Anonymous
4 hours ago I had sex (as a top) with a gay man. After having unprotected oral sex, we had anal, and less than a minute after we started the condom broke and I pulled out. I rushed to the bathroom to check for blood and cuts (there were none) and washed my penis. We then had protected anal sex again (no blood or any break). What are my chances of getting HIV and should I start PEP?
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Anonymous
Hi there,

Thanks for contacting AIDS Vancouver for HIV related information.

I'm sorry to hear that the condom broke. Condoms are very good at preventing transmission but they aren't always foolproof. Nonetheless, we would like to congratulate you on taking ownership of your health by using protection. Even using a condom that breaks is safer than using no condom at all.

Unprotected anal sex, whether insertive or receptive, is a high risk activity. Despite pulling out and putting on a new condom, you still had unprotected sex and it is, therefore, still possible to have contracted HIV during this time. We recommend that you obtain an HIV test based on this information. HIV testing done at 6 weeks post-exposure will give you a very good indication of your HIV status, and testing done at 12 weeks will give you conclusive results.

As for your question about PEP, it is ultimately up to you based on this information. My advice for you would be to contact a gay men's health centre near you (if it is accessible) or places where they provide PEP (perhaps a hospital) to discuss with someone. Please keep in mind that PEP is not offered to people 72 hours post exposure.

If you would like some help finding a service, please write back or phone us. Our phone number is 604-696-4666 and we are here 10 am-4 pm PST. You can also leave us a voicemail and we can phone you back.

If you have any more questions, please don't hesitate to ask us.

Best

Maggie & Tiina

AIDS Vancouver Volunteers
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