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Can HIV Be Contracted Through Intercourse While On PREP?

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Posted on Tue, 28 Jun 2016
Question: I was raped about 5 months ago. I was put on HIV PREP to reduce chances of HIV transference. About 20 days into PREP I had sex with my boyfriend and the condom had come off during and we hadn't noticed. I have been tested twice for HIV since and the results have been negative each time. Is there a chance that I could have transferred HIV to my partner during our sexual encounter without ending up infected myself?
doctor
Answered by Dr. Chobufo Ditah (18 minutes later)
Brief Answer:
NO!

Detailed Answer:
Hi and thank you so much for this query.

There has been sufficient time since the rape and condom coming off. If you were already infected or was infected at that time, the test would have been positive already. Your results are definitive and you are not HIV positive be it from the unfortunate rape instance or from your boyfriend.

I hope this helps. I wish you well. Feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (6 minutes later)
So there's no way the HIV infection could have be present and since I was on the HIV PREP it didn't take hold in me but could have been passed along?
doctor
Answered by Dr. Chobufo Ditah (5 minutes later)
Brief Answer:
PREP prevents virus growth and not kills virus!

Detailed Answer:
Hi,

PREP will not kill viruses is present. PREP prevents any virus from developing. Therefore there was no virus in you and that is the reason why you are still test negative up date. Even if you had viruses, the number would have been too small to cause transmission onto your partner.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (22 minutes later)
Sorry. Last follow up. It was actually PEP and not PREP. Which I know works to keep the virus from duplicating and spreading. So by 20 days into PEP the virus (if it had been present) would have been too small to transmit or have rooted in me. Correct?
doctor
Answered by Dr. Chobufo Ditah (8 minutes later)
Brief Answer:
Sure!

Detailed Answer:
Hi,

If anyone had to be infected, that would have been you first and not others. There is really no reason to get worried here. I know PEP (post exposure prophylaxis).

I wish you well.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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Can HIV Be Contracted Through Intercourse While On PREP?

Brief Answer: NO! Detailed Answer: Hi and thank you so much for this query. There has been sufficient time since the rape and condom coming off. If you were already infected or was infected at that time, the test would have been positive already. Your results are definitive and you are not HIV positive be it from the unfortunate rape instance or from your boyfriend. I hope this helps. I wish you well. Feel free to ask for more information and clarifications if need be.