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Author Topic: What should I do?  (Read 1138 times)

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Offline ConcernedIdiot

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What should I do?
« on: August 07, 2024, 04:44:08 pm »
Hi there,

First of all, thank you for providing this forum for people like me who do foolish things and find themselves facing an HIV scare.

Last night, I met a transgender (MTF) sex-worker. She gave me oral (with a condom) before it became apparent that I wasn't really getting hard. She took the condom off and suggested that I give her a massage instead.

While massaging and laying on top of her back, I started grinding against her ass before she reached down and guided me inside her. I wasn't fully erect and wasn't really deep inside - I think I was mostly just pressing between her cheeks and maybe very shallow penetration for 1-2 mins.

We both realised that I wasn't really going to get hard and abandoned the idea of sex.

I've read that the chance of getting HIV from topping is low (0.11% ?) but I don't know if should go on PEP, or if the fact that I wasn't fully inside (or for very long) means this is actually dipping and maybe reduces the risks again. I have read up on PEP and it seems the side effects are pretty brutal, but I still have time and can go to a clinic tomorrow if needed.

I don't know what to do. Any advice would be greatly appreciated. Thank you.

Offline Jim Allen

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Re: What should I do?
« Reply #1 on: August 07, 2024, 05:13:04 pm »
Hiya.

Quote
I started grinding against her ass before she reached down and guided me inside her. I wasn't fully erect and wasn't really deep inside - I think I was mostly just pressing between her cheeks and maybe very shallow penetration for 1-2 mins.

0.11% is rubbish and doesn't apply to you. Shallow or deep HIV doesn't care, I read your post three times, you had condomless intercourse and it's a real-world HIV risk.

You could consider PEP. PEP is a course of medication that aims to prevent HIV from taking hold, it's highly effective when started within 72 hours post-exposure, although, some clinics and hospitals will not prescribe it after 48 hours. The side effects are minimal if noticed at all and it's only for a month, if you end up living with HIV you will take the same drugs for life.

If you start PEP then 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

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

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HIV 101 - Everything you need to know
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Offline Jim Allen

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Re: What should I do?
« Reply #2 on: August 07, 2024, 05:16:10 pm »
Quote
I still have time and can go to a clinic tomorrow if needed.

Go now.
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

My Instagram
Threads

Offline ConcernedIdiot

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Re: What should I do?
« Reply #3 on: August 07, 2024, 05:38:20 pm »
Thanks for getting back to me.

I was going off this chart which shows an 0.11% chance for insertive anal without a condom.

I'll go to the clinic and ask for PEP as soon as I can.
« Last Edit: August 07, 2024, 08:41:53 pm by Jim Allen »

Offline Jim Allen

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Re: What should I do?
« Reply #4 on: August 08, 2024, 02:41:30 am »
Nobody can calculate your individual odds of acquiring HIV from this one incident.

What can be said is condomless intercourse meets all the biological and environmental conditions needed to acquire HIV. However, the insertive partner may have less risk than the receptive partner but it's still a real-world risk. So you certainly should test and consider PEP.

In a risk assessment, we are always going to presume the person you had contact with was living with untreated HIV and with that the 0.11% is gone already.

Several factors also play a role that nobody can answer, such as the presence of other STIs, stage of HIV infection/viral load, tearing, contact with blood within the anal passage or not, etc. For example, if the person you had sex with is in the initial stage of HIV infection themselves it increases the odds by 25 to 40%.  Hence I always tell people, that nobody can calculate their individual odds of acquiring HIV when they have condomless intercourse and they should test and consider PEP if its within 72 hours of the potential exposure.

« Last Edit: August 08, 2024, 02:43:31 am by Jim Allen »
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

My Instagram
Threads

 


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