i went to a swinging club 18 days ago and had unprotected vaginal sex with a women and am now worried about becoming hiv positive. i was very drunk and when she told me she had had sex with men before both anal and vaginal at the same time and was obviously very promiscuous i carried on and did ejaculate into her. ive read a lot about risk with men being less likely to getting hiv from women than the other way round but am unsure of what chances i have of being positive. ive started to get a sore throat in last 10 days but dont know if this is connected or am i just worrying too much. please give some advice.
The risk of contracting HIV in this circumstance is uncertain. If the woman you had sex with was HIV positive then you run a risk of between 0.5 and 1% of picking up HIV on each single occasion. You also run a risk of picking up all the other STD's as well. Having sex with a female who lets any old bloke penetrate her in a swinging club will increase the chances of all diseases. I'd suggest you do test for HIV (though overall the chances are unlikely) and also test for everything else as well at 28 days. Don't have sex with anyone else until you have tested. Get yourself immunised against hepatitis a and b.
Oh! and don't do it again you twit! Best regards, Sean
thanks for getting back to me quickly. i do appreciate it and your free forum.
i did go to the local gum clinic 9 days post exposure and had a full sexual health check after the episode. all came back negative including hep a and hep b and hiv. i understand the hiv result is not relevant post exposure 9 days but what about all the other tests. do i need to test for all these again at 28 days post exposure? how many days post exposure are tests and results relevant for each std?
also can you clear up for me. im a bit confused about your hiv test. if i do this at 28 days do i need to do another one at 3 months post exposure?
you are right - i was a twit and any temporary fun i had at the time has been far outweighed by the constant anxiety ive felt.
thanks for all your advice
Good morning! The tests for chlamydia, gonorrhoea and NSU will be all ok. The tests for hep a hep b, syphilis and HIV are all too early and should be done from 28 days. Hopefully they took the opportunity to immunise you against hep b and a? The 28 day HIV DUO is valid FROM 28 days and will give you 99.89% certainty at or after that time. Best wishes, Sean
No, the local gum didnt immunise me for hep a and b as they felt there was little risk and said come back after 3 months. should i get it done asap or is it ok to wait another 7 -10 days until the 28th day post exposure when i will come to you and get the hiv and syphilis tests done. what about hep c. is that another immunisation or test needed? i was also tested for genital warts 9 days post exposure, is that test result relevant post 9 days? how much do i need to pay for the 2 immunisations, hiv 28 day test and syphilis all together as i wont need a full sexual health check as some tests have already been done.
Hello. My advice is that if people have multiple sexual partners then they should have immunisation against Hepatitis A and B to protect against similar episodes in the future so my thought would be that its daft not to immunise you. I would go back and ask. The prices for our various tests etc are contained in the Fees/Prices page. There isn't as yet a vaccine for Hepatitis C. I think 9 days is a bit early for warts. If we do see you at the 28 days interval then we'll have a look at the time. Best wishes, Sean
I had a similar experience with the GUM clinic here, they don't seem at all keen to offer Hep A and Hep B (booster) vaccinations. They are worth getting though and will protect you from Hep A&B from other modes of transmission which the GUM clinics don't really care about, or maybe want off their budgets. I got the impression that the GUM clinic viewed Hep A & B as only significant risks for MSMs or IDUs, which is far from the case.
lt was well worth the cost for the additional piece of mind.
Thanks Frank. I agree as do most medical professionals. The UK DoH position is unusual in the developed world - I have cut and pasted beneath an extract from the British Liver Trust website relating to this beneath. Interestingly the Health Protection Agency does not include Hepatitis A or B in its vaccination/immunisation pages.
Vaccination of high-risk groups
Selective hepatitis B vaccination is followed in the United Kingdom, rather than universal vaccination. This is uncommon in developed countries and the policy is being increasingly questioned in the light of its failure to protect target groups.
Selective hepatitis B vaccination of the following high risk groups is recommended:
Infants born to HBsAg carrier mothers should be vaccinated within 48 hours of birth
Injecting drug users (IDUs)
Individuals who change sexual partners frequently, particularly men who have sex with men (MSM)
Male and female sex workers
Close family contacts of a case or carrier
Families adopting children from countries with high to intermediate prevalence of hepatitis B
Travellers to high prevalence areas
Patients with chronic renal failure
Health care workers and laboratory staff
Staff and residents of residential accommodation for those with severe learning disabilities
Other occupational risk groups such as morticians and embalmers
Inmates and staff of custodial institutions
Patients with chronic liver disease.
Some of these groups are not well-defined and can be difficult to target. Vaccination coverage of intravenous drug users has been improving slowly, but the impact of hepatitis B vaccination is limited within the UK. This is due in particular to the high HBsAg carrier rates among ethnic minorities and the evidence that many carriers acquired infection during childhood prior to their emigration to the UK.
The Joint Committee on Vaccination and Immunisation is currently examining the feasibility and cost effectiveness of various strategies including maintaining the status quo, universal infant or adolescent vaccination programmes or both.
As you can see, I am a school nurse, and we vaccinate against Hep B in secondary schools now, so everyone in the future generation will be protected, for how long this will continue before they decide its not cost effective, I don't know!! I would also like to see the HPV given to boysas well as the girls, as they pass the virus to women, but that'll never happen, will it, the NHS wouldn't even buy the vaccine that covered against genital warts as well as HPV like many other europian countries have done, just my thoughts.