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Author Topic: Need assessment. Exposure  (Read 892 times)

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Offline lekiki

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Need assessment. Exposure
« on: September 08, 2024, 02:09:50 pm »
Hello just need advise and assessment if possible.
Last Friday September 6th at about 5am I had sex with a woman I met at the bar. We had great conversation and we decided to go to her place. I received unprotected oral sex and protected vaginal when trying to penetrate her the condom broke and the head of my penis was inside unprotected I immediately removed clean and put on a new condom then it broke again and about half of my penis was inside immediately removed clean and changed again. I have a 2 small cut on my penis which is making me panic. I was worried and the next day at about 9am I went to the ER explained the situation to the ER doctor and she immediately put me on rilpivirine 25mg and tenofovir for 4 days and sent me to see the doctor who is in charge of infectious disease on Monday for better assessment and see if it’s necessary to continue the pep treatment.

Offline Jim Allen

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Re: Need assessment. Exposure
« Reply #1 on: September 08, 2024, 04:32:47 pm »
Hiya,

I read your post three times and understand the condom broke during intercourse and you were the insertive partner. The cuts are irrelevant and you started PEP.

You relatively speaking had a low HIV risk but still a real-world risk and started PEP. PEP is highly effective and I fully expect you will be fine, but test to confirm your HIV status 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.

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

Please Note.
As a member of the "Do I have HIV" Forum, you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post, which will take you here. It helps us to help you when you keep all your thoughts or questions in one thread, and it helps other readers to follow the discussion. Any additional threads will be removed.

P.S - The condoms broke twice, then you are not using them correctly.

Some tips on correct condom usage:

Use approved condoms and check for a certification mark (e.g. FDA, C.E., ISO or Kitemark) because the condom complies with safety standards. Check the expiry date and make sure the condom is still within date.

Use lubricant condom-safe water-based lubricants to make condoms more comfortable and reduce breakage risk. – but avoid oil-based lubricants as they can weaken or break condoms.

As for putting the condom on correctly:

Incorrectly done, the risk of breakage can increase. Place the condom on top of the erect penis and pinch the teat at the end of the condom before you start to roll it down the penis. By doing this, you'll squeeze out any air bubbles and ensure there is room for the semen (cum). Roll the condom down to the base of the penis.

If it's on correctly, it will roll downwards easily. If you've started putting it on the wrong way, take it off, and even if you or your partner has not ejaculated (cum), there can still be semen or (pre-cum), so it's important to try again with a new condom. (More to do with risks from other STI's/pregnancy than anything else)

Hold the base of the condom when pulling out after intercourse to prevent leaving it behind and exposing your partner.

Finally, never "test" the condom before or after intercourse. It's not needed at all and could damage the condom, as it's not designed as a reusable (re-stressed) product, and "testing" the condom could lead you to mistakenly think that the condom was damaged during sex when in fact, you caused the damage after the intercourse by trying to "test" it.

Instead, use condoms correctly and consistently. If they don't break during intercourse, there is no reason to stress or test for HIV outside of standard yearly screening.
HIV 101 - Everything you need to know
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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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