Anal bleeding hiv

[smilet227]

Last night I hooked up with a guy Ive been knowing for a year, at first we started with protected anal for about five minutes but this was my first time doing anal and it hurt so bad I made him stop so he took off the condom and we did frottage where he rubbed his penis around my anus not penetrating me but i got scared and left. I was fine until I got home a wiped my anus and I saw blood. Did I put myself at a high risk for HIV and should I get put on pep? Please help.

[RapidRod]

You never had a risk at all. HIV transmission requires unprotected penetrative sex.

[smilet227]

Hello  last week i hooked up with a guy and we only did protected anal once and i stoped him becuase it hurt to bad  but unprotected frottage after that and i was bledding in my anus during the same time so i dont know if his ifected semen got into a tear around my anus. i just found out today that he tested positive for hiv. am i at high risk now becuase i found out he is hiv positive?  should i have got on pep?

[RapidRod]

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[jkinatl2]

Hello  last week i hooked up with a guy and we only did protected anal once and i stoped him becuase it hurt to bad  but unprotected frottage after that and i was bledding in my anus during the same time so i dont know if his ifected semen got into a tear around my anus. i just found out today that he tested positive for hiv. am i at high risk now becuase i found out he is hiv positive?  should i have got on pep?

You did entirely the right thing, using a condom for anal sex. The frottage was not a risk unless, of course, he entered you and ejaculated inside you.

Sorry it hurt, and sorry there was blood. Maybe one or both of you were/are inexperienced at this sort of thing. It takes time, lots of patience, and serious lubrication to make pleasurable anal sex. In the future, insist on that.

It seems from your tone that you have a strong fear regarding HIV. I understand being wary (which is why we practice safer sex) but as you have found out, you will likely come into contact with another HIV positive person. And maybe even another. Some don't even know they are infected. Some are on meds with an undetectable viral load. Regardless, you wear a condom SPECIFICALLY to protect you (and him) from HIV infection and other STDs. Finding out that protection was warranted should not cause you the anxiety that it seems to be causing.

You did the right thing. Please remember to wear a condom.

And yes, I read about your bleeding. What likely happened is that the secondary sphincter inside your anus (not the one you can see) was not relaxed enough, and tissue was damaged. The fact that you were able (and willing) to continue having sex (frottage) tells me that it was a minor damage. Bleeding after anal sex, while not ideal, is not entirely uncommon. And it does NOT elevate your risk for HIV infection, as your primary sphincter muscle is more than able to safeguard you for the ten or so milliseconds that HIV particles might be present in it's vicinity.

You were not at risk in the scenario you described - which I read very carefully.

PEP is a fairly expensive regimen of medication that must be started within 72 hours past possible exposure (which you did not, in my opinion, have.) Ideally it should be started within 36 hours, as the effectiveness drops off sharply past that point.

It is comprised of between two and four different drugs used to fight HIV. In many cases, it is that same type of drugs used by HIV positive people to control the virus. In all but the wealthiest of situations, PEP is often comprised of older drugs such as Kaletra and AZT. These drugs are known to cause side effects which likely will not go away in the length of time you will be taking them (one month.)

Some regimen use a drug called Truvada, which is more benign drug, in addition to another drug. Of course, many of these pills (like Kaletra and Truvada) are actually two medications in one. Thing is, these aren't necessarily benign medications, and I certainly hesitate to recommend them to anyone who is anxious about HIV if there isn't concrete reason to take them.

The drugs also extend the testing window for HIV by a month - as they suppress viral replication and delay antibody response in the small chance of failure.

Thing is, I do not see this as an HIV situation. If you want to test, the earliest you could receive a reasonable result is six weeks from the date of exposure - though the gold standard remains three months. Of course, any sexually active person who is not in a mutually monogamous relationship ought to get a complete STD panel, including (of course) an HIV test at least once if not twice a year.

I sincerely think that this was not an HIV situation.

[smilet227]

 Hello this is my last question. I hooked up with a guy first he fingered me without protection but I though he scratched me so I made him stop so we did protected anal and I got scared so I stopped and than he wanted to do unprotected frottage and while we were doing that he tried to put the head in and I stopped him and told him to put on a condom and when he did we tried anal once again but it was to painful so I just got up and left. When I got home and whipped my anal region and hole I saw a little blood and now im scared because he just found out he is HIV positive. Did I put myself at high for risk? should i just move on with my life?

[Jeff G]

None of the activity's you mention are even a remote risk for HIV . You cant get HIV from a finger or frottage and the anal sex was protected ... so no need to test because you never had a risk .