Dear HIV.net
I previously posted a query relating to my PEP treatment and possible symptoms, which was kindly answered. However, I now find myself sick with worry which I am unable to manage. To recap, I have been struggling with alcohol and depression, and had unprotected vaginal sex, once, with a sex worker. The PEP was then started after 40 hours.
I have been taking the PEP for three weeks now, and find myself looking every day at statistics for transmission. I cannot make sense of the information online. Initially I was able to reassure myself with a commonly occurring figure stating that the chances of female to male transmission, for the activity I stated, are 4 in 10,000, or 0.04 %. However, although this is the most common figure I find, it does appear to come from old research. I have also come across other websites stating that the probability can be significantly higher when a sex worker is concerned, and if the viral load is high. For example, I have seen figures as high as 1%, or one particular research paper stating that on average transmission can occur after 3 encounters.
Secondly, I am due my HIV test a fortnight after completing my month long PEP treatment. This also seems to conflict with the information I read online, which states that a test should not be until six weeks after PEP, due to PEP masking the test
Can anybody shine some light please on this information, or offer any advice on how to cope with this crippling worry ?
Thank you
Paul