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Can Pep Within 24 H With Good Adherence In Case Of Insertive Penile To Vaginal Exposure ?

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Posted on Mon, 9 Oct 2023
Twitter Mon, 9 Oct 2023 Answered on
Twitter Tue, 20 Feb 2024 Last reviewed on
Question : I had one insertive penile to vaginal exposure to girl unkown status , in high risk country ( thialand )
I used condom but broken but broken last 2 min maximum , I asked her many times about her status she said not sick and I have 2 child

In same day 13 to 16 hours I started my PEP TLD

Now in 17 days on pep ( good adherence) with no side effects and no symptoms

I know my risk considered low risk but still I but my self in it

I just want to ask you dr , ( from your experience) :
- is there any case started pep within 24 h with good adherence and full 28 days , came back positive ?
- Did you see any case came back negative after 28 days pep course and after that became positive due to pep delay seroconversion ( in case of good adherence ) ?
doctor
Answered by Dr. Dr.Raju.A.T (3 hours later)
Brief Answer:
Need not worry

Detailed Answer:
Hi,

Thanks for your query.

Broken condom and unknown status of thr partner does indicate risk.

The success of PEP is surely considerable.

In my experience, no I haven't come across a case positive after PEP.

Yes, there will be a few cases whoes seroconversion is delayed and have come positive later in time..But these are of very low incidence.

Hope, I answered your questions.

Regards,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr.Raju.A.T (8 hours later)
thanks dr so much , I have another qs

Waht do think dr about my risk after using pep within 16 h after exposure and good adhernnce ?



also dr you said few cases whoes seroconversion is delayed and have come positive later in time , my qs is , what are the causes of these causes converintng to positive , is (PEP fail) or there are furthur exposure or no adhernace ?
doctor
Answered by Dr. Dr.Raju.A.T (15 hours later)
Brief Answer:
Answered

Detailed Answer:
Hi,

Thanks for your query.

The risk of developing infection in you is at very minimal.

There are no specific causes for delayed seroconversion. Cant identify those in any.

Regards,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dr.Raju.A.T

General & Family Physician

Practicing since :2008

Answered : 4935 Questions

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Can Pep Within 24 H With Good Adherence In Case Of Insertive Penile To Vaginal Exposure ?

Brief Answer: Need not worry Detailed Answer: Hi, Thanks for your query. Broken condom and unknown status of thr partner does indicate risk. The success of PEP is surely considerable. In my experience, no I haven't come across a case positive after PEP. Yes, there will be a few cases whoes seroconversion is delayed and have come positive later in time..But these are of very low incidence. Hope, I answered your questions. Regards,