Apr 23, 2010
Dear Dr. Frascino, please, please answer my qn!!! I have had unprotected sex (quite rough) with a person who is HIV(+) but is currently on meds and has undetectable viral load. I was denied PEP in ER. What is theoretical and practical infectivity of a virus that is "poisoned" with antiviral drugs in the carrier? I am really scared!!! I will generously donate to your foundation!!! Please answer my question!!!
| Response from Dr. Frascino
The estimated per-act statistical risk for acquiring HIV from unprotected sex with a partner confirmed to be HIV positive depends on the type of sexual exposure (and other factors). The CDC has published statistics for receptive and insertive anal sex, receptive and insertive penile-vaginal sex, and receptive and insertive oral sex. These statistics give a good indication of the relative risk of one type of activity compared to another. For instance, insertive oral sex is much less risky than insertive vaginal sex which in turn, is less risky than insertive anal sex. However, there are many other variables that come into play when considering HIV transmission. These include viral factors (viral strain, viral load, etc.) and host factors (concurrent STDs, immune integrity, trauma, etc.). There is no doubt that being on effective combination antiretroviral drugs that suppress the HIV plasma viral load to undetectable levels significantly decreases the risk of HIV transmission. However, it does not completely eliminate the risk. Whether to recommend PEP is a judgment call based on all these factors. Often in situations like yours, PEP may be offered but may not be strongly recommended.
HIV-antibody testing is warranted at baseline, three months and six months.
Thank you for your donation to The Robert James Frascino AIDS Foundation (www.concertedeffort.org). It's very much appreciated. In return, I'm sending you my good luck/good health karma that you are now and will always be HIV free.
Good luck. I'm here if you need me, OK?
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Blood In Semen After Unprotected Anal Sex Without Ejaculation Does It Mean I Have HIV
- Bronchitis After Sucking Penis Worried I Have HIV
- Rash After Licking Genital Worried I Have HIV
- Tingling Lips After Anal Sex Top Sign Of HIV AIDS
- Vomiting After Anal Fingering Worried I Have HIV
- White Spots After Mutual Masturbation Worried I Have HIV
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.