Can HIV be transmitted if there is no ejaculation in unprotected sex?

Hi, Welcome to icliniq.com.

Unprotected sexual intercourse is a risk factor for STDs (sexually transmitted disease) including HIV, however, the risk is very low (0.03%). There is no reason to panic at the moment. If possible, please get the partner tested first. If she is a known case of HIV then it would be advisable to consult the nearest dermatologist for post exposure prophylaxis (PEP). In case if this is not possible, it would be advisable to weigh the risk benefit ratio for PEP in your case. High-risk exposures such as homosexuality, contact with blood during intercourse, sex with a commercial sex worker may warrant a need for PEP.

Hi, Welcome back to icliniq.com.

PEP is post exposure prophylaxis, i.e. the course of drugs to be taken in cases of high risk of disease transmission immediately after exposure. PEP is advisable in cases where the risk of HIV is substantially high. These include situations in which there has been contact with blood or semen or vaginal secretions with a known case of HIV or person with high chances of having HIV, homosexuality or receptive anal intercourse. HIV testing should be done at the baseline i.e. at the time after exposure and needs to be repeated at 1 and 3 months after exposure. The tests available are all blood tests. Fourth generation combo tests help in detection as early as two weeks. Elisa for antibody needs to be repeated at the end of third month. There are no specific symptoms to say a person is infected with HIV. However, the risk is higher if the partner is a commercial sex worker or has had multiple partners in the past or has been chronically ill, losing a lot of weight, having repeated episodes of diarrhea and fever.

Hi, Welcome back to icliniq.com.

PEP is a combination of two or three drugs that are effective against HIV, started within 72 hours in conditions where there is a high chance of acquiring the disease. This is available free of cost at all government ICTC centers. It can also be taken even under the jurisdiction of private practitioners. Doctor's prescription is a must as the medicines cannot be given without it. All the tests which are necessary to rule out other STDs have been advised in the prior reply (HBsAg, Anti HCV, VDRL). To determine whether you would be needing PEP or not, we would like to know the following. Mode of intercourse (oral, vaginal, anal, receptive or insertive)? Category of the person with whom you had intercourse (sex worker or unmarried female or female with multiple partners or gay)? Presence of any ulcers, discharge or other health issues in the partner? Use of condom?

Hi, Welcome back to icliniq.com.

The risk of acquiring HIV is very low and can be calculated to an approximate of 0.000028% according to the HIV statistics in India and from the information provided by you. This is a very low limit and does not warrant to start of PEP in your case. However, if you are really worried, you could visit your nearest ICTC center and discuss further about the pros and cons of PEP. There is no need to panic. And be open to get yourself tested.