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Old 10-28-2009, 06:43 AM
Nathan
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Unhappy Post PEP

Hi Dr. Sean

About two month ago I had posted a thread about my concerns. I had an issue where i had put the condom on reverse on a casual partner then i had put it on the correct way then we had sex, where i was the receptive partner. Well, as discussed I was taking Combivir after 36 hours from the episode (Commenced PEP 1/09/09 finished 03/10/09). I recall you had advised me that a 3 drug combo was required but reminded me that you wouldn't indicate taking PEP.I tried to convince my Dr to prescribe me Kaletra aswell but she said the two drug combo (Combivir) were as effective and its based on a risk assessment I had finished my course on Saturday (3/10/09). While I was on PEP on the final week I also noticed that I had tinea cruris.

I had my gp assessment and he confirmed that it was tinea. Im currently using Miconazole cream. I also had a mild fever and sore throat after completing PEP, which the sore throat is still persistent. I occasionally get a headache and myalgia. I’ve been monitoring my temperature and seems borderline. I’m also noticing that I frequently get mouth ulcers. I also have nasal congestion which is chronic and I use nasal corticosteroids and decongestants as required. I recently commenced Abbocillin VK 500mg twice daily for the sore throat. I seem to have a tender neck. I haven’t noticed any rashes on my trunk but I get dark spots that disappear and return frequently. Also for the past two weeks I had an upset stomach and now it seems better. I had frequent boats of going to the toilet although my stools are normal now.


I had a 6 week HIV blood (18/10/09) and syphilis test using the ELISA. I’m glad the results came out negative. Although, I also need to get a blood serology at 12 weeks and 6 months. I’m still very scared, although I try to maintain a SAFE sexual act at all times.

While I was on PEP I still continued to have sexual activity. I’ve asked all guys there HIV test prior to any sexual act, they seem to claim they are HIV negative, but im not sure of their status. They are all casual partners.

11/09/09 – Brief Oral sex – receptive and insertive no ejaculation, frottage,kissing
18/09/09 – Insertive oral sex, frottage,kissing
19/10/09 – protected receptive anal intercourse and Insertive oral sex,kissing
26/10/09 – Protected receptive Anal intercourse and kissing

I’m really worried I hope you could give me an idea on what’s happening.

I hope im not seroconverting. Do my symptoms resemble seroconversion?

Is it good sign to obtain negative results at 6 weeks?

. :S I'd be very happy if you could provide some feedback.

Thanks again

Nathan
 

Tags
frottage, insertive oral sex, negative syphilis, pep, seroconverting, sexual activity

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