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Gay top, unprotected sex with HIV+

Apr 14, 2010

Dear doctor, Last night, I had unprotected sex with a positive bottom gayguy. He used saliva as lubricant and sat on my cock. After about five minutes, I cummed. He still sat on my cock for two or three minutes and he cummed.

Am I highly exposed to HIV in this case?

Thank you

Response from Dr. Frascino


Yes. Unprotected insertive sex with a partner confirmed to be HIV positive is considered highly risky. You'll need HIV-antibody testing now and again at the three- and six-month marks. If you're still within the 72-hour window for your Brokeback Mountain lapse-in-judgement sexperience, a course of PEP would be warranted. But don't delay. The sooner PEP is started, the better chance it has of being effective in aborting HIV transmission.

Dr. Bob

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