HIV Exposure Risks After Intimate Contact with PEP Users - Internal Medicine

More Info

---

When assessing the risk of HIV transmission after intimate contact with someone who is on Post-Exposure Prophylaxis (PEP), it's important to consider several factors. PEP is a treatment that can significantly reduce the risk of HIV infection if taken within 72 hours after potential exposure. Since the individual you were in contact with has been on PEP for about a week, this suggests that they are actively taking steps to reduce their viral load, assuming they are HIV positive.
1. Risk Assessment of Intimate Contact:
- Kissing: Deep kissing, especially if there are no visible sores or bleeding, generally poses a very low risk for HIV transmission. However, if both partners have bleeding gums or open wounds in the mouth, there is a theoretical risk, albeit minimal.

- Blood Exposure: The presence of blood (from bleeding gums or small cuts) can increase the risk of transmission. If your partner had bleeding gums and you had a small, unnoticeable cut on your chest, there is a potential risk, but it is still considered low, especially since they are on PEP.

- PEP Effectiveness: PEP is most effective when taken consistently and correctly. If the individual has been compliant with their medication, the likelihood of them being infectious is significantly reduced.

2. When to Get Tested:
- It is recommended to get tested for HIV at baseline (immediately after exposure) and then again at 4-6 weeks, 3 months, and possibly 6 months after the exposure. This is because it can take time for the virus to become detectable in the blood. The 4-6 week mark is often when initial tests can show results, but for conclusive results, a 3-month follow-up is standard.

3. Symptoms and Monitoring:
- If you experience any symptoms that concern you, such as fever, rash, or flu-like symptoms, it is advisable to seek medical attention promptly. However, many people do not show symptoms immediately after exposure, and symptoms alone are not a reliable indicator of HIV infection.

4. Consulting Healthcare Providers:
- Given your concerns, it would be prudent to consult with a healthcare provider who specializes in infectious diseases. They can provide personalized advice based on your specific situation and may recommend additional testing or preventive measures.

In summary, while there is a theoretical risk associated with the intimate contact you described, the actual risk is likely low due to the PEP treatment of your partner. It is essential to follow up with appropriate testing and consult with a healthcare professional for peace of mind and to ensure your health and safety.