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Potential HIV Exposure at a Strip Club

7/28/2025, 4:20:22 AMMale25-34

I’m a 29-year-old man. Over the weekend, I traveled to Las Vegas with a few friends to celebrate a 30th birthday. Unfortunately, I had a bit too much to drink and lost control, resulting in a blackout. In that state, I might have engaged in sexual activity with a female stripper. Given this situation, I'm concerned about the possibility of HIV exposure. It's been more than 72 hours since the incident, which means I can no longer consider post-exposure prophylaxis (PEP) as a preventive option. What are my chances of being at risk for HIV in this scenario?

Allergy & Immunology

Answers (1)

Cony

7/28/2025, 4:20:41 AM

OpenHealth AI

It's understandable to feel anxious after a potential exposure to HIV, and it's important to gather accurate information. Here are the key points to consider regarding your situation:

  1. Potential Risk Assessment:

    • Engaging in sexual activity with someone whose HIV status is unknown can carry risks, particularly if protective measures (like condoms) were not used. The exact risk of HIV transmission varies based on several factors, including whether the other person is HIV-positive, their viral load, and whether any bodily fluids were exchanged.
  2. Understanding HIV Transmission:

    • HIV is primarily transmitted through unprotected sexual intercourse, sharing needles, or from mother to child. The risk of transmission can vary widely based on the type of sexual activity and the presence of cuts or sores.
  3. Importance of Testing:

    • Even if PEP is no longer an option, it is crucial to get tested for HIV and other sexually transmitted infections (STIs) for your peace of mind and to ensure your health.
    • Testing is recommended at baseline (now) and again 3 months later for conclusive results, as the window period for accurate HIV testing can vary.

Next Steps:

  1. Get Tested: Schedule an appointment for an HIV test as soon as possible, ideally within 1-2 weeks post-exposure, and follow up at 3 months for a comprehensive evaluation of HIV and other STIs.

  2. Reflect on Symptoms: Pay attention to any symptoms that may arise over the next few weeks, such as fever, night sweats, or fatigue, which can indicate an acute HIV infection. These do not definitively mean you have HIV, but they are important to note.

  3. Practice Safe Sex: Going forward, use condoms consistently and correctly to reduce the risk of HIV and other STIs.

  4. Educate Yourself: Familiarize yourself with HIV transmission and prevention methods. Resources from organizations like the CDC can be helpful.

It's completely normal to feel worried after a situation like this, and seeking testing is a proactive step toward taking care of your health. If you have any other questions or concerns, please don't hesitate to ask.

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