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Condom broke during anal, put on PEP, ARS symptoms?

Dear AIDS Vancouver,

Thank you very much for all your help and for replying to all the questions.

I am a 29 year old gay male, and I had sex on the 26th of October, where I was the insertive partner. However, the condom broke just at the beginning, and I have noticed it only 30 seconds after it broke, after which I have pulled out (I am also circumcised). The next day (29hrs later) I went to the hospital and got PEP. Immediately after starting taking PEP, I got a red sun-burn-like rash under my armpit and belly and legs, and I went back to the hospital and they replaced the regimen Ive got with Descovy and Rezolsta that I am using now. I know it couldnt have been ARS as it was a day after exposure.

Later on around the 6th day I got a slight cold and fever, which disappeared quickly.

On the 10/11th day I developed a maculopapular rash all over my shuoulders, neck, a bit on my back and chest, it was horrible, amd a fever. I went back to the hospital on the 11th day and they did an RNA test which came back negative.As soon as I got the results my rash and my fever disappeared.

On the 15th day I started getting chills and a fever all of a sudden in the evening (38,8), which subsided the next morning, but I started sweating all the time, especially in the evenings, I am having nightsweats for 2 days now.

I am on the 17th day now post exposure and PEP, and I am terrified.

Can you please tell me how big was my risk to start with, if the guy was positive? Could all of these be ARS? And could the RNA test taken 11 days post exposure be a false negative due to the PEP medication I was taking (because I have read somewhere online from some doctors who have been replying to others, that PEP can cause a false negative RNA?). But then again, can one have ARS symptoms if the viral load is undetectable?

Many many thanks!

three protected vaginal and unprotected oral sex with csw in China

Hi there,

I am a Canadian working in Beijing. On june 24, 2018, I ordered an outcall services, and the girl gave me an oral sex for a short while followed by protected vaginal sex (she sat on me). I think the condom did not break (my "stuff" was not leaking out, so I assume it was intact) but the condom used was not any international brand that I am familiar with.

On Agust 24 2018, I found a massage parlor and tried the service. First, it was just unprotected oral sex. And somehow I thought this girl was safe, and decide to do unprotected oral sex + protected vaginal (she sat on me) on August 29.

During September, I visited the massage parlor for another two times. On September 7th, I did unprotected oral sex only. On September 30, I did unprotected oral sex and protected vaginal sex (I inserted into her).

At first, I was not so worry about these encounters as I had used condom for all of the vaginal sexes, and I did not experience any symptom (no diarrhea lasting for more than a day, no rash, no fever, no sore throat etc;). Additionally, for all the vaginal sexes I couldn't get very hard and ejaculate after 20-30 seconds or even shorter. The outcall girl's boss told me that the girl is clean and the massage girl told me that she got check regularly.

Recently I read a news about the number of HIV paitent in China that has increased rapidly during the third quarter, which made me start to worry and led me to here. Now I am worrying about the condoms I used were not effective as they are some unknown chineses brand brand and somehow these encounters could accumulate (it sounds super stupid).

My current concerns are 1)the condom could be fake and it did not work though it covered my penis 2) the condom could have little hole that vaginal fluid can come through. Can you tell me what are the chance of getting hiv if my concerns were real.

I've already booked a body check this weekend, but start having imagination of getting a positive report back. I understand that you get questions like this a lot, and I apologise. I just want have some professional opinions regarding the chance of having negative report so that I can wait for my report more peacefully.

Thanks
A worry paranoid

HTS

Hi,

About a 3 months ago I had unprotected sex with several partners. Also oral sex, ı both received and gave. I did not know their STD or HIV status. Two weeks ago I had something like blister, papilla or pimple showed up my vagina and increased it was painful at the beginning. I've seen gynocologist and she told me I don't have any warts or herpes with physical examination. I am still waiting for pap smear test results. However, a week ago I had swollen lymph nodes on my throat. And later my gums started to swollen. Now I have problems with my gingival and worried about gingivities. I had open sores on my mouth, cheeks when I had oral sex. I am so worried abput all STD's or HIV. I already tested and waiting for the results. But these symptoms are raising every day and I am really worried.

