Anonymous
I recently engaged in a threesome with two guys (I am a guy). One of them (the top) switched between penetrating me and the other guy multiple times, and while there were condom switchings, I was sure it was not consistent with the partner switchings. I have heard that HIV dies instantly upon exposure to oxygen, so I want to know whether this is indeed true, the risk level for this activity, and whether I should consider PEP. I have may be 50 hours left for PEP so any prompt response is highly appreciated.
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Anonymous
Thank you for contacting the AIDS Vancouver Helpline with your query.

It sounds as though you have some concerns about the possibility of acquiring HIV in a recent encounter due to the possible re-use of condoms between partners.

It's great to hear that you were using condoms during your encounter, and that your partner was making an effort to use a new condom for each penetration. If indeed a new condom was used each time (and the condoms remained intact), then this would be a low risk encounter, for which you would not need to worry about PEP.

In a situation like this, the concern would be if one condom was used for two partners (as you suggest *might* have happened), this improper use could result in a condom failure, becoming then a high risk exposure. If this is the case, then PEP would certainly be an option to consider.

Because you are still within the window for PEP, it would certainly be sensible to have a conversation with a healthcare provider. They can speak with you in more detail and assess whether PEP is advisable for you. Many hospital emergency rooms can provide PEP. As you know, the sooner you access PEP, the more effective it is, so please do not hesitate in finding a provider.

If you're in the BC area, our[ Health Promotion Team](http://www.aidsvancouver.org/health_promotion_program) work with HIV negative people to help them maintain their negative status, particularly men who have sex with men, and other at risk groups. Please feel free to contact them in confidence; I'm sure they would be pleased to hear from you.

Very best wishes, and I wish you well, whatever your decision

Yours

Wendy

AIDS Vancouver Helpline/Online

Monday-Friday 9am-5pm (PST)

1 844 INFO-HIV (Toll free Canada & U.S.)

helpline@aidsvancouver.org

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