HELP! I bottomed with condom....should I be concerned?

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  Sep 14, 2011 2:06 PM GMT

  Last night I bottomed for a guy whose status is unknown. We used a condom and he was a pretty hard fucker. This morning when I got home and took a dump I noticed that I had some bleeding down there. I'm concerned! What should I do?
  
  - I don't think the condom broke otherwise he would have told me so, I hope. Should I ask him?
  
  - Should I be concerned? Does this warrant a PEP?
  
  - We did not do oral or anything else, just kissing and then he fucked me.
  
  .....what should I do? I am really concerned! If I start PEP I need to start ASAP so feedback is appreciated.

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  Sep 14, 2011 2:11 PM GMT

  How do you not know whether the condom broke or not? After he pulled out did you just not look?
  
  I doubt very much you were exposed, and the bleeding is not uncommon if you've been fucked roughly. I don't bottom often so sometimes I've had a little blood after being fucked hard. Don't worry about it, but just ask the guy if you are going to get stressed about it, and next time you get fucked make sure you are fully aware of what is happening before, during and after the act (oh and if it's too rough for you then SAY SOMETHING!)

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  Sep 14, 2011 2:18 PM GMT

  Pure saidHow do you not know whether the condom broke or not? After he pulled out did you just not look?
  
  I doubt very much you were exposed, and the bleeding is not uncommon if you've been fucked roughly. I don't bottom often so sometimes I've had a little blood after being fucked hard. Don't worry about it, but just ask the guy if you are going to get stressed about it, and next time you get fucked make sure you are fully aware of what is happening before, during and after the act (oh and if it's too rough for you then SAY SOMETHING!)

  
  
  So I should ask him then. I didn't take the condom and examine it thoroughly afterwards, but I think the cum would have leaked out everywhere if it broke, right?
  
  PURE, I really appreciate the response. In fact, last night was the second time I have bottomed, at all. So I don't really know what the hell I'm doing. When I top I am better at it because the condom is on me when I take it off.
  
  I'll ask the guy about whether or not the condom broke though. I don't think it did.

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  Sep 14, 2011 3:09 PM GMT

  Yea your ass probably got hurt that's about it waimea. If it persists talk to a doctor but other than that don't worry about it. Plus you should get an HIV test every 3-6 months anyways so go get tested and don't worry anymore.

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  Sep 14, 2011 3:17 PM GMT

  Chainers saidYea your ass probably got hurt that's about it waimea. If it persists talk to a doctor but other than that don't worry about it. Plus you should get an HIV test every 3-6 months anyways so go get tested and don't worry anymore.

  
  Thank you so much! I am usually better about these things but I have no idea what the hell I was thinking last night. You really are a nice person when it counts Chainers.
  
  
  Should I start PEP? Is it warranted?

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  Sep 14, 2011 3:40 PM GMT

  waimea saidShould I start PEP? Is it warranted?

  
  You can ask an HIV/infectious disease doctor, but there are prescribing guidelines they are supposed to follow before starting you on PEP, which typically runs daily for a month.
  
  Having sex with a man of unknown status, who used a condom whose condition is also unknown by you, may not meet criteria to begin PEP. Even if the doctor declines PEP for you, he/she may want to look for fissures producing the blood, perhaps prescribe a tube of jelly for you to apply, maybe give you a stool softener and advise a temporary change in your diet until things are healed.
  
  Always ask your top to use plenty of latex-safe lube, and add more during the session. Some tops avoid much lube because they get more friction when they're drier, and when wearing a condom they have less worry of getting a dry friction burn themselves. But it can rip the bottom up.

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  Sep 14, 2011 4:22 PM GMT

  Art_Deco said

  waimea saidShould I start PEP? Is it warranted?

  
  You can ask an HIV/infectious disease doctor, but there are presecribing guidelines they are supposed to follow before starting you on PEP, which typically runs daily for a month.
  
  Having sex with a man of unknown status, who used a condom whose condition is also unknown by you, may not meet criteria to begin PEP. Even if the doctor declines PEP for you, he/she may want to look for fissures producing the blood, perhaps prescribe a tube of jelly for you to apply, maybe give you a stool softener and advise a temporary change in your diet until things are healed.
  
  Always ask your top to use plenty of latex-safe lube, and add more during the session. Some tops avoid much lube because they get more friction when they're drier, and when wearing a condom they have less worry of getting a dry friction burn themselves. But it can rip the bottom up.

  
  
  Thank you very much for your answer. I looked for the PEP guidelines but they are mostly for occupational hazards and sexual assaults. . Apparently there aren't that many research on nonoccupational hazards .

