Dr. Ravinder K. Sachdeva
HIV/AIDS specialist
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am anxious about potential exposure to the human immune virus (HIV). I had sex with two women, one after the other. I was drunk at the time, so even though I feel like I remember what happened, I am still skeptical. Having sex while drunk, it became hard to stay erect, so at some points, I would become flaccid. I still tried to penetrate with the condom on flaccid before changing the condom to a new one and starting again. This happened three times in total. There is also a chance that the condom was not rolled all the way to the base, but my urethra was always covered. I did not ever penetrate without using a condom. Being anxious, I went to get PEP (post-exposure prophylaxis) as I did not know their status. I started PEP maybe 50-52 hours after exposure. I would like to know if I was at risk of transmission.
Hi,
Welcome to icliniq.
I do understand your concern.
1. If the condom was used correctly and consistently and was changed for repeated contact, the risk of acquisition of HIV was non-existent.
2. If it is unsure about condom use or was not a correct use, there could be a low risk of acquisition of HIV with unprotected vaginal contact.
3. If PEP has been started within the mentioned time and used for 28 days regularly, it can prevent HIV acquisition.
4. However, I suggest you get tested for HIV and other sexually transmitted diseases (STIs) as per testing recommendations.
We look forward to serving you once more and invite you to contact us whenever you need a professional medical opinion.
Patient's Query
Hi doctor,
Thank you for the reply.
If the condom is worn halfway, but still covering the urethra, what is the risk of transmission?
Hi,
Welcome to icliniq.
This would be improper usage and considered as carrying at least a low risk of HIV transmission.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
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HIV/AIDS specialist
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