Can a mouth ulcer increase HIV risk during oral sex?

Question

Hello doctor,

I had protected sex with a person who has regular sex with other guys. It was my first time, and after ejaculation, when I removed my penis, I could see that the condom was on her vagina. I could see the end of the condom on the outside. So I got freaked out, and also before that, I did oral sex with her, and it was not long, and I forgot there was also a small ulcer in my mouth, which has been there for a few days, and the pain is not there on the ulcer itself, but it is there and not completely healed. So I rushed to a clinic, and I told them that I had unprotected sex and wanted to get the PEP (post-exposure prophylaxis) because I was so scared. After that, I got the tablet Telura, and after my first dose, I am experiencing vomiting and dizziness. I want to ask you if PEP is really necessary, or if I should continue with the tablets?

Answer 1

Hi,

Welcome to icliniq.com.

Did the condom slip from your penis? There is no need for PEP for non-healed ulcers in the mouth, but if the tip is out of the condom, you would need PEP. PEP has many side effects, but you could prevent them by taking Pan D (Pantoprazole and Domperidone) one in an empty stomach till you take Telura (Tenofovir Disoproxil Fumarate, Lamivudine, and Efavirenz); that is, until your symptoms are reduced. According to the description, you are at high risk of exposure. Do try Pan D, which reduces side effects. And you can also use liquid Ulgel (Magaldrate, Simethicone, and Oxetacaine) 10 ml after food or as per requirement without water for 30 minutes. You should not have anything for 30 minutes. You can easily cope with Telura. So do not worry. Relax. Then, after finishing PEP, go for a test at least 15 days later. It will usually come non-reactive.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Yes, you are now in high-risk exposure. You can take Pan D (Pantoprazole and Domperidone) on an empty stomach. Ulgel liquid (liquid antacid) 10 ml after food or as needed. It is instant, so it can be taken four times a day. No problem. These medicines are available over the counter. Do not worry. Relax.

I hope this helps.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

I have tried to reduce the side effects of Telura. So after dinner, take Ulgel without water, then after 30 to 40 minutes, take Telura.

I hope I have cleared everything.

Thank you.