Dr. Bharat Udey
MD PSYCHIATRY., MBBS
Geriatrics, Psychiatry, Sexology, Sleep Medicine
Welcome to icliniq.com.
An unsafe sex increases the chance of contracting STDs (sexually transmitted diseases) as well as HIV (human immunodeficiency virus). As you mentioned that the status of your partners are mostly not known, so this puts you in risk of contracting STD or HIV if you get involved in unsafe sexual practices with such partners.
In case of slippage of condoms or breakage of condoms, puts you at risk, which cannot be neglected while having sexual intercourse. First and foremost important thing to do is, to stop the act and wash your genitals with mild soap under running water. Avoid applying any cream or lubricant that can cause irritation to genital skin. Besides this avoid promiscuous behavior.
There is no need to take Truvada (Emtricitabine and Tenofovir Disoproxil Fumarate) until and unless you know the HIV status of the partner with whom you have had unprotected sex.
- Truvada is not a medication that can be taken on emergency basis just like an I-Pill. It is an antiviral drug that is prescribed in case of positive HIV results. Hence, it cannot be prescribed before having unprotected sex like an OCP (oral contraceptive pill). It is not meant for prevention of HIV but for preventing progression of worsening of HIV once it has been contracted.
- Yes, you should get your's as well as your partners blood tests done which should include HIV, chlamydia, trichomonas, gonorrhea, syphilis, candida, herpes, genital warts and hepatitis B and C. For HIV, you need to get yourself tested on day 0, after 12 weeks and then at six months. One should maintain abstinence or safe sexual practices for minimum six months till the tests are done.
Viral infections such as genital warts and herpes can be contracted by even skin to skin contact.
For accidental genital contact, firstly get the STD profile done, and then if required start the treatment for the respective STD that is detected on testing.
- Herpes can be contracted by kissing as well.
In your case you should use XL size condoms (extra large), which can be procured from a medical store.
Having an unprotected sexual intercourse with a partner who is HIV+ then there is always a risk of contracting HIV, you cannot neglect it or can take chance of not contracting HIV by having sex only for once with such person.
- Truvada is not meant for prevention of HIV, but for treatment of HIV, as it reduces the viral load, once it has been contracted by having unsafe sexual practices. Long term health risk of Truvada includes renal failure, hepatic failure and bone marrow defects.
- Yes, applying lubricant with condoms do help, especially the ones which have acidic base, as it prevents immediate spread of STD infections in case of slippage or breakage.
If you are not sure about vaccination and as you are involved in unhealthy sexual practices then you should get your hepatitis B done.
For further clarification consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist