My potential risk?

[Jerry01aterols]

Hello everyone!

I wanted to get opinions from people who are better educated about this such as yourselves. Bottom line, I went over this guys house, casual encounter, we kissed, masturbaed each other, I rubbed my penis against his anus, did insert the head of my penis into him for a minute or two.  When finished *that's* when I noticed a bottle of Atripla on his bureau.  I didn't know what Atripla was until after I left and did a google search.  I'm wondering if I should take PEP as its been 15 hours since exposure.  Thoughts?  Thank you in advance.

[Ann]

Jerry,

The only thing that even slightly put you at risk was the brief, shallow dipping into his anus with the head of your penis.

However, the fact that he's on hiv meds means you're worrying over nothing. More likely than not his viral load is undetectable and you're more likely to win two multi-million dollar lotteries in a row than end up hiv positive over this, PEP or no PEP.

You don't need PEP.

As the insertive partner, you were at a much lower risk anyway and when you combine that with the brief, shallow nature of what happened, you're as close to no risk as you can get.

I have to wonder if you would have been concerned in the least if you hadn't noticed his Atripla. You need to assume anyone you hook up with is hiv positive and protect yourself accordingly by using condoms for anal or vaginal intercourse.

As a sexually active adult, you should be getting regular, routine sexual health check ups.

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.

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

[Jerry01aterols]

Yes...always assume the person is positive...that was my thought this morning.  I talked with a few agencies this morning and they thought it would be worth getting tested, but they suspected it was unlikely as well, but not impossible.  Of course, the CDC said "major risk".  Not what I wanted to hear.  You're probably right, Ann, had I not noticed the mess I probably wouldn't be so concerned.  I did some reading on Atripla last night and much documentation mentioned it did lower the viral load but did not reduce the risk of transmitting the virus, which concerned me.  I guess I'm just thinking PEP more for peace of mind.  Thank you for your input.

[Ann]

Jerry,

It does reduce the risk and greatly so, it just doesn't eliminate it entirely. It would be more of a concern if you were the receptive partner and ejaculation occurred inside of you. As the insertive partner in a brief dipping incident - eh. You're worrying unnecessarily.

You were the insertive partner and you only dipped your head in a little. Even with full on intercourse, as the insertive partner you're at a much lower risk anyway. You certainly don't need PEP, but if you do take it, you need to understand that it will extend your testing window period by a month, making it a four month window instead of three.

I would not expect you to test positive over this brief incident, PEP or no PEP and regardless of whether or not he was on meds.

Of course you should test - but you should be having regular, routine tests anyway. The earliest you should test is at six week either following the incident, or six weeks following the last dose of PEP, should you decide to take it (you don't need it). A six week negative must be confirmed at the three month point, but is highly unlikely to change.

I don't expect you to test positive over this incident, PEP or no PEP, and whether or not he was on meds. Yes, it's that low risk.

Make sure you also test for all the other, MUCH more easily transmitted STIs while you're at it. Please note that syphilis shares a three month testing window for a conclusive negative result.

Ann

[Jerry01aterols]

Well, update...I did confirm with the guy he is on fact positive.  He said Ed been on the mess for a few years and said he is undetecable and in fact test negative (?) and his levels are lower than the average.  Could that be true that he would test neg?

[Andy Velez]

No, if he's HIV negative, even if he's undetectable he would still test positive for the virus. Maybe he's just getting caught up in terminology. Positive remains positive even when viral load is undetectable.