Hello, here is my case: I had sex with another man I met online. Before meeting we talked about our safe sex habits and we both said that we never practice unsafe sex (for what it’s worth this was very clear in his profile by the way). He brought condoms and lube the first time we met which is always a great sign. We met a second time a month or two later. Again before meeting he asked if I had condoms at home (again great). This second time unfortunately the condom broke towards the end (I check often to make sure it is fine), and I only noted when we were finished. I had an exposure of about 2/3 minutes at the most. I’m top only but uncircumcised.
I totally panicked even though I don’t honestly have any reason to think that my partner engages in risky behaviors as he seemed concerned about bringing and using condoms (but he is bottom only and accidents with condoms happen). He was also upset but he did not panic as much as I did which made me even scarier. We talked about the incident and he said that he got tested about 2 months before and that everything was fine and that he hadn’t been with anyone since (but who knows right?).
After he left I decided to go to A&E and get PEP. The doctor prescribed Truvada+Ralgetravir (all STD baseline tests were negative) and I took the first dose about 8 hours after the exposure. I took all doses exactly as prescribed – or so I thought - for the full 28 days. As it happens I had to visit relatives so I took medication for the 10 days I was with them and hid it in my bag (this was between days 6 and 16 of PEP). The morning pills were easy to take (2 pills) because nobody was home but the evening pill was harder so I sometimes kept it in my pocket and then went to the bathroom when it was time to take it. As it happens a few weeks later (after completing the course of PEP) when I returned to my family’s house I found a Ralgetravir pill in one of my jeans and I panicked. I could swear I didn’t miss any dose but now I’m not sure whether they gave me one extra pill of if I missed one. Anyway, I’m absolutely sure I took every other pill as prescribed (I’ve been really stressed and not sleeping well so I may have missed that one).
2 weeks after completing PEP (and 6 weeks after the exposure) I went back to the clinic and got an insti hiv1/hiv2 rapid test which was negative. I was quite happy with the outcome as I read that the test is very sensitive and detects both Igg and Igm antibodies and is now therefore considered a 3rd generation test which is useful in detecting early seroconversion. The New York State Department of Health AIDS Institute has a test comparison sheet where it says that the window period for the INSTI is 4-6 weeks. So here are my questions
1) would that 1 Ralgetravir pill I may have eventually missed lower the efficacy of PEP? I hear that some people take truvada only as PEP and I didn’t miss any of those. I also read that experts aim for a 95% adherence rate but I’m not sure whether that applies to PEP.
2) What can I take from this 6 week negative result? Have you ever seen a case where someone who took PEP and got this result would later seroconvert?
3) I’ve read a lot about delayed seroconversion after PEP. The revised CDC guidelines ask for testing up to 3 months post-exposure (not post-pep) and the revised UK guidelines ask for tests 4-6 weeks post PEP (which is basically the same). The experts at thebody.com say that delayed seroconversion is a myth. I have searched the academic journals and found reports of older cases (1990s) where the timing of testing was not always clear and a report of a monkey in an animal study. I also found an interesting report reviewing seroconversion cases among health care workers. Though not all cases were offered PEP there didn’t seem to be a noticeable difference in the time of confirmation of seroconversion between PEP and non-PEP takers. What is your view on this?
I’m still waiting to go back for my 12 week test. In the meantime, I managed to talk to my partner through the dating site to tell him that I got tested. He replied saying that the got tested too and was fine. I know I should probably be happy with this but I’m totally paranoid and that is only a modest comfort for me.
Many thanks for your help!
Hope I can get your opinion on this.
My exposure happened in the 2nd week of Jan 2016 and 3 days later went to see a doctor who prescribed Truvada for 3 months. I finished my doses in 20th April and 2 weeks later (5th May) went for an ELISA test, got a negative result. Problem is, I've experienced symptoms such as cold sore, fever and night sweats in the last 2 weeks. Is there a chance that Truvada delayed antibodies production by almost 5 months, because my last rapid test is only 1 (28th May) day ago, and I still got a negative result. I'm just so worried.
Hi!, an 84 days test (chemiluminescence) after PEP (Truvada) is trustworthy?.
Hello, I a man and I have a few questions. Just a day ago I kind of gave a protected oral sex for 10-20 seconds. It is happened accidentally and now I freaking out; guy put a condom on his dick and I touched it by my lips and sucked a little, after I just run away because I did not like it and honestly it makes me feel very uncomfortable. So my questions is:
1. Do I need to go to my doctor for asking a PEP!? (It is happened just a 24-26 hours)
2. Because of the dark room, I am not sure about if he use condom properly? (I mean, did not touch his penis by wrong side of condom and after wear it)
3. I do not this guy and really worry about health now; everything happened very quick, his penis was in condom and he did no ejaculate in my mouth. So, what is the percentage of me getting me HIV!?
P.S: I am very appreciate for your website, it gave me a lot of good information! Please help me with my situations, I am very worry and freaking out.
I had protected sex with csw. Their is no condom brokage or leakage or slip. Immediately after 24 hours i went to doctor. Doctor told if condom didnt broke then their is no need for PEP.
But due to my fear and anxiety doctor prescribed PEP.
He prescribed me too medicines one is ratlegravir and another one is a combination of two medicines namely lamivudine and tenofovir.
Are these medicines are effective ?
What are the foods I should take during pep time ?
I have protected sex is their any possibilities for hiv ?
I had a sex with an unknown escort girl but, it was protected.
since I don't know that which kind of condom she used and it was a good one or not, I'm concern to for HIV infection. is it possible HIV transmission has happened for me? or is it possible that condom failed during sex and I didn't know that?
should I take any PEP pill or do HIV test?
please i had sex with two condom worn but discovered one was broken but the other intact and tested the girl immidaitely and discover she was positive. and not aware of it . i went the nxt day and started pep with two combination [lamuvudin and tenofovir} but 5days later was told by a pharmacist that 2 combination from same class is not protective ; then immidaitely added effaverenz to it . is 8th day today and am so worried cos of the two combination i started with and introducing the last one after 72hours. pls help me
Over seven weeks ago, I had a high risk (broken condom/anal sex) with a HIV + person, since then I have experienced a myryad of symptoms until today, however I have tested negative in three occasions, at three weeks (Rapid test), four weeks ( P24 antigen test) and almost six weeks (5.5 weeks) ELISA HIV 1/HIV2. I know my tests are not considered to be conclusive , but are they a good indication? I am not a IV drug user, nor a chemo/cancer patient.
I had an exposure almost 8 weeks ago. I took PEP but stopped after only 4 days because it was a low risk exposure. How long after stopping PEP can I take a RNA test that will be 100% accurate?
Thank you so much for your time
i had insertive sex with a prostitute. the condom broke during the process. i immediately withdrew and cleaned my penis. after 15hrs i was prescribed pep for 30 days. i never had any side effects except for tiredness and sleeping early. after finishing pep i was test with rapid test method and the results were negative. two days after i had one sore on the tongue and itching in the groin area. there was a flu outbreak in the family and i had a soar throat for two days and no coughing. could this be a sign of pep failure? if i go for another test six weeks after exposure can the results be assuring?