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Author Topic: Risk factors plus question about PREP  (Read 509 times)

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Offline dmb1515

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Risk factors plus question about PREP
« on: July 29, 2019, 03:28:24 pm »
I consider myself well-educated on HIV/risk factors, but I also have illness anxiety disorder so that leads my brain to come up with conclusions that I have trouble arguing rationally.

a) I recently deep kissed a man who is HIV+, undetectable. The information I read on CDC seems to contradict other information - what's the real scoop? I had brushed my teeth within an hour or so but don't believe I was bleeding out of my mouth. Is this worth going to the ER to get PEP?

b) He also performed oral sex on me - I did not perform on him. I know U=U, but I also do not know him well enough to assume the possibility of someone who could lie about that? I did thank him for being upfront about his status - I know that takes guts on a first date.

c) My doctor says that I am not a candidate for PrEP because I do not have unprotected sex - but I want to push back a bit. He knows only one exposure can make or break the difference but is concerned insurance will just deny it. Is there any reason why a person like me should NOT go on PrEP?

I know these questions seem disingenuous but may help alleviate the anxiety I am feeling.

Offline Jim Allen

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Re: Risk factors plus question about PREP
« Reply #1 on: July 29, 2019, 04:34:42 pm »

A) Kissing is not a risk - End of story. His HIV status is irrelevant, equally is if you brushed beforehand unless it was with an angle grinder and, you stabbed him in the mouth with a knife. So unless this extreme type of stuff happened, it's no HIV risk. Questions as to why CDC holds onto out of date or out of context information you should ask them.

B) U=U is totally irrelevant in this situation.  Getting your penis sucked is simply not an HIV concern, it lacks the conditions required for transmission to the insertive partner. You might as well be asking about sharing a hairbrush or if you are going to be pregnant from having your penis sucked.

C) There are reasons why not, like medical reasons such as having pre-existing kidney issues to name one.

Look PrEP should be used as an additional layer of HIV prevention, it does not reduce risks for other STI's or Pregnancy, so use it in combination with condoms.
If you want PrEP simply go back & insist.

If what you posted was your only sexual encounter & activity in life then HIV is not an issue.

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 as an additional layer of HIV protection going forward

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


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« Last Edit: July 29, 2019, 04:42:20 pm by Jim Allen »
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:
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline dmb1515

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Re: Risk factors plus question about PREP
« Reply #2 on: August 03, 2019, 12:50:16 pm »
Thanks for your kind response. I know the questions seemed rather childish given the lack of risk. I am looking to become more sex-positive but it's been a process given my HIV phobia --- working on it though :-)


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