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Just had unprotected sex with someone alledge to be Hiv positive and I’m not seeing any symptoms but I’m depressed that I may had the infection.

Hi, Thanks for your message. Most people living with HIV and are aware of their status are on treatment and are sustaining an undetectable viral load (UVL). A person living with HIV who is sustaining UVL cannot transmit HIV to another person. Like condoms and PrEP, UVL is also an effective HIV prevention strategy. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. If you are concerned about your health, we recommend seeking further medical advice from your doctor or nearest sexual health clinic. You can also ask them for more information about PEP, which is 4-week treatment that prevents HIV infections that needs to be started within 72 hours of possible exposure. You can also call the Sexual Health Infolink at 1800 451 624 where someone can answer your questions over the phone.

Would I be able to get a prescription for PrEP at the clinic? Thanks!

Hi, thanks for your question. Currently a[TEST] services are unable to provide scripts for PrEP, as this requires a doctor to prescribe. You are welcome to access the a[TEST] service for HIV and STI testing, however to receive a script for PrEP you will need to attend a General Practitioner and have a doctor prescribe you there. If you do not have access to Medicare, the a[TEST] Oxford Street site can provide upon request a written letter with your HIV and Kidney function testing results to be given to the doctor you are seeing to receive you script to help offset the cost.

Hi, I started Prep and on the 3rd day (3 doses) I bottomed with someone of unknown status (no ejaculation) and I also gave another person unprotected oral sex (with ejaculation) My doctor said I probably wouldn’t have had enough Prep in my system to fully protect me and put me on PEP by adding a 3rd drug. While on PEP I spoke to the person whom I’d bottomed for who assured me he was negative so after completing my 28 day PEP I seamlessly continued taking my PREP. At 13.5wks post the potential exposure/s I had a 4th generation test which came back negative. My question/s - Can I rely on this result or will PEP/Prep affected the window period? My doctor says he’s confident it’s conclusive but there’s lots of information online saying PEP can alter the window period. I’m extremely stressed about the situation and worried that with continued prep use I could potentially build up future resistance.. Randomly I’ve had very painful muscles/joints for about 4 months now. Sorry I know this isn’t really a straightforward case but any information/advice you could offer would be greatly appreciated. Thank you

Hi, Thanks for your question. Oral sex is considered to be very low to no risk for HIV transmission, however, being the receptive partner during anal sex with a person of unknown status is high risk if you are not using any HIV prevention strategy (condoms, PrEP or UVL). PEP is highly effective in preventing HIV infections when taken within 72 hours of the possible exposure. Your negative HIV test results at 13.5 weeks would be conclusive. Taking daily PrEP is also a highly effective HIV prevention strategy. Studies have shown that cisgender men achieve high protection after 7 days of taking PrEP daily. This can be different for people of different genders. Taking PrEP on-demand is also another effective strategy. We recommend talking to your doctor to find out what method works best for you. You can read more about PrEP on our website here: https://endinghiv.org.au/stay-safe/prep/ Pain in muscles and joints can be caused by many different things. We suggest seeking further medical advice from your doctor or health professional. For more information you can contact the Sexual Health Infolink at 1800 451 624 where someone can answer your question over the phone.

hi so i was the top and my friend bottomed he still hasnt told me he has HIV bu t i know he does as his friends have all told me and we didnt use a condom straight away and i precame inside him am i at risk of HIV

Hi, Thanks for your question. If your friend is on treatment and has sustained an undetectable viral load (UVL), there is no risk for HIV transmission. You can read about the effectiveness of UVL as a prevention strategy here: https://endinghiv.org.au/treat-early/about-undetectable/. However, if you’re unsure about his status, it would be considered medium risk. You can use our risk calculator here: https://endinghiv.org.au/stay-safe/risk-calculator/. If at any point you think you have been exposed to HIV, you should consider accessing PEP which is a course of medication that prevents HIV which you must start taking within 72 hours of the possible exposure. You can access PEP by contacting your local sexual health clinic, hospital emergency department or the PEP NSW Hotline at 1800 PEP NOW (1800 737 669). You can find out more on where to access PEP here: https://www.getpep.info/ We recommend seeking further medical advice from your doctor or local sexual health clinic. You can also call the Sexual Health Infolink at 1800 451 624 where someone can answer your questions.

Hey there. I had unprotected receptive sex 8 days after starting prep,. I have been 100% adherent to taking the pill both before and after this event. Would 8 days of prep be sufficient in protecting me?

Hi, Thanks for your question. Studies have shown that daily PrEP is highly effective in preventing HIV after 7 days of taking it consistently without missing any pills. You can read more about PrEP here: https://endinghiv.org.au/stay-safe/prep/ However, PrEP does not protect you from STIs. We recommend to anyone who is sexually active to have regular sexual heath tests with their doctor or nearest sexual health clinic. For more information, you can also call the Sexual Health Infolink at 1800 451 624.

What happens if we sex with same partner without using condom more than 3 times ?

Hi, Thank you for your question. Having sex without a condom is considered high risk for HIV transmission, especially if you are unaware of yours or your partner’s HIV status. When used correctly, condoms are highly effective in preventing the transmission of HIV and other STIs. You can find your risk here: https://endinghiv.org.au/stay-safe/risk-calculator/. It is important to get a sexual health test at least once a year even if you are having sex with only one partner, or a test every 3 months if you have more casual partners. If you live in NSW you can call the Sexual Health Info Link on 1800 451 624 for more information.

Hi, I have a script for Prep for a 3 month supply. I know in Victoria there are pharmacies (HealthSmart) where the PBS script cost is partly subsidised by the government, where you get a 3 month supply but only need to pay one PBS charge ($40 instead of $120). Are there any similar pharmacies in NSW? Thanks

Hi, Thank you for your question. Unfortunately, there are no such schemes among pharmacies in NSW. However, you can purchase PrEP for quite cheap online, and can find prices almost similar to what you are looking for. More information on buying PrEP online can be found at PrEP Access Now here: https://www.pan.org.au/buy-prep-online.

Hi do you know does St. John’s wort effect the use of prep? Thanks Michael

Hi, thank you for your question. We can’t provide you with information on whether or not St. John’s wort will interact with PrEP. We would advise you to talk to your prescribing doctor, or call the sexual health info link on 1800 451 624.

Hello, I have been taking prep everyday for the last 2.5 years. I test every 3 months. Im a bottom and use condom as much as possible. My question is: what exactly happens when I'm on prep and a HIV positive person cums inside my ass without condom?

Hi, thank you for your question. When taking PrEP, the medication will build up in your system to the point where it is effective in breaking the replication cycle of HIV, which will reduce the change that it will take hold in your body. You can find out more by reading our fact sheet on PrEP: https://endinghiv.org.au/wp-content/uploads/2018/06/PrEP-Patient-information-booklet.pdf If you would like a really thorough description on how PrEP works we would recommend you talk to your prescribing doctor or if you live in NSW call the Sexual Health Info Link on 1800 451 624.