Is this considered risky?

[ror32]

My partner finished PEP four days ago, after a possible exposure. He was fooling around with somebody who slightly penetrated him for half a second before he pushed the person away. HIV status of the other person is unknown.

Today we had unprotected sex - I was the top. I did not notice any blood or anything on my penis afterwards, though he was bleeding a bit a few hours later.

He was tested for HIV two days ago (two days after PEP finished) - results should be in tomorrow or the day after.

In light of the other partner's status being unknown, PEP having been taken (all doses were taken except for one morning or evening of Kaletra - he never realised he missed it, and only knows because he had 2 extra pills of Kaletra at the end...all Truvada were taken), and me being the one who penetrated - would this fall under risky behaviour and be worthy of PEP for myself?

What if I wait until latest Tuesday (48hrs) until he has his results - if they are negative, are they reliable enough that I can stop worrying myself?

Thanks!

[Edward W Hook, MD]

I'm pleased I could help.  EWH

[ror32]

Thank you. Feel much more comfortable now!

[Edward W Hook, MD]

Welcome to the Forum.  As providers who take care of persons with and at risk for HV we are very grateful for the availability of PEP.  At the same time, because of its high cost, relatively frequent side events (mostly GI), and fear that it will induce further resistance to the drugs used, we try to use it judiciously.  From what you describe, I probably would not have recommended PEP for your partner and certainly see no reason for you to seek PEP.  In addition to the issues mentioned above, the reasons for this include:

1.  Your partner was not exposed to a person known to have HIV.  Even in high risk settings such as venues where anonymous sex between men who have sex with other men is practiced, the majority of persons do not have HIV.
2.  Even if your partner had been infected (and therefore PEP were warranted), his penetration was apparently brief and partial and even with full penetration, the risk for infection is less than 1 in 100 (1%).  thus even without PEP the odds were in his favor.
3.  He took PEP, thereby greatly reducing his risk for HIV.
4.  You were exposed to someone who may have been exposed and who took PEP.  This is just too distant a connection for you to be at any meaningful risk for infection. I would not worry.

I hope this comment provides useful perspective for you. I would not worry.  EWH