Welcome, Guest. Please login or register.
August 09, 2020, 10:12:07 am

Login with username, password and session length


Members
Stats
  • Total Posts: 755547
  • Total Topics: 63827
  • Online Today: 300
  • Online Ever: 4912
  • (November 13, 2019, 02:56:14 am)
Users Online
Users: 1
Guests: 174
Total: 175

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 “Do I Have HIV?” 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 Do I Have HIV?

Welcome to the "Do I Have HIV?" POZ forum.

This special section of the POZ forum is for individuals who have concerns about whether or not they are HIV positive. Individuals are permitted to post up to three questions or responses in this forum.

Ongoing participation in the "Do I Have HIV?" forum (posting more than three questions or responses) requires a paid subscription, with secure payments made via PayPal.

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 "Do I Have HIV?" forum -- including past, present and future POZ Forums members -- will need to subscribe, with secure payments made via PayPal.

There is no charge to read threads in the "Do I Have HIV?" forum, nor will there be a charge for participating in any of the other POZ forums. In addition, the POZ Basics "HIV Transmission and Risks" and "HIV Testing" basics, will remain accessible to all.

NOTE: HIV testing questions will still need to be posted in the "Do I Have HIV?" 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 "Do I Have HIV?" 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: Re-infect Partner while on Pep Medication  (Read 578 times)

0 Members and 1 Guest are viewing this topic.

Offline Roger David

  • Standard
  • Member
  • Posts: 3
Re-infect Partner while on Pep Medication
« on: April 19, 2020, 07:52:20 am »
Hi Jim

Hope you and your family safe during convid pandemic

I have quick question regarding pep. If someone consume pep then tested negative 4 months post exposure. However during the first 4 days of pep course he did have unprotected sex with his partner. And since they are in monogamous relationship ie married, her partner was negative and tested before that. Is it possible for the person in the course of pep remain negative for his partner become infected and positive because expose in the first 4 days?

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 15,809
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Re-infect Partner while on Pep Medication
« Reply #1 on: April 19, 2020, 08:34:11 am »
Hiya,

Sorry is this about you and, if so what was your exposure asides from intercourse with your partner?

Quote
And since they are in monogamous relationship ie married, her partner was negative and tested before that.

From a risk assessment, I would presume the other partner is living with HIV regardless of past test results. Thankfully, for the person on PEP, they would have limited HIV exposure and the testing 4 months post the PEP would indicate that the original incident whatever it was and this unprotected intercourse 4 days post PEP did not lead to them acquiring HIV.
HIV 101 - Everything you need to know
HIV 101
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: 15,809
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Re-infect Partner while on Pep Medication
« Reply #2 on: April 19, 2020, 08:42:40 am »
Quote
If someone consume pep then tested negative 4 months post-exposure.


Great the person who took PEP did not acquire HIV from whatever the concerned incident was that lead to them taking PEP, it does not mean much if they have had ongoing exposures.


Quote
However during the first 4 days of pep course he did have unprotected sex with his partner.

Condomless intercourse is aways excepting a risk. In this case, it would be a limited risk to the person on PEP and since the person on PEP has tested negative since then this person did not acquire HIV from this incident.

This does not mean the partner is HIV negative or that the person on PEP will remain HIV negative depending on any continued exposures.

Quote
And since they are in monogamous relationship ie married, her partner was negative and tested before that.

Means nothing.

Quote
Is it possible for the person in the course of pep remain negative for his partner become infected and positive because expose in the first 4 days?

Once you have acquired HIV it's for life. Your question I think is based on the misunderstanding that PEP somehow undoes an established HIV infection, it doesn't.

I don't do risk assesment for other people or "what if" scenarios, if this question is about you please be clear who you are in this situation, did you take PEP or are you the partner? What risk promoted PEP? What risks have you had since then?

Thank you!

P.S

Hiya,

Let's keep this simple, ill presume you had condomless intercourse with someone, started PEP and tested negative 4 months later.

