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    Had unsafe experience - PEP required?
    chicago1980 posted:
    I'm a gay male and I had unsafe penetrative anal sex (me being the top) with a friend of mine and his boyfriend. They both told me they are negative, but wondered if I should still consider getting PEP. The incident was about 30 hours ago.

    georgiagail responded:
    PEP can be quite rough on the GI tract. Do you believe what your friend and his boyfriend told you regarding their status? Are they willing to get tested with rapid testing results?

    chicago1980 replied to georgiagail's response:
    I do trust them and they told me they rarely do unsafe anyway. So I'm going to go with that, and test at the appropriate time. Also I believe being the top is less risky than being the bottom correct?
    georgiagail replied to chicago1980's response:
    Yes; being the insertive partner is less risky as one would be in less contact with a partners sexual fluids.

    To use an example...the statistic we use for extimated per-act risk by exposure route for unprotected insertive (i.e., being the top) anal intercourse with a partner KNOWN to carry the virus is 6.5 per 10,000 exposures.

    For unprotected receptive anal intercourse (again with a partner KNOWN to carry the virus) the estimated risk increases to 50 per 10,000 exposures.


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