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


Found out my wife is HIV positive - please advice
Aug 14, 2007

Dear Dr

I have been living out of my home country in Africa and I flew back after two years away. I did not have any form of sexual contact during these two years. I fully abstained. I am married and have two kids. While planning to get a third kid, I asked my wife that we do the routine HIV test. It is a practice that we have been having. Unfortunately, she turned out to be HIV positive. I turned out to be negative. However, I had had sex with her at least nine times without protection. After finding out she is positive, we agreed that we stop any sexual contact so that I get to know my status. The two kids are HIV negative. I did a test at 8 weeks and 9 weeks after the first exposure with her. Both Rapid and ELISA tests came back negative though still within the window period. The day she got her positive result, the doctor decided to put me on Combivir for 28 days because we had had anal sex 10 hours earlier on the same day. All the other encounters were vaginal sex. I have the habit of washing after every sexual encounter, after 5 to 10 minutes after each encounter and always use antiseptic soap as standard in the house. I am a circumcised male. I finish Combivir in three weeks and this will be 1 month after the very last exposure to her. What are my chances that I shall maintain negative status? In all the encounters, our sex was ten minutes and below and I withdrew immediately and she was extremely wet. I do not remember having any cuts but there is the issue of microscopic ones. My wife and I have never had an STI.

I shal go for a test 3 months after last PEP dose. Is Combivir alone enough as PEP?

Response from Dr. Frascino

Hello,

I'm sorry to hear about your wife's recent diagnosis. Your HIV risk is nine episodes of unprotected sex (eight vaginal and one anal). The estimated per-act risk for acquiring HIV from unprotected insertive vaginal and anal sex with an HIV-positive partner is 5 per 10,000 and 6.5 per 10,000 exposures respectively. The risk of your single anal exposure was mitigated by your use of PEP within 10 hours. Your negative HIV-antibody tests at eight and nine weeks are very encouraging, as the vast majority of HIV-positive folks would have detectable levels of anti-HIV antibodies in their blood by this time. I agree you will need a test at the three-month mark. In addition, since your exposure was significant, the CDC recommends a confirmatory test at the six-month mark to give a conclusive result that you are HIV negative.

Regarding PEP, yes, Combivir is one of the recommended two-drug regimens. Some HIV specialists now prefer three-drug regimen or using newer drug combinations. You can read more about PEP in the archives.

Good luck to both you and your wife.

Dr. Bob



Previous
Boyfriend didnt tell me he was POS
Next
Thanks from mini Dr Bob

  
  • 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