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Please please help! Mistake of my life!!!
Jul 20, 2010

Dear Dr. Bob, I know unprotected oral sex bears a relatively low hiv risk. However, during unprotected oral sex with a part time sworker i experienced a scratch (1mm) on the glans of my penis. Later i had protected vaginal sex with no contact with any bodfy fluid. Hence not knowing the likelihood of the girl having potential bleeding gums (almost sure she was positive . black southafrican part time sex worker in cape town, who i met in a nice lounge) I was prescribed PEP 9 hours later. I am day 21 after exposure. What are my odds of getting infected. When should i get my first test after pep ? My specialist has said i should do it right after the finishing PEP... Thanks a lot for your help! I will donate as soon as i get home!

Response from Dr. Frascino

Hello,

Your HIV-acquisition risk is exceedingly low, even considering your 1 mm scratch on Mr. Happy's head. You are correct: Oral sex carries only a very low risk for HIV transmission. That you took PEP nine hours after the incident further lowers your already very low risk of acquiring the virus.

Guidelines for post-PEP HIV testing recommend follow-up HIV-antibody tests at four to six weeks, three months and six months from the date of exposure.

Thank you for your support of The Robert James Frascino AIDS Foundation (www.concertedeffort.org). It's urgently needed and warmly appreciated. In return I'm sending you my good-luck karma that your post-PEP HIV tests remain negative.

Good luck.

Dr. Bob



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