HIV Infection risk from few seconds of no condom?

[fallinlove]

Is there a moderate HIV infection risk if you are bottom and someone inserts his penis without a condom for a few seconds?

This happened to me recently, where a guy was topping me (with a condom), and suddenly he took the condom off and inserted his penis again. It only went about a quarter inside and I quickly pushed him out (3-4 seconds). I was quite mad that he did that.

Is there is risk? Is there is need for PEP in such a case? Am I crazy?

What if I had a cut inside and his precum touched came into contact with it?

 

[KaraBulut]

Whether you're a candidate for PEP depends on what you mean by "recently". The guidelines say that PEP is effective when administered within 72 hours of exposure.

 

[fallinlove]

Whether you're a candidate for PEP depends on what you mean by "recently". The guidelines say that PEP is effective when administered within 72 hours of exposure.

Less than three days. The hospital here gives it only in very high probability exposure cases.
But am I freaking out for no reason? I pushed him out right away.

 

[KaraBulut]

Less than three days. The hospital here gives it only in very high probability exposure cases.
But am I freaking out for no reason? I pushed him out right away.

You're still inside the PEP window. Explain the situation to the physician and you can make a decision about whether you are a candidate for PEP.

Considering that you made him stop immediately, the risk from the encounter is low. Although HIV is present in precum, the short duration of the event makes it a low risk exposure. One has to wonder about the motivation of someone who pulls off a condom in the middle of sex. HIV is not the most common STD, so you should get a complete STD check.

 

[fallinlove]

You're still inside the PEP window. Explain the situation to the physician and you can make a decision about whether you are a candidate for PEP.

Considering that you made him stop immediately, the risk from the encounter is low. Although HIV is present in precum, the short duration of the event makes it a low risk exposure. One has to wonder about the motivation of someone who pulls off a condom in the middle of sex. HIV is not the most common STD, so you should get a complete STD check.

He was drunk. I was sober. He took the condom off because I told him I was in pain. Then he just rubbed his cock around my ass for a while. And then he just went for it:/

Ill follow up with the other STDs. But I was most concerned with HIV.

Have there been cases where HIV positive people claimed they got infected from such an encounter (penis slipping in for a few seconds)? Or are most infections solely from full intercourse?

 

[Benvolio]

Ok

He was drunk. I was sober. He took the condom off because I told him I was in pain. Then he just rubbed his cock around my ass for a while. And then he just went for it:/

Ill follow up with the other STDs. But I was most concerned with HIV.

Have there been cases where HIV positive people claimed they got infected from such an encounter (penis slipping in for a few seconds)? Or are most infections solely from full intercourse?

No one can assure you that there was no exposure. Obviously a longer episode involves more risk, in part because tiny internal tears or scratches are more likely, so in that sense, his attempts with the condom may contribute to the exposure. His attemptes with the condum may have increased the amount of precum on his penis. I do not intend to scare you, but the risk may be greater than you think. I hope you will see the doctor as soon as you can.

 

[KaraBulut]

...Have there been cases where HIV positive people claimed they got infected from such an encounter (penis slipping in for a few seconds)? Or are most infections solely from full intercourse?

Most people don't know when/how they were infected, so it would be very hard to say whether a specific scenario would result in an infection. What we do know is that HIV is not easily transmitted. It requires very specific conditions to be transferred from one person to another.

In the end, the only way that you're going to get peace of mind is to be seen by a doctor, determine whether you will go on PEP and then have a followup HIV test to ensure that you weren't infected.

 

[fallinlove]

Most people don't know when/how they were infected, so it would be very hard to say whether a specific scenario would result in an infection. What we do know is that HIV is not easily transmitted. It requires very specific conditions to be transferred from one person to another.

In the end, the only way that you're going to get peace of mind is to be seen by a doctor, determine whether you will go on PEP and then have a followup HIV test to ensure that you weren't infected.

I would think that STD clinics keep some sort of statistic as to what the source of infection was for those who tested positive. For example, my STD clinic was able to tell me that they never had one case where someone got infected through oral sex (and used condoms 100% of the time with anal sex). I know answers that patients give may not always be correct or truthful, but clinics can get a sense of what's high risk and low risk just based on this non-scientific "poll" of answers.

