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Author Topic: Risk assessment  (Read 625 times)

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Offline Tx123

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Risk assessment
« on: June 26, 2021, 05:07:04 pm »
I have been seeing someone who told me he was positive and was undetectable and on meds .  mostly just as friends at first . He had been pushing for a romantic relationship and we've grown closer over time we have   had only  a couple of sexual encounters mostly non penetrative although we did play a couple times  with condoms. The sex has been so nothing to worry about and so rare . However a couple of weeks ago we had been drinking a little and having fun at a party and found ourselves having unprotected sex for only a couple of minutes. I asked later if I should be worried about that and he said not really cuz he's undetectable and had been for some time. That was 2 weeks ago. He had his routine doc visit yesterday. Then he called and said that his tests this time showed him detectable . I freaked out. Not only did I resist this relationship at first almost a gut feeling but I trusted him. Now I feel like an idiot and I'm scared to death. I'm super stressed out because I'm in the middle of having to move and dealing with so many other stressors on top of it.    . When he told me I got tested immediately. Results in a few days. But I know 2 weeks is early.  He did penetrate we only did it for a couple minutes and he did not ejaculate.  I know I'm at risk but how worried should I be?

Offline Jim Allen

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Re: Risk assessment
« Reply #1 on: June 26, 2021, 05:41:55 pm »
Look understand the risk was condomless intercourse.

Detectable viral load on their recent labs does not mean there was a risk to you.

See, after six+ months of having a viral load under 200 copies whilst talking meds, despite this reading as detectable on a lab result would not result in you acquiring HIV and would still be classed as suppressed (UD) in terms of passing on the virus. I'll add that low-level viremia (blips) is not uncommon and generally not an issue for the person living with HIV either.

Now that said, and this pains me, but even if they had claimed to have an undetectable viral load, my answer would be nobody can guarantee they remain adherent to meds and therefore below 200 copies. The same can be said for someone claiming to be negative or even testing negative due to lying and the window period on tests.

So, in short, trust & claims don't prevent HIV - Condoms & PrEP do!

Now if it becomes a more long-term relationship one day, you have to decide your own comfort levels, just like every other relationship. In my relationship, my partner trusts me to take my meds etc.

Anyhow,  I am just going to presume there was a risk although even when conditions are perfect HIV is a difficult virus to transmit and from what you posted I suspect you will be just fine.

Do test to confirm, don't stress though! Test with a blood-drawn HIV antibodies test at six weeks post-incident, a negative result at that time will rarely ever change. If you wish, although not really needed, you can retest at three months post-incident for a definite result & peace of mind.


Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider talking to your health care provider about taking PrEP going forward as an additional layer of HIV protection.

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

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

Kind regards

Jim

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