIs. So please do get tested at least yearly for STIs, including but not limited to HIV, and more frequently if condomless intercourse occurs.

Also, note that it is possible to have an STI and show no signs or symptoms; testing is the only way to know.

Kind regards

Jim

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thichtructhaiminh:
Dear Jim

Thank you for your quick reply. Just to be sure. You mean:

1. I took PEP and had a non-reactive test 4 months later, so I didn't get HIV from broken condom incident. Because I didn't get HIV, of course I can't I pass it to my wife although we have few times unprotected sex while I was in 28 days PEP course.

2. If me and my wife DON'T have any others HIV RISK except the incident which we are discussing in this topic (Me: broken condom, my wife: few times unprotected sex with me while I'm on 28 days PEP course and haven't tested Negative yet). We both don't have HIV.

Are my understandings correct?



Jim Allen:
1) Asked and answered. You didn't get HIV from the broken condom incident, hence you didn't pass HIV on from that incident to anyone else.

2) I don't know what risks your wife has had or will have, I don't know her current HIV status or future HIV status and neither do you. HIV is thankfully difficult to pass on even when exposure does happen, you recent result doesn't mean her HIV status is also negative.

Hence I said "Of course, I can't give your wife a full risk assessment without talking to her, so send her my way."

End of the day, any condomless sex with your partner, is obviously accepting the risk of acquiring HIV. In relationships, condomless sex is often based on trust or past test results; however, this does not prevent HIV, so if condomless sex does occur, you should consider testing more frequently


thichtructhaiminh:
Dear Jim

Thank you for quick reply as always. I understand fully now. Much appreciated for great job you are doing here...

By the way, in past couple of day I spent my time to read many topics in our forum try to find same topics with my question, and also to educate myself how HIV is transmitted.

And below are what I got:

I got two comments from you and your colleague as below.


--- Quote from: Jim Allen on July 13, 2024, 06:41:45 pm ---
In brief, your adult HIV risks are:

* Sex; Condomless intercourse & a minute (theoretical) HIV risk if you give a blowjob.
* Sharing drugs rigs (Syringes)
* Blood products/ transfusions (Rare nowadays in most nations thanks to screening)

Please do not post again unless you have been having sex without a condom or have been sharing syringes to inject drugs.

You have been warned and this is the last time.

--- End quote ---


--- Quote from: leatherman on July 14, 2024, 06:01:04 am ---Before asking about any other situation ask yourself two easy questions:
Did I have UNPROTECTED anal or vaginal sex with anyone?
Was I shooting up drugs and sharing an injection needle with someone?

If you can say NO to those two questions, you did NOT have a risk for HIV.

--- End quote ---

They are very clear and helpful for me.

So I assume that: If in my life, if I DON'T have any UNPROTECTED anal or vaginal sex, or giving blowJob or Sharing drugs rigs (Syringes). I DON'T have risk for HIV.

Am I correct?

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