Tops have a lower chance of getting exposed to HIV than bottoms - that's another example.
So I was hoping for some indication as to how risky a receptive "dip" is for a few seconds. From what' I've been reading online, I won't be a candidate for PEP.

 

[KaraBulut]

I would think that STD clinics keep some sort of statistic as to what the source of infection was for those who tested positive.

Generally, contacts are categorized by the gender of their sex partner (e.g. men who have sex with men).

For example, my STD clinic was able to tell me that they never had one case where someone got infected through oral sex...

The problem is that the population of guys who only have oral sex or only give handjobs or only have anal sex, etc is a small population. Most people do a variety of things.

Unless the information is being collected for a research study or unless the information is being collected for client education, the details aren't collected nor are they documented.

We do know relative risks- from both studies and common sense. Generally, anyone who is on the receiving side of body fluids is at risk for most STDs. There are a few that are transmitted via skin-to-skin contact but the majority are transmitted via semen or vaginal secretions.

 

[fallinlove]

I went to a local hospital (who provides PEP) and the doctor suggested that although there is a risk, it does not warrant taking PEP.

I don't know how I feel. I'm just really upset this happened to me.

 

[KaraBulut]

I went to a local hospital (who provides PEP) and the doctor suggested that although there is a risk, it does not warrant taking PEP.

I don't know how I feel. I'm just really upset this happened to me.

That was the wise thing to do. The meds are expensive and do have side effects, so it's something that should be discussed between the physician and patient as to whether the possible benefit outweighs the risks.

Did he/she give you instructions about followup testing for STDs?

 

[Benvolio]

To relieve your anxiety, you should consider testing as soon as you can afford it. Some tests can be taken soon after exposure, such as viral load test, but they are more expensive.

 

[fallinlove]

To relieve your anxiety, you should consider testing as soon as you can afford it. Some tests can be taken soon after exposure, such as viral load test, but they are more expensive.

Are those tests even offered to the general public ? The local STD clinics and doctors here definitely don't offer them and I live in s big city.

 

[Benvolio]

Are those tests even offered to the general public ? The local STD clinics and doctors here definitely don't offer them and I live in s big city.

Google: Any Lab Test Now, in your area. They do the viral load test without a prescription and no questions asked.

 

[KaraBulut]

Are those tests even offered to the general public ? The local STD clinics and doctors here definitely don't offer them and I live in s big city.

The answer would depend on which country you're in.

In the US, many lab tests do not require a physician order. For example, you can go to a pharmacy and buy an over-the-counter testing kit for some diseases. And in many states, employers can drug test employees on demand unless there's a specific employment contract or state law that prohibits it.

There are also private labs in the US that will either do the test if you pay out-of-pocket for the full price of the test or they have a physician that they are affiliated with who provides an "order" so that they can collect the specimen and process it.

 

[fallinlove]

Well I just found out that the local HIV clinic changed their HIV testing methods. Their window period (from infection to getting a reliable result) is now three weeks instead of seven weeks. I believe all hospitals in the area also changed to this method. I guess they don't test for actual antibodies anymore.

In any case, I'm getting really scared. I spoke to someone at the clinic and he said that there was a risk (although small), but that he has seen people get positive results from such situations as mine. I'm really scared

 

[KaraBulut]

Well I just found out that the local HIV clinic changed their HIV testing methods. Their window period (from infection to getting a reliable result) is now three weeks instead of seven weeks. I believe all hospitals in the area also changed to this method. I guess they don't test for actual antibodies anymore.

The new tests are combo tests- they are tests for both antibodies and the traces of the virus (antigen).

There are other tests that are more specific for the virus but they're a lot more expensive.

In any case, I'm getting really scared. I spoke to someone at the clinic and he said that there was a risk (although small), but that he has seen people get positive results from such situations as mine. I'm really scared

In medical school, they always say that "when you hear the sound of hoof beats, look for horses, not zebras".

When it comes to HIV infections, most of those "horses" are people who got drunk and did something stupid (like getting fucked without a condom by a stranger). Occasionally, there are "zebras"- like a condom that breaks or a person who get infected by their first and only sex partner. We've all seen a few zebras over the years. But we see a lot more horses on a day to day basis.

Chances are that your exposure won't result in an HIV infection... although you should get a full set of STD tests because gonorrhea, chlamydia and syphilis are much more common than HIV.