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The ambiguity of PEP criteria
Nov 7, 2002

Does insertive anal sex with another man, briefly (1 or 2 minutes, lube was used), no ejaculation, warrant starting PEP -- for either partner? Please answer, I'm confused and scared.

Response from Dr. Frascino

Hi,

Unprotected anal intercourse does carry risk for both partners. The receptive partner is considered to be at higher risk. Not ejaculating decreases the risk somewhat, but not completely. Yes, PEP is warranted following high-risk exposures, and this would qualify, especially if one of the partners was HIV-positive or presumed to be HIV-positive. PEP needs to be started within several days to be effective. If you are beyond this period, get HIV tested at the 3-month period. If your partner was HIV + you will also need a 6 month test, as this would meet the CDC criteria for a high risk exposure. Try not to worry too much. I can assure you the odds are still very much in your favor that you are not HIV-infected.

Good luck. We'll all be rooting for you to have a negative test.

Dr. Bob


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