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Author Topic: Advice please - Unprotected sex with a bar girl in Thailand - now on pep.  (Read 6111 times)

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Offline david-in-cn

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Hi, ok I was drunk but I can't go back and think about how stupid i was. I had unprotected virginal sex(no anal) with a bar girl in Thailand. I do not know her status. After a few hours sleep we did it again(both still drunk). After I pulled out it looked like i had an outbreak of herpes which I have not had in years! I had sex all the time with my ex girlfriend and I never had an outbreak like this. It looked as almost like it did when I first got herpes(5 years ago) My first thought was exposure to HIV and/or maybe another std which may have cause this. I know now that having another std(herpes) increases the risk of HIV transmisson.
I was scared and only after a couple of days discovered about pep treatment. I knew about this over 12 years ago but then it was only available for medical professionals. Anyway I started on pep around 59/61 hour mark after possible exposure. Also to add I am in China and have no access to a HIV Specialist or atleast not to one who would understand..i really dont know how they would react to a foreigner doing pep or how great the care would be in monitoring my health(liver etc..)
So to any of you with great knowledge in this area;
Do you think that my situation justifies staying on the pep treatment?(it has only been 7 days and to be honest the side effects - so far are ok)
Any advice would be appreciated, as I dont have anyone out here to discuss this with or monitor my health for the next 3 weeks whilst on pep.
Thanks David :-\

Offline Andy Velez

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Hi David,

It's not clear if you have a sufficient supply of PEP to complete the 28 day period. Please clarify.

HIV is a fragile virus. It is significantly more difficult to transmit from female to male than the other way around. That works in your favor against the possibility of HIV transmission if the woman was HIV+.

We cannot make referrals from this site. What about contacting the site from which you got PEP for clarification about any of your concerns.

As far as testing is concerned, you can test initially at 6 weeks after the completion of PEP. If you test negative at that point then the likelihood is you will test negative at 3 months after the completion of PEP and that will be a conclusive result.

Mixing excessive drinking and casual sex is a major red flag. Avoid it again in the future as you can see the danger it brings. 
Andy Velez

Offline david-in-cn

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  • Posts: 3
Hi Andy, thanks for the fast response.
I have a 28 day treatment of pep. I started just 7 days ago so I have a further 3 weeks left. I was issued the pep in Bangkok, the day before I left to work in China.
I was given efavirenz (Stocrin) and Truvada; 1 of each tablet to be taken before bed everyday.
The advice I was asking is should i continue to use pep? I personally think my risk was high due to the fact I had a severe herpes outbreak(noticed once i pulled out), which i have not had for years. I personally think i should continue and if so do you know any specialists i can contact free via skype; either in the US or UK?
Thanks David

Offline Andy Velez

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We cannot make any referrals from the site.

PEP has a good record for preventing HIV transmission. Even with the herpes outbreak I think your odds are good to come out of this ok.

Good luck and keep us posted.
Andy Velez

Offline david-in-cn

  • Member
  • Posts: 3
thanks for the reassurance Andy. I will just get through the pep course and try using milk thistle, which i have read is excellent for keeping low toxicity and a healthy liver.

Thanks again
I will keep you posted.

Offline Andy Velez

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  • Posts: 31,723
OK, good luck to you, David.

Fingers crossed and hoping for a happy negative for you.
Andy Velez


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