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Hi...i had sex with a sex worker 2 days back..we did it once with condom..condom was intact..now im on PEP what are my chances of getting hiv...considering she is positive..?

Hi, Thanks for your question. Your risk for HIV transmission is very low. When used correctly with lube, condoms are highly effective in preventing HIV transmissions. Post-exposure prophylaxis (PEP) is also effective in preventing HIV transmissions when started within 72 hours of your possible exposure to HIV, and if you adhere to the 4-week course of treatment. For people who are living with HIV, if they are on effective treatment they can suppress their viral loads to such low levels we call it ‘undetectable viral load’ (UVL). HIV positive people with a UVL cannot transmit HIV to a HIV negative person, and in fact, UVL is a highly effective HIV prevention strategy. This might be something to think about if you do have sex with HIV positive people in the future. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. If you have further questions, you can call the Sexual Health Infolink at 1800 451 624 where a nurse can answer your questions over the phone.

I’ve had sex with Person Who’s Undetectable, we used condom but it broke. I’ve started PEP immediately but still have some kind of symptoms of HIV. What i have to do?

Hi, Thanks for your question. People living with HIV who are on treatment and sustaining an undetectable viral load (UVL) cannot transmit HIV to a HIV negative person. Along with condoms and pre-exposure prophylaxis (PrEP), UVL is also a highly effective HIV prevention strategy. You can read more about UVL on our website here: https://endinghiv.org.au/treat-early/about-undetectable/. However, it’s still good to hear that you are aware of post-exposure prophylaxis (PEP) and are having control over your own health by accessing it. You should finish the 4-week course of treatment that has been prescribed to you. Symptoms for HIV can also look very similar to symptoms caused by other things. If you are experiencing any persistent symptoms and/or are looking for further medical advice, we would recommend getting in touch with your doctor. If you have further sexual health questions, you can also call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

After a possible hiv risk ( not insertive sex ) when fore-playing and dry humping ... could i get infected from breast fluid or getting fluid pass the underwear to my mouth or penis ? I’ve done a rapid test at 5 month mark and 6 month mark , and a i guess an elisa test at around 7 month mark all came negative ... do i need to test one more time ?!

Hi, Thanks for your question. For HIV to be transmitted, it requires bodily fluids (semen, blood, anal fluids, front hole or vaginal fluids, or breastmilk) from a person living with HIV who is not on treatment to enter the bloodstream of a HIV negative person. Often this is through fucking/being fucked or sharing injecting equipment. This means that the risk of HIV being transmitted in the way that you’ve described would be considered highly unlikely. You can read more about HIV, how it transmitted and how to prevent infections on our website here: https://endinghiv.org.au/sti/hiv/. For your question around testing, tests for HIV can have a window period of between 2 weeks to 3 months depending on the test. This is the period of time it takes for a reactive result to appear in the test after possible exposure to HIV. This means that your tests at 5 months, 6 months and 7 months all sit outside the window period, and your negative results are conclusive for your HIV status. If you’ve continued to be sexually active you will need to get tested again. You can read more about testing on our website here: https://endinghiv.org.au/test-often/all-about-testing/ If you have more questions and live in NSW, you can call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

where could i find a Prep?

Hi, That’s a good question. If you are an Australian resident with Medicare, you can access PrEP by asking your doctor or general practitioner. They will test you for HIV to confirm your HIV status before writing you script which you can take to any pharmacy to purchase PrEP at a subsidised cost. If you don’t have access to Medicare, you’re still able to purchase a generic version of the drug online from a reliable overseas supplier. You will still need a script from your doctor before ordering online. You can check out the PrEP Access Now website to find out more information on the different suppliers you can import PrEP from here: https://www.pan.org.au/ If you have more questions and live in NSW, you can call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

Is it okay to take preps although i have Epegastric Ulcers. Coz i really have Stomach cramps.

Hi, Thanks for your question. For medical advice and questions around PrEP and its interactions with your existing conditions, we recommend consulting with your doctor or a health professional who specialises in HIV. For other sexual health questions, you can also call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

i am hepatitis b carrier but not active , my PCR test result is 2000 , my doctor told me i dont need to take any medication , my question is : can i take PrEp for preventing from HIV ?

