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HIV Transmission and Education >> Am I Infected?

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Anonymous
Unregistered

helping my friend!
      #34183 - 05/11/02 06:14 PM

Hi all. My best friend(male) came to me last night hysterical because he had slept with a guy unprotected and than afterwards he told him he was HIV positive. The guy told him not to worry that "him and his boyfriend do it all the time..and the boyfriend is fine" but of course we arent stupid and know this is not the case...he was not the reciever [ but the "giver"....i dont know if this is better or what...we are trying to get to a clinic monday to talk to someone...but does anyone have an reassuring information or facts that will help ease the worry. anything at all will help...what to do etc...
thank you
JS




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worried2002.
Unregistered

Re: helping my friend! new
      #34188 - 05/11/02 07:16 PM

Surely your friends needs to seek immediate counseling and medical assistance. In cases of actual exposure it is possible to take (in the 1-2 days immediately following exposure) antiretroviral medications for PEP (post exposure prophylaxis). This meds can prevent HIV infection. Being the giver (top) is less risky than being the receiver of an act of unprotected anal sex altough it does indeed pose a risk for infection. Your friend should *immediately* consult an infectuous disease specialist to establish a testing strategy which, in this case, can include a PCR assay. It would be also useful to acquire data about the viral load of the source of infection, if this person is under medications or not and what HIV strain is he infected by. Drug resistance information about the source of infection can be useful to establish a proper PEP strategy.
However HIV infection is difficult to catch and we can infer that if the source of infection had a low viral load and no repeat exposures occurred there are moderately good hopes of non-infection. Hope this helps and write back if you need more info



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Anonymous
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Re: helping my friend! new
      #34191 - 05/11/02 07:37 PM

if the guy had HIV and not aids does that mean he has a low viral count or no?



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worried2002.
Unregistered

Re: helping my friend! new
      #34194 - 05/11/02 07:51 PM

AIDS is usually defined by a low CD4+ count (i.e. under 200 per ml of blood, normal is 500-1600) that leads to the developement of opportunistic infections. Viral load can be high even if CD4+ count is almost normal, especially in recently infected, untreated patients and in long-term non progressors. I can't tell you if the viral load of this guy is high or not. However this is important only to a certain extent. I advise you to urge your friend to consult a M.D., this is the priority at this point. Hope this helps.



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Jackie_Blue
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Reged: 10/26/00
Posts: 2028
Re: helping my friend! new
      #34200 - 05/11/02 10:54 PM

Worried is right, we can't tell you how high the guy's viral load is. If he isn't on medication is could be very high, if he is on medication it could be undetectable Where a person's viral load becomes an important part of the equation is that the higher the viral load, the more infectious a person can be.

It is important for your friend to see a doctor immediately to decide a course of action. He needs to remember that exposure does not always mean infection.

T.i.a.d.



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