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Author Topic: Concerns at end of PEP  (Read 438 times)

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Offline Ben1056

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Concerns at end of PEP
« on: April 09, 2020, 01:45:44 pm »
I stupidly had unprotected receptive anal sex with a guy I didnít know a month ago. It was a random hook-up and I donít know his status. I went to the local clinic and got PEP afterwards which I started within two hours.

I was fine on the PEP up until about day 26 of it when I started to get muscle aches, low grade fever, headache and feel my glands might be a bit up. Havenít had any other cold/cough symptoms. Havenít had a sore throat or rash which I know some people get during seroconversion.

Basically - Iím freaking out that the PEP hasnít worked. I took every dose as I was meant to, didnít skip any, and started it quickly after the incident. I havenít had any other high risk exposures - in fact, this was the first time I barebacked with someone whose status I didnít know in a moment of madness.

I think I need to wait about another month before I can test which is killing me. Anyone know what the likelihood is of PEP genuinely failing? The doctor I saw told me the chances of failure if taken correctly are incredibly low, but obviously with the symptoms Iíve had over the last few days I canít stop thinking about it 24/7.

Thanks for any advice/replies/reassurance.

Offline Jim Allen

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Re: Concerns at end of PEP
« Reply #1 on: April 09, 2020, 01:51:22 pm »

Sorry to hear you are feeling unwell, nothing you mentioned though is HIV specific.
I agree with your Doctor, PEP is highly effective when started within 72 hours.

I suspect if this was your only exposure and you finish the course of medication correctly you will be fine, however, just test to confirm this. Test with a blood-drawn HIV antibodies test 6 weeks post-finishing PEP for a result, this result will rarely ever change and if you wish you can test at 3 months post-finishing PEP for a conclusive result.

In the meantime try not to focus on this and live your life.

It was a random hook-up and I donít know his status.

You never can know someone's negative HIV status, regardless of their familiarity to you unless you lock them up for 3 months 24/7 and test them and I don't recommend that for obvious reasons, instead see the below:

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 Ďsafeí 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.

Kind regards


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