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Already HIV+, but re-exposed!
Jan 28, 2010

Hi, I have been HIV+ for 5+ years, and on medication for about 9 months (Atazanavir/Norvir/Truvada) and have responded very well. During a recent sexual encounter with another HIV+ male, his condom ripped right after ejaculation, resulting in new HIV exposure for me. Although I know that my sex partner was HIV+, I don't know his history - how long he's been positive, whether he's currently on medication, or whether he's developed resistance to any combination therapy. What should my concerns be? Is there anything I could have done after exposure, considering how little I know? Are there any tests that should be done when I next have blood drawn? Naturally, I have continued to take my own medication in the meantime. Thanks!

Response from Dr. Frascino

Hi,

What should your concerns be? Failed-condom sex is equivalent to unprotected sex. Consequently you have a risk of acquiring STDs, including another strain of HIV (superinfection).

As for anything you could have done after the exposure, actually not much. I suppose you could have found out about your top guy's HIV medical history (current meds and current viral load, CD4 cell count, history of drug resistance, etc.). You could then have discussed this with your HIV physician specialist to make sure you had appropriate coverage with your current HIV regimen.

Regarding tests, no, just your routine labs will suffice.

One thing you should do is review proper condom techniques. (Check the archives for details.) When used properly, condoms very rarely fail (break). Also, make sure you are using the correct type of lubrication.

Good luck.

Dr. Bob



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