Steps for Getting PEP Medication After HIV Risk Exposure
When engaging in unprotected sex or any sexual activity that increases the risk of sexually transmitted infections (STIs), or you encounter a broken condom, don’t ignore the situation. Even if there are no immediate symptoms, you should see a doctor or specialist health provider straight away and get PEP medication (Post-Exposure Prophylaxis) to maximize your protection against HIV.
Situations That Put You at Risk of HIV
Many people think that sexually transmitted infections (STIs) are uncommon or unlikely to affect them. However, once infected, individuals often face significant stress, including physical discomfort, social stigma, and emotional pain. Therefore, STIs can greatly affect a person’s mental health and social life.
When you understand that STIs are something you can prevent and manage like any other health condition, you can protect yourself. If you suspect you may have been exposed to an STI, it’s crucial to see a doctor or specialist for testing and treatment. Early action helps prevent long-term health impacts, such as gonorrhea, syphilis, herpes, and HPV.
However, one of the more concerning STIs is HIV, which can lead to AIDS. HIV has no cure, and treatment focuses on managing the infection to delay the progression to AIDS (read more on the difference between HIV and AIDS.) There is currently no vaccine for HIV, but there is PEP medication, a form of emergency HIV prevention.
If you have been involved in any of the following, you should see a specialist to assess your situation, get tested for HIV, and take action immediately if infected:
- Unprotected sex, especially with someone whose HIV status is unknown
- Condom breakage or leakage during sex
- Sharing needles, whether intentional or accidental
- Coming into contact with the blood or bodily fluids of someone who is HIV-positive or may be at risk
- HIV-positive mothers passing the virus to their child
Steps for Taking Emergency HIV Medication (PEP) After Unprotected Sex
If you’ve had unprotected sex, don’t panic or hide from the situation. Stay calm and follow these steps:
- See a doctor or specialist within 72 hours
- Take PEP: PEP is an emergency HIV prevention medication and must be taken immediately under a doctor’s supervision.
- Get tested for STIs: Comprehensive testing should be done for HIV, syphilis, hepatitis B, and hepatitis C, along with testing for immunity against hepatitis B. Even if no infection is detected, you should get follow-up tests because there is a period when infections may not be detected. HIV tests should be repeated at 1 month, 3 months, and 6 months. Syphilis tests should be repeated at 3 months and 6 months, and hepatitis B and C tests at 6 months.
- Start treatment if infected: Early treatment can prevent severe complications and other co-existing diseases.
- Follow-up: Follow your doctor’s advice for additional tests and monitoring, especially if you are at risk or show symptoms.
Understanding PEP Medication and How to Take It Correctly
What is PEP? PEP, or Post-Exposure Prophylaxis, is an emergency HIV prevention medication. It is taken in cases of possible HIV exposure, such as unprotected sex, a condom breaking, or sharing needles. PEP can reduce the risk of HIV infection by 80-90%, and it is most effective when taken within 72 hours after exposure. However, PEP is not a treatment for an existing HIV infection. If you are already infected, PEP will not prevent the virus from progressing.
How to Take PEP Correctly
- Take PEP within 72 hours after possible exposure. Its effectiveness decreases the longer you wait.
- Continue taking PEP for 28 days under your doctor’s supervision.
STIs You Should Get Tested For
Each time you are at risk of contracting an STI, even if you have no symptoms, it’s important to get tested for the following:
HIV
HIV is a virus that weakens the immune system, making the body more susceptible to other infections. Doctors recommend testing for HIV about 2-3 weeks after possible exposure, and follow-up tests should be done at 1 month, 3 months, and 6 months.
Syphilis
Syphilis is caused by the bacterium “Treponema pallidum”, transmitted through bodily fluids. It causes sores that can damage the body’s systems, including the nervous system and blood vessels. If left untreated, it can lead to severe complications, including death. Testing should be repeated at 3 months and 6 months.
Hepatitis B and C, and Immunity to Hepatitis B
Hepatitis B and C often show no symptoms in the early stages but can cause long-term liver damage if left untreated. If not treated, they can lead to liver cirrhosis or liver cancer. Even if initial tests don’t detect the virus, retesting should be done after 6 months.
People at high risk should also get their immunity to hepatitis B checked, and a booster vaccine should be administered if immunity is low.
These four STIs are fundamental to test for after unprotected sex due to their long-term health effects. However, because there is a window period where infections may not be detectable, follow-up tests are essential to ensure accurate results.
Additionally, you should also test for common STIs like gonorrhea, herpes, and HPV, which can cause visible symptoms, reduce confidence, and lead to serious complications like cervical cancer.
Frequently Asked Questions
Can PEP Prevent Other STIs?
No, PEP is only effective at preventing HIV, not other sexually transmitted infections.
What Are the Side Effects of PEP?
Common side effects include nausea, headaches, and fatigue. These usually occur as the body adjusts to the medication and will subside over time.
Can PEP Be Effective After 72 Hours?
PEP can still be taken after 72 hours, but its effectiveness decreases the longer you wait.
Is PEP the Same as AIDS Treatment (Antiretroviral Drugs)?
No, because being infected with HIV does not mean you have AIDS. Having AIDS indicates that you have been infected with HIV for some time without receiving treatment or antiretroviral drugs. Taking HIV prevention medication (PEP) cannot protect you if you are already infected.
Read more on “The Difference Between HIV and AIDS: Understanding and Prevention.”
Had Unprotected Sex? Don’t Wait—Schedule a PEP Consultation with ReadyCheckGo
If you’ve had unprotected sex or are at risk of HIV, see a doctor and take PEP within 72 hours.
You can schedule an appointment with a doctor at ReadyCheckGo at our Silom, Thonglor, or Samui locations, or request an at-home visit (available in Bangkok and nearby provinces). Anonymous STI testing is also available.
For more information on how to get PEP medication, you can find out more and buy PEP in Bangkok.
Reference:
- โรคเอดส์ในเด็กและวัยรุ่น. Accessed September 25, 2024, from https://www.pidst.or.th/A731.html
- เพร็พ (PrEP) ,เป็ป (PEP) คืออะไร. Accessed September 25, 2024, from https://th.trcarc.org/เพร็พ-prep-เป็ป-pep-คืออะไร/
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บทความที่น่าสนใจ
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Had unprotected sex or condom failure? Get PEP, the emergency HIV prevention medication, within 72 hours to reduce the risk of HIV infection.
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Had unprotected sex or condom failure? Get PEP, the emergency HIV prevention medication, within 72 hours to reduce the risk of HIV infection.
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