Hello,
This is certainly ridiculous! You have either had receptive anal sex or not! If you are not sure yourself, how can advise you? You would always know if you have been penetrated anally. Therefore it does not sound that it happened and therefore you were not at risk. Besides you were given medication (PEP) under a false pretence as you did not put yourself at risk anyway and you do not need to take PEP. It is obviously up to you, but my assessment of the situation is that there was no risk to you (also your friend is positive but undetectable=not infectious) and therefore you should not take PEP.
Best wishes,
Dr José
Thanks for your response, Doctor. You were very helpful to me in January (in person), and I appreciate your response here now.
Do you think it's possible to forget insertive anal sex (me as the top)? Again, I was quite drunk, but I think I'd remember that, considering I remembered the guy who put a condom on me and inserted me into him briefly before I pulled out.
In this scenario, would you suggest I stop PEP and instead take a PCR in 10 days to alleviate my anxiety? Or would PEP be suggested if I was an insertive top without a condom? (Probably a function of my anxiety)
I am almost positive I was not a bottom in any kind of anal sex, but if I did have unprotected anal sex as a top that I don't remember, should I take the AZT with my Viread and Epivir for a more potent PEP regimen? Or is Viread and Epivir alone okay? I have no side effects from them.
Given that this is a gay sex club in NYC, an epicenter of the epidemic? Is it possible to forget having anal sex as a top? I am not a frequent visitor to sex clubs. I do have a phobia of "forgetting" anal sex when I'm drunk- though I've never forgotten it ever before.
Please tell me I'm nuts and to take some benzos until I can take the RNA test in 10 days.
I should also mention I received an HIV DUO test in London from Dr. Jose in January, and felt very reassured and calm. But since then I have been quite paranoid about HIV and sex...
I recently had a freckle removed on my chest last Wednesday. There is a small hole there now. At the club I did not take off my shirt, nor do I recall anyone cumming on me. If they did calm on the sore, does that increase my chances?
Would you suggest I stop with the PEP and get a PCR RNA test at 10 days? I have taken two days of PEP- Viread and Epivir. Will that affect the results of my viral load test if I decide to stop PEP now? Stopping the meds really scares me. In England, I was told by an A&E doc and Dr. Jose not to take PEP after a condom broke where I was the bottom but in NYC they seem to be extra paranoid.
What is the likelihood someone could forget they had anal sex? I have been suffering from diarrhea the past two days; I think from the heavy drinking and anxiety. I don't remember feeling penetrated by anyone.
I WISH we had Freedom Health in NYC.