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More Confused Than Ever
Mar 29, 2011

Hello Dr did write to you before did not get a response but am aware that you recieve way to many questions. Had anal sex with 2 different men in a sex club with a condom and the condom failed. Did pull out and went to the washroom to wash the area with antibacterial soap and then put on hand sanitizer all over the area. I was on vacation at the time so called my DR and he told me that this one time although holds a risk it would be good to go on PEP. So I contacted a clinic and was seen by a DR who did not order a HIV test only an STD screanng. Told me HIV would not show up anyways. Did not even talk to me about PEP. I was the top in the incident not the bottom. Now that I have exceded the 72 hour time frame should I have insisted on going on pep. There is so much conflicting info out there one does not know what to do. On a positive note the DR did take the time to show me how to put on a condom the right way. Thanking you in advance.

Response from Dr. Frascino

Hi,

Broken-condom sex with an anonymous partner of unknown HIV status does place you at some degree of risk for STDs, including HIV. Whether a course of PEP would be recommended depends on several factors, including the likelihood your partner was HIV infected. At this point you are beyond the 72-hour limit and therefore to PEP or not to PEP is a moot point. Now all you can do is endure the window period and then get an HIV-antibody test. I'd also suggest you review proper condom technique (in the archives of this forum). Latex condoms very seldom fail (break) when used properly.

Good luck!

Dr. Bob



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