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Very brief exposure - thoughts?

May 27, 2014

Hello all

around 30 hours ago, I had receptive anal sex with a guy. I am a bisexual male.

The sex was protected; however, before putting the condom on, he penetrated me very briefly twice. (each time lasted 1 stroke, i.e. 2 seconds at most). I didn't feel any pre-cum etc but nonetheless, he was inside me, however briefly.

He said he is clean and not carrying any viruses, but I still am worried.

Should I consider the PEP treatment? Any thoughts would be appreciated, thanks.

Response from Dr. Young

Hello and thanks for posting your question about PEP.

Your risk from this exposure is lower, but I would hesitate to characterize it as none. PEP is only really effective if started within 72 hours of exposure, and if in doubt, I generally recommend it's use.

PEP with Truvada/Isentress (as recommended in the most current guidelines) is generally very well tolerated; HIV tests should be done at baseline, 1 and 3 months after exposure.

Hope that helps, BY

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