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Author Topic: Unsure of the Medical Advice  (Read 612 times)

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Offline poormedicalhelp

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Unsure of the Medical Advice
« on: May 04, 2022, 04:35:47 pm »
Hi!  I am admittedly a little concerned with care I have received in the past week – both from lack of education/communication and now being prescribed PEP.

Situation: I am a gay male and I had deep kissing with an HIV+ person. This included exchanging of saliva, long passionate kissing for 1 hour+. Clothes were never taken off. At one point, he touched his penis to jerk off and at one point after that, he rubbed my eye to clear a hair that was in the crevice. I am NOT on PrEP. That is the extent of the hookup.

Clinic: I went to the clinic within 24 hours and I was given a PEP regimen (Truvada + Tivicay).  Their concern was exposure through blood exchange through kissing or from precum on his fingers getting into the membrane of my eye.
Admittedly, after he disclosed his HIV status, I took 2 truvada pills I had in my house and took another pill the next morning (all before I started my PEP regimen)

Questions:
Is my exposure even a true exposure?  I often read making out is not a risk, and I was surprised about the membrane issue.

I want to get tested at 2 weeks with an Alere Generation 4 test and a blood draw.  I also want to get tested at 2 month through blood draw.  Will the PEP impact the potential outcome of the tests at those times?  Will I have to wait 2+ week after the end of my PEP to get tested with an accurate result?

With a theoretical risk that maybe the clinic could be right:  I read that “if taken not as recommended, PEP can be ineffective.” Will the extra Truvada pills I took the day before and the morning of impact PEP effectiveness?

If I had sex while on PEP, would I be at risk of spreading HIV?

Online Jim Allen

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Re: Unsure of the Medical Advice
« Reply #1 on: May 05, 2022, 12:22:45 am »
Hiya,

Quote
Situation: I am a gay male and I had deep kissing with an HIV+ person. This included exchanging of saliva, long passionate kissing for 1 hour+. Clothes were never taken off. At one point, he touched his penis to jerk off and at one point after that, he rubbed my eye to clear a hair that was in the crevice. I am NOT on PrEP. That is the extent of the hookup.

What you posted here isn't an HIV risk to you. If this was your only sexual activity since your last conclusive non-reactive HIV test result then move on with your life.

Quote
I read that “if taken not as recommended, PEP can be ineffective.” Will the extra Truvada pills I took the day before and the morning of impact PEP effectiveness?

No.

Here's what you need to know to avoid HIV infection:
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

Keep in mind that some sexual practices which may be described as safe in terms of acquiring HIV might still pose a risk for other 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, and the only way of knowing is by testing.

Kind regards

Jim

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HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline poormedicalhelp

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Re: Unsure of the Medical Advice
« Reply #2 on: May 06, 2022, 01:51:22 pm »
Thank you, Jim!  I admittedly was surprised with their PEP recommendation.  They indicated that the "the transfer of HIV+ blood" or "ingestion of HIV+ blood" during the make-out is the primary risk concern with a potential open cut in my mouth (over the hour long make out).  Is that a factor I should be considering? 
« Last Edit: May 06, 2022, 02:00:11 pm by poormedicalhelp »

Online Jim Allen

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Re: Unsure of the Medical Advice
« Reply #3 on: May 06, 2022, 03:09:44 pm »
"primary risk concern" ... sure if it was 1986.

You had no HIV risk from the activities posted here.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

 


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