Hi, Thanks for your question. People living with hepatitis B are still able to take pre-exposure prophylaxis (PrEP) to prevent HIV transmissions. For people living with chronic hepatitis B infection who are taking PrEP, AFAO recommends that their dosing strategy is daily PrEP and not on-demand PrEP: https://www.afao.org.au/wp-content/uploads/2019/03/AFAO-On-Demand-PrEP-Fact-Sheet.pdf If you are thinking about taking PrEP, we recommend consulting with your doctor or health professional who specialises in HIV and Hepatitis B to discuss if PrEP is an effective option for you and how to correctly use it. If you have further questions, you can call the NSW Hepatitis Infoline at 1800 803 990 where a person can answer your questions. You can also call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer further questions over the phone.

During the COVID19 and its restrictions, seeking sex has become almost relying on being totally inactive due to ISO etc. Now that the government removed it from the PBS listing, can an update on this website show other options which can be of a benefit?

Hi, Thanks for your question. If you’re referring to Truvada as PrEP, you’re right. Truvada is no longer on the PBS. However, Truvada is only one brand among many other generic versions which are just as effective. We’ve put together a blog article that gives you more information on how to access PrEP even though Truvada is no longer on the PBS here: https://endinghiv.org.au/blog/truvada-removed-from-pbs-what-about-prep/. You can also find a list of other generic PrEP versions which are listed on the PBS here: https://www.pbs.gov.au/medicine/item/11276L-11296M-11306C. If you are looking to access PrEP, we always recommend consulting with your doctor first who will discuss with you the correct way to use it and provide you with any medical advice you may be looking for. Also if you’re interested, ACON recently released a COVID-19 Update which provides messaging around the easing of restrictions, physical distancing and casual sex here: https://www.acon.org.au/about-acon/latest-news/#covid-19-update-easing-of-restrictions-physical-distancing-and-casual-sex If you have any more questions, you can also call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

I want to ask if I need to take an HIV test if I’m a man and I receiveOral Sex from a woman using condom? The Condon didn’t break as after I took the condom out all the cum was still inside the condom. Please advise the risk of this act with condom and the change of catching HIV if the condom broke. Thank you

Hi, Thanks for your question. When used correctly, condoms are highly effective in preventing HIV transmissions. In addition to that, oral sex is actually considered very low to no risk for HIV transmissions. However, the risk for other STIs (sexually transmitted infections) to be transmitted during oral sex can be different, and although condoms are great at preventing HIV and most STIs, there are still risks for some STIs such as syphilis which can be spread from skin-to-skin contact. We recommend to anyone who is sexually active to get tested for HIV and STIs four times a year 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/ If you have more questions, you can call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone.

Hi, its there a way I can get prep without having to go and see a doctor.

Hi, That’s a really good question. To access PrEP you will need to visit a doctor or health professional who specialises in HIV. They will need to have a consultation with you and test you for HIV to confirm you are HIV negative before they prescribe you PrEP. You will also need to have your consultation and HIV test every 3 months with your doctor in order to renew your scripts. If you are Medicare-eligible, the you can take that script to the pharmacy to pick up your PrEP at a subsidised cost. If you do not have Medicare, you can also buy generic versions of the medication online from reliable suppliers, which can be found on the PrEP Access Now website: https://www.pan.org.au/. You will still need your script from a doctor before purchasing. Although any doctor can prescribe you PrEP, it is important you are seeing a doctor who you feel comfortable talking about your sexual history with. If you’re looking for a doctor who can prescribe you PrEP or would like to ask more questions about PrEP before seeing a doctor, you can call the Sexual Health Infolink at 1800 451 624 where a sexual health nurse can answer your questions over the phone. The NSW STIs Programs Unit also has a list of gay-friendly GPs, which you can use if it is applicable to you: https://stipu.nsw.gov.au/wp-content/uploads/4.-Gay-Friendly-GP-List_February-2018.pdf