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
   
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


Condom Broke!
Apr 15, 2006

Hi Doc, I recently had anal sex with a guy. The condom broke and I pulled out almost immediately (I think). I went to the doctor and he put me on P.E.P. The medication makes me feel sick and I am wondering if I did the right thing by going on this medication. I am unaware of the status of my partner , however he agreed to get tested for HIV and I am awaiting the result. Did I do the correct thing? How risky was my encounter given that I feee I recognized the breakage and pulled out as quickly as possible ?

Thank You Very Much

Going Crazy in Toronto

Response from Dr. Frascino

Hello Going Crazy,

The estimated per-episode risk of acquiring HIV from unprotected (or broken condom) insertive anal sex with a partner confirmed to be HIV positive is 6.5 per 10,000 exposures. Your estimated risk would be significantly lower, because we do not know the HIV status of your partner and your exposure was presumably extremely brief.

As you discovered, PEP is no picnic. (I've been downing fistfuls of antiretrovirals daily for over a decade!) Should you continue the full 28-day course of PEP? If your partner's HIV test is positive, yes, I'd suggest you complete the course. If he's negative, I'd suggest you stop. Yes, there is the small possibility that he might be in the "window period," during which he's infected but not yet making enough anti-HIV antibody to be detectable on our screening tests. However, the odds of this being the case are extremely slight. And if you couple those odds with your very brief potential exposure, I would suggest PEP is not warranted. If for whatever reason you decide to continue PEP, I would suggest you consult with an HIV specialist who can accurately document your risk, optimize your PEP, manage any PEP side effects or toxicities and arrange for appropriate follow-up HIV tests.

Toronto is a great city in which to go crazy, but not that kind of crazy.

I'm sending you my best good-luck/good-health karma that both you and your partner's tests are negative.

Good luck.

Dr. Bob



Previous
FRANCISCO FROM LA
Next
Partner Tested Poz

  
  • 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