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Condom slipped off during sex.

Question: 

I am a dancer, and on Friday 6/24, I agreed to have sex for money. i had put the condom on him to ensure it was on properly and during a short period of maybe 3-4 min ( maybe less) i was on top. I got off to switch positions and as i was getting off slowly i used my hand to hold the condom down so it doesnt come off, thats when i noticed it wasnt on, it had slipped off inside me. He had another condom n this time i was EXTRA cautious. He didnt come until sometime later after i had changed the condoms. He assured me hes a cautious person as well, and always uses condoms even with his girlfriend. I live in Texas, usa and for some reason pep is not well known here. Ive spoken to a few healthcare providers and have been told such a thing does not exist. I found a clinic in houston, TX that does offer a prescription for it, and knowing that its really expensive I needed to know if its somthing that I should get.

Answer: 

Hi there, and thanks for contacting the AIDS Vancouver Helpline for your HIV/AIDS related health information.

It seems you're concerned about the possibility of HIV transmission after a condom slipped off during intercourse. It's great that you used a condom, a condom acts as a barrier to HIV transmission. However, for this answer, I will focus on the Unprotected Intercourse since the condom did slip off.

Unprotected Vaginal or Anal sex is considered a High Risk situation. This means that the practices in this category present a potential for HIV transmission because they involve an exchange of body fluids. In addition, a significant number of scientific studies have repeatedly associated the activities with HIV infection. There have been a lot of confirmed reports of infection in this way.

I am very sorry that you had bad experiences with various health care providers when you asked for PEP. Informed health care providers will recommend PEP (Post-Exposure Prophylaxis) for high risk situations. The side effects of PEP are quite severe and you may be sick for a few days. PEP must be taken within 72 hours post exposure. That being said, it is past the 72 hour point at the time of this answer. I would recommend that you visit your health care provider for an HIV test. We here at AIDS Vancouver we encourage everyone to make HIV testing a part of their health care maintenance routine.

I would also encourage you to check out the following resources for more information about HIV:

Thank you again for contacting AIDS Vancouver Helpline Online

Cheers,

Hilary

AIDS Vancouver Helpline/Online helpline.aidsvancouver.org