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  Sep 14, 2011 4:30 PM GMT

  I did some research and I saw this on thebody.com. Apparently protected insertive and protected receptive anal sex do not warrant PEP.
  
  http://www.thebody.com/content/art13461.html
  
  Table 1
  
  Exposure Likelihood of Transmission
  Receptive anal intercourse 0.1%-0.3% (1/1,000-3/1,000)
  Receptive vaginal intercourse 0.08%-0.2% (0.8/1,000-2/1,000)
  Injection-needle sharing 0.67% (6.7/1,000)
  Insertive anal sex 0.03% (3/10,000)
  Insertive vaginal sex 0.03%-0.09% (3/10,000-9/10,000)
  

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  Sep 15, 2011 12:42 AM GMT

  waimea saidI did some research and I saw this on thebody.com. Apparently protected insertive and protected receptive anal sex do not warrant PEP.
  
  http://www.thebody.com/content/art13461.html
  
  Table 1
  
  Exposure Likelihood of Transmission
  Receptive anal intercourse 0.1%-0.3% (1/1,000-3/1,000)
  Receptive vaginal intercourse 0.08%-0.2% (0.8/1,000-2/1,000)
  Injection-needle sharing 0.67% (6.7/1,000)
  Insertive anal sex 0.03% (3/10,000)
  Insertive vaginal sex 0.03%-0.09% (3/10,000-9/10,000)

  
  I saw similar things, but I'm not a doctor. And check the dates for PEP guidelines you find online, and also the country of origin for any articles. The science of PEP for HIV and the approach of the medical community to its use can always change.

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  Sep 15, 2011 2:42 AM GMT

  Thank you so much Art_Deco. You are a very generous person and it is time like this you truly know who the gems of RJ are.

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  Sep 15, 2011 12:51 PM GMT

  Not sure what kind of STD has symptom like what you are describing. Most that I have read (mostly infections) about do not show symptoms this quick or they do not include bleeding.
  
  
  Does your lifestyle / family history life make you susceptible to hemorrhoids? Some people get mild hemorrhoids that is nothing to worry about, but you can exacerbate the condition by rough anal sex, change is diet, or too much stress on anus.
  
  I am not doctor either, or even close to it. So dont take this too seriously. /disclaimer

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  Sep 15, 2011 2:01 PM GMT

  ***update***
  After exhausting my online research and forum resources including thebody.com, http://www.medhelp.org, and http://www.aidsmeds.com/, I have pretty much come to the conclusion that I do not have anything significant to worry about. The best answer I got was from aidsmeds.com from the administrator. Here is what she said to me:
  
  

  administrator at aidsmed.comwaimea,
  
  Relax. You have not had a risk for hiv infection. You certainly do NOT need PEP.
  
  Condoms have been proven to prevent hiv infection. There have been three long-term studies of couples where one is positive and one is negative. In the couples who used condoms for anal or vaginal intercourse, but no barrier for oral activities, not one of the negative partners became infected with hiv. Not one.
  
  If the condom had broken, yes, you would have known. Broken condoms are very obvious.
  
  Here's what you need to know in order to avoid hiv infection:
  
  You need to be using condoms for anal or vaginal intercourse, every time, no exceptions until such time as you are in a securely monogamous relationship where you have both tested for ALL sexually transmitted infections together.
  
  To agree to have unprotected intercourse is to consent to the possibility of being infected with an STI. Sex without a condom lasts only a matter of minutes, but hiv is forever.
  
  Have a look through the condom and lube links in my signature line so you can use condoms with confidence.
  
  ALTHOUGH YOU DO NOT NEED TO TEST OVER THIS SPECIFIC INCIDENT, anyone who is sexually active should be having a full sexual health care check-up, including but not limited to hiv testing, at least once a year and more often if unprotected intercourse occurs.
  
  If you aren't already having regular, routine check-ups, now is the time to start. As long as you make sure condoms are being used for intercourse, you can fully expect your routine hiv tests to return with negative results.
  
  Don't forget to always get checked for all the other sexually transmitted infections as well, because they are MUCH easier to transmit than hiv.
  
  Use condoms for anal or vaginal intercourse, correctly and consistently, and you will avoid hiv infection. It really is that simple!
  
  Ann

  
  
  I just want to say that if I bothered the heck out of people on this site I apologize for my annoyance. But this is my life and I am just really concerned, that's all. Thanks so much for all of your concerns and mails that I got. I feel a lot less terrified now. THANK YOU!!

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  Sep 15, 2011 5:04 PM GMT

  It could have simply been damage to the wall, in the form of small tears... its not uncommon for tearing to occur... this does not necessarily mean the condom broke,... In the future you might wanna check the condom if you feel it was unusually rough... For the medical procedure in the US I am not aware, so I will refer to the others on this forum...

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  Nov 27, 2011 5:00 PM GMT

  mate, ur fine, u just got fucked too hard, xxx, but u should always check if the condom is still intact after as receiving anal sex carries the highest risk.

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