kissing with lesions and questions about PEP

[Hai23]

I kissed a girl last night, forgetting that I had a small lesion in my mouth. It wasnt bleeding or anything. and we didnt do french kiss.. just kiss with a bit of tongue and we did it a few times while we were hving sex. so assuming this girl IS hiv +. do you think I might be able to contract the virus?


how effective is PEP? A friend of mine had an anal sex and she's been on PEP (truvada?) for the last few days and planning on taking it for the rest of the month...apparently the condoms broke twice when they were having anal sex. do u mind giving some of your opinion on this situation?

[Andy Velez]

PEP for kissing? No way! Kissing, even deep kissing is not a risk for HIV transmission. Your own saliva has over a dozen elements and proteins which very effectively prevent the transmission of viable HIV if it is even present.

The ONLY confirmed means of HIV transmission sexually are through unprotected vaginal and anal intercourse. Any other activies are strictly theoretically risky.

You have no cause for further concern or any need for testing.

Cheers.

[Hai23]

Thank you Andy for the response. but those were 2 separate questions.

I understand there's big chance that I wont need PEP for the kissing encounter. But there was a lesion in my mouth. that's why i'm asking..

and the 2nd question is , like i've stated in my first post, how effective is PEP for a situation where a condom broke during anal sex for the bottom (in this case a friend of mine, a girl)?

Thabk you :_)

[Andy Velez]

No, there isn't a BIG CHANCE you don't need PEP for a kissing encounter. There is NO chance whatsoever that it would be needed for that.

In order for PEP to be effective it must be started within 48-72 hours after a risky encounter. The earlier the better. It's a heavy duty medication and not something to be embarked upon lightly as side effects can be significant. When it's started at the right time it has proven to be very effective in preventing transmission.

As far as your friend is concerned it depends where she is now in the time frame. If it's beyond 72 hours it's too late to start it. Since her partner was wearing a condom, that means she was protected until it broke. If he withdrew before ejaculating that would also lower the risk level.

In any case, she does need to get tested and for a conclusive negative result she should do that at 13 weeks after the most recent risky incident.

[Hai23]

hey guys,

I have a question...

I have developed this skin rash.. It comes and goes for almost a month. Mostly it's on my thighs (not on my genital though), my back and my buttock area.

here's the pic

http://i42.tinypic.com/xvz2x.jpg


When it first started, I had an HIV test right away. It came out negative.

My question is

-Am I HIV negative? If this skin rash was in fact a symptom of HIV, would it be possible for me to get a false negative result? (My possible exposure was 2 months prior to me getting tested for HIV and as I mentioned above, it was negative)

Thank you

[RapidRod]

You never had an exposure from kissing. You have a rash see a doctor if it concerns you. You don't have an HIV concern.

[Ann]

Hai,

Unless you've been having unprotected anal or vaginal intercourse, you haven't had a risk and you are indeed hiv negative.

If you've had unprotected anal or vaginal intercourse, then you need to test at three months past the last unprotected incident for a conclusive result. A two month negative is highly unlikely to change, but must be confirmed at the three month point if there has actually been a risk.

Ann

[Hai23]

My condom broke during sex, but I'm not sure if it was broken before or after I put it in.

Let's make an assumption that I indeed was exposed by HIV, would this rash be the symptom? I got tested after 2 months and it was negative.

I'm not asking if the result is still inconclusive. what am i asking is if indeed this rash was the sympton, shouldnt the test have come out positive?

[Ann]

Hai,

The rash that sometimes accompanies ARS looks NOTHING like your rash. If it's worrying you, go show it to a doctor. We cannot diagnose your rash here and to be honest, we don't really want to see photos of it either.

If you'd been infected, your two month test would almost certainly have been positive. It wasn't and I don't expect it to change either. 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 negative test result at or after six weeks is highly unlikely to change, but must be confirmed at the three month point.

I've yet to see the insertive partner end up positive over a broken condom and I do not expect you to be the first.

Get your confirmation test at three months and collect what I fully expect to be another negative result.

Ann