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HIV post-exposure prophylaxis — DRCOG MCQ

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HardContraception and Sexual HealthHIV post-exposure prophylaxisDRCOG

A 28-year-old woman attends 36 hours after condomless sex with a partner who later disclosed untreated HIV. She has no symptoms and is using a copper IUD for contraception. When should this patient be referred?

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Correct answer: B — Same-day sexual health assessment for HIV post-exposure prophylaxis

HIV post-exposure prophylaxis is time-sensitive and should be assessed urgently, ideally within 72 hours. An IUD prevents pregnancy but does not alter HIV acquisition risk. Baseline and follow-up testing are needed but should not delay PEP assessment. The pearl is that sexual health emergencies include infection risk as well as pregnancy risk.

Reference: BHIVA/BASHH PEP guideline; NICE CKS HIV infection and AIDS