Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: TheBodyPRO.com Covers AIDS 2014
   
Ask the Experts About

Safe Sex and HIV PreventionSafe Sex and HIV Prevention
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Lost Condom
Apr 6, 2006

Hi,

I have a question and I would really appreciate it if you could help me out.

I am a 23-year-old male living in England. Last night I had sex with a bloke whom I have met once before. We used condoms and I was active throughout in the role.

However, once we had both climaxed, I withdrew to find the condom, which I had most definitely used, had vanished.

To cut a long story short, it turned out that the condom had come off either during the deed or afterwards when I withdrew.

I asked the person involved once he had gone back home if he was HIV negative and to my horror he said he was actually positive but not to worry.

Now, I called a help line last night and also google'd PEP therapy as this is something which I had heard of previously.

Can you tell me more about this PEP therapy? I understand that there is a cut off period of 48 hours?

I have spoken to my local GUM clinics but had no luck at getting in today to discuss further as it has been appointment only.

I am worried sick. I understand that I shall have to go and get a blood test (apparently new testing methods mean the virus antibodies can be detected as soon as 8 weeks? Is this correct?) BUT if the 48 hours with the PEP is true, should I try and get to a clinic ASAP?

What I really want to know and I know it is a completely unanswerable question I guess, but are the chances stacked in my favour? I have studied Science and understand anatomy and the way virus' work as a general rule. I am just desperate for some sort of reassurance as my local clinic were not the most helpful, would even say they were quite rude.

If I was active in the role, the chances of the passive HIV carrier passing the virus to me is surely quite slim? Especially considering I assume the condom was present at all times during sex and (hopefully) only slipped off once I withdrew?

Anything you can say would be greatly appreciated.

Many thanks.

Response from Dr. Frascino

Hi,

The estimated per-act risk of acquiring HIV from unprotected insertive anal sex with a partner confirmed to be HIV positive is 6.5 per 10,000 exposures. Your estimated risk may well be even lower, considering the condom was in place "at all times during sex and (hopefully) only slipped off once I withdrew." Other factors that may influence the risk of HIV transmission include the viral load of the positive partner, concurrent STDs and trauma due to rough sex (increasing the risk of blood exposure). The question of whether or not you should take PEP is dependent on level of risk and exposure. An HIV specialist is usually the best resource in helping to determine if PEP is warranted or not. Any chance you could see your buddy's HIV specialist? Also, PEP has the best chance of being effective the sooner it is started after an exposure. It is not recommended if it's been longer than 72 hours since the exposure. Any urgent care center or emergency room should be able to evaluate you and begin PEP if necessary. You could then have a more thorough evaluation and discussion with an HIV specialist over the next few days and discontinue or modify the PEP regimen if need be.

You can read additional information about PEP in the archives. The important information is that it should be readily available and started as soon as possible after a significant HIV exposure. It is my personal opinion that anyone who experiences an exposure significant enough to warrant PEP should ultimately be evaluated and followed by an HIV specialist.

Good luck!

Dr. Bob



Previous
Reliability of the orasure test (gum swab)
Next
If God exists he touched you

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement