Answered by Dr. Basti Bharatesh Devendra

Answered by Dr. Basti Bharatesh Devendra

Can Truvada and Tivicay help prevent HIV infection?

Hello doctor,

I had sex with a sex worker and the condom broke. I had inserted my penis inside her vagina when this happened, and for approximately two to three minutes, I did not ejaculate. I immediately withdrew and washed my penis with water. Before the incident, she also gave me oral sex.

I immediately started on PEP medication after the incident. Truvada 200 milligrams and Tivicay 50 milligrams, one tablet daily. I have been on this medication for the past few days.

I would like to know the following:

  1. What tests should I get done to ensure that I can take the medicines noted above without causing side effects to the kidney or liver?
  2. Is the medication I am taking appropriate for the above incident?
  3. Are there other alternatives?
  4. How effective is PEP medication?
  5. Does stopping Truvada or Tivicay mid-way increase my chances of catching HIV, or what are other impacts of stopping these medicines before the completion of 28 days cycle?
  6. What are my options considering all of the above?

Kindly help.

20 May 2024 - 1 min read

Please let me know my HIV status based on the test reports.

Hello doctor,

What do this reports indicate? After one-year exposure, following tests were taken HIV (Human Immunodeficiency Virus)1 and 2, western blot, which was negative. HIV-1 RNA PCR(Ribonucleic acid polymerase chain reaction) qualitative- non-detectable. Please let me know whether I am positive or negative for HIV.

17 May 2024 - 1 min read

My condom broke during sex. Should I get tested for HIV?

Hello doctor,

While having sex with a commercial sex worker (CSW) the condom broke. It was not more than 10 seconds before I found out, no ejaculation happened and I had no open sores on my penis or any other cuts, yet still I found a tiny amount of blood on the condom, I cannot think of any reason for the blood except that it could have been her menstrual blood (just the beginning of it). I am of a good general health, smoker and have never been diagnosed with any STD (Sexually Transmitted Disease) or any serious disease. I have asked her if this was the first time for her to have a condom failure incident and she answered yes, she even had a general blood test for a full checkup and she was in good health as well as the HIV blood test two years ago. My questions are as follows: I have read somewhere on the internet that the risk of transmission from a single encounter of unprotected vaginal sex is 0.065 %, meaning that 99.935 % do not get HIV, is that true? Do you recommend I get tested for HIV? I am thinking of getting a PCR test to check myself, how long should I wait before getting tested (PCR - Polymerase chain Reaction) and how accurate and reliable is that test? Do you recommend that I go for the PCR test or should I go for the fourth generation test and how long should I wait as well before the result is conclusive? Does being circumcised have anything to do with minimizing the risk of HIV infection? Does the presence of menstrual blood increase the risk of HIV infection?

17 May 2024 - 1 min read

Is there a risk of HIV from the finger inserted into vagina?

Hello doctor,

I always have low WBC (White Blood Cells) since childhood. I had a blow job, and inserted my finger in her vagina, and I am afraid because I might have rubbed my eyes after that. Am I at risk for HIV (Human Immunodeficiency Virus)?

14 May 2024 - 1 min read

I have an itchy bump above the butt crack. Is it due to STD?

Hello doctor,

The top of my butt crack has been itching for the past two days. I decided to scratch and a bump appeared. When I woke up this morning I noticed that it was still itchy but the bump was there anymore. I reached the back to feel it, but it felt a little wet as if it popped. I do not know what happened while I was sleeping. Can you please tell me what this is? I have been reading about it online and all that keeps popping up is herpes. Is it right?

14 May 2024 - 1 min read

Education

MBBS., DDVL., MD COMMUNITY MEDICINE

Specialties

Dermatology

Specialized Treatments

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