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PEP

HIV Post-Exposure Prophylaxis for pinhole-like wound

Hi,

Today I woke up and I found out there is a tiny pinhole-like wound on my index finger without any blood. I found out because I feel a little pain on the pinhole-like wound. I cannot recall how I got this wound at all. Should I go for the HIV Post-Exposure Prophylaxis (PEP)?

Thanks,
Matt

How Effective is Post-Exposure Prophylaxis (PEP) ?

Hi, I had unprotected sex with a lady, two weeks later we tested for hiv and hers came out positive and mine negative, I then immediately began PEP treatment, will this treatment ensure i remain negative? Could i infect someone else with HIV if i had unprotected sex three days after the exposure?

Partially inserted penis in anus.

I recently had a MSM encounter with someone. Neither one of us is on PREP. We were making out naked and I could feel is penis pressing against my anus. The tip of his penis pressed considerably inside anus but I quickly pulled back. Would this be considered low risk or am I at risk at being HIV infected? It happened last Wednesday the 4th of July. Should I consider any immediate actions?

M

Hello,
Please allow me to raise some questions/concerns related to HIV topic.
1. On the result of my serology test, it is indicated as follows:
SEROLOGIE DE DEPISTAGE VIH1-VIH2
Dépistage par électrochimiluminescence sur COBAS Elecsys 411
VIH 1/2 et Ag p24 (HIV Combi PT Cobas / ROCHE) : Négatif
According to the above information, could you please tell/confirm wether it is of the forth-generation assay?
2. After the exposure, I did take the PEP.
Is the PEP able to delay the conclusiveness of the serology test assay (even with the forth generation)?
First test at 31 days after the exposure (1 day after I finished the PEP); VIH 1/2 et Ag p24 (HIV Combi PT Cobas/Roche) : Négatif
Second test at 45 days after the exposure (15 days after I finished the PEP): VIH 1/2 et Ag p24 (HIV Combi PT Cobas/Roche): Négatif
For reassurance, at the 45th day post-exposure, I also requested to perform the Viral Load HIV test.
Conclusion: HIV-1 RNA non detected.
In most articles I have found, it is recommended to have a confirmatory test at 3 months post-exposure.
Waiting for the next test is still very stressful and anxious for me.
Thank you in advance for your answer.

12 Week Negative After PEP Conclusive?

Hi,

On January 23, 2018, midnight and in morning, I had unprotected sex with a woman of unknown status, five times at midnight and one time in the morning. Ours is a subcontinent country and she became a citizen of a large first world country in the East and had lived there ever since. While talking, I learned she had known nothing about safe sex and she refused to test vehemently and stated that she hadn't had sex for over five years with anyone else (and she probably meant outside her marriage). The previous boyfriend married and had a healthy girl child, she said.

She was stupid despite her ideas on progressive thoughts and a loud mouth. This got to my mind and my OCD got triggered. She had also invited our other friends before me and I knew they were negative too but doubt had its own ways.

I started PEP about 67.5 hours later and completed it without missing a single dose. I tested immediately after PEP on day 29, 30, 41, 49, 58, 70, 72, 85 and 114 (12 weeks after PEP) with fourth generation Ab/Ag tests. All of them are negative.

Some confusing guidelines say 6 months post exposure on PEP. I don't like it. And I haven't had any symptom at all I guess. I think since it got warmer due to Summer, which is extremely hot here, I have been sweating profusely and I used to since childhood. I sweat even when I eat and even if I do not allow air, while sleeping.

Can I consider my 12 week post PEP results conclusive? Doctors Sera (says test after completing PEP is conclusive), Dr Sean, Dr David Wohl and Dr. Jose say testing 4-6 weeks after PEP is conclusive. Dr Tan and Dr. Benjamin Young say 8 weeks after PEP is conclusive. Dr Tan even goes on to say testing with antibody alone is enough after week eight and that Dr Tan says he has never seen a test immediately after PEP change later on.

