Broken Condom, Pep taken, Risk Evaluation?

[WorriedFool]

Good day,

I find myself in a spot of bother and I need your help in quantifying my risk?

On the 31/10/2021, I visited an Escort whilst on business in South Africa, her and I had sex twice, the first time was protected, on the second, after changing positions and climaxing I found that the condom was torn wide open and my penis was exposed.

She had used coconut oil as a lubricant which I later found out makes latex fail.

Within 2 hours, I was in the emergency room, and I explained all of this to the doctor.
The doctor then put me on PEP (Truvada 200/300 Once a day, and Olegra 50mg Once a day) he also gave me antibiotics (Azithromyc, Adco-Metronidaz, Doxycycline))

I had since contacted the escort and she assured me that she was “clean” (her words, not mine), when I asked about her HIV status, I was promptly blocked.

I have now completed my course of PEP medication, and I need to know how much I should worry?

I worry because I have night sweats and a swollen lymph node behind my left ear.

Please could you give me a risk assessment and estimate how at risk I am from the broken condom exposure of contracting HIV given that I was in a high risk HIV country.

Your help will be greatly appreciated.

Thank you for the work that you do.

[Jim Allen]

I had since contacted the escort and she assured me that she was “clean” (her words, not mine), when I asked about her HIV status, I was promptly blocked.

 

Care to try again?

[Jim Allen]

BTW.

I'll give you a clue, my partner read your post as well and she had a word to describe you, however, I have a good sense of decency not to repeat that word as I know it would be offensive to you.

[WorriedFool]

Hi Jim,

I tried before and ended up blocked and I am unable to contact her, it would only be possible if I used another mode of communication. She was more worried about getting a Plan B pill than anything.

I also forgot to mention that I was tested on the 31/10/2021 and it was negative (Hiv 1/2 and P24 Antigen - 4th Generation test)

My worry is that she is positive and may not be willing to disclose her status to me.

The doctor’s assumption is that she was positive and he started me on Pep within 3 hours of the broken condom.

I am sorry for any offence caused by me and my post, it is not my intention to offend anybody.

[Jim Allen]

I'm glad she blocked you, her HIV status is not any of your business and whatever she would say or claim would be totally irrelevant.

Test at six weeks post-finishing PEP with a blood-drawn HIV antibodies test and a non-reactive result at that time will rarely ever change. Although generally not needed if you wish you can retest at 3 months post finishing PEP.

I am sorry for any offence caused by me and my post, it is not my intention to offend anybody.

No, you are not sorry and hence you phrased the initial post the way you did, "Her words, not mine" you knew perfectly well that it had the potential to piss me off.

Well, I rarely do get pissed off with people as I understand most are having a hard time but you have managed it, anyhow, test when due and move on with your life.

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. Continue using PrEP 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 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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[WorriedFool]

Hi Jim,

I am sorry for offending you and I am sorry to anyone else that my post offended.

I made my choices, and I must own up to the consequences of my actions.

I will follow your recommendation with regards to the testing.

I apologise profusely for offending you.

Thank you for the work that you do.