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PEP effective
Dec 28, 2010

Dear Doc.

I had a sex with sex worker. She start with oral sucked my balls & penises then i wear condom and done the safe anal & virginal sex same time i was drunk so i don't know i had a cut like bitten in my penises ball skin. When I had sex suddenly after 30 mintus i taken a hot bath then i saw the cut then i went to VCT they given me PEP so how it is efficient after how long in need to go for test i mean what is maximum windows period. because i going to married in next 3month so 3month is enough. please help me out i need not to destroy some one life. if PCR test will work after one moth.

Response from Dr. Frascino

Hi,

The sex worker sucked your "penises"? Exactly how many do you have?

Your HIV-acquisition risk is exceedingly low based on the information provided.

PEP can help avoid or abort a HIV infection when there has been a significant HIV exposure, but it is not 100% effective. A full course of PEP is 28 days in duration. Post-PEP HIV testing guidelines recommend HIV-antibody testing at four to six weeks, three months and six months from the date of exposure. PCR testing is generally not recommended for HIV-diagnostic screening.

If you are worried about HIV, you need to level with your fiancée and use latex condoms with her until your negative status can be reconfirmed (six months).

Good luck.

Dr. Bob



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