Hello Doc,

I was recently diagnosed with HIV about a month ago, and I started taking the Atripla about 5 days ago. My counts before the Atripla are CD 4= 1225 and Viral Load=200K. The counts after starting Atripla are yet to be determined.

Last night a sexual partner inserted himself inside of me without a condom very briefly (literally 10 seconds max and without ejaculating) before we stopped. There was some premature ejaculate on his penis. He is HIV positive as well, also on Atripla, and is undetectable. My main concern is, is it possible the he may have transmitted a resistant strain of the virus during our very brief unprotected sexual encounter?

I am aware of the current research that has discovered that an HIV positive person on Treatment and undetectable has a significantly less chance of transmitting the virus. But I was wondering since we are on the same drug, being that I just stared mine, could he have developed a drug resistant strain that may be resistant to my drug and effect my treatment? And if so, what can I do about it?

I see my doctor in three weeks for a follow up visit to evaluate the virus' response to the drug. Should I just inform my doc to keep an eye on my viral load and watch for spikes or should I not worry at all?

Also, is it possible that I could have contracted syphilis, chlamydia, or gonorrhea from that very brief encounter?

I hope my questions and my story make sense. Any advice you can give would be most helpful.

Hello there- While it is possible to acquire a superinfection from another HIV-infected person, in this case it would be unlikely since your partner was undetectable and undetectable on Atripla (indicating his virus was likely also susceptible to that regimen). You could have certainly been exposed to other STDs as you mentioned and testing would be a good thing. It's always good to inform your dr about all your sexual encounters so that the two of you can make the most informed decisions about your health. Take care, LHW