On Day 72, I had also cut my little finger with a knife while cutting tape. I had sutures done immediately and feared that the needle used to give me the anesthetic was reused. Anyhow, the test 42 days after that incident has come negative. I had also believed that the phlebotomist who drew blood used a used syringe on day 30. I now believe these were unwarranted irrational fears.

Now, my concerns are:

1) Can I move on with my 114 day (12 week post PEP) results?
2) I should probably enter long term relationships and even get married. So, discussing and testing before we have sex increases my fears. So, does testing at the six month mark, which I don't want to, as I have had enough of fears before testing and waiting for the results.
3) I would still believe I would have to test 6 months after PEP and 7 months after exposure, as we go on.
4) I also want to believe that this result will stay the same and the 114 day result (12 weeks after PEP) is conclusive.
5) Long term consequences and complications that we read of the disease scare me, which is, as you might have seen, a "what if" question.

I hope I can mentally free myself from all these and remain negative to move on with other things in my life. I hope you can answer me soon. Thank you for all the great work you do :)

HIGH RISK HIV EXPOSURE VAGINAL INTERCOURSE WITH SEX WORKER NO CONDOM

AFTER A HIGH RISK HIV EXPOSURE DUE TO VAGINAL INTERCOURSE WITH A FEMALE SEX WORKER NO CONDOM AND MANY ARS SYMPTOMS. HOW MUCH STOCK SHOULD I PUT IN A NEGATIVE AG/AB HIV 1/2 TEST BY CMIA AT 51 DAYS AFTER EXPOSURE.

Risk of Infection HIV from sexual contact with a person of HIV positive status (without the exchange of bodily fluids)

Hi,

I hope am not being silly but am concerned. I had contact with an HIV+ person over the weekend and it included fondling of breasts, buttocks and playing around with the vagina though with no underwear removed. Soon after that the lady made a confession that she was living with HIV and i kind of freaked out and since then have been concerned. What if she injected me with some blood or something to infect me(just being paranoid i guess). I have visited the doctors and refused me a dose of PEP. what should i do? Am i infected?

HIV Testing

Hi,

Due to a low risk event I was given PEP for 28 days. Event was happened last week of April. Below are my test dates and Results :

1 day after PEP - 4th gen combo Test - Negative
4 weeks after PEP - 4th gen combo Test - Negative
8 weeks of PEP(12 weeks after exposure) - Rapid Oraquick Test - Negative

I would like to know

1.These results are assuring?
2.Is Oraquick antibody test is good enough?
3.Did you see anyone turn positive after 8 weeks negative test?

Thanks.
M

Pep started 48hrs but having all ARS symptoms from day 1

From 16 days I'm struggling with fever between 98.3 - 99.5F, night sweating. Seems like I'm infected with HIV or other STD disease.
I used 1 condom for oral and vaginal with CSW, my bad as this was my first time and at the end it was loose.
After 2days I consulted a doctor and did complete blood work. He prescribed me to take Truvada 1tab and Raltegravir 2tabs daily as PEP safer side because of my anxiety.

Symptoms:-
Fever 98.3 - 99.5
Tounge taste changed
Exess Saliva
Night Sweating

Blood test results after 2 days of exposure :-
HSV 1 IGG AB HERPSELECT ---> 0.15 Negative
HSV 2 IGG AB HERPSELECT ---> 0.05 Negative
HSV 1/2 AB (IGM) W/RFL(S) --->Negative
HIV 1/2 AG/AB, 4th Gen RFL ---> Nonreactive

CHLAMYDIA/GC RNA, TMA
C. Trachomatiis RNA, TMA --> Not detected
N. Gonorrhoeae RNA, TMA --> Not Detected
------------
RPR (Monitor) W/REFL Titer --> Nonreactive

I'm now waiting for my blood culture results. But do you guys think that PEP is working in my case?

Cut on scrotum may have been in contact with vaginal fluids

Hello - I had a fresh cut on the scrotum and received a body to body massage using PH neutral massage gel. The masseuse rubbed her entire naked body up and down my back for 30 minutes and I am worried that vaginal fluid may have mixed in with the massage gel and dripped over the open cut throughout the session. There was no sexual intercourse of any kind. Should I be going to get a PEP regimen?

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