HIV Prevention and Testing > Do I Have HIV?

HIV RISK? Should I seek PEP?

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anxiety_sagittarius:
Hello, I would like to say thank you  in advance for your taking your time helping.

My situation is about 23 hours ago on bad judgement I had sex with a girl I encountered online seeking casual sex. During this time she had another guy come at the same time so we had a threesome. The whole encounter lasted around 1 hour but she told me she had sex with 3 men earlier that day. We both used a condom for both oral and vaginal sex. I can not recall the events accurately but at one time I did notice that my condom fell off. I am about 85%  this occurred while I was trying to excite myself and it fell off during masturbation and was watching the other two have sex, but the fact that it did fell off has me a little worried. If I had any unexposed contact with her vagina I believe it was minimal but I am not 100% sure. I am wondering if I should seek out PEP.

I am located in the USA in Texas, I am uncircumsized and do not know the status of my partner or have access to ask. She did ask for condoms to be used which has provided some peace of mind.

Jim Allen:
Hiya,

From your post, I am unsure what events took place.

So let me explain it like this, the only thing that matters over the situation posted, is if the condom was covering your penis whilst you engaged in intercourse.

Now if the condom was on your penis whilst engaged in the act of intercourse then relax, move on with your life, continue to use condoms and test out of standard routine yearly for STI's & HIV.

If you had any condomless vaginal/anal penetration then there was an HIV risk. If condomless penetration occurred it is up to you to try PEP or not.

Keep in mind that for it to be effective you would need to start within 72 hours, although the sooner the better. If you do start PEP then test at 6 weeks post finishing PEP with a blood-drawn (Lab) HIV antibodies test, a non-reactive result at that time would rarely ever change and retesting at 3 months post finishing PEP is generally not needed.

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 starting PrEP going forward as an additional layer of protection against HIV

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 easier to transmit 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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anxiety_sagittarius:
Thank you for the reply, I went ahead visited a HIV clinic and was prescribed PEP and was given a 3 day sample. I have one last question if possible. I was anxious and excited to take the medication as soon as I can, since every hour counts for treatment. However The time I took my first dose was at 2:30 in the afternoon. I am planning on taking my second pill at 2:30 am. I am grateful to be able to take the medication, however this might be challenging on the long term.
I was wondering if it would be okay to slowly adjust the time of my medication over the weekend. If possible I was wondering if I could take my second set of medication at 1:30 pm/am, then the third at 12:00 am/pm and my the 4th at 11:00 am/pm and continue taking it at 11:00 for the rest of my treatment.

Jim Allen:
Hiya,

Generally speaking, with PEP, you can adjust the doses gradually by 1 to 2 hours until you are at a standard time.

anxiety_sagittarius:
I am incredibly sorry but I have one last question. It seems I have started my PEP incorrectly and I am wondering if I have compromised the effect of the medication. I was wondering if there was any information on the matter.

 I was prescribed Emtricitabine and Tenofovir in one pill and Dolutegravir in another. My mistake was I was taking it 12 hours apart from each other. I have currently taken 6 pills of Emtricitabine and Tenofovir and 5 pills of Dolutegravir. I called my clinic and was instructed to skip Dolutegravir today and start continuing taking it tomorrow afternoon all together. I am curious as to how much I have compromised taking the medication. This has been my schedule so far.

Emtricitabine and Tenofovir 1 2:30 PM , 60-61 hours after exposure

Dolutegravir 1 1:30 AM (72 hours after exposure, I would estimate the encounter happened a little past 2:00 am)

Emtricitabine and Tenofovir 2 1:15 PM

Dolutegravir 2 1:20 AM

Emtricitabine and Tenofovir 3 12:53 PM

Dolutegravir 3 12:32 AM

Emtricitabine and Tenofovir 4 12:25 PM

Dolutegravir 4 `12:27 AM

Emtricitabine and Tenofovir 5 12:32 PM

Dolutegravir 5 12:30 AM

Emtricitabine and Tenofovir 6 12:31 PM

Dolutegravir 6 ( was told to skip and retake together with Emtricitabine and Tenofovir)

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