Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Safe Sex and HIV PreventionSafe Sex and HIV Prevention
          
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Possibility of transmission to others while on PEP
Aug 8, 2011

Dear Doctors, thank you for making this resource available. Here's my story. On the 21st June, I had intercourse with female sex worker, insertive vaginal of unknown HIV status in South-Africa, allthough she was Chinese. We used condoms, which was changed by her to a new one after oral. I'm not 100% sure about the status of the condoms as she removed them realy quick, but think they were fine. Subsequently on the 23rd I startet a course of PEP after reading about it on your site. 15 days after starting PEP I had protected sex with my wife, in this case the condom was in tact, but there may be a possibility that some ejaculate fluids came into contact with her which flowed down the inside of the condom as it felt realy wet.

My questions is what you suppose my risk is to have obtained infection while with the sex worker. Secondly and more importantly, what is your realistic view on the possibility that I may have transmitted hiv to my wife?, should she be taking pep?

Response from Dr. Frascino

Hello.

Your HIV-acquisition risk would be essentially nonexistent, assuming the latex condoms were used properly with your sex worker and didn't fail (break). PEP was not warranted for this episode! If you read about PEP on this site, you should have learned that it is prescribed only for significant HIV exposures.

As for your wife, you ask if she should be taking PEP! No, of course she shouldn't. Frevinsakes! There is almost no chance you are infected (at least from the South African-based-Chinese-hooker incident you describe). Plus, you had "protected" sex with your wife, and the condom remained intact. The chance of ejaculate flowing down the inside of the condom is not all that likely. Condoms should fit tightly, even when Mr. Happy becomes Mr. Softy.

I would suggest you level with your wife. Your fears are most likely being amplified by your guilt. Leveling with your wife is not only the best way to confront your guilt; it's also the right thing to do!

Dr. Bob



Previous
Your sense of humour is worth a million!!!! (PERSISTENT CHURCH LADY RETURNS)
Next
HIV Scared - Pl reply wil donate $150

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement