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oral sex with a HIV+ woman
Sep 22, 2005

Dear Bob i'm Nguyen, 26 years old. I'm from Vietnam. 11 days before, i made an oral sex with a girl without protection, then i ejected into her mouth. 2 days later, i had doubts, so i took her to test HIV. The result is she infected HIV+. I did not know to take PEP medication until i knew the result. After that, a counsellor told me that i should take a PEP medication in a month. Now, i use a PEP (medicine's name is lamzidivir) from the 9th day of the bad day. I'm very scared. I can stand anymore. Could you show me it have any methods or results i can decrease the risk of infected HIV? Another medicine? Or any medic center in the world can resolve my circumstance. Help me, wait your reply as soon as possible a sad, a worried, a disrespectful man

Response from Dr. Frascino

Hello Nguyen,

Insertive oral sex (that's the kind where you "eject" into her mouth" carries a very low risk for HIV acquisition. Statistically, the estimated risk is 0.5 per 10,000 exposures! That you started PEP within 72 hours would decrease this estimated risk even further. At this point there are no additional "methods or results" I would recommend, other than taking your PEP medications exactly as prescribed for a full 28-day course, i.e. try very hard not to miss any doses. Even though you are very scared, I would encourage you not to worry excessively. The odds are overwhelmingly in your favor that you have not acquired HIV from this episode. I'll send you my best good-luck karma that your follow-up HIV tests remain negative.

Good luck.

Dr. Bob



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