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I have just completed the PEP 28 day regimen . I took it after 60 hours of my supposed exposure , I have had odd symptoms like loss of appetite, sore muscles and joints , fatigue , congestion ,etc while on the medication I assumed the worst and thought this was my serconversion because it all seemed to stop around the same time but I was tested the 12th and got my results back the 15th negative/non-reactive. And I have what feels like sore muscles and joints now . Is it accurate to say that after my HIV test I am clear of HIV? is my mind playing tricks on me?

Hi, Thanks for your message. It’s great to hear that you accessed PEP after your possible exposure. PEP is highly effective in preventing HIV transmission when started within 72 hours after possible exposure. Tests for HIV can have a window period of between 2 weeks to 3 months depending on the HIV test, so it is always important to get another test after this window period to confirm your HIV status. You can read more about testing and the window period on our website here: https://endinghiv.org.au/test-often/all-about-testing/ Also, symptoms for HIV can be very similar to other things, and it is possible the symptoms you’re experiencing can be because of something else. We always recommend seeking further medical advice from your doctor or health professional.

I have been sex with condom may I have risk for hiv

Hi, Thanks for your question. If you have had condomless sex, without any other form of protection such as pre-exposure prophylaxis (PrEP) or undetectable viral load (UVL), with a sexual partner whose HIV status you don’t know, you may be at risk of HIV transmission. You can use the risk calculator on our website to measure the level of risk for HIV transmission here: https://endinghiv.org.au/stay-safe/risk-calculator/. For your situation, we would recommend you accessing post-exposure prophylaxis (PEP), which is a 4-week course of HIV prevention treatment you can take if you have been possibly exposed to HIV. PEP needs to be taken within 72 hours of the possible exposure for it to be highly effective. You can access PEP by visiting a sexual health clinic or from the emergency department at the hospital. You can also find more information on PEP at the Get PEP website (https://www.getpep.info/) or you can call the PEP Hotline at 1800 737 660 (1800 PEP NOW), where someone can discuss your risk with you over the phone and help you find PEP.

Hello i had sex with a transgender (i paid her) i was only topping, (inserting) i used a condom can i have hiv? And is it easy for a condom to rip? And i am circumsised, does this give extra safety for me?

Hi, Thanks for your question. When used correctly, condoms are highly effective in preventing HIV transmission. If you used a condom correctly, there would have been no risk of HIV transmission. We explain on our website the correct way to use a condom step by step and the which lubes to use that won’t break the condom here: https://endinghiv.org.au/stay-safe/all-about-condoms/. Although circumcision can slightly reduce the risk of HIV transmission, it does not completely eliminate the risk and is not considered an effective HIV prevention strategy. The best way to prevent HIV is to be using one of the following effective HIV prevention methods; condoms, pre-exposure prophylaxis (PrEP) or undetectable viral load (UVL). You can read more about these options on our website here: https://endinghiv.org.au/stay-safe/.

Hi just inquiring that I’ve slept with a guy who was positive undetectable and we didn’t used a Condom and also came in him but I am negative and all clear . He said he on his medication as well just wondering all should be ok or should I book a test in to make sure kind regards charlie

Hi, Thanks for your question. A person living with HIV who is effectively taking their treatment and sustaining an undetectable viral load (UVL) cannot transmit HIV to a HIV negative person. In fact, most people living with HIV in Australia who are aware of their HIV status are on treatment and have a UVL. In your case, the risk of HIV transmission from that encounter would have been zero. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. In saying that, having sex without condoms can pose risks for the transmission of other STIs (which can easily be treated!). We recommend to anyone who is sexually active to get tested four times a year for HIV and STIs (or once every 3 months) with their doctor or local sexual health clinic. If you live in NSW, you can find the nearest place to get tested here: https://endinghiv.org.au/test-often/where-to-get-tested/.

I was making out with a guy and he told me that he was HIV positive but has been on treatment and is now undetectable. His last viral load in August 2019 and it was <40 copies/mL. He says he takes Biktarvy and has not missed a pill. Nothing else happened and I didn’t notice any bleeding.Could I have gotten HIV?

