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PEP Effectiveness

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bcnusa1976:
Hi All - glad I found this forum.   Seems to be a lot of conflicting information on the internet.   I was at a bathhouse and hooked up with a guy where I had receptive anal sex and gave him oral after the anal.  He put a condom on before we started having anal sex.  He kind of abruptly ended and when he took the condom off, I could not tell if it was intact or broken (was dark).  I was worried it broke as he didn't finish and was still hard. There was no ejaculation inside me.  Because I could not tell, I went to sex clinic here and they started me on PEP (Stribild - 1 pill a day); I took my first pill around 12 hours later (+- 60 mins) after the hookup.   I have been taking the pill everyday around the same time (+/- 30 mins).

1.  How effective is PEP?  I read around 80% but that seems to consider people who take it later than 24 hours, have additional exposures or dont adhere to taking it.
2.  Do you have much experience with Stibild?  My research shows it is a 4 drug combo and seems pretty good.
3.  Do you see a lot of cases of PEP failure?  I guess hard to know PEP success as maybe person was HIV negative or wouldn't get HIV anyways.
4.  The sex clinic said at end of treatment, they will do an RNA test at 12 days stating they have never seen one change that was negative.  a 4th generation at 28 days and another 4th generation 2 months later for final confirmation. 

I did test for Gonorhea and Chlamydia for both oral and anal and was negative.  Will test for syphilis at 6 weeks post exposure.

Really hoping that he was negative (as he seemed intent on wearing a condom) or that the PEP works.  Thanks for all the assistance and have a great rest of weekend.  Sorry for any stupid questions.

Jim Allen:
Hiya,

I read what you posted three times and see no reason for PEP whatsoever, or even testing outside of the yearly routine.

I think you would benefit and should consider PrEP going forward, as in addition to providing an additional layer of HIV prevention PrEP would also give you some peace of mind.  Most commonly people take daily PEP, but there is also event-based PrEP, talk to your healthcare provider. https://i-base.info/guides/prep/real-life-examples-for-on-demand-dosing



1) PEP is highly effective, 90% or better when taken timely and correctly but it will not prevent 100% of HIV transmissions. Of course, if people don't take it correctly it will not be as effective.

2)Yes, it's not the newest combo. 3 drugs + 1 booster.  (Elvitegravir + tenofovir disoproxil fumarate + emtricitabine & cobicistat)

3)Sometimes

4)Meaningless. I have never seen a whale, but they exist if I believe the nature documentaries. 

Look you have started PEP now, it's done, so continue the course of PEP and out-of-procedure test six weeks after finishing PEP with a blood draw (lab) HIV antibody test. A non-reactive result at that time would rarely change, and retesting at three months is generally unnecessary.

Finally please don't post about this again, thank you!


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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bcnusa1976:
Yo sorry for not speaking clearly as Ingles is not my primary language.  I reread what I wrote and forgot to mention the condom on the floor was broken.  I do not know if it was his condom or someone who used room prior.

Jim Allen:
Yo, I read what you posted three times and see no reason for PEP whatsoever, or even testing outside of the yearly routine.

I think you would benefit and should consider PrEP going forward.

Look you have started PEP now, it's done, so continue the course of PEP and out-of-procedure test six weeks after finishing PEP with a blood draw (lab) HIV antibody test. A non-reactive result at that time would rarely change, and retesting at three months is generally unnecessary.

Don't post about this again, thank you!

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