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Potential Exposure and Course of Action
Nov 5, 2010

H I am a gay male and against my usual better judgement i had sex with someone i met one night. I was using a condom but it broke - and with introspection i think i might have been in him for maybe 10 seconds after it broke. I then asked the question that I should ahve asked before. His response was literarily "he didnt know, maybe - sicne he came up inconclusive at his last test" I assumed that to mean he was probably positive and 3 hours later (when my PCP was open) i went and got baeline tested for HIV and other STDS (all came back negative). My doctor also took a test i think to check tcells or something like that that could be an indicator and he said the levels were fine. I was then put on a PEP (Truvada) at about 8hours from time of exposure. I think i have done everything i can at this point but is there some test i can take that could at least give me just a cautious sense of relief.

Response from Dr. Frascino

Hello,

Unfortunately no. The guidelines for HIV evaluation following an exposure significant enough to warrant a course of PEP recommend HIV-antibody testing at baseline, four to six weeks, three months and six months to definitively conclude transmission did not occur. You can read more about PEP and HIV diagnostic testing in the archives of this forum.

Good luck.

Dr. Bob



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