QUESTION
I just recently had sex with my HIV positive boyfriend. He isn’t on meds yet. He came inside my anus, but no blood or rupture happened. I then used the bathroom to empty out my rectum. Since he came inside me, am I going to be HIV positive now?

ANSWER
Getting fucked without a condom by an HIV positive person is a high-risk sexually activity—about 1 in 50 times that will result in HIV transmission. There is certainly no guarantee that you got HIV, but there is a chance. Duration of intercourse, top or bottom position, infectiousness of HIV+ partner, and presence of STDs in either partner are important factors in assessing the risk of viral transmission.

For men who have been fucked in the past 72 hours without a condom and have had a high-risk exposure, some doctors will recommend PEP, or post-exposure prevention, which is a month of HIV medications to prevent a patient from becoming HIV positive. You’d have to find out what’s available in your area and again, it works best if taken quickly.

Emptying out your rectum does not prevent the transmission of HIV or any other STDs. Using a condom is the best way to lessen that risk.

To find out your HIV status, you need to get tested. To find out where, visit City Clinic for places in San Francisco or check out HIVtest.org to do a zip code search.

To your health,
Dr. K