I was having sex with the prostitute on top, when I ejaculated. Because she's new and forgot to pull out, I believe the condom may have slipped because when she pulled out, my condom wasn't there and it was inside her.
I had a long talk with the agency regarding her health status. It's apparent to them they don't know much about health prevention cuz they say she's new to the industry, only see like 7-8 ppl and fairly young. She says she's clean too.
I'm wondering if I should consider getting post-exposure prophylaxis as a prevention?
Hi inneedofhelp
Post exposure prophylaxis (PEP) is HIV medication that is given after someone has been exposed to HIV.
Here is a link from the Canadian Aids Treatment Information Exchange (CATIE) about PEP.
http://www.catie.ca/treatmentfaq_e....5c7a1f90eb1f1cc485256f0f0053efb5!OpenDocument
PEP has been shown to reduce the chance of getting HIV but you need to take it as soon as possible after exposure to HIV. Best to take it within a few hours and at the most 72hours.
In BC you can visit an emergency department to discuss PEP. If you are in the Vancouver area it is probably best to go to St Pauls hospital emergency department.
Inneedof help I do not know your full medical history or life situation given this I would suggest that you speak with a doctor about your individual situation. What I can do is give some general suggestions based on what you have written.
To be effective you must take PEP for a full month. In BC if someone was exposed to HIV by being raped or at work the medication would be provided free. If it is from consensual sex or drug use you need to pay for your own medication. The medication costs approximately $1000 for the month.
There are real risks to your health from taking the PEP medication due to possible side effects.
From the sex you described I am unsure how much risk there was. It appears that you used a condom for vaginal sex but when she got up it stayed inside her. Given this it is possible you got no exposure if the condom stayed on your penis the entire time but only came off when she got up.
Another factor is that she is of unknown HIV status.
When you combine the risk from the type of sex you had and that you do not know the HIV status of the lady. From this situation I would not suggest getting PEP. It seems the risk from the medication would be higher than the risk of being exposed to HIV.
In another situation it may be an idea to get PEP if you had unprotected vaginal sex with a lady who you knew had HIV.
As the penis can go down quickly after ejaculating (cumming), to prevent the condom slipping off just hold the base of the condom when you pull the penis out of the vagina.
As usual we always suggest that everyone who is having sex come for regular testing even if they have no symptoms.
http://healthnurse.wordpress.com/faq-about-sexual-health/3-getting-tested/
HN
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