Should I really worry about the hiv possibility, and do these symptoms look like hiv?
Thank you so much for your answer, I appreciate it very much.
Kind regards

SECOND EXPOSURE WHILE ON PEP

i recently got into a relationship with a lady i did not know of her HIV status. we eventually had an vaginal sex (with no condom). i was very worried though she told me not to that she was sure that she is negative. but out of fear, i went to my clinic and i was given PEP treatment at about 40 hrs post exposure.
the relationship continued and we had another sex 6 days after i started PEP. i was not a brief sex at all and i ended up having some injury on my penis as a result of the activity.
I almost discontinued the PEP, but asked her to just do the HIV test, and it came out positive. i was shocked!!!!!
i have not had any rashes, fever, sore throat and all that except jaundice, nausea and severe weakness once i take the drug.
i experienced an unexplained burning sensation,needle like pricks and colicky pain in and on my penis and my scrotum. sometimes i feel like something wants to come out but nothing comes out of my penis. this started about two weeks after exposure. but no discharge nor sore nor rash around my perineum nor inguinal area.
all STI screening i did were negative and i had to take treatment for STI just in case ( this was my decision).
i have completed my pep and got tested again at day 33 post exposure and day 30 on pep and im still negative.
i was placed on LAMIVUDINE AND TENOFOVIR + ATAZANAVIR AND RITONAVIR.
my questions are
1) will my second exposure limit the efficacy of PEP?
2) should i have extended my PEP to 6 more days.?
3) are those symptoms i had possibly due to seroconversion?
4) is my current negative result encouraging?
thanks a lot for your anticipated prompt response. i am honestly scared.

also, i just got an antibody test approximately 2 months post pep and 3 months post exposure. it came negative. i don not know what to make out of this as my symptoms still persist. my palms and sore of my feet are peeling of now. my bones ache and i am tired like my soul is out of my body. i need help please

hiv test and symptomps

hello.
first sorry for my poor english and i really thank you for your support and your site.
i am from iran and i had a protected vaginal sex and unprotected anal sex and with a sex worker in thailand 7 month ago!
and this is my results test:
1 month after:hiv ab/ag = negative
4 month after:hiv ab/ag=negative
7month after in another lab:hiv ab:negative
i have some question.
1-also i have some symptoms that i have not before like super dry mouth and mouth ulcer with no pain and white and burning tongue that symptomps be for hiv ?!
2-i always use supplements like amino,whey protein,vitamins and minerals and omega 3, can this supplements effected on my hiv tests!?
3-if i infected with other std's like hepatit or.. can cause that my body could not produce antibody aftr 7 month!?
4-need i retest again after 1 year?
please help me i am in very bad situation!
thanks a lot.

Risky Activity, Pep, Testing

Hi,
I had an experience that is causing me great concern. I received unprotected oral and rubber her vagina on the outside. Did feel the wetness on fingers. May have had a small cut on the underside of the head of the penis. Greatly freaking out. Im especially worried cause I saw something that would make me think she is possibly in acute phase of infection post the unprotected oral. Should I get tested? Should I try and start pep? It is about 60 hours post exposure.

FEAR - Sex with prostitute and the condom broke

i had sex with prostitu.. I used a condom for vaginal sex but it broke,i dont stopped the aft that came to know the condom was broken .. what i do i fear unable to sleep at night thing about the same thing over and over,over .. i unable to speak with other what other do r think about me .. please give suggestion ...

I did 2 HIV test, 1st test after exposure of 5 months and 2nd after 1 year of 1st test. Both were negative. Are these results conclusive?

Hello Sir, i had a girlfriend, who was HIV positive, and after our break up she told me that she is HIV positive. We had sex alot of times but most of time i used Condoms. But still i tested myself on sep 2016, it was an Antibody and antigen p24 test. The report was nonreactive. Again after 1 year i tested myself cause i was abit confused due to having a wart near my genital ... test was same Antibody and antigen p24 test. Again the report was nonreactive. can i rely on these reports or again i should go for a HIV test?

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?

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