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One time unprotected insertive anal sex
Feb 21, 2014

Last night I did something I have never done before, and which has totally freaked me out. I had unprotected anal sex. I was the top and the other guy's status is unknown. I would like to know what my chances are of infection and what to do... Do I pursue PEP or just get tested in a few months or what?

Response from Ms. Southall

Hi Having unprotected sex puts you at risk. Being top is less risky than being bottom, but you definitely put yourself at risk. PEP should be started no later than 72 hours after exposure. As for testing, the guidelines are to be initially tested at 3 weeks post exposure and then again at 90 days. As long as there are no other exposures happened during this time frame than the results are conclusive.

I would recommend getting in touch with an infectious disease provider in your area and discuss PEP and receiving testing. The testing should be a complete STI screening as there are other sexually transmitted infections out there that you need to be concerned about as well.

Be well and stay safe, Shannon



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