Welcome, Guest. Please login or register.
August 20, 2019, 09:25:03 pm

Login with username, password and session length


Members
Stats
  • Total Posts: 746905
  • Total Topics: 62536
  • Online Today: 329
  • Online Ever: 1421
  • (August 13, 2016, 05:18:44 am)
Users Online
Users: 3
Guests: 247
Total: 250

Welcome


Welcome to the POZ Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Welcome to Am I Infected

Welcome to the "Am I Infected?" POZ forum.

New members -- those who have posted three or fewer messages -- are permitted to post questions and responses, free of charge (make them count!). Ongoing participation in the "Am I Infected?" forum -- posting more than three questions or responses -- requires a paid subscription.

A seven-day subscription is $9.99, a 30-day subscription is $14.99 and a 90-day subscription is $24.99.

Anyone who needs to post more than three messages in the "Am I Infected?" forum -- including past, present and future POZ Forums members -- will need to subscribe, with secure payments made via PayPal.

There will be no charge to continue reading threads in the "Am I Infected?" forum, nor will there be a charge for participating in any of the Main Forums; Meds, Mind, Body & Benefits; and Off Topic Forums. Similarly, all POZ pages, including our "HIV Transmission and Risks" and "Am I Infected? (A Guide to Testing for HIV)" basics, will remain accessible to all.

NOTE: HIV testing questions will still need to be posted in the "Am I Infected?" forum; attempts to post HIV symptoms or testing questions in any other forums will be considered violations of our rules of membership and subject to time-outs and permanent bans.

To learn how to upgrade your Forums account to participate beyond three posts in the "Am I Infected?" Forum, please click here.

Thank you for your understanding and future support of the best online support service for people living with, affected by and at risk for HIV.

Author Topic: Broken condom - freaking out  (Read 1977 times)

0 Members and 1 Guest are viewing this topic.

Offline darren333

  • Standard
  • Member
  • Posts: 6
Broken condom - freaking out
« on: November 01, 2018, 11:08:30 am »
Hello all

So this morning I had protected sex with an escort and somewhere during the last 2 minutes the condom ripped and I ejaculated inside her, the tip was unfortunately exposed.

She says she gets tested every month, always uses condoms for sex etc and whilst I don't have reason to disbelieve her, it still has shaken me up. I tested negative a few months ago and have never had unprotected sex since.

I will of course get tested at 4 weeks and 3 months but does this sound like a high risk exposure to you? My gut feeling is that PEP would probably be a step too far.

Thank you
Darren

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 12,794
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Broken condom - freaking out
« Reply #1 on: November 01, 2018, 12:13:02 pm »
The odds for any sexual exposure leading to a HIV infection is statistically low, yet globally its the most common transmission route in adults and we tell people to protect themselves for good reason.

Now the condom broke and so you had a risk. The women's line of work or history don't even factor into this, HIV effects people from all walks of life and if she tested today all it means is she was negative some 3 months ago - No good to you at all.

All in all you had a risk and so testing is indeed recommended as you point out yourself.  Also test for easier to transmit STI's whilst you are at it.

Now regarding taking PEP this is up to you, and PEP has an excellent track record of preventing HIV post exposure when taken correctly and started within 72 hours post exposure.  So note that if you are considering PEP you should start taking this as soon as possible after exposure starting no later than 48-72 hours post exposure. It's up to you at the end of the day to decide to take PEP for this incident.

If you do take PEP than test at 6 weeks and 3 months post finishing the PEP course.

Here's what you need to know in order to avoid hiv infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider starting PrEP in the future as an additional layer of protection against HIV

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

More information on HIV Basics, PEP, TaSP and Transmission can be found through the links in my signature to our POZ pages, this includes information on HIV Testing

Kind regards

Jim

Please Note.
As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here . It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.
« Last Edit: November 01, 2018, 12:15:46 pm by JimDublin »
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 12,794
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Broken condom - freaking out
« Reply #2 on: November 01, 2018, 12:23:48 pm »
PS.

You have 2 free posts renaming so, if you do have follow-up questions make them count.

Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

Offline darren333

  • Standard
  • Member
  • Posts: 6
Re: Broken condom - freaking out
« Reply #3 on: November 02, 2018, 08:25:35 am »
Just a little update,

The GUM consultant wouldn't even consider PEP after I asked his opinion. Claims I'm too low risk and that most sex workers are better than most at getting themselves tested. No different than me having unprotected sex with a woman from a nightclub.

