|PEP criteria / risk assesment
Jun 13, 2012
Would YOU consider giving PEP to someone who had receptive anal sex for 1 minute without a condom? Penis/anus shows no visible lesions and there was no semen or precum involved. (it was a "dry" one, if you what I mean). It was a one-time event (I've never ever had unprotected anal sex in my life) and I tested neg 1 month ago.
I did search on the forum for an answer for this particular question (PEP and criteria for giving it) but I could not find one that suit my question.
| Response from Dr. Hightow-Weidman
Hello there- This is a tough one as the risks of sexual transmission are difficult to quantify and are influenced by many factors including exchange of fluids (including precum), the viral load in the transmitting partner and the presence of STDs. If as you said, this was a dry one and the penis is question appeared healthy, my assessment would be that this was on the lower side of risky. A conversation with the said penis's owner of his HIV status might also help in this case. Certainly, if taking PEP provided some additional reassurance, I would not refuse to prescribe. Hope that helps. Take care,
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