Condom failed

[Inner peace]

Hello,

I have a question, last week I had sex with a guy, I was the bottom and the condom broke it , the penetration last few seconds, once we felt the condom he went out.

I am very concerned about this, any advice for me? I am a male gay.

[Ann]

IP,

You have had a risk but with the incident being so brief, it's on the lower end of the scale. The receptive partner is always at greater risk when a condom breaks. If he didn't cum inside you, that lowers your risk as well. I'd call this a low-medium risk if he didn't cum.

However, you do need to test.

The earliest you should test is at six weeks. The vast majority of people who have actually been infected will seroconvert and test positive by six weeks, with the average time to seroconversion being only 22 days.

A six week negative must be confirmed at the three month point, but is highly unlikely to change.

While I expect you'll come out of this ok, the ONLY way to know for sure is to test. As a sexually active adult you should be having a complete sexual health check up at least once a year anyway.

Here's what you need to know in order to avoid hiv infection:

You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.

To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.

Have a look through the condom and lube links in my signature line so you can use condoms with confidence. A correctly used condom rarely breaks.

Anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.

If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.

Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv. Some of the other STIs can be present with no obvious symptoms, so the only way to know for sure is to test.

Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!

Ann

[Inner peace]

Last night I had sex with a stranger I am a male gay I was the bottom, we were drunk he penetrated me and few seconds after I heard the condom plop, I pulled out immediately, he change the condom and we continued.

Now I'm so scared, I don't have money for PEP, I'm in Canada, do I really need it? Please please help me!

[Jim Allen]

Hi

Look so if this was your one and only concern I expect you will be fine however  saying all that you did have a risk from the unprotected intercourse and so testing would be advisable. Guidelines are to test at 6 weeks past any incident and then at 13 weeks to confirm the result.

As for PEP I am not up to speed with Canada, my understanding was Non-occupational PEP was still not widely offered. Now I suspect you will be fine however if you want to take PEP it really is up to you and your Doctor.

I know there was a limited offering in Canada for free PEP now if that is still the case and in your area I don't know. I have included some links relating to Canada  for you.

http://www.cfenet.ubc.ca/npep
http://www.catie.ca/fact-sheets/prevention/post-exposure-prophylaxis-pep

Kind regards

Jim

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[Inner peace]

Do you really think that PEP is necessary?

[Jim Allen]

Look I suspect you will be fine without it, that said you did have a risk.
It is up to you to seek pep or not for this risk. 

Jim