Anonymous
I was in a nightclub, met with some random girl on the dance floor, and for reasons that are not necessarily clear to me, we ended up having sex in a dark corner. And no I wasn't drunk, just STUPID. Well, the following morning at 9 am sharp, I went to a clinic and asked for an emergency PEP treatment, and the nurse said that the situation I described isn't one that would warrant an emergency treatment, even though I had had unprotected sex with a girl I didn't know, and would not prescribe me anything. She even further commented that she wouldn't even prescribe anything even if it were with a prostitute. She stated that while unprotected sex poses a risk, the probability of a female passing it to a male is much lower than vice versa, and that the unless I am either 100% positive that this anonymous girl is HIV positive herself, or if I had receptive unprotected anal sex with another male, they can't give dole out medications on a regular basis to calm down people in a panic.

Is this true, or was she just being a jerk? I thought regardless of the gender, unprotected sex poses the same risk!
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Anonymous
Hi,

Thanks for contacting AIDS Vancouver, I hope I can answer your questions.

The nurse was correct in that vaginal intercourse has a smaller probability for exposure than anal sex. However, all unprotected sex whether anal or vaginal is considered high risk behaviour. All activities present a potential for HIV transmission because they involve an exchange of bodily fluids. In addition, a significant number of scientific studies have repeatedly associated the activities with HIV infection.

It sounds like the nurse was unfamiliar in HIV and the activities related to, as opposed to sexual orientation . The nurse was partially correct in that HIV is not related to the profession or the person. Partner with a doctor or clinic well versed in HIV and all STIs for future questions you may have. PEP is still effective until 72 hours post exposure.

If you are outside of that window getting tested for HIV would be your next step. The rapid test (results within minutes) and the 4th generation tests are both conclusive after 12 weeks of point of contact.

I hope I have been helpful in answering your questions.

Best Wishes,

Renee

Helpline Volunteer



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