4 Days into PEP you also had unprotected intercourse with your partner.

Since you tested negative 4 months later, it means you had no HIV  to transmit to your partner during the unprotected intercourse 4 days into the PEP course.

Keep in mind this does not mean your partner is HIV negative. It just means they did not acquire it from you some 4 months ago. The negative result also does not mean you are currently HIV negative if you have had any ongoing exposures.

Finally, regarding your partner, if you have been engaging in condomless sex with your partner it would meet all the biological conditions needed for you to acquire HIV.

Now I don't judge couples that decide to engage in condomless sex, it's often based on trust within a relationship or past test results. However, just note this trust or past results does not prevent HIV and any unprotected intercourse is simply accepting a possible risk towards you of acquiring HIV.

Test regularly for HIV and far easier to transmit STI's.

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 prevention going forward.

Keep in mind that some sexual practices which may be described as safe in terms of HIV might still pose a risk for transmission of other far easier to acquire 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.

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: April 19, 2020, 09:02:21 am by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
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 Roger David

  • Standard
  • Member
  • Posts: 3
Re: Re-infect Partner while on Pep Medication
« Reply #3 on: April 19, 2020, 10:00:49 am »
Hi Jim

Thanks for the reply. Yes. You are correct I take pep and have intercouse with my partner couple of time during pep course. My exposure is unprotected insertive oral or blowjob and protected vaginal intercouse. So it means that even though there is high viral load during pep for example then it aborted by my course of pep is it possible the viral load infecting my partner? I'm not sure about small tear at condom but it provided by the premise and I just saw she take it away from my penis with semen inside. And the unprotected blowjob is with cold water, I read that the hiv can survive well in cold water and it passing through my urethra?

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 15,809
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Re-infect Partner while on Pep Medication
« Reply #4 on: April 19, 2020, 10:12:07 am »
Hiya,

In short, PEP prevents HIV infection from taking hold. The only way you would have a VL to transmit would be if the PEP had failed and if it had you would have tested positive.  No amount of PEP would undo an HIV infection that had already taken hold.

Quote
My exposure is unprotected insertive oral or blowjob and protected vaginal intercouse.

Getting your penis sucked is no HIV risk to you whatsoever it lacks all the conditions required for the transmission of HIV and hence nobody has ever been infected this way.

Regarding the intercourse, I'm not sure what you mean but it's simple, HIV can't transmit through an intact latex or polyurethane condom. If a condom fails during the act of intercourse it's obvious to the insertive partner. There is no reason to be stressing about intercourse as long as this obvious issue did not happen.

So far the only HIV exposure was the condomless intercourse with your partner and during that time it seems you were unnecessarily taking PEP, this PEP, however, would have offered you some protection from your partner.

Unless you have other ongoing exposures, like with your partner, the results you have are not going to change.

« Last Edit: April 19, 2020, 10:16:20 am by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
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 Roger David

  • Standard
  • Member
  • Posts: 3
Re: Re-infect Partner while on Pep Medication
« Reply #5 on: April 19, 2020, 10:23:55 am »
Does presence of water inside her mouth makes any different Jim? In case there is some blood and somehow it transfer faster inside my urethra compare to mucous saliva or maybe it break the saliva enzyme which inhibits hiv and make it defendless?

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 15,809
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Re-infect Partner while on Pep Medication
« Reply #6 on: April 19, 2020, 10:30:22 am »
Hiya,

No makes no difference whatsoever, lacks viable exposure.

My advice, stop stressing about a never before happened event that lacks all the conditions needed to be an HIV risk and, start worrying about your real risks in life.

If you want to reduce your HIV risks going forward it's easy, start using condoms for intercourse, no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection and test out of standard routine for STI's & HIV at least yearly.

Jim
HIV 101 - Everything you need to know
HIV 101
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
 

© 2020 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.