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Author Topic: Risk Assessment: Broken Condom with HIV+ Bottom  (Read 2202 times)

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Offline ll

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Risk Assessment: Broken Condom with HIV+ Bottom
« on: November 20, 2013, 03:08:10 PM »

First I want to start off by saying that I am thankful there is a community such as this where one can discuss questions and concerns in regard to their sexual health. 

I meet a guy online and he disclosed that he was HIV+ with an undetectable viral load. He said that he monitors he viral load and checks every six months with his doctor. He used this information as evidence that we could have unprotected sex safely considering his status. Realizing that sex last minutes and HIV is for life, I declined having unprotected sex and insisted on using a condom. I was the top and he was the bottom. About 30 seconds into sex I realized the condom broke (probably because there wasn't enough lube). I pulled out immediately and the tip of my penis was covered in feces. I cleaned up and we did not continue as we didn't have another condom. I began to have a bit of an anxiety attack and he consoled me with his status and all the information he used earlier to justify unprotected sex. He seems to believe that I have nothing to worry about but I feel otherwise. Am I right to be concerned? I was wondering what my risk may be? Does his status warrant the ability to safely have unprotected sex? Any information you could provide would be greatly appreciated. 

Thank you. :)

Offline Jeff G

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Re: Risk Assessment: Broken Condom with HIV+ Bottom
« Reply #1 on: November 20, 2013, 04:38:39 PM »
You did have a risk and will need to test , you can do so 6 weeks past any possible exposure and again at 3 months to confirm the result . Its rare for a top to go on and test positive after a condom break with brief unprotected sex , it was a risk all the same so you must test .

If a person is undetectable for HIV then the risk is small to almost nothing but there is no guarantee  that a person is undetectable or free of other stds that can spike a viral load and causing the person to more infectious . The bottom line is you should not be having unprotected sex until such a time you are in a mutually monogamous relationship where you both have tested together and are std free , at that time you can discuss if you want to have unprotected sex as long as the other partner is indeed undetectable for HIV .

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!
HIV 101 - Basics
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You can read more about Transmission and Risks here:
HIV Transmission and Risks
You can read more about Testing here:
HIV Testing
You can read more about Treatment-as-Prevention (TasP) here:
You can read more about HIV prevention here:
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You can read more about PEP and PrEP here
PEP and PrEP

Offline Ann

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Re: Risk Assessment: Broken Condom with HIV+ Bottom
« Reply #2 on: November 21, 2013, 06:26:08 AM »

While it's true that a person who is on meds and undetectable is unlikely to transmit their virus, barebacking should only be considered in the context of a mutually monogamous relationship where one can be sure that neither partner has an active STI. As Jeff mentioned, the presence of an untreated (and very possibly undiagnosed) STI can cause a localised viral spike in the genital tract (semen) or anal mucosa - and sometimes they can just happen.

You seem to already realise this, so kudos to you for insisting on a condom.

While I would not expect your hiv test result to return a positive result (unless you've been barebacking with people you assume are hiv negative), you do need to test for other STIs as well. They are MUCH more easily transmitted and can be present with no obvious symptoms, so the ONLY way to know for sure is to test.

Keep insisting on condoms for anal or vaginal intercourse and you'll avoid hiv infection. Make sure you read through the condom and lube links in my signature line so you can avoid breakage in future. A correctly used and lubed condom rarely breaks.

Condoms are a girl's best friend

Condom and Lube Info  

"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts


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