Hi, Thanks for your question. Similarly to the guy you mentioned in your question, the majority people living with HIV in Australia, know their status, are on effective treatment and sustain a viral load that is so low that we refer to it as an undetectable viral load (UVL or undetectable for short). In short, If a person living with HIV has an undetectable viral load there is no risk of HIV transmission. With this in mind, it doesn’t sound like there was risk of transmission. It’s also good to mention that saliva isn’t a fluid that can transmit HIV, more info about HIV and transmission here: https://endinghiv.org.au/sti/hiv/ Along with condoms and pre-exposure prohylaxis (PrEP), UVL is a highly effective HIV prevention strategy. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. If you live in NSW and have further questions, you can call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

How much does the testing cost if I am an overseas student. I am not on Medicare/concessions and only have the OSHC through NIB. And does the consultation discuss using Prep and assign scripts?

Hi, That’s a good question! Sexual health clinics in NSW provide HIV and sexual health tests for free and do not require Medicare. You can find the nearest place to get tested here: https://endinghiv.org.au/test-often/where-to-get-tested/. If you’d like to start using PrEP, you will have to visit a GP as they will need to get you to do some tests before they can start you on a new medication. This process is fairly easy and usually involves a blood test, but your GP can explain the process to you when you see them. If you do not have Medicare, PrEP can be really expensive to purchase at a pharmacy. However, with the script from your doctor, you can go to the PrEP Access Now website which provides a number of much cheaper options that you and your GP can explore. Their website can be found here: https://www.pan.org.au/. Be aware that you might need to pay a fee depending on your doctor. If you need a community friendly GP here is a good list: https://stipu.nsw.gov.au/stigma/gay-friendly-gps/ There is also an exciting study that is on right now called ‘MI-EPIC’, which is providing up to 12 months of PrEP for free if you are overseas-born and Medicare-ineligible. If you are interested, you can get in touch with the participating sites to find out how you can be involved. The details are on our website here: https://endinghiv.org.au/stay-safe/epic-nsw/.

My partner is hiv positive with a undetectable status we had sex unprotected 2 week after am feeling a little fever and tiredness few pimples in hair pores does not itch or hurts...is it possible am exposed

Hi, Thanks for your question. People living with HIV who maintain an undetectable viral load (UVL) cannot transmit HIV to another person. The symptoms you are describing can be caused by many different things. We would recommend getting further medical advice from your doctor. We also recommend to anyone who is sexually active to have regular sexual health check-ups with their doctor or local sexual health clinic. If you are in a monogamous relationship, we recommend getting tested at least once a year, and to get tested four times a year if you have multiple partners. If you have further questions, you can call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

If me and my partner are healthy and ho sti's or any diseases which can be sexually transmitted...can we have sex without using condoms

Hi, That’s a great question, and it’s exciting to hear that you and your partner are negotiating your sexual health together. If you and your partner are thinking about having sex without condoms together, we would recommend you both get a HIV and sexual health test with your doctor or local sexual health clinic, and then getting a second test 3 months later after the window period in order to have a conclusive result of both of your HIV status. If both of your results come back as negative for HIV and other STIs after that second test, then it you and your partner can negotiate condomless sex. If results come back differently, we would consider treatment options before engaging in condomless sex. You can read more about sexual health testing and relationships on our website here: https://endinghiv.org.au/tribes/in-a-relationship/ If you live in NSW, you can also find the nearest place to get tested here: https://endinghiv.org.au/test-often/where-to-get-tested/

Can I buy pep ina phamacy

Hi, That’s a good question. If you think you have been exposed to HIV, you can access PEP (post-exposure prophylaxis) to prevent HIV transmission. PEP must be started within 72 hours of possible exposure for it to be effective. You can access PEP at sexual health clinics of hospital emergency departments. You can go to the Get PEP website at https://www.getpep.info/ or call the PEP Hotline at 1800 737 669 (1800 PEP NOW) to find out more information on where you can access PEP. However, you can access PrEP (pre-exposure prophylaxis) by collecting a script from your doctor, which you can take to the pharmacy for purchase.