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Post Exposure Prevention Male to Male to Female -- Concerned.
Jun 8, 2010

I recently had two regrettable things happen -- I engaged in male - male sex as the bottom, with a male unknown to me. The condom broke. It lasted for another minute or two and we figured it out. No ejaculation. He said he was neg, still I was freaked out enough to get on PEP immediately. Part two--- I'm BI and am married. We've had sex since (about 10 days into my PEP) and ANOTHER condom broke. Also she was also on her period. Now two days later she's complaining of feeling "like she has a virus". TELL ME THIS IS NOT HAPPENING. TELL ME HIV CANT START THAT FAST. I DID NOT EJACULATE IN HER AND STOPPED IMMEDIATELY. I FEEL LIKE I HAVE JUST STEPPED INTO A NIGHTMARE. WHAT ARE THE ODDS AND WHAT SHOULD I DO?

Response from Dr. Frascino

Hello,

I would recommend:

1. Level with your wife if you have not already done so.

2. Continue your full 28-day course of PEP and follow the post-PEP testing guidelines (HIV-antibody tests at six weeks, three months and six months from the date of exposure).

3. Reassure your wife (and yourself) that symptoms associated with HIV acute retroviral syndrome manifest themselves two to three weeks after infection, not two days.

4. Review proper condom techniques. Latex condoms very rarely fail (break) when used properly. Having two break in such a short period of time suggests "operator error!" You can review proper condom technique in the archives of this forum.

Good luck.

Dr. Bob



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