Been told to test at 4 weeks and 3 months but to expect negative results.

Might pay for a private RNA test which is pricey but can apparently pick up after 10 days (however having read about it's percentage of false positives and questionable accuracy I might skip that one)

Will post my results in 3 months time

Darren

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 12,794
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Broken condom - freaking out
« Reply #4 on: November 02, 2018, 10:02:26 am »
 No different than me having unprotected sex with a woman from a nightclub.

Correct and this is how HIV is acquired. As said the odds for any sexual exposure leading to a HIV infection is statistically low, yet globally its the most common transmission route in adults and we tell people to protect themselves for good reason.

Now the condom broke and so you had a risk. The women's line of work or history don't even factor into this, HIV effects people from all walks of life and if she tested today all it means is she was negative some 3 months ago - No good to you at all.

As for the RNA testing, indeed its no shortcut due to the false results. Save your cash for a night out and simply test with the approved antibodies test at 4-6 weeks and confirm the result at 13 weeks.

Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

Offline darren333

  • Standard
  • Member
  • Posts: 6
Re: Broken condom - freaking out
« Reply #5 on: December 04, 2018, 04:42:19 am »
Hello again,

So my 4th gen test came back negative at 4 weeks but this is obviously to be confirmed at 3 months as right now it means nothing. Jim, I know you tend to tell people to test initially at 6 weeks but was following "doctors orders" as they say.

Do you think it would be overkill to test at 6 weeks too or should I just wait it out?

I'm aware this is my last free post I'll let you know in 2 months whatever happens. Think the least I can do is pay and contribute somewhat. I'm very grateful as I'm sure hundreds if not thousands of others are.

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 12,794
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Broken condom - freaking out
« Reply #6 on: December 04, 2018, 04:50:27 am »
You tested at 4 weeks, well the results you have are highly unlikely to change when you do test at 3 months post exposure, in other words no need to repeat at 6 weeks now, just test at 3 months.

The 3 months mark is really just to capture outliers.

Quote
I'm aware this is my last free post I'll let you know in 2 months whatever happens.

When people don't return as full members I presume it's negative result and I'll do the same for you ;)

Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

Offline darren333

  • Standard
  • Member
  • Posts: 6
Re: Broken condom - freaking out
« Reply #7 on: February 06, 2019, 12:16:21 pm »


When people don't return as full members I presume it's negative result and I'll do the same for you ;)

Jim

Sorry what was that? ;)

But yes, I am negative at 13 weeks.

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 12,794
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Broken condom - freaking out
« Reply #8 on: February 06, 2019, 12:56:11 pm »
Glad to hear it.

Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

Offline darren333

  • Standard
  • Member
  • Posts: 6
Re: Broken condom - freaking out
« Reply #9 on: February 12, 2019, 04:04:56 am »
Thank you.

Since I'm here I may as well get my money's worth (I'm Scottish after all) so I have another question if you don't mind. HIV1 and HIV2, what are the differences between the two viruses other than the latter being much less common?

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 12,794
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Broken condom - freaking out
« Reply #10 on: February 12, 2019, 04:37:07 am »
Hiya

That's a very broad question...

In short the two HIV are separate, yet related species of Lentivirus that have widly speaking similar effects on the human body,

So there are genetic difference between them.

On a treatment side, most of it is geared towards HIV 1 although treatments for HIV 1 are generally effective for HIV 2 . Example thought NNRTIs inhibit reverse transcriptase, an enzyme that controls the replication of the genetic material of HIV, stopping or inhibiting this process works very well with HIV 1 however not so for HIV 2 simply due to the difference between the two viruses.

Treatments are simply put based on stopping the different steps in the lifecycle https://www.poz.com/basics/hiv-basics/hiv-life-cycle

Both viruses are fragile, highly limited to the point of being infectious but not contagious and both are aquired through the same activities. That said HIV type 1 has an easier time/way to attach itself to target cells (CD4's) in the human body, probably this is also why HIV 1 is more wide spread than HIV 2 and has generally a faster progression rate.

Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

Offline darren333

  • Standard
  • Member
  • Posts: 6
Re: Broken condom - freaking out
« Reply #11 on: February 12, 2019, 04:54:49 am »
Interesting reading, thanks Jim.

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 12,794
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Broken condom - freaking out
« Reply #12 on: February 12, 2019, 10:17:40 am »
You're welcome
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
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

 


Terms of Membership for these forums
 

© 2019 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.